Beaumont Hospital Annual Report Beaumont Hospital Annual Report 2015 Beaumont Hospital Annual Report 2015 Contents Page Chair Report ......................................................................................................................................................... 1 Beaumont Hospital Board members - Meeting attendance ............................................................. 3 Beaumont Hospital Organisational Chart ........................................................................................... 4 CEO Report ........................................................................................................................................................... 5 Finance Report.................................................................................................................................................... 13 Nursing Report ............................................................................................................................................... 18 Human Resources & Medical Administration Department ........................................................... 27 Organisational Development ...................................................................................................................... 36 Integrated Quality and Safety Department ........................................................................................... 43 Information and Communications Technology ................................................................................... 61 Clinical Directorates ..................................................................................................................................... 62 Critical Care and Anaesthesia Directorate ........................................................................................... 63 The Imaging and Interventional Radiology Directorate ................................................................ 67 Laboratory Medicine Directorate ............................................................................................................. 69 Medical Directorate ........................................................................................................................................ 79 Neurocent Directorate ................................................................................................................................ 80 Surgical Directorate ....................................................................................................................................... 86 Transplant, Urology & Nephrology Directorate ................................................................................ 91 Clinical Services Directorate ............................................................................................................................ 106 Chaplaincy ......................................................................................................................................................... 148 General Services ............................................................................................................................................. 149 St Joseph’s Hospital Campus ...................................................................................................................... 165 Royal College of Surgeons in Ireland ........................................................................................................ 167 Beaumont Hospital 184 Annual Report 2015 Chair Report Ann Fitzgerald Chair Beaumont Hospital Board The Board and I as Chair are now at the midpoint work of Beaumont over the years and identifies a of our three year term of office. We are fully clear vision and direction for the hospital at every committed to helping create a clear strategic level. This is vital in ensuring that staff are clear direction which places Beaumont at the forefront about their individual role and the contribution of delivering high quality healthcare. There this makes to the overall objectives. As a board are considerable complexities and challenges we are very aware of the extent of the work ahead associated with this and understanding to drive improvement in safety, quality, efficiency, and accepting the extent of change and productivity and morale alongside the integration transformation required is an essential step. of the hospital and community providers. This requires a shift in culture, further blending of Beaumont’s 5 year Strategy “ A Hospital without existing good practices, and finding ways to Walls” was approved by the Board in the course of overcome obstacles in order to embed a culture the year. A Hospital without Walls acknowledges that is focused on the delivery of world-class that the current model of service provision, focused patient outcomes. I am pleased that the strategy mainly on hospitalised care, is unsustainable. As encompasses a detailed three-year implementation an acute hospital, we recognise that considerable plan and sets out both an ambitious and shifts of emphasis towards supporting care in pragmatic ‘road map’ for the next five years. the community, imparting knowledge and skill to improve self-care, and enhance social and The strategy is launched at a critical juncture in the emotional well-being is required. Our commitment context of the establishment of Hospital Groups, to delivering the highest quality of patient care and an important transformation in the future health excellent training and learning opportunities in a service. It aligns with the concept of reorganising friendly, stimulating and professional environment healthcare delivery based on population health is a constant motivator, throughout changing needs, to improve access and quality for a contexts and emerging developments. It is also catchment population of in excess of one million, clear that the requirement for creating a compelling and for the national population associated with vision in collaboration with key stakeholders is very Beaumont’s very distinct national specialties. strong, and the need for innovative and creative The strategy also places a huge value on plans for influencing the external environment strong governance and stewardship, ensuring could rarely be greater. We also recognised that efficiency, fairness and transparency, so that our strategy needed to be more grounded and those depending on Beaumont are assured resonant with hospital staff, so that strategy high quality and compassionate care. This formation and day-to-day decision making is is our overriding responsibility and priority. more interconnected. As a hospital we maintain ongoing engagement and interaction with a wide The Board also commissioned a review of processes range of internal and external stakeholders, and and practices to act as a guide for our stewardship we have endeavoured to capture their views, and governance of the hospital and to ensure that perspectives, needs and ambitions for Beaumont. day to day operational management is effective and A Hospital without Walls builds on the development aligned to the overall strategic direction and vision. Beaumont Hospital Annual Report 2015 External reviews by the Health Information with senior management and senior clinicians Authority (HIQA) into care provision in other similar to put in place immediate operational plans healthcare institutions had a major influence and to conclude the work which was underway on the Board’s actions and decisions in 2015. In on the new strategic plan for the hospital. particular the findings and recommendations of the HIQA investigation into the provision of care In concluding this report I would like to thank at the Midlands Regional Hospital highlighted the members of the Board for their commitment some matters which we considered needed to be and generosity. These are unpaid positions approached differently and led to the introduction and we indeed are fortunate that our high- of the Beaumont Hospital Performance calibre board members feel a huge sense Improvement Plan, which is detailed in the Chief of loyalty to the hospital. They have done Executive’s report. HIQA’s findings in relation sterling work both as main board members to the accountability and responsibility of local and on the Governance and Risk Committee, management and those matters deemed to fall Finance Committee and Audit Committee. under the wider jurisdiction of HSE/Department of On behalf of the Board, I also wish to thank the Health had a particular impact on the board. The management and staff of Beaumont Hospital for Board and Senior Management Team comprise their loyalty and commitment; notwithstanding “local management” in a public funded voluntary challenges, they continue to show a genuine hospital and in this context the Board worked concern for the care and treatment of our patients. Ann Fitzgerald Chair, Beaumont Hospital Board Beaumont Hospital Annual Report 2015 Beaumont Hospital Board members - Meeting attendance Board Meetings attended Name Nominated by Term of office in 2015 Expected No. of no. of meetings meetings to attended attend 2015 2015 Ann Fitzgerald, Chair Minister for Health 17.12.13 – 16.12.16 12 12 Professor Anne Matthews Dublin City University 26.02.15 - 16.12.16 7 7 Corrigan Faculty Dr Ursula O’Brien Counihan of Royal College of 17.12.13 – 16.12.16 12 10 General Practitioners 23.12.13 – 16.12.16 Prof Fergal Malone RCSI 12 7 Resigned December 2015 Ms Laura Cuddihy Chair 03.02.14 - 02.02.17 12 11 Mr William Early