THE ROYAL HOSPITAL DONNYBROOK ANNUAL REPORT & ACCOUNTS 2017 THE ROYAL HOSPITAL DONNYBROOK \ ANNUAL REPORT & ACCOUNTS 2017 CONTENTS Structures and Committees 02 Chairman’s Statement 04 Governance 06 Chief Executive’s Report 10 Medical Director’s Report 12 Nursing Report 14 SPARC 16 PARC 17 General Rehabilitation 18 Specialist Stroke Rehabilitation 19 Specialist Neurorehabilitation 20 Day Hospital 21 Residential Care 22 Physiotherapy 23 Occupational Therapy 24 Speech and Language Therapy 26 Podiatry 26 Nutrition & Dietetics 27 Medical Social Work 28 Psychology 29 Patient/Resident Feedback 30 Summary Financial Information 31 Schools involved in Aos Óg Programme 34 and Gaisce – the President’s Award List of Governors 35 THE ROYAL HOSPITAL DONNYBROOK \ ANNUAL REPORT & ACCOUNTS 2017 THE ROYAL HOSPITAL DONNYBROOK \ ANNUAL REPORT & ACCOUNTS 2017 STRUCTURES AND COMMITTEES BOARD OF MANAGEMENT REMUNERATION COMMITTEE 2018 HOSPITAL MANAGEMENT TEAM 2018 CONSULTANT PHYSICIAN IN STROKE MEDICINE Jerry Kelly, Chairman (retired December 2017) Robin Simpson, Chairman Acting Chief Executive Officer Dr. Tim Cassidy Robin Simpson, Vice-Chairman (Chairman from Caroline O’Shea Colm Moloney January 2018) Brendan Pigott Medical Director CONSULTANT IN Caroline O’Shea (Vice-Chair from January 2018) Dr. Lisa Cogan NEUROREHABILITATION MEDICINE Brendan Pigott, Hon. Treasurer EXECUTIVE COMMITTEE 2018 Director of Nursing Dr. Paul Carroll Rev. Alastair Graham Robin Simpson, Chairman Evonne Healy David Gunning (joined September 2017) Caroline O’Shea Financial Controller CONSULTANT PHYSICIANS IN Rev. Canon Sonia Gyles (joined November 2017) Brendan Pigott GERIATRIC MEDICINE Colm Moloney Tom Hayes Conor O’Connor Dr. Lisa Cogan Miriam Hillery David Gunning Occupational Therapy Manager Cllr. Frank Kennedy (nominated by Dublin City Colm Moloney Jo Cannon Dr. J. J. Barry Council) Physiotherapy Manager Dr. Morgan Crowe Dorothy MacCann (joined February 2017) CLINICAL GOVERNANCE COMMITTEE 2018 Barbara Sheerin Dr. Nichola Boyle Cllr. Paddy McCartan (nominated by Dublin City Deirdre-Ann Barr, Chair Council) Principal Medical Social Worker Dr. Lisa Cogan Bernadette Casey Prof. Geraldine McCarthy Dr. Morgan Crowe Michele McCormack (joined November 2017) Operations Manager Dr. Tim Cassidy The Royal Hospital Donnybrook is a Conor O’Connor Conor Leonard Dr. Paul Carroll registered charity. Oisín Quinn Miriam Hillery Human Resources Manager Charities Regulatory Number: 20001605 Philomena Shovlin (retired May 2017) Prof. Geraldine McCarthy Sharon Lawlor The hospital’s Annual General Meeting will be AUDIT COMMITTEE 2018 Michele McCormack Corporate & Clinical Affairs Manager held on Tuesday 29th May 2018 at 5.30pm in the Donald McShane Denise Heffernan hospital’s Concert Hall. Conor O’Connor, Chairman Rev. Canon Sonia Gyles Alan Gough Colm Moloney Brendan Pigott Evonne Healy Katrina Strecker MISSION COMMITTEE 2018 NOMINATIONS AND GOVERNANCE COMMITTEE 2018 Rev. Alastair Graham Robin Simpson, Chairman Heather Tennant Miriam Hillery ESTATES COMMITTEE 2018 Cllr. Frank Kennedy Dorothy MacCann Caroline O’Shea Caroline O’Shea Colm Moloney Conor Leonard 2 3 THE ROYAL HOSPITAL DONNYBROOK \ ANNUAL REPORT & ACCOUNTS 2017 THE ROYAL HOSPITAL DONNYBROOK \ ANNUAL REPORT & ACCOUNTS 2017 CHAIRMAN’S STATEMENT I wish to thank our hospital The Friends of the Royal Hospital Donnybrook management, staff and volunteers have had a successful year with Oisín Quinn as for their dedicated service over the Chairman and they have planned a full schedule of events to support the hospital in its mission. past year. Their 2017 golf outing raised a record sum and the next golf outing will be held on Tuesday, 3 July One of the first tasks that Caroline O’Shea and I 2018. Towards the end of the year, your Board undertook after becoming your Vice Chairman and transferred the bulk of the hospital’s private funds Chairman was a full tour of the hospital. We were to the Friends. This means that all our funds can humbled by seeing a team of dedicated women and now be managed and allocated for the benefit of men continuing to make such a difference to the patients as a single entity. lives of so many vulnerable people. This team effort After a long lead time, we were pleased to welcome stands at the centre of the high standard of care During 2017, our Director of Nursing, Olivia provided by The Royal Hospital Donnybrook (RHD) Sinclair, and our Chief Executive Officer, Irene Taoiseach Leo Varadkar and Minister Eoghan Murphy to a for many years. On your behalf and on behalf of Frazer, resigned from the hospital and we wish the Board of Management, I wish to thank our them well in their new careers. We would like to sod-turning ceremony for a new development in Beech Hill, hospital management, staff and volunteers for extend a warm welcome to Evonne Healy as our Donnybrook. This will provide much needed social sheltered their dedicated service over the past year. Your new Director of Nursing. We hope to announce the Board will support our management and staff in appointment of a Chief Executive Officer before housing in the area. their efforts to maintain this standard in the years too long. We greatly appreciate the work that ahead. Colm Moloney and Patricia O’Reilly have been undertaking in fulfilling the responsibilities of In the light of this team dedication, it was most these two posts while they have been vacant. disappointing that we had to close beds for the second year in a row because of a lack of funds. We were delighted to welcome David Gunning, By the time that funds were made available, it was Michele McCormack and Sonia Gyles to the Board too close to Christmas to recruit staff to re-open of Management and to welcome Deidre-Ann Barr beds and this was further delayed by an influenza as Chair of the Clinical Governance Committee outbreak early in the New Year. As a result, the during 2017. Regretfully, I record the retirement of hospital had beds closed during the usual January Jerry Kelly as Chairman and Phil Shovlin from the acute hospital bed crisis. We will continue to Board. We will all miss their collegiate spirit and work with the HSE to try to avoid this regrettable their wise counsel. situation arising in future years. Finally, I would like to thank all members of the The RHD Housing Association’s provision of Board of Management and its Committees for their housing for older people with rehabilitation support and hard work during the year. I can only supports continues under the chairmanship of hope that the Independent Review Group recently Derek Scally. After a long lead time, we were appointed by the Minister for Health will pleased to welcome Taoiseach Leo Varadkar understand the enormous commitment and and Minister Eoghan Murphy to a sod-turning contribution that volunteerism makes to our ceremony for a new development in Beech Hill, health services. Donnybrook. This will provide much needed social sheltered housing in the area. Robin Simpson Chairman 4 5 THE ROYAL HOSPITAL DONNYBROOK \ ANNUAL REPORT & ACCOUNTS 2017 THE ROYAL HOSPITAL DONNYBROOK \ ANNUAL REPORT & ACCOUNTS 2017 GOVERNANCE The Royal Hospital Donnybrook (RHD) was founded in 1743 and is one of the oldest charities in Ireland. It received its Royal Charter in 1800 and is BOARD MEMBERS’ ATTENDANCE consequently a charter corporation. The Bye-laws of the RHD can only be For Period 01/01/17 to 31/12/17 changed by decision of the Governors with the consent of the Oireachtas. The Governors of the RHD are drawn from There is a comprehensive committee structure the local community. At AGMs, the Governors with written Terms of Reference for each of the receive the annual report and accounts and elect following Board committees the Board of Management. n Executive Committee The Bye-laws permit the Governors to elect up n Nominations & Governance Committee n OF BOARD MANAGEMENT EXECUTIVE COMMITTEE AUDIT COMMITTEE to 25 persons to the Board of Management. Audit Committee NOMINATIONS & GOVERNANCE COMMITTEE REMUNERATION COMMITTEE CLINICAL GOVERNANCE COMMITTEE MISSION COMMITTEE ESTATES COMMITTEE However, in line with current best practice, the n Clinical Governance Committee Board has been reduced in recent years. Today, Rev. Alastair Graham 5\7 2\2 n Remuneration Committee there are 12 members elected by the Governors 3\3 n David Gunning and two members nominated by Dublin City Mission Committee 2\2 1\1 Council for election by the Board. The Board meets Sonia Gyles not less than five times per year. There is a written The attendance record of the Board Members at Tom Hayes 4\7 2\2 statement of the Reserved Powers of the Board. All Board meetings and committee meetings during Miriam Hillery 7\7 3\3 5\5 elected members of the Board are volunteers and 2017 is shown in the chart opposite. do not receive any fees or expenses for attending Jerry Kelly 7\7 3\3 3\3 1\1 Board meetings or undertaking other work on Cllr. Frank Kennedy 7\7 1\1 behalf of the RHD. Dorothy MacCann 5\5 0\1 Cllr. Paddy McCartan 5\7 Prof. Geraldine McCarthy 4\7 4\5 Michelle McCormack 2\2 0\1 Conor O’Conor 6\7 1\1 3\3 Caroline O’Shea 7\7 3\3 2\2 Brendan Piggot 3\7 1\3 1\3 0\1 Oisín Quinn 6\7 Philomena Shovlin 2\3 2\2 4\5 Robin Simpson 7\7 3\3 2\2 3\3 1\1 Member does not sit on this committee 6 7 THE ROYAL HOSPITAL DONNYBROOK \ ANNUAL REPORT & ACCOUNTS 2017 THE ROYAL HOSPITAL DONNYBROOK \ ANNUAL REPORT & ACCOUNTS 2017 GOVERNANCE / continued Risk Management is a standard item on the agenda for every An internal evaluation of the Board of Management 5.4 Procurement Policy Board meeting. The Board is satisfied it has appropriate risk and the Board committees was undertaken in 2017. 5.5 Internal Audit management and other internal controls in place to ensure the The resulting recommendations were accepted by 5.5.1 Internal Audit Charter the Board.