National Council Annual Report 2018/2019 Mr Martin Varley Secretary General 1 National Council • National officers elected at the National Council annual meeting on 15 June 2019 • Membership of the National Council is on page 27 for ratification following this report • National Council Committees (pages 3, 4 & 5) • Council met on 11 occasions in the last year 2 2019 – 2020 National Council Name Specialty Hospital/Region Dr PJ Breen Anaesthesiology Retired Dr Roy Browne Psychiatry Phoenix Care Centre Dr Aine Burke Pathology Sligo University Hospital Dr Gabrielle Colleran Radiology Temple Street Dr Charles d’Adhemar Histopathology MRH Tullamore Dr Conall Dennedy Endocrinology University Hospital Galway Dr Patrick Dillon Anaesthesiology Limerick Mr Joe Dowdall Vascular Surgery St Vincent’s Dr Laura Durcan Rheumatology Beaumont Mr Garrett Durkan Surgery – Urology UHG Mr Colm Fahy Surgery – ENT Galway Clinic Dr Clare Fallon Geriatrics MRH Mullingar Dr Orla Franklin Cardiology Crumlin Children’s Hospital Dr Sinead Harney Rheumatology Cork University Hospital Prof Alan Irvine Dermatology Crumlin Children’s Hospital Dr Paul Kelly Emergency Medicine Wexford General Dr Mary McCaffrey Obstetrics & Gynaecology Kerry University Hospital Dr Kieran Moore Psychiatry Crumlin Children’s Hospital Mr Maurice Neligan Trauma and Orthopaedics Beacon Hospital Dr Oisin O’Connell Respiratory Medicine Bon Secours, Cork Dr Donal O’Hanlon Psychiatry Naas Hospital Dr Conor O’Riordan Radiology St Luke’s Kilkenny Dr Ioannis Polyzois Oral Surgery Dublin Dental Hospital Dr Trip Prassad Diagnostic Radiology Navan Hospital Mr Peter Ryan Surgery – Urology Bon Secours, Cork Dr Tom Ryan Anaesthesiology St James’s Dr John Scully Anaesthesiology Letterkenny Dr Mike Staunton Anaesthesiology OLOL, Drogheda Dr Shona Tormey Surgery Limerick To be co-opted 3 National Officers President Dr Donal O’Hanlon Naas General Hospital, Kildare Vice Presidents Dr Gabrielle Colleran Children’s University Hospital, Temple St Dr Laura Durcan Beaumont Hospital, Dublin Membership Secretary Dr Conor O’Riordan St Luke’s Hospital, Kilkenny Treasurer Prof Alan Irvine Our Lady’s Children’s Hospital, Crumlin 4 National Committees & Chairs Focus Group National Officers and immediate past president, ex officio Finance Prof Alan Irvine Legal Affairs Committee Dr Donal O’Hanlon New Entrants Discrimination Committee Dr Donal O’Hanlon New Entrants Working Group Dr Laura Durcan Psychiatry Dr Kieran Moore Private Practice Committee Mr Garrett Durkan Full Time Private Practice Committee Mr Peter Ryan Health Insurer Schedule Reviews National Officers & representatives 5 of relevant specialties Legal Affairs Committee The committee, which is chaired by the President, oversees issues concerning breach of contract and its membership includes: • Dr Donal O’Hanlon President • Professor Alan Irvine Treasurer • Dr P J Breen National Council Member • Dr Roy Browne National Council Member • Dr Thomas Ryan National Council Member • Dr Phyllis O’Sullivan Consultant Radiologist, St Luke’s Hospital, Kilkenny 6 New Entrant Discrimination Committee The Committee is chaired by the President and includes the following members: • Dr Donal O’Hanlon President • Dr Gabrielle Colleran Vice President • Dr Laura Durcan Vice President • Prof Alan Irvine Treasurer • Dr Roy Browne Council Member • Dr Aine Burke Council Member • Dr Conall Dennedy Council Member • Dr Oisin O’Connell Council Member • Dr Thomas Ryan Council Member 7 New Entrant Working Group The Committee is chaired by Dr Laura Durcan, Consultant Rheumatologist, Beaumont. The members of the Committee include: • Dr David Bradley Consultant Neurologist St James’s Hospital • Dr Aine Burke Consultant Pathologist Sligo University Hospital • Dr Gabrielle Colleran Consultant Radiologist Temple Street Hospital • Dr Conall Dennedy Consultant Endocrinologist Galway University Hospital • Dr Jean Donnelly Consultant Paediatrician OLCH, Crumlin • Dr Brendan Doyle Consultant Pathologist Beaumont Hospital • Dr Laura Durcan Consultant Rheumatologist Beaumont Hospital • Dr Fiona Fenton Consultant Psychiatrist Mental Health Commission • Dr David Kevans Consultant Gastroenterologist St James’s Hospital • Dr Barry Moynihan Consultant Geriatrician Beaumont Hospital • Dr Donal O’Hanlon Consultant Psychiatrist Naas General Hospital • Dr Oisin O’Connell Consultant Respiratory Physician Bon Secours, Cork • Dr Noirin Russell Consultant Obstetrician/Gynaecologist Cork University Maternity Hospital • Dr Triona Walshe Consultant Radiologist Mayo University Hospital • Dr Sandra Walsh Consultant Paediatrician OLCH, Crumlin 8 Private Practice Committee The Private Practice Committee is chaired by Mr Garrett Durkan, Consultant Urologist, Galway University Hospital, and includes the following members: • Mr David Borton Consultant Orthopaedic Surgeon Hermitage Medical Clinic • Dr Eilis Cryan Consultant Gastroenterologist Bon Secours, Galway • Dr Pat Dillon Consultant Anaesthesiologist University Hospital Limerick • Mr Garrett Durkan Consultant Urologist Galway University Hospital • Mr Colm Fahy Consultant Otolaryngologist Galway Clinic • Prof Alan Irvine Consultant Dermatologist OLCH, Crumlin • Mr John Nee Consultant Surgeon Bon Secours, Galway • Mr Maurice Neligan Consultant Orthopaedic Surgeon Beacon Hospital • Prof John McElwain Consultant Orthopaedic Surgeon Blackrock Clinic • Dr Oisin O'Connell Consultant Respiratory Physician Bon Secours, Cork • Dr Barry O’Connor Consultant Gastroenterologist Mater Private Hospital, Cork • Ms Margaret O’Donnell Consultant Plastic Surgeon Blackrock Clinic • Dr Conor O’Riordan Consultant Radiologist St Luke’s Kilkenny • Mr Ashley Poynton Consultant Orthopaedic Surgeon Mater Private Hospital • Mr Peter Ryan Consultant Urologist Bon Secours, Cork 9 Full Time Private Practice Committee The Full Time Private Practice Committee consists of the following members. It is chaired by Mr Peter Ryan, Consultant Urologist, Bon Secours, Cork. • Mr David Borton Consultant Orthopaedic Surgeon Hermitage Medical Clinic • Dr Eilis Cryan Consultant Gastroenterologist Bon Secours, Galway • Mr Colm Fahy Consultant ENT Surgeon Galway Clinic • Prof John McElwain Consultant Orthopaedic Surgeon Blackrock Clinic • Mr John Nee Consultant Surgeon Bon Secours, Galway • Mr Maurice Neligan Consultant Orthopaedic Surgeon Beacon Hospital • Dr Oisin O’Connell Consultant Respiratory Physician Bon Secours, Cork • Dr Barry O’Connor Consultant Gastroenterologist Mater Private, Cork • Ms Margaret O’Donnell Consultant Plastic Surgeon Blackrock Clinic • Mr Ashley Poynton Consultant Orthopaedic Surgeon Mater Private Dublin • Mr Peter Ryan Consultant Urologist Bon Secours,Cork 10 Psychiatry Committee The Committee is chaired by Dr Kieran Moore, Consultant Child & Adolescent Psychiatrist, Our Lady’s Children’s Hospital, Crumlin. The Committee membership includes: Dr Richard Blennerhassett Consultant Psychiatrist St John of God Hospital, Stillorgan Dr Roy Browne Consultant Psychiatrist Phoenix Care Centre Dr Kieran Moore Consultant Psychiatrist Our Lady’s Children’s Hospital, Crumlin Dr Donal O’Hanlon Consultant Psychiatrist Naas General Hospital Dr Annemarie Waldron Consultant Psychiatrist St Mary’s Drogheda 11 #CareCantWait • Launched in June • Highlights lack of access and consultant recruitment crisis • Twitter followers ↑ threefold 12 Outpatient Waiting List (Dec 2013-Aug 2019) 600,000 569,498 (Aug-19) 500,000 400,000 375,440 384,632 300,000 300,752 177,748 200,000 (Aug-19) 137,721 103,420 100,000 (Aug-19 80,332 37,197 9,887 0 3,618 Jul-13 Jul-14 Jul-15 Jul-16 Jul-17 Jul-18 Jul-19 Jan-14 Jan-15 Jan-16 Jan-17 Jan-18 Jan-19 Sep-13 Sep-14 Sep-15 Sep-16 Sep-17 Sep-18 Nov-13 Nov-14 Nov-15 Nov-16 Nov-17 Nov-18 Mar-13 Mar-14 Mar-15 Mar-16 Mar-17 Mar-18 Mar-19 May-13 May-14 May-15 May-16 May-17 May-18 May-19 Total Outpatients Over 12 months Over 15 months Linear (Total Outpatients) Linear (Over 12 months) Linear (Over 15 months) Source: NTPF (2013 - 2019) • 569,500 in August • ↑ 53,336 (10.3%) in 2019 • ↑ 205,000 (56%) in 5 years 13 Total Inpatient and Day Case Waiting List (Dec 2013-Aug 2019) 100,000 90,000 86,111 80,000 68,086 70,000 68,390 (Aug-19 60,000 47,413 50,000 40,000 44,870 30,000 17,977 20,000 10,369 (Aug-19) 10,000 5,665 11,041 503 217 7,195 (Aug- 19) 0 0 746 Jul-13 Jul-14 Jul-15 Jul-16 Jul-17 Jul-18 Jul-19 Jan-14 Jan-15 Jan-16 Jan-17 Jan-18 Jan-19 Sep-13 Sep-14 Sep-15 Sep-16 Sep-17 Sep-18 Nov-13 Nov-14 Nov-15 Nov-16 Nov-17 Nov-18 Mar-13 Mar-14 Mar-15 Mar-16 Mar-17 Mar-18 Mar-19 May-13 May-14 May-15 May-16 May-17 May-18 May-19 Total Inpatients/day cases Over 12 months Over 15 months Linear (Total Inpatients/day cases) Linear (Over 12 months) Linear (Over 15 months) Source: NTPF (2013 - 2019) • ↑ 25,339 (59%) in 7 years 14 #CareCantWait 15 #CareCantWait – Media Coverage 16 Consultant Vacancies and the Recruitment and Retention Crisis Specialist medical practitioners per 1,000 population in EU in 2018 (or nearest year) • 42% Ireland 1.44 France fewer Denmark 1.76 Belgium medical Finland Poland specialists Netherlands 1.97 Norway than EU Luxembourg UK 2.09 average Sweden Slovenia EU Average 2.47 Latvia Portugal 2.49 • Over 500 Spain Switzerland posts Hungary 2.62 Estonia vacant or Austria 2.75 Czechia filled on a Italy 3.1 temporary Germany 3.25 Lithhuania 3.51 basis Greece 4.95 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 Source: Eurostat 17 Specialist medical practitioners in Ireland per 100,000 population as a percentage of the EU average (2016 or nearest year) % of EU Average 100 1 1 • /4 to /2 in 90