North Western Health Board annual report 1985 Item Type Report Authors North Western Health Board (NWHB) Publisher North Western Health Board (NWHB) Download date 23/09/2021 23:54:29 Link to Item http://hdl.handle.net/10147/241232 Find this and similar works at - http://www.lenus.ie/hse B6rd Slainte an Iar-ThuaiSCirt North\\estern Health Board Tuairisc Bliana 1985 Annual Report 1985 Health Board North~AreaLocatton of Principal Centres. A Headquarters B General Hospitals C District Hospitals D Community Hospitals E Psychiatric Hospitals F Geriatric Hospitals f 1/ Pre-Schoo I/ Day Centres G forRes Mentalid.:m lal Y Handicapped H Welfare Homes Commum. t y Care Offices J Commum.t Y Nursing Units K Training Centres Tuairisc Bliana 1985 Annual Report OFFICE OF CHIEF EXECUTIVE OFFICER, B6rd Sl6inte an lar· Thuaiscirt, Cluainln, Co. liatroma. F6n: (0721 55123 Teleics: 40414 JULY 1986. Submitted to Members of North Western Health Board at Annual General Meeting on 21st July. 1986. Os comhair Baill 86rd Sl6inte an lar-Thuaiscirt ag Cruinniu Chinn-bliana 21u 1un. 1986. CONTENTS Page Chairman's Report 5 N.W .H.B. Demography/ Financial Cut-Backs 11 The Board and Management Team 23 N.W .H.B. Standing Committees 29 Local Health Advisory Committees 33 Hospital Care 39 Community Care 61 Personnel 81 Finance 87 Appendices ... Hospital Care 95 Appendices ... Community Care 107 4 Chainnan's Report 5 6 Tuairisc Chairman's An Foreword Chathaoirligh As has been the case each year of this Cosuil le chlls gach blisns 6 thUs nA decade, 1985 was once again a year when hochtoidl i l~ith, dob ~ an gearradh ar an the major concern and preoccupation of ndeontas Birgid on Roinn SI!Jinte agus nB the Board were the severe difficulties fsdhbanna da bhtJ" ssn is rn6 bs chuis mini posed by the shortfall in the allocation agus ghnlmh an BhOird i 1985. Bhl briJ thsr received from the Department of Health to chuimse sr an bhfoireann sgus sr ns run our services. Stsff and services wfthout seirbhisl uile chun chsighdeAn sgus libMsl exception \IYBre under severe pressure in an !Jr bhfreastail a choinne!JI in !Jirde, effort to maintain the level and quality of d'sinneoin an ghsnntainis. our services within the constraints of the I rlth ns bliana, nior csil/eadh son deis financial allocation received. chun sire an Aire Slainte a dhiriu ar thorthsl an ghanntainls maidir le seirbhisl anseo, During the year no opportunity was agus chun ins lul sir gur d~ine 11 bhl an missed to bring to the attention of the gearradh ar an mBord seo nA arson Bhord Minister for Healh the effect of the financial Slsinte eile. cutbacks on services within this region and S~ an Bord seo is m6 a dhin dul-chun­ to highlight the fact that our Board seemed chinn seirbhisl phObsil a fhorbairt sgus to be more harshly treated in terms of chun sn beim a athriJ 6 churam ospidell go cutbacks than any of the other boards. dti curam phobail. Is d61As ansin na seirbhisl phobsil c~sdns s bheith tJ As the Board which has, probably more ngearradh. Ar bhea/ach, s~ an forbsirt rn6r than any other, made significant progress attJ desnta againn is m6 is cuis le chomh in the trtmsfer of care from hospital to dian is attJ sn isliu deontsis ss ~igiun seo. community, and which puts a higher Rinne an Bord 11 dhlchesll chun sicml proportion of its alocstion into community !Jirithe den phobsl s chossint, go h!Jirithe services, it is psrticulsrly depressing to see ns sesndsoine sgus ns dsoine these community services now being cut cithrimeachs. C~ go raibh gesrradh siar back as s result of these shortfalls in ann, 6sc/1Jiodh ns hsonsid scsgdheslbhu funding from the centre. In fact, it seems - dusin i Leitir Cesnsinn sgus i Sligesch that our very success in implementing this sgus tA ~ broduil ss sn tseirbhls, an policy over the years has been the cause fsoiS88mh sgus sn s6/ss etA A dtsbhsirt sg of our cuts being higher than those of any ns hsonsid seo. other Board. Ts suim mh6r I gCo. Listhroma, mo chonndse fh~in sr nd6igh, sgus ins ns Within this context of severe financial seirbhisl 11 chuirtesr sr f!Jil intf. Bhl m~ constraint the Board accorded prhrity to imnloch fsoin chosulscht s bhl ann go trying to protect the level of service ndunfsl ionsd /se Chsrraig-Droms-A 'Ruisc provision to the WNker ssctions of the sch ~ ~ slsts go ndesrnsdh socriJ chun community psrticu!IJrly the 11ged and the sn tionsd S80 choinneai OSCIIIte sgus chun hsndic11pped 11nd to find ways to iofllld N110mh Cia~n 11 fhorbllirt dons p{Jistl strengthen and m~~inttlin priority services. agus dsoine fists ~~~ lsg-intinnHch. 7 l N.W.H.B. DeDtography I Financial Cutbacks 11 12 The trend, which commenced in 1981, of decreasing financial resources being made available to run the North Western Health Board's services brings into focus the particular demographic and other factors which accentuate the difficulties posed by cutbacks in finance. Compared to other health board areas, the North Western Health Board area has the highest percentage of elderly persons, the highest dependency ratio, the lowest average weekly household income, one of the lowest population densities, and a very high ratio of population living over 3 miles from a general practitioner. This Board has also the lowest ratio of acute hospital beds per 1,000 population. Notwithstanding the relative disadvantages posed by many of the factors outlined above. the Board has suffered the greatest cut in financial allocation of all Health Boards. Graphs illustrating the position of the Board as outlined above are detailed in the following pages. 13 ELDERLY PERCENTAGE OF POPULATION AGED 65 & OVER 20 -r---------------------------------------------- 19 + --------------- ------·-·-------------- ---------, 1a -r ----------- ----- --·---·--------·--------------------- ---- --·-·· -- ___ _. I l :: t ==== =~~ =-== ~-~- :~=--=-- =-~-~-~~~ ~= -~---~~~=~--== - :... · :_=~ ·_: -·=:~--~- _j ~: ---·----------- ~~----~ -~-=-=------~--~~-~=~~-~----=~-=~-~-:~-~~=~~:~~- -~~: -~~~-~~--~ :-~~:- =:. ~ 13 ·- ---------·-··-··--- -··--.. ·----·--- __ ______ ·j ~~ --~~--- -.. ·:_~ - ---- --- - -~ ---- ---~~---:= _-_ -~ ~ 9 -- ---- -- - ... - --- - ----; 8 7 6 5 4 3 2 1 0 NWHB WHB SHB MWHB MHB SEHB NEHB EHB HEALTH BOARD SOURCE: TABLE A2, STATISTICAL INFORMATION RELEVANT To THE HEALTH SERVICES (DEPT. OF HEALTH, 1984) ..... DEPENDENCY RATIO ( 1981) 100 90 --+-- ------- -----·· -~--- -------· -·-- - --- -·------- 80 ·- ·-- · -----~· ·· - ----------- 70 0 ~ 60 b z w 50 Q z w a. 40 w 0 30 20- 10 0 NWHB WHB SEHB MHB NEHB MWHB SHB EHB HEALTH BOARDS SOURCE: BASED ON 1981 CENSUS OF POPULATION REPORT: C.S.O. iii AVERAGE WEEKLY HOUSEHOLD INCOME 1980 CLASSIFIED BY PLANNING REGION 200 190 180 170 ------------·------· ----·------·· ---------------------1 ID 160 ·-----------· ·---- -·--------1 ~ 150 ---------··-----· w ::::E 140 ~-·- -- --·--- 0u -------·--- z 130 ·------... -~------- g 120 0 110 I w 100 (/) :::> 90 0 I 80 ~ 70 w~ w 60 ~ 50 C) 40 30 20 10 0 NWHB WHtj NEHB SEHB MHB MWHB SWHB EHB HEALTH BOARDS SOURCE: TABLE 3 HOUSEHOLD BUDGET SURVEY 1980. C.S.O. ~ % DISTRIBUTIO~~ BY DISTANCE FROM DOCTOR MEDICAL CARD HOLDERS DECEMBER '81 100 90 80 --------------- - ---t 70 -+---- -·------------------------ ---------------- -·-----------; '"'(/) w ..J 60 ~ rt) 50 a:: w > ......,0 40 ~ 30 20 10 0 NWHB WHB NEHB MHB SEHB SHB MWHB EHB HEALTH BOARDS SOURCE: GENERAL MEDICAL SERVICES (PAYMENTS) BOARD ANNUAL REPORT, 1981. ~ POPULATIO N DE~~ SITY 1981 280 260 240 ------- - 220 w a: 200 ...J..-------·---- ----- --- - - - ----· ---·------------1 ~ ~ 0 180 ...J 52 160 0 en 140 - 0::w n. 120 ----·- ---· --- - en z 100 0en a: w 80 n. 60 ··------ 40 20 0 NWHB WHB MHB MWHB SEHB SHB NEHB EH B HEALTH BOARDS SOURCE: TABLE 11 CENSUS OF POPULATION OF IRELAND 1981 (VOLUME 1) CUTS IN HEALTH BOARD ALLOCATIO NS 1985 ON 1982 10 9 --· - - 8 7 -+--·-- - ---- ~I 6 - --- --··----- ~ 5 --· __ __________ I 4 .._ .3 2 1 0 ' NWHB WHB MWHB MHB NEHB SEHB SHB EHB HEALTH BOARDS SOURCE: BASED ON REPLY BY MINISTER FOR HEALTH AND SOCIAL WELFARE TO DAIL QUESTION ON 19 FEBRUARY, 1986. iD PERCE~~TAGE CUT CUTS IN HEALTH BOARD ALLOCATIONS - 1985 ON 1982 6 ~---------------------------------------------·--------------------~ 5 ----·- ··-· -- -- 4 '""' .._~ N IX) m 3 ..... a:: w > 0 2 I{) IX) m.... 1 0 -1 1 NWHB WHB MWHB SEHB MHB NEHB SHB EHB HEALTH BOARDS SOURCE: REPLY BY MINISTER FOR HEALTH AND SOCIAL WLEFARE TO DAIL QUESTION ON 5 DECEMBER, 1985. ~ BEDS IN ACUTE HOSPITALS DISTRIBUTION BY HEALTH BOARD DEC. 1979 10 9 8 Ul z 7 0 Ul er w a. 6 0 0 0... 5 cr w a. 4 Ul 0w m J 2 1 0 NWHB NEHB MHB MWHB SEHB WHB SHB EHB HEALTH BOARDS SOURCE: IRISH MEDICAL CARE RESOURCES: AN ECONOMIC ANALYSIS (A, DALE TUSSING) ~ • 22 / The Board a ad ······-··t 23 24 The North Western Health Board consists of 27 members, 14 of whom are nominated by the 3 County Councils in the region. The Minister for Health nominates 3 members to the Board. The remaining membership of 6 doctors, 2 nurses, 1 chemist and 1 dentist are elected to the Board by the respective professions in the region. The Board holds 12 meetings per annum including the Annual General Meeting which is held in July. The Board meets on the third Monday of the month. Eight meetings are held in the Boardroom, Head Offices, Manorhamilton and the remaining four take place in Donegal Town. MEMBERSHIP OF N.W.H.B. 1985 Mr. P. McKeon, M.C.C. (Chairman) Mr. T. Deignan, M.C.C. (Vice-Chairman) Miss M. Bonner Mr. D. Bree, M.C.C. Dr. M. Cooney Mr. H. Conaghan, T.D. Mr. P. Conmy, M .C.C . Dr. P. Delap, M.C.C. Dr. P. Dockry Mr. W . Farrell, M.C.C. Mr. J. Faughnan, M.C.C. Dr. S. Geraghty Mr. M. Guckian, M.C.C. Mr. P. Harte, T.D. Mr. J.