HSE Forum Questions and Motions

Regional Health Forum - Dublin and North East

Fóram Réigiúnach Sláinte - Baile Átha Cliath agus an tOirthuaisceart

24^th January, 2011

Agenda Item No. 5

Reply to Question

Ref: 24.01Dennison07

Question:-

“Has the HSE, from its inception, made payments to former Health Board CEO’s who had retired and to state who was paid and the amounts involved?”

Submitted by Cllr. Kieran Dennison

Response:-

In 2005, a severance arrangement was in put in place which was agreed and approved by the Department of Health and Children for former CEO’s of the Health Boards.  The Former CEO’s who availed of this arrangement are as follows:

• Ms. Maureen Windle, Former CEO, Northern Area Health Board
• Mr. Martin Gallagher, Former CEO, East Coast Area Health Board
• Mr. Michael Lyons, Former CEO, ERHA.
• Mr. Denis Doherty, Former CEO, HEBe
• Mr. Pat Gaughan, Former CEO Midland Health Board
• Mr. Paul Robinson, Former CEO, North Eastern Health Board.
• Dr. Sheelagh Ryan, Former CEO, Western Health Board.
• Mr. Stiofan De Bruca, Former CEO Mid West Health Board
• Mr. Pat Harvey, CEO, North West Health Board.

The former CEO’s received Lump-Sum, Pension, Severance and Ex-Gratia payments.  A re-training grant was also to be paid only on the basis of vouched expenditure. 

Regional Health Forum - Dublin and North East

Fóram Réigiúnach Sláinte - Baile Átha Cliath agus an tOirthuaisceart

22^nd November, 2010

Agenda Item No. 3

Motions

Motion:-

“That the Forum be provided with a report on the ambulance service for Swords, Co. Dublin and to detail any funding issues with the Dublin Fire Brigade Service.”

Submitted by the Fingal Councillors

Reply:

In relation to Emergency Ambulance Service delivery within the area, I can confirm that the HSE National Ambulance Service Eastern Division operates a 24 hour 365 Ambulance Service from its Ambulance Station in Lisenhall Swords.

This service can be supported if required by recourses from any of the other 10 Eastern Division Ambulance Stations and or the Dublin Fire Brigade Ambulance resource on dynamic or strategic deployment models. Also Ambulance Service motorcycle units can be deployed on a need basis or as a standard resource in the short, medium or long term. We also have various response models from Ambulance officers, who can respond if and when required.

As a National Ambulance Service, resources from the National Ambulance Service North East Division can also be deployed when required into the area, as can resources from other divisions on request.

The introduction of Advanced Medical Priority Dispatch System within the Regional Command and Control Centre, at Townsend Street, allows for appropriate categorization of calls verses appropriate response models and this will also assist in the timely levels of response. All of the above will assure service delivery and non compromising of patient care.

In relation to funding issues with Dublin City Council, the HSE currently has an arrangement in place with Dublin City Council for the provision of 11 ambulances to operate on behalf of the HSE in a predefined area. This area was initially defined as a result of the Review of Ambulance Services in Ireland conducted in 1993. To date, the HSE has not made any request to DCC to change the location of those 11 ambulances.

The issue of the withdrawal of services from the Swords area by Dublin City Council is a matter for the Council and I am not in a position to comment.  Dublin fire brigade have never been funded by HSE to provide ambulance service in Swords as we already do this ourselves from our base at Lisenhall, Swords.  We fund all other ambulances provided by DFB in Dublin. DFB put an ambulance base in their fire station in Swords at their own expense.  They have given us notice that they will be withdrawing this service due to their cost saving measures, nothing to do with our budget situation.

Agenda Item No. 4

Reply to Question

Ref: 22.11Dennison88

Question:-

“To ask for a financial update for Connolly Hospital for the year to date and to indicate how many beds are closed there?”

Submitted by Cllr. Kieran Dennison

Response:-

At the end of September 2010, Connolly Hospital is reporting an over run of €5.5m (6%) against budget. A number of measures to address the deficit are in place.   The hospital is doing everything it can to reduce expenditure.  Taking account of all the measures, there remains an unresolved deficit of €2.2m (3%).  The hospital continues to work on this to achieve breakeven at year end. 

Part of Connolly Hospital’s Cost Containment Plan was closure of the Transition Unit (24) beds on 1^st October, 2010.  In addition 1 ICU and 1 CCU bed also closed. However, these two critical care beds are re-opened when clinically required.

Reply to Question

Ref: 22.11Dennison89

Question:-

“To ask the waiting times for general paediatric surgery procedures in hospitals around the country and the number of paediatric patients waiting over a year for surgery.”

Submitted by Cllr. Kieran Dennison

Response:-

Our Lady of Lourdes Hospital, Drogheda

Wait time for all speciality paediatric surgical patients is 3-6 months in OLOL

There are no paediatric surgical patients waiting over 12 months

Cavan Hospital

1 - 2 weeks

None on waiting list

Table 1.   All children (<16)waiting for daycase and inpatient procedures Sept 2010

	0 to 3	3 to 6	6 to 12	12 to 24	24 to 36	36 to 48	48+	Total
DML	687	617	323	154	31	0	0	1812
DNE	316	133	60	13	4	0	0	526
South	257	167	98	9	0	0	0	531
West	242	168	114	6	0	0	0	530
All	1502	1085	595	182	35	0	0	3399

The large numbers in DML result from Crumlin being a national referral centre

Table 2.  All children (<16)waiting for procedures daycase and inpatient separated, Sept 2010

	Type	0 to 3	3 to 6	6 to 12	12 to 24	24 to 36	36 to 48	48+	Total
DML	Daycase	371	329	130	42	12	0	0	884
DNE	Daycase	150	64	36	3	1	0	0	254
South	Daycase	108	78	41	8	0	0	0	235
West	Daycase	102	32	40	2	0	0	0	176
DML	Inpatient	316	288	193	112	19	0	0	928
DNE	Inpatient	166	69	24	10	3	0	0	272
South	Inpatient	149	89	57	1	0	0	0	296
West	Inpatient	140	136	74	4	0	0	0	354

The large numbers in DML result from Crumlin being a national referral centre

Table 3.  Total waiting over a year

		12 to 24	24 to 36	36 to 48	48+	Total
DML	All	154	31	0	0	185
DNE	All	13	4	0	0	17
South	All	9	0	0	0	9
West	All	6	0	0	0	6
All		182	35	0	0	217

The large numbers in DML result from Crumlin being a national referral centre

		12 to 24	24 to 36	36 to 48	48+	Total
DML	Daycase	42	12	0	0	54
DNE	Daycase	3	1	0	0	4
South	Daycase	8	0	0	0	8
West	Daycase	2	0	0	0	2
Total Daycase						68
DML	Inpatient	112	19	0	0	131
DNE	Inpatient	10	3	0	0	13
South	Inpatient	1	0	0	0	1
West	Inpatient	4	0	0	0	4
Total Inpatient						149
All						217

Table 4. Children waiting by region, hospital, type and time band, Sept 2010

	Type	Hospital	0 to 3	3 to 6	6 to 12	12 to 24	24 to 36	36 to 48	48+	Total
DML	Daycase	Crumlin	242	220	111	42	12	0	0	627
DML	Inpatient	Crumlin	160	151	138	108	19	0	0	576
DML	Daycase	Mullingar	2	4	2	0	0	0	0	8
DML	Inpatient	Mullingar	1	6	6	1	0	0	0	14
DML	Daycase	Naas	0	1	0	0	0	0	0	1
DML	Daycase	Portlaoise	4	0	0	0	0	0	0	4
DML	Daycase	RVEE	1	0	0	0	0	0	0	1
DML	Inpatient	RVEE	8	2	0	0	0	0	0	10
DML	Daycase	Tallagh	57	28	4	0	0	0	0	89
DML	Inpatient	Tallagh	50	31	6	0	0	0	0	87
DML	Daycase	Tullamore	65	76	13	0	0	0	0	154
DML	Inpatient	Tullamore	97	98	43	3	0	0	0	241
DNE	Daycase	Beaumont	23	8	4	0	0	0	0	35
DNE	Inpatient	Beaumont	26	17	4	0	0	0	0	47
DNE	Daycase	Cappagh	8	3	0	0	0	0	0	11
DNE	Inpatient	Cappagh	4	1	0	0	0	0	0	5
DNE	Daycase	Cavan	1	0	0	0	0	0	0	1
DNE	Daycase	Monaghan	1	1	1	0	0	0	0	3
DNE	Inpatient	Monaghan	18	10	3	2	0	0	0	33
DNE	Daycase	Navan	2	0	0	0	0	0	0	2
DNE	Daycase	OLOL	69	31	18	3	0	0	0	121
DNE	Inpatient	OLOL	27	5	1	0	0	0	0	33
DNE	Daycase	Temple Street	46	21	13	0	1	0	0	81
DNE	Inpatient	Temple Street	91	36	16	8	3	0	0	154
South	Daycase	CUH	32	29	16	3	0	0	0	80
South	Inpatient	CUH	7	7	3	0	0	0	0	17
South	Inpatient	Kerry	22	0	0	0	0	0	0	22
South	Daycase	Mercy Cork	50	12	13	5	0	0	0	80
South	Inpatient	Mercy Cork	0	0	1	0	0	0	0	1
South	Daycase	St Luke's Kilkenny	5	2	1	0	0	0	0	8
South	Daycase	Sth Infirm Royal Vic	0	1	0	0	0	0	0	1
South	Inpatient	Sth Infirm Royal Vic	73	26	3	1	0	0	0	103
South	Daycase	Waterford	21	34	11	0	0	0	0	66
South	Inpatient	Waterford	46	56	50	0	0	0	0	152
South	Inpatient	Wexford	1	0	0	0	0	0	0	1
West	Daycase	Letterkenny	25	1	0	0	0	0	0	26
West	Inpatient	Letterkenny	6	0	0	1	0	0	0	7
West	Daycase	Mayo	1	1	0	0	0	0	0	2
West	Inpatient	Mayo	1	0	0	0	0	0	0	1
West	Daycase	Merlin PK	4	0	0	0	0	0	0	4
West	Daycase	Regioanl Limerick	16	5	2	0	0	0	0	23
West	Inpatient	Regioanl Limerick	19	7	2	0	0	0	0	28
West	Daycase	Sligo	29	1	0	0	0	0	0	30
West	Inpatient	Sligo	53	27	8	0	0	0	0	88
West	Daycase	St John's Limerick	1	0	0	0	0	0	0	1
West	Daycase	UCHG	26	24	38	2	0	0	0	90
West	Inpatient	UCHG	61	102	64	3	0	0	0	230

Reply to Question

Ref: 22.11Dennison90

Question:-

“To ask the number of children on the waiting list for orthopaedic out-patient appointments nationally and in the Dublin North East region and to indicate how many are waiting for more than one year, more than two years, etc.”

Submitted by Cllr. Kieran Dennison

Response:-

Children waiting for Orthopaedic OPD consultation:

	0 - 3 Months waited	3 - 6 Months waited	6 -12 Months waited	12 -24 Months waited	24 -36 Months waited	36 - 48 Months waited	48 Months+
DML	111	21	2	0	0	0	0
DNE	184	99	94	147	18	21	75
South	301	45	68	248	100	0	0
West	187	89	115	145	74	110	288
All	783	254	279	540	192	131	363

Please note:  Crumlin and Temple Street do not return waiting list data to BIU and are hence, not counted in the above table.

Paediatric Orthopaedic Outpatient Waiting List, Our Lady of Lourdes Hospital

Months	Patients Waiting
0 – 3	158
3 – 6	98
6 – 9	49
9 – 12	54
12 -24	187
24 – 36	18
36 – 48	4
48+	43
Total	611

Cavan Hospital

25 on waiting list

11 more than 1 year

4 more than 2 years

Monaghan Hospital

On average there are 5 Paediatric Orthopaedic referrals to Monaghan per year and these patients are seen quickly and therefore no patients waiting on a waiting list.

 Regional Health Forum - Dublin and North East

Fóram Réigiúnach Sláinte - Baile Átha Cliath agus an tOirthuaisceart

27^th September, 2010

Agenda Item No. 4

Reply to Question

Ref: 27.09Dennison73

Question:-

To ask for an update on the proposed Academic Medical Centre for Connolly Hospital?

Submitted by Cllr. Kieran Dennison

Response:-

The Partner Steering Group recently met with Dr. Bedford, Specialist in Public Health Medicine and Mr. Stephen Mulvany, RDO, Dublin North East and a briefing paper is being developed.

Work of the Medicine Integration Team, Surgery Integration Team and Organisation Development Teams remains on-going. The Medicine Integration Team are currently exploring the possibility of a potential pilot project in Rheumatology.  Discussions are on-going with other clinical areas with regard to potential integration.   The Surgery Integration Group are currently carrying out reviews and in that context have invited representatives from Orthopaedics and Urology to meetings. 

Reply to Question

Ref: 27.09Dennison74

Question:-

To ask for a report on the Medical Assessment Unit at Connolly Hospital and how many beds will be involved?

Submitted by Cllr. Kieran Dennison

Response:-

A Steering Group has been established to progress development of the Medical Assessment Unit.  Clinical Inclusion Criteria and Critical Care Pathways are currently being finalised.  Medical Governance for the MAU is currently being reviewed in conjunction with the Hospital Executive. It is anticipated that the MAU will have 10/12 beds.  

Reply to Question

Ref: 27.09Dennison75

Question:-

To ask the number of permanent nursing staff and the number of non permanent nursing staff employed at Connolly Hospital and Beaumont Hospital for 2009 and for the year to date?

Submitted by Cllr. Kieran Dennison

Response:-

Connolly:

The number of permanent and non-permanent nursing staff employed is as follows:

July 2010                                 Permanent 437.88       Temp 54.52

December 2009                       Permanent 439.21       Temp 65.93

Beaumont:

The number of permanent and non-permanent nursing staff employed is as follows: 

August 2010                            Permanent 912                        Temp 194

December 2009                       Permanent 931                        Temp 192

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