minutes of meeting of the regional health forum west, … · 04/04/2011 · final mins_#28_22.6.10...

Final Mins_#28_22.6.10 04/04/2011, 11:31:45

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Minutes of Meeting of the Regional Health Forum West, held on Tuesday 22nd June, 2010 at 2.00pm in Room 1, Education Centre, HSE Offices,

Merlin Park, Galway Miontuairiscí cruinnithe an Fhóraim Réigiúnach Sláinte, ar an Mháirt, 22nd Meitheamh 2010 ag 2.00 i.n, sa an

tIonad Oideachais, Feidhmeannacht na Seirbhíse Sláinte, Páirc Mheirlinne, Gaillimh.

Chairperson/Cathaoirleach

Councillor Pádraig Conneely

Members Present/Comhaltaí i Láthair

Cllr Liam Blaney Cllr Mary Hoade Cllr Brian Meaney

Cllr Declan Bree Cllr Michael Hourigan Cllr Michael Mullins

Cllr Rose Brennan Cllr Gordon Hughes Cllr Paul Murphy

Cllr Tim Broderick Cllr John Kelly Cllr Gerry Murray

Cllr John Carroll Cllr John Kennedy Cllr Malachy Noone

Cllr Catherine Connolly Cllr Frank McBrearty Jr Cllr Annie May Reape

Cllr Tom Connolly Cllr Sean McGowan Cllr Gerry Reynolds

Cllr Joe Cooney Cllr John “Rocky” McGrath Cllr Kevin Sheahan

Cllr Ger Fahy Cllr Bernard McGuinness Cllr Tony Ward

Cllr Laurence Fallon Cllr Seamus Weir

Cllr Imelda Henry Cllr Tom McNamara

Apologies/Leithscéalta Cllr Austin Francis O’Malley

Absent/As Láthair

Cllr Ciaran Brogan

Cllr Richard Butler

Cllr Michael Crowe

Cllr Jimmy Harte

Cllr Colm Keaveney

Cllr Gerry McLoughlin

Cllr Jerome Scanlan

In Attendance/I láthair freisin

Mr. John Hennessy, Regional Director of Operations, HSE West

Mr. Francis Rogers, Asst Nat Director, Human Resources, HSE West

Mr. Liam Minihan, Asst Nat Director, Finance, HSE West

Ms. Chris Kane, Office of the Regional Director of Operations, HSE West

Ms. Catherine Cunningham, Office of the Regional Director of Operations, HSE West

Mr. Bernard Gloster, Local Health Manager, HSE West

Ms. Shirley Murphy, A/Section Officer, Regional Health Office, HSE West

Apologies/Leithscéalta

Dr. Jacky Jones, Functional Manager Health Promotion, HSE West,

Mr. Pauric Sheerin, Chief Ambulance Officer, HSE West

____________________________________________________________

291/28/10 Chairman’s Business/Gnothai an Chathaoirligh

Update on the Lookback – Hepatitis C in Health Care Work; HSE West 2009 – 2010

Members were circulated a brief Progress Report / Update on the Lookback process, including an addendum to a

previous circulation.

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Report from Meeting of the Chairpersons of the four Forums.

The Chairman outlined for members, details of the meeting of the Chairpersons of the four Forums, which was held on

Thursday, 10th June 2010. Items discussed and agreed included;

Chairperson’s Allowance

The Chairs noted the position in relation to submissions made regarding the Chairperson’s Allowance and

confirmed their view that the payment of an allowance was warranted and would affirm the status of the position

of the Chair.

Centralisation of ICT aspects of medical card processing

It was agreed that the Chairs would write to the CEO seeking the regionalization of the management of the

medical card processing function.

The posting on the HSE Website of Forum members’ expenses

It was agreed that each Chair would pursue the matter at a future Committee meeting of each of the Forums.

Registration in Ireland of deaths abroad of Irish citizens

The motion, adopted by the Regional Health Forum West, was discussed in detail. It was anticipated that a

similar motion would be adopted by the other three Forums but it would be necessary, in the first instance, for

each Forum to first propose the Motion at a future meeting.

How the Regional Health Forums can be made more effective

The four Chairs discussed at length the effectiveness of the Regional Health Forums. It was agreed that the

Chairs would write to the Chair of the HSE Board on the matter.

Update from HSE on capital allocation for 2010

Report presented by HSE was welcomed and noted by the Chairs.

Update on numbers of administration staff (IV and higher), and also of clinical staff, in 2004 (last year of

Health Boards), 2006 (first year of HSE), and current numbers and need for Lean Study of HSE (D&NE)

Report presented by HSE was welcome and noted by the Chairs.

Brothers of Charity

The allocation of budgets for services provided by the Brothers of Charity was raised and is to be followed up by

the HSE.

Forum members raised the following query:

What was the outcome of the Medical Card Motion, adopted at the February 2010 Forum meeting, which was due to

be raised at the meeting of the Chairpersons of the four Forums?

Motion No: W25M174

Seeking an urgent meeting with Ms. Mary Harney TD and Professor Drumm, CEO re Centralisation of Medical Cards

System - Regional Health Forum Meeting 23.2.2010

“That this Forum seeks an urgent meeting with Professor Drumm and Minister Mary Harney to discuss their intention

to centralise the processing of all Medical Card applications in April. This is a crazy decision and needs to be re-

considered in light of the problems being encountered with the over 70’s, since the processing of their Cards was

centralized.”

The Chairperson advised that this motion also received strong support from the other three Chairpersons. It was

agreed that the Chairs would write to the CEO of the HSE, in the first instance, on the matter. Any response received

from the CEO would be circulated immediately to all Forum members.

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Next Regional Health Forum Meeting

The Chairperson advised members that the next Forum meeting would be held on Tuesday, 28th September, 2010 at

2pm in Room 1, Education Centre, Merlin Park, Galway.

Next Regional Health Forum Committee Meetings

He advised that the next Committee meetings would be held on Tuesday 7th September, 2010 in Room 1, Education

Centre, Merlin Park Galway as follows:

PCCC Committee commencing at 11am

Hospital Committee commencing at 2pm

292/28/10 Election of Chairman/Toghachán an Chathaoirligh

Councillor Padraig Conneely was proposed by Councillor Gordon Hughes and seconded by Councillor Paul Murphy.

As there were no other nominations Councillor Conneely was deemed elected and remained as Chair.

Councillor Conneely thanked his proposer and seconder and stated that it is a great honour for him to be re-elected as

Chairperson of the Regional Health Forum.

293/28/10 Election of Vice-Chairperson/Toghachán an Leas-Cathaoirligh Councillor Michael Hourigan was proposed and seconded by Councillor Imelda Henry. As there were no other

nominations Councillor Hourigan was deemed elected and remained as Vice Chair.

294/28/10 Formation of Regional Health Forum Committees/Bunú Coistí na bhFóraim

Sláinte Réigiúnacha

The Chairperson advised members that should they wish to move from one Committee to another, they could do so

by notifying the Regional Health Office, in advance of the Committee meetings due to be held on the 7th September,

2010.

295/28/10Minutes/Miontuairiscí

The minutes of the previous meeting held on the 25th May, 2010 were proposed by Councillor John Carroll, seconded

by Councillor Tony Ward and adopted.

296/28/10 Matters Arising/Nithe ag éirí

2010 HSE Business Plans

Councillor Declan Bree asked if Business Plans for county and hospital level were finalized and could now be

circulated to Forum members, as discussed and agreed at the last Forum Meeting.

Mr John Hennessy advised that it is hoped that local Business Plans would be finalized before next Regional Health

Forum meeting, preferably by mid July 2010.

It was agreed that these Plans would be circulated to Members as soon as they became available.

Medical Cards

Councillor Declan Bree acknowledged that although he has received some information regarding Medical Card

Holders as requested, that he has yet to receive information regarding Over 70s Medical Card Holders.

Mr John Hennessy agreed to provide follow up within one week.

Consultant Surgical Posts, Portiuncula Hospital

Councillor Michael Mullins requested the position regarding the advertising and filling of Consultant Surgical posts at

Portiuncula Hospital?

Ms Chris Keane advised that the interview board has been selected and the process has commenced with the Public

Appointments Service. She advised that one position will be advertised shortly. Once approval has been received to

proceed with the Competition Advertisements, Locums can be appointed. The process however could take up to 6

months or more to complete.

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Lifford Hospital

Councillors Liam Blaney and Frank McBrearty requested an update regarding Lifford Hospital, highlighting the fact

that members were advised that a decision was forthcoming within 3 weeks of the last Forum meeting. Members also

highlighted the need to inform the people of Donegal regarding plans for the future of Lifford Hospital.

Mr John Hennessy advised that no decision has yet been made and there should be more certainty by the end of July

2010. He advised that as with all other counties, services are under review, under HIQA guidelines, the context of

quality and safety, nursing homes and staffing, moratorium, resignations and retirements. The HSE management

perspective is to retain frontline services, but there are questions regarding quality and safety. Mr Hennessy advised

that these elements are being monitored on a week by week basis.

General Manager - GUH

Councillor Tim Broderick asked for further details regarding the new Clinical Director, Dr O’Keeffe’s position and

stated that he felt information being provided regarding the Clinical Director’s role is contrary to what was originally

stated. Councillor Tony Ward advised that he posed a number of similar questions to Minister Mary Harney, at a

recent meeting and was advised that Roscommon County Hospital and Portiuncula Hospital will still get their own

budgets and be responsible for them, and that the reason Roscommon and Portiuncula were included in the remit of

the new Super Manager post was because it would attract a higher caliber of candidate.

Mr John Hennessy advised members that Dr O’Keeffe’s role is similar to the General Manager of Galway University

Hospitals; that he will report to the Regional Director of Operations; has a role in managing & apportioning budgets

within his area of being, i.e. Galway, Roscommon and Portiuncula hospitals and has responsibility for services within

Acute Hospitals and Continuing Care. Mr Hennessy advised that Roscommon and Portiuncula will retain their

Managers and have responsibility for budgets allocated to their respective Hospitals, as per normal practice.

Transfer of Staff to Psychiatric Services – Roscommon Mental Health Services

Cllr John Kelly referred to the transfer of staff to the Mental Health Services in Co Roscommon and requested an

update on the matter. Councillor Kelly highlighted that as there are current staff shortages, there are no psychiatric

nursing staff to redeploy, and asked if there are facilities to transfer staff across HSE areas, etc.?

Ms Catherine Cunningham advised that the HSE will meet all relevant stakeholders in Roscommon, Galway and Mayo

to look at mapping all current Mental Health staff in the services and consider options for redeployment and

reconfiguration. She advised that more information should become available in the next week or two.

Mr Francis Rogers advised that there are internal and national policies in relation to transfers and that the HSE have,

on occasion, facilitated cross area transfers. He advised that staff can and have been facilitated, and that once there

is agreement between the staff members involved, that cross-area transfers can take place.

Tearman Eanna

Councillor Catherine Connolly referred to the last position she received regarding Tearman Eanna whereby more

information would be forthcoming by the 3rd quarter.

Ms Catherine Cunningham advised that no final date has yet been agreed and that there are positive discussions

taking place.

It was agreed that Councillor Catherine Connolly would receive a further update in one week.

Brothers of Charity

Councillor Padraig Conneely referred to the cut back of funding to the Brothers of Charity and requested an update on

the matter.

Mr John Hennessy advised that discussions are ongoing between the HSE and the Brothers of Charity and that the

main objective is to retain frontline services.

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Emergency Department – GUH, Changes in Recruitment of NCHDs

Ms Chris Kane and Mr John Hennessy advised members that there are currently no plans to reduce NCHD hours and

that there are some vacancies. All efforts to recruit are in place with the post being re-advertised.

Emergency Department – GUH

Councillor Padraig Conneely referred to the ongoing assessment, by the National Task Force, into Accident and

Emergency services at University Hospital Galway and questioned whether anything has changed or improved in

services since the Task Force began their work.

Mr John Hennessy referred members to the Briefing note circulated regarding the Emergency Department. He

advised that measures are being put in place to deal with A&E issues, in particular long delays, and advised that he

has had discussions with the new Clinical Director on the matter.

It was agreed that Dr O’Keeffe would be invited to attend the next meeting of the Regional Health Forum West

meeting.

Primary Care

Councillor Tony Ward requested any update in relation to Primary Care in Roscommon.

Mr John Hennessy agreed to arrange a position on the matter before the end of the meeting.

297/28/10 Questions/Ceisteanna

Questions and Responses from previous Forum Meetings

Members asked what the situation is regarding Responses to Questions, submitted to the three previous Forum

meetings, and for which it was agreed that written replies would be provided, now that the Work-to-Rule – Industrial

Action had now been suspended?

Members were advised that it may take up to two weeks to provide all of the outstanding written replies to the

Questions and that they were being collated at present.

W28Q609 - Cllr Mary Hoade Can you confirm to me how many wards are currently closed in UCHG, and how many beds are not in use? HSE Reply: Ward Hospital Number of Beds

Closed Date Closures

Unit 3 MPUH 34 (complement 34) June 2009

Hospital 2 MPUH 27 (complement 27) July 2008

Special Care Unit MPUH 2 2008

St Mary’s Ward UHG 8 ( complement of 19 inpatient beds)

Sept 2009

ICU UHG 2 (complement of 11) (1)2008 – (1) 2009

St Monica’s UHG 11 beds closed (complement of 29)

Nov 2009

St Bernadette’s UHG 8 Paediatrics beds March 2010

St. Michaels UHG 22 beds May 2010

Total 114

W28Q610 - Cllr Mary Hoade Was any progress made on the appointment of a Senior Audiologist for the Forum's area? HSE Reply:

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The Senior Audiological Scientist post in Galway has been vacant since 2002. Numerous efforts have been made to fill this post since then but unfortunately, those attempts have proved unsuccessful, for what is an extremely scarce grade. Up until November 2009, we were providing a limited Audiological Scientist service for children on a sessional (contract) basis. This ceased when the Scientist could no longer provide the service, due to ill health. However, we have now secured the services of a Scientist from the HSE South, on a limited sessional basis. Clinics for children are held each Saturday in Galway since 22nd May 2010. The service will be reviewed at the end of June to ensure that the service is effective and provides value for money. In the meantime, Galway Primary, Community and Continuing Care (P.C.C.C.) will continue to seek a derogation from the moratorium for approval to recruit a directly employed Audiological Scientist. W28Q611 - Cllr Mary Hoade Can you outline properties in the ownership of the HSE in Galway City and County that are currently not in use? HSE Reply:

14 & 15 Barr Aille, Galway City - Vacant, shortly to be advertised for sale. 194 Castlepark, Galway City – may revert to City Council. Maam/Kilmilkin Health Centre, Co. Galway - Vacant, shortly to be advertised for sale. Old centre on Inish Oirr, Co. Galway - Vacant, shortly to be advertised for sale. The old Turloughmore Health Centre building - Vacant, shortly to be advertised for sale. The Grove Hospital, Tuam - Currently vacant pending Health Campus development. Short-term

lease to Courts service has been agreed for small part of the building to facilitate them while courts facility project is completed. Ambulance base project (new build) being progressed on the site.

W28Q612 - Cllr John Kelly Is there any question put down in advance of HSE meetings that management can actually answer in writing without the input of frontline staff who are involved in a work to rule? HSE Reply: Members will be aware that the Industrial Action is now suspended. The remaining backlog of unanswered questions is being dealt with expeditiously and replies will issue as soon as possible. W28Q613 - Cllr Declan Bree That the Forum be provided with a list of all private consultants, advisers and agency staff that have been engaged by the HSE in each department in each county in the region, indicating the specific function and project they are engaged on since the introduction of the public service recruitment embargo, and the costs involved? HSE Reply: This question is being considered and worked on. W28Q614 - Cllr Declan Bree What is the shortfall in funding for Sligo General Hospital in the current year and how is it envisaged that the Hospital Executive will manage the shortfall. HSE Reply: SGH is facing a Budget Deficit of €12m for 2010, this represents an enormous challenge for the hospital in maintaining services at current levels and to do so in a high quality, safe and patient focused manner. The Hospital has worked tirelessly over the past 18months or so via the Hospital Budget Working Group and in conjunction with the Specialities/Departments to put plans in place to address the budgetary shortfall. Sligo General hospital’s out-turn for 2009 was €117.5million. The Hospital’s budget allocation for 2009 was €112.4million. During the course of 2009 significant savings were targeted and achieved (outlined below) in order to minimise the out-turn deficit with a key focus on maintaining front line patient services. The savings amounted to €2.6m.

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A range of areas were selected particularly focusing on Income and Non Pay etc. As part of the budgetary plan for 2009, we closed a number of beds, 72 during the course of the year and ceased elective surgery for the last two months of 2009. Notwithstanding these measures the hospital has been successful in meeting a range of HSE achievements/targets specifically around waiting lists for both inpatient and outpatients. This was only achieved through the commitment of all the staff across the hospital. In parallel with the targeted savings of 2009, reviews were undertaken in relation to a wide range of services and how we might reconfigure and provide the same service in a more effective and efficient manner and was overseen by the Hospital Budget Group which has met on a weekly basis. The measures to address the 2010 budget situation include actions across a range of headings, Pay Non pay and Income. Significant work has been completed by the hospital in terms of enhancing the management of sick leave absenteeism and supporting staff. The hospital also continues working on a range of areas to ensure that we maximise our efficiencies and savings in non frontline service areas. These include a multi-disciplinary Income Group which has introduced a range of initiatives which we expect will generate increased income from now until the end of the year. We have done this by way of reconfiguring private and semi private beds. We have also focused on Non Pay high spend areas and particularly in the areas of stock control and inventory and much work is being undertaken in this regard. The breakeven plan may have some impact on frontline but this will be minimised where possible. The proposed plan covers a wide range of areas to be addressed including reconfiguring existing services, reviewing all non pay lines including locum cover for staff, travel, no purchase of equipment for the remainder of the year, introduction of 5-day wards and the introduction of a Same Day Admission ward area to protect elective surgery. We are also reviewing our continued ability to provide services off site such as ENT, Dermatology, Ophthalmology and Neurology to Letterkenny General Hospital and other services to local peripheral hospitals, such is the crucial nature of the financial position and the requirement that the Hospital break even. In our break even plan our focus is on maintaining services in the current financial climate, minimising disruption to front line services and at the same time the hospital is striving to achieve the HSE activity targets, maximise day service usage and introduction of a Same Day Admission for Surgical specialties. Notwithstanding the reduced funding available both in 2009 and 2010 there have been many positive developments within the hospital. The Hospital is continuously looking at ways of enhancing and reconfiguring the services that we provide, to provide services in a more effective, efficient manner and with the ultimate aim of positioning the hospital for the future. W28Q615 - Cllr Declan Bree When will the planning and design work commence on the multi story extension to Sligo General Hospital announced by the Taoiseach in December, and in what month in what year will construction work on the extension commence, and how many beds will be provided in the new extension, and is it the intention to close the beds in the new extension in addition to the 62 beds currently closed in the hospital? HSE Reply: The extension to Sligo General Hospital has been approved for development as a Public Private Partnership (PPP). Work is advancing on the preparation of business case and other scoping information needed to support the cost benefit analysis required for a project of this scale. There are certain enabling works that must be dealt with before the main project can commence on site. Detailed design is in progress on the main advance enabling works - the ring road - to enable this to be tendered and completed in time for construction of the main project. We expect to submit a Planning application for the Ring Road round the end of July, 2010, and be in a position to go to tender at the end October, 2010. Construction of the Ring Road is scheduled to commence early 2011. Market Soundings are also being carried out to explore the procurement options for the construction of a multi storey car park to meet the increasing car parking requirements for the hospital including those associated with all planned developments. The lead in time to construction for the PPP, including preparation of public sector comparator, prequalification of bidders, bidding process, design of final solution and completion of financial arrangements is not likely to be less than three years.

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W28Q616 - Cllr Declan Bree That the Forum be provided with details of all voluntary bodies, service providers, community organisations, social service groups etc in (a) Sligo (b) Leitrim, which receive funding from the HSE and the amount of funding provided to each group in the years 2008, 2009 and 2010. HSE Reply: The attached sheet indicates grants to Section 38 and Section 39 organisations from the local health office in Sligo/Leitrim/West Cavan for the provision of client services for the years 2009 and 2008. Information for 2010 is not currently available as negotiation is ongoing with some service providers Sligo / Leitrim / West Cavan Local Health Office - Grant funding to S38 and S39 organisations 2008-2009 Care group Name 2009 2008

Child and family Border counties childcare network 9,500

Child and family Foroige Leitrim 168,740 170,359

Child and family Foroige Sligo 194,527 191,196

Child and family Home youth liaison service 606,140 602,977

Child and family Lifestart Foundation 97,272 95,156

Child and family Lifestart Sligo / Leitrim 293,798 290,605

Child and family Sundry priming grants < €5,000 6,349 6,349

Child and family Sligo & Leitrim Co Childcare 129,977 126,708

Child and family Sligo Family Centre 109,101 69,046

Child and family Sligo Social Services 549,029 543,061

Child and family Springboard Resource Centre 340,517 363,959

Child and family St Anne's 65,672 64,591

Child and family St Michael's summer projects 55,642 54,412

Child and family Sundry playgroups 59,678 59,678

Domestic Violence Domestic Violence Advocy Service 31,055

Domestic Violence Domestic Violence Other 110,676

Domestic Violence DVAS 332,252 235,972

Domestic Violence Sligo Rape Crisis Centre 186,693 173,871

Domestic Violence Sligo Social Services - women awake programme 6,138 6,200

Intellectual disability Brothers of Charity 259,214 264,504

Intellectual disability Cairde Liatroma 5,000 5,000

Intellectual disability Carers Association 15,264 15,333

Intellectual disability Chez Nous 158,145 161,268

Intellectual disability Childhood days 21,000 21,000

Intellectual disability Cregg House 19,478,942 19,366,893

Intellectual disability National Learning Network Sligo 130,000 76,795

Intellectual disability NWPF 2,008,900 2,056,120

Intellectual disability Other - client specific <€5,000 57,451 30,691

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Intellectual disability Pre-school supports 50,000 50,000

Intellectual disability Rehabcare 1,721,613 1,695,046

Intellectual disability Special Olympics 20,000 20,000

Intellectual disability The Avalon Centre 196,757 198,550

Mental Health Grow 20,000 20,000

Mental Health Irish Advocacy 8,020

Mental Health Mental Health Ireland 75,000 76,000

Mental Health North Leitrim Mens 9,000 3,800

Older people Active age groups 92,471 94,671

Older people Alzheimers Society 291,943 288,952

Older people Ballinaglera Day Centre 78,354 77,560

Older people Banada housing 66,428 71,684

Older people Blacklion Day Centre 8,000 8,000

Older people Carers Associations 93,538 82,531

Older people Carrigallen Day Centre 82,493 81,293

Older people CLASP 107,883 110,053

Older people Collooney Day Centre 37,530 36,757

Older people Community Connections 45,332 45,188

Older people Drumkeerin Day Services 76,395 78,655

Older people Drumsna 20,903 20,753

Older people Gurteen Day Centre 58,225 57,034

Older people Meals on wheels 173,644 173,644

Older people Sligo Arts Project 13,500 13,500

Older people St Anne's Day Centre 149,986 150,372

Older people St Bridgets Drumkeerin 173,567 171,260

Older people Tubbercurry Day Centre 77,868 76,265

Other Maryville 271,948 268,856

Other National Lottery [58 organisations in 2009 (2008: 49)] 94,400 94,400

Other Other - sundry 1,840 0

Other North West Hospice 1,106,903

1,088,647

Other Samaritans 15,000 15,000

Other Shalomar 230,489 228,334

Other Sligo Cancer Support 10,158 11,995

Other Sligo Social Services - all care groups 84,961 83,560

Other Sligo Social Services - Ballytivnan Hostel 90,017 88,522

Physical and sensory disability Carers Association 16,062 15,841

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Physical and sensory disability Deafhear 52,932 51,702

Physical and sensory disability Disability Federation of Ireland 71,884 70,696

Physical and sensory disability Irish Wheelchair Association 576,039 588,480

Physical and sensory disability IWA Assisted Living 292,563 269,061

Physical and sensory disability Leitrim Centre for independent Living 591,507 572,963

Physical and sensory disability MS Therapy Centre 232,029 204,282

Physical and sensory disability National Council for the Blind 159,936 160,277

Physical and sensory disability Peter Bradley Foundation 396,796 425,381

Physical and sensory disability Sligo Centre for independent Living 473,221 479,360

Physical and sensory disability Sligo Cheshire Project 734,311 735,848

Physical and sensory disability Sundry other grants 65,671 50,335

Physical and sensory disability Sundry regional grants 26,551 26,551

Traveller support groups Leitrim 76,107 77,268

Traveller support groups Sligo 228,728 228,137 W28Q617 - Cllr Paul Murphy I wish to be briefed as to what plans the H.S.E. has as regards providing funding to the Dementia Day Unit in Clarecastle HSE Reply: Clarecastle Day Centre Ltd. receives a considerable amount of funding from the HSE. In 2009 they received €466,004. The allocation of €466,004 in 2009 represented 50% of our total allocation to voluntary organisations for Older People of €933,029 during the year. The responsibility of the HSE is to develop services across the entire county and not just concentrate resources in one geographical area. In Ennis there are two specialist services for older people with dementia, one provided directly by the HSE and the other through funding provided to the Alzheimer’s Society. Given the need to take account of equity and access to services across the entire county, we do not view the development of a third specialized service in the Ennis area as being amongst our priorities. In the coming years the HSE will be looking to develop these services in both west and east Clare, which presently have no dementia day care service, rather than an additional one in the Ennis area. For a number of years since this project was being conceived the HSE has consistently advised the Board of Clarecastle Day Centre Ltd. that it was not in a position to provide revenue funding for their proposed stand alone dementia unit and that any consideration could only happen if new service monies became available. In an effort to assist them, the HSE worked with them to explore alternative arrangements that would allow for the new building to be commissioned in a phased manner over a number of years. In an attempt to progress a partnership arrangement between both organizations, the HSE suggested to them that they enter into a partnership arrangement with the Alzheimer’s Society who have considerable expertise in the delivery of dementia services and who are already operating a specialized dementia service here in Ennis. Unfortunately, this proposal was unsuccessful in reaching an agreement. The HSE has now reached agreement with the Alzheimer Society to develop a state of the art dementia-specific day care centre on the St Joseph’s Hospital campus. This development will serve to further the integration of services across care groups and between the hospitals and community. In deciding on this development, the HSE took into account the opportunities for greater integration and synergy between mental health services and older people services, and access to other services on the St Joseph’s Hospital site. Finally, in this context and our service plan priorities, we do not envisage that over the coming years the HSE will be in a position to consider making revenue funding available for a dementia day care service which Clarecastle Day Centre Ltd. proposes.

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W28Q618 - Cllr Paul Murphy I am calling for the H.S.E. to meet with a delegation from Clarecastle Daycare Centre to discuss what vision both parties would have for the future of the Clarecastle Dementia Day Unit HSE Reply: Clarecastle Day Centre Ltd. receives a considerable amount of funding from the HSE. In 2009 they received €466,004. The allocation of €466,004 in 2009 represented 50% of our total allocation to voluntary organisations for Older People of €933,029 during the year. The responsibility of the HSE is to develop services across the entire county and not just concentrate resources in one geographical area. In Ennis there are two specialist services for older people with dementia, one provided directly by the HSE and the other through funding provided to the Alzheimer’s Society. Given the need to take account of equity and access to services across the entire county, we do not view the development of a third specialized service in the Ennis area as being amongst our priorities. In the coming years the HSE will be looking to develop these services in both west and east Clare, which presently have no dementia day care service, rather than an additional one in the Ennis area. For a number of years since this project was being conceived the HSE has consistently advised the Board of Clarecastle Day Centre Ltd. that it was not in a position to provide revenue funding for their proposed stand alone dementia unit and that any consideration could only happen if new service monies became available. In an effort to assist them, the HSE worked with them to explore alternative arrangements that would allow for the new building to be commissioned in a phased manner over a number of years. In an attempt to progress a partnership arrangement between both organizations, the HSE suggested to them that they enter into a partnership arrangement with the Alzheimer’s Society who have considerable expertise in the delivery of dementia services and who are already operating a specialized dementia service here in Ennis. Unfortunately, this proposal was unsuccessful in reaching an agreement. The HSE has now reached agreement with the Alzheimer Society to develop a state of the art dementia-specific day care centre on the St Joseph’s Hospital campus. This development will serve to further the integration of services across care groups and between the hospitals and community. In deciding on this development, the HSE took into account the opportunities for greater integration and synergy between mental health services and older people services, and access to other services on the St Josephs Hospital site. Finally, in this context and our service plan priorities, we do not envisage that over the coming years the HSE will be in a position to consider making revenue funding available for a dementia day care service which Clarecastle Day Centre Ltd. proposes. W28Q619 - Cllr Michael Mullins Can you please let me know when will the Audiological Scientist be appointed, that was promised to the representatives of the Galway Parents of Hearing Impaired Children, when they met with the HSE IN 2007? HSE Reply: The Senior Audiological Scientist post in Galway has been vacant since 2002. Numerous efforts have been made to fill this post since then but unfortunately, those attempts have proved unsuccessful, for what is an extremely scarce grade. Up until November 2009, we were providing a limited Audiological Scientist service for children on a sessional (contract) basis. This ceased when the Scientist could no longer provide the service, due to ill health. However, we have now secured the services of a Scientist from the HSE South, on a limited sessional basis. Clinics for children are held each Saturday in Galway since 22nd May 2010. The service will be reviewed at the end of June to ensure that the service is effective and provides value for money. In the meantime, Galway Primary, Community and Continuing Care (P.C.C.C.) will continue to seek a derogation from the moratorium for approval to recruit a directly employed Audiological Scientist. W28Q620 - Cllr Michael Mullins Can the Regional Director of Operations outline the process for consultation with all the stakeholders of Portiuncula Hospital, that will now be put in place involving the new Clinical Director, with a view to reaching agreement on the future development of the Hospital ?, and can I have a commitment to an early meeting with the Portiuncula Hospital Action Group?

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HSE Reply: On the 3rd June 2010 Mr. John Hennessy, Regional Director of Operations for HSE West, announced that Dr. David O’Keeffe has been appointed as Clinical Director, Acute and Continuing Care Services for the Galway/Roscommon area. The new role encompasses the duties of the former General Manager post with additional responsibility for Portiuncula and Roscommon County Hospitals. Dr. O’Keeffe, a Consultant Radiologist from GUH, is a member of the Irish Medical Council and a former President of the Irish Hospital Consultants Association, with over 17 years as a senior clinician and contributor to the ongoing development of Irish health care. Welcoming his new role Dr. O’Keeffe paid tribute to his predecessor, “Under Bridget Howley, Galway University Hospitals flourished with major new developments including a designated Cancer Centre and the introduction of Cardiac Surgery. My hope is to build on the work done by Bridget and the management team, particularly those who worked on tirelessly after her retirement.” It is a sign of confidence that the HSE has in our hospitals that we have been chosen as the first HSE Hospital Group for clinical leadership in a management role. I am looking forward to working with the staff at GUH, Portiuncula and Roscommon and the College of Medicine, Nursing and Health Sciences at NUI Galway to build a strong, cohesive service for our patients with strong links to the community we serve.” We are in a different place now, economically and clinically with the introduction of quality standards that puts the patient, patient safety and clinical governance at the heart of everything we do. Resources may be limited but I am confident that if we work together, draw from our collective pooled experience and skills, we can meet the challenges common to all of the hospitals across the hospital group.” Mr John Hennessy, RDO, outlined that this appointment was extremely important for the people of Galway and Roscommon. There are changes coming as we move towards a licensed hospital system and a more integrated community service but our goal is to be ready for that change and to be in the best position to provide the safest, quality service in the most appropriate place. The appointment of a Clinical Director to manage four hospital sites as one integrated unit will ensure that Galway and Roscommon acute hospitals are in the best position to meet these changing health standards. I would also like to take this opportunity to record my thanks to the interim management team and all of the staff in GUH for their hard work, commitment and dedication to their patients. Dr. O’Keeffe will be engaging with the Clinical and Management Teams of the Hospitals in GUH and Portiuncula Hospital Ballinasloe and Roscommon County Hospital and the Primary and Continuing Care Services. W28Q621 - Cllr Michael Mullins Can you please let me know the timescale for the filling of the following posts at Portiuncula Hospital - Risk Manager, Freedom of Information Manager, Two Physiotherapists Posts, and Radiology Manager post.? HSE Reply: The two Physiotherapy posts are on the list for consideration at the next AEMG meeting. The other posts have either been declined or returned to Portiuncula for resubmission under the terms of Circular 1/2010. W28Q622 - Cllr Michael Mullins Can I please have details of any planned ward closures in all the Galway Hospitals during the Summer months? HSE Reply:

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Hospital

Total In-patients Beds Closed June 2010 (update this if changed)

June

July

Aug

Galway / Merlin Park

92

22 Beds St. Michaels Ward



Portiuncula Hospital Ballinasloe

19 19 (Reconfigured to day beds from in-patients beds)

19 (Reconfigured to day beds from in-patients beds)

19 (Reconfigured to day beds from in-patients beds)

W28Q623 - Cllr Tom McNamara As a result of the reconfiguration of services in the Mid West what plans have the HSE West to increase parking facilities at Limerick Regional Hospital to facilitate the increased volume of cars as a result of this reconfiguration? HSE Reply: The new Critical Care Block includes a significant increase in car parking on the site of the Mid-Western Regional Hospital, Limerick. The HSE also intends conducting a full Mobility Management Study for the site W28Q624 - Cllr Pádraig Conneely Due to a misdiagnosis of “missed miscarriages”, how many incidents have been recorded at UCHG, over the past 20 years, how many have contacted the Helpline in UCHG and what procedures are now in place to ensure that this will not happen again? HSE Reply: The HSE has been working with all 19 maternity facilities nationwide this week, to ensure that women with concerns about their care or treatment have access to information, support and reassurance. All hospitals have provided a dedicated response to women who attended their services who have a concern about their experience. All of these contacts will be followed up within the hospital, and where required, records will be looked at to ensure that the care provided and the diagnosis made was correct. The HSE will be supporting hospitals as required to ensure that hospitals provide all appropriate follow-up, support and care of those affected by the misdiagnosis of miscarriage. The HSE is committed to the early initiation of a review of these serious incidents to improve practice in the future. The HSE today announced details of the Miscarriage Misdiagnosis Review Team and its Terms of Reference. The Review Team is being chaired by an independent expert in Obstetrics and Gynaecology, Prof William Ledger, Vice President of the Royal College of Obstetrics in the UK who will be joined by Prof. Michael Turner, National Clinical Lead of the HSE's Obstetrics Programme and Ms. Sheila Sugrue, HSE National Lead Midwife. Service user representation in the management of this incident is being provided by Cathriona Molloy from Patient Focus. The Review Team will be fully supported by the HSE and will also have access to the input of specific expert advice in areas such as Radiology and Diagnostic Imaging Equipment, as they require it. The HSE Review Team will:

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Examine any cases previously known or now being identified where, in the last 5 years, drug or surgical treatment was recommended when the diagnosis of miscarriage has been made in error, and where subsequent information demonstrated that the pregnancy was viable

Investigate all such cases, to seek to determine the causes of and the responses to the cases, and make recommendations as required.

The 5 year timeframe has been agreed by the Review Team with a view to ensuring that the information gathered, subsequent report and recommendations can inform the Standards National Guidelines for Obstetrics, which are currently being developed, and to ultimately improve patient care in the future. However, the Review Team has indicted that in certain circumstances they will accept submissions from outside the 5 year timeframe, where the case can inform the work of the Review Team and the development of national standards. It is expected that the review will be completed within a six month timeframe. The Review Team's report will be presented to Dr. Barry White, National Director of the Quality and Clinical Care with the HSE, who has committed to publishing the report. Between last Wednesday 9thJune and 12noon today there have been a total of 240 callers to maternity hospitals around the country. To ensure that they can access information relating to their treatment as swiftly as possible, women are advised to contact the hospital where they received treatment. Contact details for each of the hospitals are now available on the HSE website, www.hse.ie and from the HSE Infoline on 1850 24 1850. A key change in practice in this area is already being implemented in all public maternity units. The HSE and the Department of Health & Children have advised all maternity facilities to immediately put in place measures to ensure that the decision to use drugs or surgical intervention in women who have had a miscarriage diagnosed must be approved by a Consultant Obstetrician. This action is being taken to ensure the safe management of early pregnancy loss across the country. A clinical programme for Obstetric care has been established as part of a major initiative by Dr. Barry White, HSE National Director of Quality and Clinical Care, to standardise care across a range of medical specialities. The Obstetrics programme will define standardised care for early pregnancy loss and other aspects of Obstetric care. This programme has recently been established and will be led by Prof. Michael Turner of the Coombe Women's and Infants University Hospital. As part of this work, a guidance document for the management of early pregnancy loss will be developed in conjunction with the Institute of Obstetrics and Gynaecology. Of over 70,000 births in Ireland each year, there are approximately 14,000 miscarriages. Miscarriage can be a very distressing experience for a woman and in a small number of cases counselling may be required.

Early Pregnancy Units have been developed to provide coordinated care for women experiencing pain or bleeding in early pregnancy. Early pregnancy care involves a multidisciplinary approach involving doctors, nurses, ultra-sonographers, midwives and support staff. Maternity units may alternatively assess patients with potential or actual miscarriage as emergencies via clinics, gynaecology wards, day-care, Emergency Departments or other mechanisms or facilities.

W28Q625 - Cllr Pádraig Conneely Why did a 94 year old Great Grandmother have to spend two nights on a trolley in A & E (Tues 8th & Wed 9th) and what procedures are in place to ensure that this will not occur again? HSE Reply: The ED was relatively quiet over the June Bank Holiday weekend, however, there was a surge in admissions on the Tuesday and Wednesday.

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On the morning of Tuesday 8th June 2010 there were 12 patients awaiting admission from ED. With a large number of patients presenting to ED in the afternoon. On the morning of Wednesday 9th June 2010 there were 27 patients awaiting admission from ED. The Hospital’s Escalation Plan was put in place with patients being accommodated on the Surgical Day Ward and Elective Admissions deferred. In relation to this patient I wish to confirm as stated on the attached that the patient arrived in the ED at approximately 4pm on the 8th June 2010 and was transferred to the Surgical Day Ward at 22:45 on the 9th June 2010 and transferred to a bed on St. Mary’s Ward on the afternoon of the 10th June 2010. The Hospital has introduced a number of initiatives and is planning a number of others including:

- Opening of the Medical Assessment Unit - Direct Referrals of GPs to the Medical Assessment Unit - Facilitating contact to Senior Consultants by GPs - Proposed opening of Assessment Area for Haematology/Oncology/Radiotherapy Patients within the

next week - Proposed opening of Surgical Assessment Unit in the next few weeks - Increasing surgical pre-assessment capacity - Designation of Specialised Wards - Rapid access to Out Patients - Review of services for care of the elderly patients

W28Q626 - Cllr Catherine Connolly In view of the unanimous motion passed by the Health Forum in relation to the keeping open of St Francis Nursing Home-what decision/progress has been made in relation to making the required necessary physical changes to the building and what is the total number of beds currently empty/unoccupied and the waiting list of people waiting to get a bed. HSE Reply: The current number of residents in St. Francis CNU is 28 and there are no plans whatsoever to move these residents to any other nursing unit. The beds that have been closed to date are closed due to the moratorium on service recruitment. There are no plans to close St. Francis CNU, indeed we have just opened a Community Physiotherapy Department there to utilise the rooms. The long term viability of St. Francis CNU as a long stay unit for older people is being considered. We are looking at a range of alternative possibilities in this regard, including the use of the facility to provide enhanced Day Care, Respite Care or indeed Primary Care for the people of Galway. Staff at St. Francis CNU have been appraised of these discussions, as have their unions. W28Q627 - Cllr Catherine Connolly Please give up to date details in relation to the total number of buildings rented or leased by the HSE West in the City and County of Galway including the costs of the rental and lease and also have any improvements been made in the last year and in particular in relation to the ending of the lease in question and/or negotiation/reduction in price? HSE Reply: Our Estates Department has provided the attached comprehensive list of all leased/rented properties in Galway City and County. Improved lease/rental conditions from our landlords are being negotiated on a continuing basis.

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LEASES TO THE HSE-WEST - 2009

Property Use Period Break /Review

Date

Amount

P.A

Comments

Galway -PCCC

1 Social Centre Premises, Ballinasloe Family support

services

Jan 2002- Dec

2004-FEB 10

N/A 3,631 Continuing, No formal

agreement at persent to

review 2010

2 Unit 17, Briarhill, Business Pk Stores & PHN

accommodation

July 2001-

June 2011

119,649 rent review under way

3 Ballyquirke Rd Moycullen Not on fixed

term

Jun-02 0 Vacating January 2010

4 Dockgate, Merchant's Road (previously

known as Prospect Court Galway)

CWO

accommodation

July 2009 -

July 2010

No date

specified in

lease Year to

year lease

25,000 Re-imbursed to HSE by

DSFA. Propose to move to 3

yr lease, if approved by

Property Committee.

5 Ross House Merchants Hs Galway CWO Jan 1978 -

Dec 2012

every 4 years

from year of

commencement

35,230

6 10 Ely Place Sea Road,Galway Audiology 1st Feb 2004-

April 2028

01/06/2008 Rent

Review

31,700

7 West City Centre Galway Community

services

Feb 2001- Jan

2026

2011/2012 876,935

8 Vicar Grove, Tuam Home

management &

childcare

services

April 2002-

Mar 2005

0 Lease Terminated

9 Glenamaddy Community Centre Jan 1995 -

Dec 2004

1,778 Continuing, No formal


review 2010

10 Liosban Retail Centre Childcare

services

Sept. 2000 -

Sept. 2021

12,000 Rent review under way.

11 Liosban Retail Centre (Unit 14C & 18A) Westdoc July 2002 -

Jun 2012

Not detailed on

lease

94,242

12 Liosban Retail Centre(Unit 8B) Pre-school

services

Sept 2001-

June 2011

33,940

13 Property at Main St, Ballinasloe Vocational

training

July 2003-

June 2007

20,820 For review in 2010

14 Ballybane Galway (La Nua) - SCCUL Community and

mental health

service

April 2005 to

March 2040

205,000

15 Unit at Fiontarian Hs, Galway 0 0 Lease Terminated

16 Bride Street Loughrea, (Retail space) Vocational

training

July 2003-July

2006


agreement at present to

review 2010

17 Ballard House, Westside Galway Childcare &

adolescent

psychiatry

01/01/2007 -

01/03/2012

63,895 Rent review ongoing.

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18 Ennis Rd, Gort Mental health

services

April 2002-

Feb 2005



review 2010

19 The Mall, Tuam Alcohol services Jan 2004 to

Nov 2008



review 2010

20 Tubber Road, Gort Mental health 26/11/02 to

25/11/2012

6,323 15 YEAR LEASE BACK -

GORT MHA.

21 64 Dominic Street Galway Drug support

services

Feb 2002-Jan

2006

21,770 Being re-negotiated at

present.

22 House on Inisbofin PHN

accommodation

Sept 2005 to

September

2006

No rent review

date as short-

term

9,880 Being rented year to year.

Waiting construction of new

centre. PP granted, trying to

purchase site.

23 3, The Meadows, Tuam Lease

Terminated

Lease Terminated

24 18, The Meadows, Tuam Residence for

MH clients

Oct 2003-Sept

2008



review 2010

25 Abbey St, Portumna Residence for

MH clients

Temporary

Convenience



review 2010

26 Jardin Drive, Loughrea Residence for

MH clients

June 2003-

1st May 2004



review 2010

27 Hawthorn Rd, Ballinasloe Residence for

MH clients

Nov 2003 –

1st Oct 2008



review 2010

28 Main St., Loughrea Social activities March 2004 –

1st Feb 2007



review 2010

29 Kilkerrin.Rd, Glenamaddy MH services March 2004 –

1st Feb 2008



review 2010

30 Ashbrook, Mountbellew, Co. Galway East Galway MH

services

April 2004 –

01/04/2007

7,200 New Lease being negotiated

31 6, Francis Street Galway (The GAF) Counselling

services

July 2004-

01/07/2005

5,400 Lease continues, "The Gaf".

Check with Fiona Walsh..

32 Vicar Street, Tuam Lease

Terminated Lease Terminated

33 St. Ann’s Taylors Hill Child Psychiatric

Services

Sept 1997 –

Sept 2017

Every 5 years

from date of

commencement

19,044 New building at merlin park

should be completed in 2010.

34 Beagh, Ballinasloe Co Galway Mental Health

Services

Sept 2004 –

01/09/2010

10,800 LEASE EXPIRES SEPT,

2010

35 Edenview, Loughrea Galway Mental Health

Services

Nov 2004 –

01/10/2009

9,360 continuing, No formal


review 2010

36 Greystones, Lake Road Loughrea,

Galway

Mental Health

Services

Nov 2004 –

01/05/2007



review 2010

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37 BridgeRoad, Portumna Galway Lease

Terminated

Lease Terminated

38 Bolag, Woodford Loughrea Galway Lease

Terminated

Lease Terminated

39 Church Road Portumna Galway Mental health

services

Nov 2004 –

01/10/2009



review 2010

40 Portumna Road Ballinasloe Galway Mental Health

Services

Nov 2004 –

01/10/2009



review 2010

41 Ballybane Community Resource Centre

Ballybane Family Services

Community,

PHN, Family

Support, etc.

13/01/2005 -

12/01/2006

13,808 No lease. Licence

agreement.


Ballybane NYP

13/01/2005 -

12/01/2006


agreement.


Psychology/PHN Room

13/01/2005 -

12/01/2006


agreement.

44

Fahy Quansboro Community Centre

MH Clients

1/11/05 -

31/10/08 7,000

No formal agreement.

Continuing.

45

Portnick, Ballinasloe

Relocation of

MH

1/8/05 to Nov

2010 11,400

continuing, No formal


review 2010

46 Earlspark, Ballinasloe Learning

Disability

Services Clients

to Community

1/12/'05-

30/11/'08



review 2010

47 Newtown, Ballinalsoe

Relocation of

MH

1/5/06 -

30/4/09 10,800

continuing, No formal


review 2010

48 Reddington's. Tuam

Relocation of

MH

1/6/05 -

31/5/10 10,800 Lease expires 5/10

49 Ballinakill, Lettermullen Health Centre GP Only 2007-2008 9,360

Lease expired. Month to

month arrangement.

50 Ballinfoyle NYP NYP Indefinite 1,200 No Lease

51 Cashel Health Centre CWO Payout 660 Maintenance Costs Only

52 Clonbur Health Centree

Primary Care

Services

New lease

being agreed 1,270 New lease being agreed

53 Letterfrack 0

no longer

leased

Lease

Terminated Lease Terminated

54 Ballymo Post Office

CWO Payout

Centre 660 No lease Agreement

55 Carnmore Community Centre

CWO Payout

Centre 330

56 Kilronan

CWO Payout

Centre 12,100 No Lease

57 Inish Iair Health Centre

Primary Care

Services Short-term 9,438

New building under

construction

58 Inish Iair Health Centre

Public Health

Nursing Jan 06-Dec 06 12,000

House for PHN Locum will be

moving to new building

59 Lus Leana, headford road

PHN

Developmental

Clinic 2,340 No lease

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60 Westside Community Centre NYP Room

Lease

Terminated Agreement Terminated

61

Mellows House Tuam Galway Primary Care

Team/

Community

Services

Oct 08 - Oct

11

Rent review nov

10

94,250 Awaiting Tuam campus

decision. 2 year lease

agreement with an extention

if required.

62 Altamont Street Westport

Westdoc

Treatment

Centre for

Westport 1 yr 2 months 16,000

WESTDOC

63 Aras Ronan, Inish Mor CNU and Day

Care.

Yearly 23,600 No lease. Mgmt fee paid per

year. No rent.

64 Spiddal Early Intervention Centre Yearly 10,000 Yearly lease.

66 Inis Meain ('Tigh Chait', Moore Village) Locum PHN

accommodation

3 months 1,375 Short term lease

67 An Cearnog Nua (Unit 1), Moycullen. Health Centre 4 years and

11 months

from 18/01/10

31,000 31K inclusive of service

charges

68 Stone Court Roscommon C & AMHS

Service

June 2003 -

01/05/2008

N/A 66,480 Child & Adolescent Mental

Health Service, PCCC

Galway

69 Abbey St. Roscommon Counselling

services

Jan 2004 –

01/01/2007

N/A 16,500 Counselling Service PCCC

Galway

70 Lanesboro Street, Roscommon 01/09/06 -

01/05/11

N/A 14,400 Counselling Service PCCC

Galway

Total 2,159,474

NHO

Property Use Period Break /Review

Date

Amount

P.A

Comments

1 21 University Road Offices 5 Years - June

2013

5 years 73,149

2

Hazelwood house, Parkmore Road ,

Ballybrit

Sexual Assualt

treatment unit

2 Years - June

2011

2 Years

38,880

112,029

W28Q628 - Cllr Catherine Connolly Please confirm a) the total number of Radiologists employed by Breast Check in Galway City and whether this is the full and required complement of Radiologists b) how many of those radiologists are currently not working for one reason or another giving the reasons c) What steps have the HSE West taken to fill the vacancies d) How many women are screened on a weekly basis giving the figures in relation to same on a weekly basis from April 2009 to date and e) What is the recommended and required number of screenings? HSE Reply:

A) BreastCheck employs three radiologists in the BreastCheck Western Unit. These are employed to provide a radiology service to all women living in the western area. Three radiologists is the full and required complement.

B) At present, two radiologists are on leave for personal reasons. One is due to return on 22 June 2010 and the other in September 2010.

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C) To ensure the continued provision of the service to women living in the western area, the radiology service in the western area is supported by radiologists from the BreastCheck Eccles and BreastCheck Merrion Units.

D) It is the policy of the National Cancer Screening Service to share screening figures an annual basis in its BreastCheck Programme Report, once all statistics have been fully evaluated and verified.

E) BreastCheck offers breast screening to women in the western area from the BreastCheck Western Unit and three associated mobile digital screening units. Screening figures vary on a day to day basis as they are dependent on the number of women who attend their allocated appointment. Each mobile unit operates with a single mammography machine and two radiographers and is capable of carrying out approximately 40 mammograms per day. Invitation rates are set higher than this as women do not have to confirm they will be attending the appointment offered to them. Each static unit has three mammography screening machines and, on an ordinary screening day, has approximately three times the screening capacity of a mobile unit. The static unit holds the assessment clinics for all women re-called for further assessment following their initial screening mammogram therefore each static unit does not provide screening on at least two mornings per week. Screening capacity is also reduced at other times to accommodate procedures such as wire guided localisations, repeat biopsies etc.

W28Q629 - Cllr Catherine Connolly Please give full details in relation to the number of people on the various waiting list for each medical speciality including both the outpatients and inpatients waiting lists in Merlin Park and University Hospital Galway including the length of time they have been waiting and how many people/patients from these lists have been referred under the NTPF for assessment/treatment since January 2008 to date. HSE Reply: See attached spreadsheet (at end of document) W28Q630 - Cllr Padraig Conneely What is the current status overspend/underspend in Budget 2010 for Hospitals in the West Regional Forum Area? HSE Reply: Western Hospital Group Financials as at 31/5/10

excl Accelerated Income (stats)

Actual Budget Variance

€'m €'m €'m

Galway University Hospital 117.5 106.4 (11.1)

Mayo General Hospital 34.5 32.9 (1.6)

Portiuncula General Hospital 21.8 18.7 (3.1)

Roscommon County Hospital 9.6 8.5 (1.1)

Sligo General Hospital 47.6 43.3 (4.3)

Letterkenny General Hospital 45.7 42.3 (3.4)

Limerick Regional Hospital 68.3 58.5 (9.8)

Limerick Regional Maternity 8.7 7.0 (1.7)

Croom Orthopaedic 5.5 4.1 (1.4)

Nenagh General Hospital 7.8 7.7 (0.2)

Ennis General Hospital 8.5 8.5 (0.0)

St Johns Hospital 8.4 8.3 (0.1)

383.8 346.1 (37.8)

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W28Q631 - Cllr Laurence Fallon What effect will the decision to place Roscommon Community Services under the control of the new Super Manager in Galway, who will be covering not only Hospitals but also Community Services from Clifden to Ballyfarnon, due to the long term implications this will have in removing local decision making from Roscommon and which will see the amalgamation of Community Services with Acute Services which could result in funding being transferred from Community Services to Hospitals in contrast with the stated objectives of the HSE? HSE Reply: On the 3rd June 2010 Mr. John Hennessy, Regional Director of Operations for HSE West, announced that Dr. David O’Keeffe has been appointed as Clinical Director, Acute and Continuing Care Services for the Galway/Roscommon area. The new role encompasses the duties of the former General Manager post with additional responsibility for Portiuncula and Roscommon County Hospitals. Dr. O’Keeffe, a Consultant Radiologist from GUH, is a member of the Irish Medical Council and a former President of the Irish Hospital Consultants Association, with over 17 years as a senior clinician and contributor to the ongoing development of Irish health care. Welcoming his new role Dr. O’Keeffe paid tribute to his predecessor, “Under Bridget Howley, Galway University Hospitals flourished with major new developments including a designated Cancer Centre and the introduction of Cardiac Surgery. My hope is to build on the work done by Bridget and the management team, particularly those who worked on tirelessly after her retirement.” It is a sign of confidence that the HSE has in our hospitals that we have been chosen as the first HSE Hospital Group for clinical leadership in a management role. I am looking forward to working with the staff at GUH, Portiuncula and Roscommon and the College of Medicine, Nursing and Health Sciences at NUI Galway to build a strong, cohesive service for our patients with strong links to the community we serve.” We are in a different place now, economically and clinically with the introduction of quality standards that puts the patient, patient safety and clinical governance at the heart of everything we do. Resources may be limited but I am confident that if we work together, draw from our collective pooled experience and skills, we can meet the challenges common to all of the hospitals across the hospital group.” Mr John Hennessy, RDO, outlined that this appointment was extremely important for the people of Galway and Roscommon. There are changes coming as we move towards a licensed hospital system and a more integrated community service but our goal is to be ready for that change and to be in the best position to provide the safest, quality service in the most appropriate place. The appointment of a Clinical Director to manage four hospital sites as one integrated unit will ensure that Galway and Roscommon acute hospitals are in the best position to meet these changing health standards. I would also like to take this opportunity to record my thanks to the interim management team and all of the staff in GUH for their hard work, commitment and dedication to their patients. Dr. O’Keeffe will be engaging with the Clinical and Management Teams of the Hospitals in GUH and Portiuncula Hospital Ballinasloe and Roscommon County Hospital and the Primary and Continuing Care Services. W28Q632 - Cllr Brian Meaney When will written replies be received to Questions which were submitted by members to Regional Health Forum Meetings during the recent industrial dispute? HSE Reply: Members will be aware that the Industrial Action is now suspended. The remaining backlog of unanswered questions is being dealt with expeditiously and replies will issue as soon as possible. Late Ques

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tion Late Question W28Q633 - Cllr Austin Francis O’Malley Could you clarify the reasons for the closure of the Psychiatric Day Care Unit at Scared Heart Hospital, Castlebar. I would strongly urge the reopening of the unit as I believe the closure affects up to 600 patients. The closure will have a devastating effect on some of the most vulnerable people in our society. Could you please respond, if possible with an answer in writing. HSE Reply: The services at the Day Centre at the Sacred Heart ceased to operate in December 2009. As part of an overall review of adult mental health services in Mayo, a new consultant-led rehabilitation team is being developed for County Mayo. The service users of the Day Centre at the Sacred Heart Hospital have been clinically reviewed and are now being cared for under the new rehabilitation team’s outreach service or other existing services in Castlebar.

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Galway University Hospitals June 2010 Out - Patient Waiting List. Medical HospCode Specialty 2007 2008 2009 2010 Longest Waiting Total RH MEDICAL 49 78 41 27/03/2008 168 RH MEDICAL 7 10/05/2010 7 RH MEDICAL 11 17/05/2010 11 RH MEDICAL 19 19/04/2010 19 RH MEDICAL 9 15/04/2010 9 RH MEDICAL 240 137 05/08/2008 377 RH MEDICAL 102 91 82 52 06/04/2006 359 RH MEDICAL 2 01/06/2010 2 RH MEDICAL 9 08/02/2010 9 RH MEDICAL 52 12/01/2010 52 RH MEDICAL 69 60 19/02/2009 129 RH MEDICAL 28 181 19 43 20/11/2007 271 RH MEDICAL 81 82 12/02/2009 163 RH MEDICAL 15 29/01/2010 15 Total 1591 Merlin Park Out - Patient Waiting Lists HospCode Specialty 2008 2009 2010 Longest Waiting Total MP MEDICAL 6 31 25/05/2009 37 MP RESPIRATORY 7 02/02/2009 7 MP RESPIRATORY 15 25/05/2009 15 MP RHEUMATOLOGY 125 380 382 16/04/2008 887 Total 946 National Treatment Purchase Fund Out -Patient Referralls.

Galway University Hospitals. January 2008 to 31/05/2010 Total 2916

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Galway University Hospitals In -Patient Waiting List Medical June 2010 University College Hospitals and Merlin Park

Specialty 0-3Mths 3-6Mths

6-

12Mths

12-

18Mths

1.5-

2Years >2.0Years Total CAR 59 50 27 1 137 65 44 34 143 62 44 31 1 138 45 33 19 97 CAR Total 231 171 111 2 515 Cardiology. NEU 8 12 23 11 54 2 2 4 8 NEU Total 10 14 27 11 62 Neurology RES 46 38 67 13 164 RES Total 46 38 67 13 164 Respiratory GAS 77 45 12 134 98 68 7 173 41 32 5 78 4 2 6 45 30 75 64 34 8 106

GAS Total 329 211 32 572 Medical Gastroenterology.

Total 1313 National Treatment Purchase Fund Medical In - Patient Medical Referalls. January 2008- 31/05.2010. Total 400

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Points Raised/ Ábhar a tógadh Question No. W28Q609 Councillor Mary Hoade

Councillor Hoade required further clarification regarding estimated bed closures at UCHG for the year end, and highlighted

a situation where a pregnant woman recently spoke on local radio about there being no beds in her local hospital, and

whereby a local hotel offered her a bed?

Mr John Hennessy advised that there was no correlation between bed numbers and performance & activity. He advised

that plans include more out-patient activity and more emphasis on day care, which is a far more efficient use of resource.

Mr Hennessy also drew members’ attention to the Briefing Document circulated regarding the Emergency Department at

UCHG, which outlined measures in place and plans for the future.

Mr Hennessy advised that he would be happy to follow up on the specific case mentioned.

Question No. W28Q610 Councillor Mary Hoade

Councillor Hoade requested confirmation regarding the advertisement of the Senior Audiologist post, as she had been

previously advised that the moratorium would not affect speciality posts, such as this one?

Ms Catherine Cunningham advised that this post was advertised on 5 occasions unsuccessfully and although there is

flexibility under the moratorium, the HSE will now have to look to other HSE areas to have this post filled.

Ms Cunningham agreed to ascertain when the post was last advertised and revert to all Forum members on the

matter.

Question NoW28Q611 Councillor Mary Hoade

Councillor Hoade asked if there were any proposals to sell the vacant premises listed and highlighted a premises in

Turloughmore, Co. Galway which has been vacant for 10 years.

Ms Catherine Cunningham agreed to examine the situation regarding the premises in Turloughmore.

Mr John Hennessy advised that he would request Mr Joe Molloy from Estates to contact Councillor Hoade on the

matter.

Question No. W28Q614 Councillor Declan Bree

Mr John Hennessy agreed to provide full details of the Breakeven Plan for all Hospitals in the HSE West.

Question No. W28Q617 & W28Q618 Councillor Paul Murphy

Councillor Murphy and Councillor Tom McNamara questioned where exactly the Dementia Unit was to be situated in St

Joseph’s Hospital?

Ms Catherine Cunningham advised that she would speak with Mr John O’Brien, Integrated Services Manager, HSE Mid-

West, on the matter, and that she will confirm for the members where exactly the proposed Dementia Day Unit will

be located at St Joseph’s Hospital.

It was also agreed that Local HSE Management would arrange a briefing for local Public Representatives and any

other interested parties.

Question No. W28Q620 Councillor Michael Mullins

Would like to see the new Clinical Director meet with all relevant stakeholders, including Portiuncula Hospital Action Group

to discuss the future of the Hospital.

Mr Hennessy advised members that the Clinical Director had arrangements to meet with Portiuncula staff and Unions, in

the coming weeks and that he could envisage no problem with arranging a similar meeting for all other stakeholders.

It was agreed that Cllr Mullins would co-ordinate a time & date for such a meeting with Mr John Hennessy.

Question No. W28Q623 Councillor Tom McNamara

Mr John Hennessy agreed to follow up on specific incidents raised by Cllr McNamara, regarding patient’s cars

being clamped at Limerick Regional Hospital.

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Question No. W28Q624 Councillor Padraig Conneely

Further details were sought regarding queries made by members of the public to the HSE Helpline and what is the

situation regarding individuals with queries going back more than 5 years?

Members were advised that a National Review is taking place, of all cases in the last 5 years, and that individuals can also

contact their local hospitals for review of any available medical charts, etc.

Members were advised that any individual cases could be brought to the attention of the Office of the Regional

Director.


Mr John Hennessy agreed that the incident, whereby a 94 year old Great Grandmother would have to spend two nights on

an A&E Trolley, was unacceptable and expressed an apology to her and her family for having such a regrettable

experience. Mr Hennessy drew attention to the ED Update, circulated at the meeting, outlining preventative measures

and initiatives now being introduced at the hospital.

Question No. W28Q626 Councillor Catherine Connolly

Queried plans to make the recommended HIQA infrastructural changes to St Francis Home, Galway and reassurance that

the HSE is not planning to close the Home.

Ms Catherine Cunningham confirmed that there are no plans to close the Home at present.


Concerns were expressed at the number of premises currently leased in Galway City and County.

Ms Catherine Cunningham advised that there are ongoing discussions with various landlords, and that the HSE is

undertaking a 3 year review, looking at all options to relocate and redeploy staff.

Mr John Hennessy welcomed Cllr Connolly’s queries and confirmed that the HSE is looking at every opportunity to reduce

costs, including rental of properties, etc.


Ms Chris Kane and John Hennessy agreed to follow up with Breastcheck regarding any decrease in their

screening targets, since April 2009.


Mr John Hennessy agreed there was a misinterpretation of the question asked and agreed to issue complete data on

waiting lists.


Mr John Hennessy agreed to provide Forum members with more details on the range and scale of breakeven

measures planned for health services in the West, for the remainder of the year.

Question No. W28Q631 Councillor Laurence Fallon

Mr John Hennessy confirmed that he would invite the new Clinical Director, Dr O’Keeffe to attend the next

meeting of the Regional Health Forum West.

Question No. W28Q632 Councillor Tom McNamara, on behalf of Councillor Austin Francis O’Malley

Ms Catherine Cunningham agreed to provide further specific details to the Forum Member as to why services at

the Day Centre, Sacred Heart Hospital, Castlebar, have ceased.

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298/28/10 Motions//Fógraí Rúin

W15M124 Councillor Declan Bree

That a copy of the contract between the HSE and Mount Carmel Medical Group for the proposed development of a private

co-located hospital on the grounds of Sligo General Hospital, be made available to the members of the regional Health

Forum.

Councillor Bree asked that this item be deferred.

W26M182 Councillor Michael Mullins

I wish to propose that - HSE Management is totally open and transparent with all stakeholders in relation to plans for UHG,

Merlin Park, Portiuncula and Roscommon Hospitals following the appointment of the General Manager to oversee the four

facilities.

Proposed by Cllr Michael Mullins, seconded by Councillor Declan Bree and adopted.

Mr John Hennessy agreed to follow up and arrange any meetings between all stakeholders and Dr O’Keeffe.


Recognising the significant number of beds that are currently closed in Sligo General Hospital and the other acute general

hospitals in the region and further recognising the urgent need to have these beds made available for patients, this Health

Forum calls on the Government, the Minister for Health and the HSE to provide the necessary resources to ensure that all

beds in our general hospitals are re-opened without further delay.

Proposed by Councillor Declan Bree, seconded by Councillor Tony Ward and adopted.

W27M184 Councillor Brian Meaney

That all details relating to members expenses be placed or linked on the HSE Health Forum West Web page.

This motion was amended the Motion to read:

Proposed by Councillor Brian Meaney, seconded by Councillor Declan Bree and adopted.

W27M185 Councillor Mary Hoade

HSE West have cut back on funding to the Brothers of Charity Services for the past 3 years. The BOC have carried a core

funding deficit of £500,000 since 2006. The effect of this is a shortfall of 2.5million this year, which will lead to severe

cutbacks in front-line services with the closure of two community homes and cutting respite services by 45% among many

other cost cutting measures. All of the 4 HSE regions got a cut of 2% for the VFM and no funding for staff increments. In

addition to this the HSE West took the exact funding for all the posts reported retirements or posts that became vacant in

2009 - the Moratorium Cut in HSE West 20 posts or £838,000. This did not happen in the other areas of the HSE. This is

a most unfair and indiscriminate cut as it affects most front line positions. I request the board to reverse this decision on

Moratorium.

Proposed by Councillor Mary Hoade, seconded by Councillor Catherine Connolly and adopted.

W27M187 Councillor Catherine Connolly

That this Forum deplores the closure of St Michael’s ward in University College Hospital Galway and the unacceptable

dispersal of its patients throughout the hospital and further requests that the HSE West confirm the number of

people/patients on the waiting list with ear nose, throat and eye problems both the inpatient and out- patient waiting list

with a breakdown between adults and children and further that this Forum is given the precise number of patients from

these lists who have been seen under the National Treatment Purchase Fund since it’s inception to-date and the hospitals

where they have been seen/treated.

Proposed by Councillor Catherine Connolly, seconded by Councillor Padraig Conneely and adopted.


That this Health Forum, outraged at the recent decision to drastically reduce dental services to Medical Card Holders, calls

on the Government and the HSE to immediately reverse the cuts and at a minimum, maintain the dental services at last

years level.

Proposed by Councillor Declan Bree, seconded by Councillor Catherine Connolly and adopted.

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W28M190 Councillor John Kelly (linked to W28M193 Councillor Laurence Fallon)

That the HSE not consider making any changes to the operation of the A&E department of Roscommon Co Hospital until

such time as they can convince the people of Roscommon that the operational development of the new primary care

structure in the town working alongside the fully trained advanced paramedic service, neither of which are at an advanced

stage, can actually prove to be a better and more efficient replacement of what we already have.

*Proposed by Councillor John Kelly, in conjunction with W28M193 - Councillor Laurence Fallon, seconded by Councillor

Tony Ward and adopted.

Mr John Hennessy reiterated his agreement to arrange a meeting between all relevant stakeholders, to discuss

issues regarding health services in Roscommon and Portiuncula, as a result of new organisational and

management structures.

Meeting being arranged 5th / 9th July ManagementTteam Roscommon/dates to be advised.


Recognising that a commitment was given by the Minister for Health and a guarantee was given by the National Cancer

Control Programme (NCCP) that women requiring follow up surveillance mammograms would continue to receive the

service in Sligo General Hospital after the Breast Cancer service was transferred to Galway; and further recognizing the

fact that there is no follow up surveillance mammogram service now available in Sligo General Hospital, this Health Forum

expresses its outrage at the failure of the Minister and the NCCP to adhere to their commitments and calls on the Minister,

the Government and the National Cancer Control Programme to provide a follow up surveillance mammogram service in

Sligo General Hospital without further delay.

Proposed by Councillor Declan Bree, seconded by Councillor Catherine Connolly and adopted.

W28M192 Councillor Catherine Connolly

That in view of the unanimous motions passed by this Health Forum expressing in the strongest possible terms that St

Francis Home remain open that this Forum deplores what appears to be the closure of the Unit by stealth and calls on the

HSE West to confirm and clarify to this Forum what meetings have taken place with staff and/or patients and their families

about the closure despite the Forum’s wishes and further that the HSE West clarify the number of beds occupied out of

the total number of beds in the unit and also confirm to this Forum that the Unit will remain open given the express wishes

of the Forum and the people of Galway and further to take all necessary steps as outlined in the recommendations of the

HIQA report on the physical aspects of the building.

Proposed by Councillor Catherine Connolly, seconded by Councillor Padraig Conneely and adopted.

W28M193 Councillor Laurence Fallon (linked with W28M190)

That the HSE West Forum condemns the failure of the HSE to date to clarify and now requests immediate clarification on

the implications of the appointment of a super-manager on services at both Roscommon and Portiuncula Hospitals; the

future of the plans for a joint department of surgery between both hospitals and the failure to provide funding for the

upgrade of sterilisation facilities to ensure additional procedures could be performed at Roscommon County Hospital.

Also, that the HSE Forum West condemns any plans for the relocation of A&E services from Roscommon and Portiuncula

Hospitals to UCHG thereby placing lives in danger.

* See W28M190

299/28/10 Any other Business/Aon Ghnó eile Councillor Brian Meaney raised a query in relation to regulation of Shannon – doc, in particular regarding any

misdiagnosis by attending medical staff.

Mr Bernard Gloster advised that there are a number of options in relation to lodging any concerns or complaints.

As Shannon – doc is a co-operative of GPs an individual can raise any specific medical care dissatisfaction with the

Medical Council.

An individual can also raise any concerns regarding practice with the local Manager, Mr Larry Maher

Concerns can be raised with Shannon – doc’s Executive Board, and

Complaints can also be lodged via the HSE Complaints process.

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300/28/10 Date and Time of Next Meeting/Dáta agus Am an Chéad Chruinnithe Eile

The next meeting of the Forum will take place on Tuesday 28th September, 2010 at 2 p.m. in Room 1, Education

Centre, HSE Offices, Merlin Park, Galway.

This concluded the business of the meeting.

Signed: __________________________

Cathaoirleach/Chairman

Adopted at Regional Health Forum Meeting on Tuesday 28th September, 2010

28th September, 2010

minutes of meeting of the regional health forum west, … · 04/04/2011 · final mins_#28_22.6.10...

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