Dublin West: Health Update

The NTPF reduces time spent on a waiting list for many common surgeries

• The National Treatment Purchase Fund (NTPF) purchases treatment for public patients, primarily from private hospitals.
• Since 2002, average waiting-times for treatment have been reduced to two to five months from two to five years.
• The specialties in which the highest numbers have been treated are ophthalmology, ENT, orthopaedics and plastic surgery.
• Over 8100 patients from Dublin have received treatment under the Fund since it was set up.

The National Cancer Control Programme delivers better outcomes for patients

• Under the National Cancer Control Programme there are four designated cancer control networks and eight cancer centres nationally. For all cancers, initial diagnosis and surgery is provided at the cancer centres by multi-disciplinary teams.
• Chemotherapy and routine follow-up will continue to be provided locally as appropriate, as will palliative care.

• All breast cancer diagnostic and surgical services have been transferred to the eight cancer centres only plus an outreach service in Letterkenny.
• Rapid Access Diagnostic Clinics for prostate cancer have been established in University Hospital Galway, St James’s, St Vincent’s, Beaumont and the Mater Hospitals.
• Rapid Access Diagnostic Clinics for lung cancer have been established in St Vincent’s, Beaumont, St James’s, Mater, Cork University Hospital and Waterford Regional Hospitals.
• New radiation oncology facilities at Beaumont and St James’s are to be completed this year.
• We have set up CervicalCheck-the National Cervical Screening Programme provides free smear tests to women aged 25 to 60. Over 280,000 women were screened in 2009. A successful national screening programme has the potential to cut overall deaths from cervical cancer by 80%.
• This year the cervical vaccine will be offered free of charge to 30,000 girls who are now in first year of secondary school.
• BreastCheck commenced in all counties in 2009. In 2009, over 122,000 women were screened
• A national screening programme to detect colon cancer will begin in early 2012.
• Breast cancer mortality fell by almost 27 per cent in Ireland in the last 20 years. This is due to better screening, the availability of new treatments and speedier diagnosis.

Blanchardstown Hospital

Number of Beds

• In Patient Acute: 202
• Day Case Acute :48
• In Patient Psychiatry:27
• Total: 277

Staff

• Medical/Dental: 133
• Nursing: 503
• Health and Social Care Professionals: 131
• Management/admin: 177
• General Support Staff: 153
• Other Patient and Client Care: 73
• Total nunber of WTE (whole time equivalent) staff at end Dec 2008: 1,170

Inpatient Discharge Figures

• No. of in-patient discharges in 2008: 9.649
• No. of in-patient discharges in 2007: 9,689
• No. of in-patient discharges in 2006: 9,155
• No. of in-patient discharges in 2005: 8,437

Day Cases

• No. of Daycases in 2008: 7,734
• No. of Daycases in 2007: 7,186
• No. of Daycases in 2006: 7,409
• No. of Daycases in 2005: 6,579

Outpatient Figures

• No. of outpatients in 2008: 57,882
• No. of outpatients in 2007: 60,887
• No. of outpatients in 2006: 52,590
• No. of outpatients in 2005: 43,301

Emergency and Elective Figures

• No. of Emergency Department Presentations in 2007: 32,306
• No. of Emergency Department Presentations in 2006: 32,749
• No. of Emergency Department Admissions in 2007: 8,075
• No. of Emergency Department Admissions in 2006: 7,355
• Percentage of patients admitted as emergencies in 2008: 78.9
• Percentage of patients admitted as emergencies in 2007: 80.1
• Percentage of patients admitted as emergencies in 2006: 77.6
• Percentage of patients admitted electively in 2008: 21.1
• Percentage of patients admitted electively in 2007: 19.9
• Percentage of patients admitted electively in 2006: 22.4

Expenditure

• Actual Expenditure in 2008: 107,045
• Actual Expenditure in 2007: 101,167
• Actual Expenditure in 2006: 90,659

Hygiene Results

• 2nd Hygiene Audit results: 89
• 1st Hygiene Audit Results: 76

Capital Developments

• New Access to Connolly Hospital opened in October 2010
• A new acute psychiatric ward at Connolly Hospital, Blanchardstown inNovember 2010. The opening of the ward marks the completion of the new acute admission facility for the North West Dublin Mental Health Service, which serves the areas; Cabra, Finglas and Blanchardstown. The recent transfer of 12 patients from St. Brendan’s Hospital into the Pine Ward marked a key milestone in the modernisation of Mental Health Services in Dublin North East. The occupancy of the Pine Ward is the penultimate stage in a long process which when complete, will lead to the de-commissioning of the old institutional facilities at St. Brendan’s.
• €2.5m for a replacement CT scanner, in 2009.
• In 2000 a €96m Capital Development Programme replaced the older buildings on the site, which were spread out over a large area, with a modern facility, utilising a combination of new buildings integrated with substantially upgraded existing ones.
• The new development was commissioned in October 2004 and includes a new Emergency Department, Coronary Care and Cardiac Unit, Psychiatry of Old Age Day Hospital, Theatre Suite, Surgical and Medical Block, Intensive Care Unit, Day Surgery facilities and a General Adult Psychiatric Unit.

Mental Health & Disability Services

St Michael’s House

• The Health Service Executive funds St Michael’s House to provide health care services to adults and children with an Intellectual Disability.
• St. Michael’s House provides a range of community-based day, respite, residential and early services for people with an intellectual disability.
• The services provided by the organisation cover all ages from young children to older persons. In 2008, there were 565 children and 956 adults receiving a service.
• Residential services are provided for 391 adults and 26 children.
• Respite Breaks were provided to 428 people in respite houses in 2008.
• Day Services including clinical supports/early services are provided to 1521 clients.
• Clinical support services include psychiatry, medical, nursing, occupational therapy, physiotherapy, speech and language therapy, social work, psychology and nutrition services.
• Services are located both on the Northside and Southside of Dublin and in 2007 the service extended to provide residential care for children in Navan, Co. Meath.
• St Michael’s House provides these services on behalf of the Health Service Executive to clients, based on individual assessed clinical need and health care is provided in the most appropriate setting to meet the client’s individual needs.
• In 2006 St Michael’s House took over the operation of Baldoyle Hospital at the request of the Health Service Executive.

Core Funding

• The HSE annual funding to St Michael’s House for the years 2005 to 2009 in outlined below;

2005                            €62m

2006                            €72m (including Baldoyle €5.5m)

2007                            €79m

2008                            €83m

2009                            €80,269,432

New Service Developments Approved for St Michael’s House

• There has been significant development in services for persons with an Intellectual Disability in recent years with the introduction of the Disability Act 2005 and the Joint Department of Health and Children and Health Service Executive Multi-Annual Investment Plan 2004-2009.
• The following is a summary of the new service developments approved for St Michael’s House from the allocation to Dublin North East in the Years 2005 to 2008.

• In 2010 it is proposed to invest under Demographic Service Pressure additional funding of €20m nationally to meet 2010 growth in demand for 100 residential places, 400 day places and 160,000 personal assistant/home support hours.
• The funding will be allocated to each service area based on criteria outlined in the plan and current need.

Stewarts Hospital Services

• Stewarts Hospital is a charitable foundation, with a 140-year tradition in the provision of care for people with intellectual disability. The institution was the first in Ireland to offer such support for people with severe disabilities. Services are provided regardless of age, religion, socio economic background and encompassing every degree of intellectual disability.
• Operating from two main sites at Palmerstown and Balgaddy in South West Dublin, and several satellite residential and service centres throughout West Dublin and North Kildare, Stewarts provides extensive on-site and community based services. At present the Hospital supports over 300 residents, and provides wide-ranging services for some 700 clients, children and adult day attendees. Many families are also supported within their homes through Stewarts Home Support Programme.
• Stewarts Hospital offers a full range of pre-school services for 2-5 year old children with a developmental delay.
• Stewarts School for pupils with moderate, severe and profound intellectual disability was established in 1962 and is very much part of the continuum of services at Stewarts Hospital Services Ltd aimed at providing a life long service to its clients.
• Rossecourt provides a new home for the existing Ronanstown Community Training and Education Centre, which had been uniquely successful in promoting educational integration and rehabilitative training in partnership with FÁS for almost two decades. In addition, the new facility provides Adult Education opportunities in state-of-the-art lecture rooms for students with intellectual disability.
• Working with the Health Service Executive, the building hosts a new model of shared delivery of service, providing a range of primary and continuing health interventions for our service users and for the community in general. This represents a bold step forward in realising the ’seamless service’- a unique partnership predicated on a partnership of trust developed over many years on the Palmerstown campus between the Health Service Executive and Stewarts Hospital.
• These services are provided alongside a range of facilities including restaurant, panini bar and coffee shop, internet facilities, retail, arts, crafts and lifelong learning opportunities.
• Currently the Centre caters for 163 Service users, 44 frontline staff and 6 WTE therapy support staff as well as HSE Dublin West Primary Care Public Health Nursing and Social Work Services, Early Intervention Services, Dentistry, Training and Guidance from Rosses Court.

Funding

• As per the Health Service Executive Service Arrangement Dublin West 2009 Stewarts received annual funding of €48,753,549.