Review of acute hospital services in the Mid - Health Service Executive

Review of Acute Hospital Services in HSE Mid-West
An action plan for acute and community services
Appendix 2 – Site visits and interviews ....................................91
Appendix 3 – Documents provided ..........................................92
Appendix 4 – Current service delivery in the Mid-West............94
Resident population............................................................................................... 94
Health needs of the population.............................................................................. 95
Overview of local service profile............................................................................ 96
Current service delivery......................................................................................... 98
Primary, community and continuing care .............................................................106
Findings................................................................................................................107
Current governance arrangements for hospitals ..................................................107
Appendix 5 – The latest international best practice................109
Moving acute care near to or at the patient’s home..............................................109
Future clinical model of care ................................................................................110
Patient self care....................................................................................................110
The patient at home .............................................................................................111
The patient at the local ‘centre of excellence’.......................................................112
Key role of primary, community and social care in delivering care at or close to
home ....................................................................................................................115
Centralising specialist acute services...................................................................116
Infrastructure to enable healthcare delivery .........................................................122
Clinical networks ..................................................................................................123
Assured quality.....................................................................................................127
April 2008
HSE Mid-West Acute Hospital Services Review