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A Century of Service - Eoin O'Brien

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Matthew O’Brien,<br />

Chairman <strong>of</strong> the Hospital Board 2004–2007<br />

When I joined the Board in 1999 with the hope that I might be able<br />

to help with new building plans, I had no idea <strong>of</strong> what else I was<br />

getting myself into or <strong>of</strong> the history or circumstances <strong>of</strong> the Hospital.<br />

I soon became aware <strong>of</strong> the difficulties under which the Board was<br />

struggling to maintain the dermatology service. The eighteenth<br />

century houses were not suitable to accommodate a modern Hospital<br />

and significant structural alterations were not possible in these listed<br />

buildings. When I read the 1988 Comhairle na nOspideal Report on<br />

the future <strong>of</strong> dermatology services, which was updated in 2003, it became obvious that sooner<br />

or later the dermatology service at Hume Street would be discontinued.<br />

In the late nineteen-nineties and prior to my involvement, the Board had explored the terms<br />

under which the transfer <strong>of</strong> the dermatology service to a new site could be achieved. However,<br />

when it became clear that the proposed transfer <strong>of</strong> the service to St. Vincent’s University Hospital<br />

would also involve the transfer <strong>of</strong> the assets and the end <strong>of</strong> any role for the Charity as a voluntary<br />

hospital, the Board demurred.<br />

Subsequently the lack <strong>of</strong> any timetable for the proposed transfer <strong>of</strong> the service, the uncertainty<br />

about the future role <strong>of</strong> the Charity in public health care, budget constraints and personnel<br />

issues gave rise to many difficulties for the Board. However one bright aspect <strong>of</strong> the situation<br />

was the enthusiasm, competence and dedication <strong>of</strong> the hospital staff and the excellent care which<br />

they provided to patients.<br />

In early 2004 representatives <strong>of</strong> the Hospital Board met the Minister <strong>of</strong> Health and Children<br />

and informed him that the Board would not object to the transfer <strong>of</strong> the service to St. Vincent’s<br />

University Hospital if that was the Government’s strategy. The Minister was also informed that<br />

the Board <strong>of</strong> the Hospital would welcome discussions on a new role within public health care<br />

following the transfer <strong>of</strong> the service.<br />

When it was realised that the adverse fire report received in 2005 would force the closure <strong>of</strong> the<br />

Hospital, the Board appointed a committee to consider its future in public health care and to<br />

maximise the value <strong>of</strong> the property. Pr<strong>of</strong>essor <strong>Eoin</strong> O’Brien had advocated a future for the Hospital<br />

in research at the AGM in 2001 and he was invited to talk to the committee about the latest<br />

possibilities; his enthusiasm for dermatology research made a deep impression on the committee.<br />

xi

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