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Annual Review - St Vincent's University Hospital

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<strong>St</strong>. Vincent’s Healthcare Group Limited - <strong>Annual</strong> <strong>Review</strong> 2008<br />

Allied Health Professionals and Support Services<br />

Department of Nutrition and Dietetics<br />

Departmental <strong>St</strong>atistics<br />

There was a 3.4 % decrease in in-patient consultations<br />

between 2007 and 2008; however we had a slight<br />

increase in the number of new in-patients referred, with<br />

a decrease in the number of review consultations<br />

undertaken. This probably reflects the reduction in<br />

length of stay (LOS) from 10.6 to 9.3 days in 2008.<br />

There was a 1.4% decrease in OPD consultations both<br />

MDT and Dietetic-led clinics. However in our Dietetic<br />

led OPD clinic we achieved a 3.8% reduction in DNA<br />

rate while offering an urgent appoint within 4 weeks<br />

and standard appointment within 8 weeks. Writing to<br />

patients advising that we have received a referral and<br />

asking them to contact the Dept to make a suitable<br />

appointment has reduced the DNA rate. We already<br />

have a reminder system in place. 56% of patients did<br />

not request an OPD appointment.<br />

As in previous years our Day Case rate has increased<br />

by 2.1% from 2007. There was an increase of almost<br />

500% in the number of staff attending education/<br />

updates in 2008.<br />

<strong>St</strong>aff<br />

The total staff compliment at the end of 2008 was<br />

maintained at 16 WTE. Niamh O’Sullivan (Senior<br />

Dietitian in Liver Transplant), Nicola Dervan, (Senior<br />

Dietitian ICU) and Aisling Nolan (Entry-level Dietitian)<br />

joined the Dept throughout the year. As part of the cost<br />

containment strategy we had over 5 weeks of unpaid<br />

leave in the Dept without replacement staff, which<br />

contributed to the reduction in activity and costs.<br />

Service Developments/Activities<br />

In August a weekly dietitian-led Cardiology clinic was<br />

introduced to meet the needs of patients discharged<br />

from the Cardiology Unit prior to receiving dietary<br />

advice, due to the short LOS and to allow monitoring of<br />

those requiring nutritional support in hospital. This is a<br />

growing area in Cardiology now representing approx<br />

36% of dietary interventions on the Cardiac Unit. The<br />

clinic was designed to be partially booked to allow for<br />

referrals from the Cardiac Clinic on the same day, but<br />

113<br />

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