Annual Report 2010 - St. James's Hospital

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Clinical Directorates I CResT Cardiology • The cardiology speciality at St. James’s provides and interventional and non-interventional service. There are 5 full time consultant cardiologists at St. James’s providing services on an outpatient, inpatient and day case basis • Cardiology services are provided on a supra-regional service to patients from South Dublin, mid-Leinster and North West region • St. James’s Hospital has 2 cath labs and during 2010, 4870 procedures were carried out which translates into a 3% increase on 2009 • The total number of cases includes 43 Transcather Valve procedures, this is the second year of this program where patients who are deemed high risk surgical candidates have their valve procedure performed percutaneously in the cath lab • Health promotion is an integral part of the cardiology services at St. James’s and two key elements of this are the Smoking cessation service and the Cardiac Rehab programme • The Smoking Cessation service provide education and training to clinical staff throughout the hospital as well as patients. The service has a six week programme which is focussed on patients who have presented at St. James’s during 2010, 88 patients attended the programme The Cardiac Rehab programme The Cardiac Rehab programme at St. James’s offers secondary prevention education and support to patients after a cardiac event. The service is nurse coordinated with a multidisciplinary approach. Their programme consists of 3 phases, in the fi rst phase the Co-ordinators visit and educate post cardiac episode 42
Clinical Directorates I CResT patients, 526 patients were seen in phase 1 of the programme in 2010. The second phase of the programme takes place post discharge where patients are reviewed at a cardiac rehabilitation outpatient clinic. Respiratory Medicine • The Respiratory Medical speciality provides services to patients presenting to St. James’s with a wide spectrum of Respiratory related illnesses The third phase of the programme consists of an exercise programme designed specifi cally for patients who are post cardiac episode. There are a number of different types of programme aimed at specifi c patient cohorts. Cardio Thoracic Surgery The Cardio Thoracic surgical unit at St. James’s opened in 2000 has four Cardio Thoracic surgeons and an experienced dedicated multi-disciplinary team delivering expert surgical care both pre and post procedure to patients from throughout Ireland. Mr. Ronan Ryan was appointed as the fourth permanent Cardio Thoracic surgeon. Mr. Ryan’s sub-speciality is Thoracic Surgery. The unit experienced a signifi cant growth in the numbers of patient attending for Thoracic surgery in the last number of years, this is the principle curative treatment for patients with lung cancer. In 2010, 199 lung resection were carried out in the unit, this is approximately 50% of the national caseload. In total 474 surgical thoracic procedures were carried out at St. James’s. St. James’s Hospital lung cancer programme has developed in line with the National Cancer Control Programme’s development strategy for cancer treatment nationally. As St. James’s is now one of the dedicated centres for lung cancer, a strategic link has been established with Beaumont Hospital in Dublin. A Cardio Thoracic surgeon from St. James’s attends the multi-disciplinary team meeting at Beaumont Hospital. Patients referred for surgery have their surgical care carried out at St. James’s and following this are referred back to Beaumont for their follow on treatment. The Keith Shaw Unit at St. James’s remains one of four cardiac surgical centres in Ireland. In 2010, 412 Cardiac Surgical procedures were carried out at St. James’s on both elective and non-elective cases. Cardiac surgeons from St. James’ accept referrals from a supra-regional catchment area and attend cardiology conferences in a number of referring hospitals including Adelaide Meath and National Children’s Hospital (AMNCH). • The speciality has fi ve specialist consultants four full-time clinical posts and one dedicated research position • Dr. Joseph Keane is currently directing a clinical research programme at Trinity College, this programme is at the forefront of research into study of Tuberculosis and Lung Cancer staging. The department and patients benefi t signifi cantly from this direct access to the most up to date research presenting the opportunity to translate the fi ndings into clinical practice • The Respiratory Consultant group have a team approach to patient care and work within the respiratory multi-disciplinary framework. The outpatient, day case and inpatient caseload is managed by the Consultant team to ensure quick and appropriate access and treatment for patients • The Respiratory speciality has an innovative approach to patient care which is evident in a number of initiatives including the Respiratory Assessment Unit (RAU) and the NIV programme on John Houston ward • John Houston ward is the inpatient respiratory ward at St. James’s. The ward provides a non-invasive ventilation service for patients with COPD, heart failure and a various respiratory illness. This service which is now in its 10 year was established as a pilot project. The graph below demonstrates the growth in the numbers of patients receiving this treatment Non-Invasive Ventilation at St. James’s Hospital Pilot Data 2000–2010 Numbers are increasing steadily each year (Figure 1). Non Invasive Ventilation No. of Patients 250 200 150 100 50 0 10 2000 30 2001 62 2002 88 2003 104 2004 107 2005 Year 142 172 2006 2007 162 2008 185 2009 199 2010 43
Page 1: 2010 St. James’s Hospital Annual
Page 4 and 5: contents st james’s hospital Gove
Page 6 and 7: Governance and Executive I Corporat
Page 8 and 9: Governance and Executive I Consulta
Page 10 and 11: Governance and Executive I Consulta
Page 13 and 14: introduction from the chairman Prof
Page 15 and 16: Corporate Reports I Introduction fr
Page 17 and 18: Corporate Reports I Report from the
Page 19 and 20: Corporate Reports I Report from the
Page 21 and 22: Performance Highlights I Key Activi
Page 23: Performance Highlights I Key Activi
Page 27 and 28: Corporate Division Reports I Financ
Page 29 and 30: Corporate Division Reports I Materi
Page 31 and 32: Corporate Division Reports I Materi
Page 33 and 34: Corporate Division Reports I Human
Page 35 and 36: Corporate Division Reports I Human
Page 37 and 38: Corporate Division Reports I Intern
Page 39 and 40: Corporate Division Reports I Inform
Page 41: Services Division Reports
Page 46 and 47: Clinical Directorates I CResT The R
Page 48 and 49: Clinical Directorates I HOPe Inpati
Page 50 and 51: Clinical Directorates I MedEL MedEL
Page 52 and 53: Clinical Directorates I MedEL TUDA
Page 54 and 55: Clinical Directorates I SaMS Staff
Page 56 and 57: Clinical Directorates I SaMS Ophtha
Page 58 and 59: Clinical Directorates I GEMS Mortal
Page 60 and 61: Clinical Directorates I GEMS • On
Page 62 and 63: Clinical Directorates I GEMS The Ba
Page 64 and 65: Clinical Directorates I GEMS with 9
Page 66 and 67: Clinical Directorates I Emergency i
Page 68 and 69: Omega Ms. Patricia Eadie Clinical D
Page 70 and 71: Clinical Directorates I Omega Outpa
Page 72 and 73: Non Directorate Specialities I Depa
Page 74 and 75: Non Directorate Specialities I Psyc
Page 76 and 77: Non Directorate Specialities I Psyc
Page 78 and 79: Clinical Service Directorates I Lab
Page 88 and 89: Clinical Service Directorates I Dia
Page 90 and 91: Clinical Service Directorates I Dia
Page 92 and 93: Clinical Service Directorates I ORI
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Clinical Support Services I SCOPe S
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Clinical Support Services I SCOPe c
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Clinical Support Services I Pharmac
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Clinical Support Services I Pharmac
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Clinical Support Services I Medical
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Clinical Support Services I Medical
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Clinical Support Services I General
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Programmes Division Reports I Techn
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Programmes Division Reports I Techn
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General Support Services I Nursing
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General Support Services I Nursing
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General Support Services I Educatio
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Programmes Division Reports I Quali
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The PAC produced two ‘Welcome’
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Programmes Division Reports I Plann
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St. James’s Hospital Foundation I
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Publications Publications MedEL Bor
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Publications Fitzgerald K, Steen G,
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Publications Walsh JB, Lawlor BA. (
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Publications transcription in perip
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Publications White HE, Matejtschuk
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Publications chronic myeloid leukem
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Publications compliance with curren
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Publications P, Morris JC, Mayo K,
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The Hospital’s fundamental purpos
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