Annual Report 2010 - St. James's Hospital

Clinical Directorates I SaMS
Staff Developments
• Ms. Jennifer Feighan was appointed Business Manager
in August 2010
Directorate Activity
Outpatient Services
The total attendance rate for SaMs Directorate Out-patients
services:
SaMs Directorate Activity 2008 2009 2010
Dermatology 6309 7927 7366
E.N.T. 4562 4702 5023
Endocrinology 5621 5465 5724
Guide 18461 17894 16267*
Gynaecology 4982 5290 5738
Neurology 2530 3291 3698
Opthalmology 2732 3268 3080
Rheumatology 3838 3352 3339
SaMS Total 49035 51189 50235
* Drop in activity refl ective of improved work practices and a reduction in the number of return
patients seen.
Total number of Patients Attending OPD
No. of Patients
20000
18000
16000
14000
12000
10000
8000
6000
4000
2000
0
Dermatology
E.N.T
Endocrinology
In-patient Services
St. John’s Ward, Victor Synge Ward and Hospital 5 Unit 3
provide in-patient care. The ‘red apron’ project, as part of
the organisational safe medication administration programme
was successfully rolled out across the Directorate. St. John’s
Ward is the SJH surgical clinical lead for HfH (Hospice Friendly
Hospital) initiative, which promotes standards of excellence in
end of life care.
Victor Synge was facilitated by the Clinical Support Nurse in
the development of clinical competencies for the management
of Dermatology, Endocrinology and Rheumatology patients.
Day Ward Services
The SaMS Directorate provides day ward services (medical
and surgical) across eight specialties.
GUIDe
Gynaecology
Neurology
Ophthalmology
Total 2008
Total 2009
Total 2010
Rheumatology
The day/ward clinic attendances per department were:
No. of Patients
Speciality Total 2008 Total 2009 Total 2010
Dermatology 5283 5671 5761
Diabetic/endocrinology 8566 6435 5064
ENT 250 269 308
Guide 4705 4036 4041
Gynaecology 500 461 495
Neurology 144 150 180
Neurophysiology 1,286 1,535 1,614
Rheumatology 5,454 5,672 5,063
Total 27,354 25,773 24,330
30000
25000
20000
15000
10000
5000
0
Dermatology
Diabetic/
Endocrinology
E.N.T
Discharge Lounge
The Discharge Lounge supports the provision of a timely
discharge facility, thereby ensuring an expedient admission
process for the clinical areas. 30% of appropriate discharges
utilised the Discharge Lounge.
Dermatology
Professor L. Barnes was appointed Dermatology Clinical lead
to the Directorate of Quality and Clinical Care, HSE.
The Dermatology Department continues to provide an
excellent service across a range of services, including Mohs
Micrographic Surgery (MMS), which is led by Dr. P Ormond.
In 2010, 2197 patients attended Dr. Ormond of which 118
were MMS.
The EB team, led by Dr. R Watson, continues to provide
dedicated individualized care to adult patients with
Epidermolysis Bullosa.
GUIDe
Gynaecology
Neurology
Neurophysiology
Rheumatology
Endocrinology
The diabetic service continued to expand and provide highly
specialised care for a growing cohort of patients. The service
continues to provide specialised and tertiary services in
areas such as insulin pump therapy and retinal screening.
Dr. Siobhán McQuaid was replaced by Dr. Mansud Hatunic
as Locum Endocrinologist in August as Professor Nolan
continued his research programme. Professor Nolan resigned
Total
52