Annual Report 2010 - St. James's Hospital

Clinical Directorates I SaMS
in December following fi fteen years of service to become CEO
and Head of the Steno Diabetes Centre in Denmark. The
MDT Diabetic Foot clinic commenced, leading to a reduction
in length of stay and admission avoidance for many Diabetic
patients. Dr. Marie Louise Healy, in collaboration with the ENT
Surgical Services, continues to provide a comprehensive and
committed thyroid oncology service. This service provides
care for approximately 70% of patients diagnosed with thyroid
cancer in the Republic of Ireland.
Ear, Nose & Throat (E.N.T.)
The E.N.T Service provides a local, regional and supraregional
service for patients with head and neck cancer.
Dr. Mark Rafferty resigned as E.N.T consultant in December.
There were 224 new head and neck cancer diagnoses.
GUIDe
The Department of Genito-Urinary Medicine and Infectious
Diseases (GUIDe) incorporates services managing sexual
health, HIV infection, general infectious disease care and
a Hospital-wide inpatient consult service.
Initiatives undertaken, included the expansion of community
links for sexual health services, integrated training and
service provision with primary care and the development of a
departmental Quality Initiative in partnership with Abbott. The
commencement of an EPR programme to include electronic
prescribing, which will be the beginning of a pan hospital
e-prescribing initiative.
Professor Bergin and Dr. Clarke were appointed as National
and Regional Leads respectively for HSE Outpatient
Parenteral Antimicrobial Therapy (OPAT) programme.
Prof. Fiona Mulcahy and Prof. Colm Bergin continued
as National Specialty Directors, RCPI for their respective
specialties; Genito-Urinary Medicine and Infectious Disease.
Sile Dooley, and Grainne Kelly were successful in obtaining
registered nurse prescribing certifi cates.
GUIDe Outpatient Activity
Description New Return Total
HIV service attendances 178 3,888 4,066
STI service attendances 6,236 2,722 8,958
Infectious Diseases
outpatient attendances
101 568 669
Young Persons service attendances 236 237 473
HIV-Hep C outpatient attendances 5 1,175 1,180
New Fill attendances 3 58 61
Description Contd. New Return Total
Day Ward attendances 316 820 1,136
Results/Nurses Clinics attendances 1,346
Vaccination attendances 663 2,254 2,905
Phlebotomy service attendances 206 618 824
Total Outpatient Activity 7944 12,340 21,618
Gynaecology
Gynaecological Oncology Service provides a local, regional
and supra-regional service for patients with gynaecological
cancer. There were 280 new gynaecological cancer diagnoses
in 2010. 1,090 patients reviewed through MDT.
Dr. Katherine Astbury resigned in December to move to
Galway University Hospital.
Margaret Walsh (Urodynamics CNS) retired following many
years of dedicated service, The Directorate would like to thank
Margaret for her contribution and commitment and wish her
every success in her future endeavours.
Clinical Neurophysiology
The Department of Clinical Neurophysiology offers a range
of electrodiagnostic investigations. These include Nerve
Conduction Studies (NCS), Electromyography (EMG),
Electroencephalography (EEG), Somatosensory Evoked
Potentials (SSEPs), Brainstem Auditory Evoked Responses
(BAERs) and Visual Evoked Responses (VERs) and botulinum
toxin injection. Dr. Yvonne Langan joined the team as
Consultant Clinical Neurophysiologist in February 2009 and
has since established an ambulatory EEG and a short video
telemetry service. Dr. Aoife Laffan joined the department
as research fellow in 2010 and is conducting research into
baorefl ex sensitivity in those with epilepsy and its role in
sudden unexpected death in epilepsy. This work is sponsored
by Brainwave.
Neurology
The epilepsy service continues to provide a widely recognised
innovated service for epilepsy patients, encompassing new
technology such as health link. Dr. Doherty was appointed
the National Clinical lead for Epilepsy within the Directorate of
Clinical Strategy & Programmes, HSE. St. James’s Hospital
will be the regional epilepsy centre for the Dublin Min-Leinster
region. It is planned that a team of fi ve clinicians will deliver
care throughout this region as part of the National Epilepsy
care programme.
The Neurology Department continues with its ongoing
research in Epilepsy, Multiple Sclerosis, bone disease
and immunomodulators including: Bone disease follow
up in MS and a case controlled study of bone density in
Parkinson’s disease.
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