Review of acute hospital services in the Mid - Health Service Executive

Specialty
British
Columbia 100
New
Zealand 101
Review of acute hospital services in HSE Mid-West
An action plan for acute and community services
UK Royal
Colleges 102
103 104 105 106
107
120
Australia 108
(range
dependent
on urban or
rural
location)
Royal College of
Surgeons in
Ireland 109 , The
Institute of
Obstetricians &
Gynaecologists 110
National
Task Force
on Medical
Staffing 111
Obstetrics & 1:18,100 –
1:27,000 1:20,000 1:21,900
Gynaecology 20,000
Paediatrics 1:16,800 –
18,500
1:12,350 1:35,000
Neonatology 1:87,000
Source: Teamwork analysis
Note: ** Includes all general medical sub-specialties except cardiology and geriatric medicine
Catchment population for tertiary services
Tertiary services are highly specialised services, including, for example:
• Specialist Cancer;
• Plastic surgery and burns;
• Neurosurgery;
• Transplantations; and
• Specialist children’s services.
The catchment populations for these services will be much larger than for regionally based
services but there needs to be a balance between centralisation of these services and critical
mass issues, with the needs of local communities and the expectations of patients, families
and carers.
In Wales, there are two Welsh centres identified for providing a range of tertiary services
together with a single specialist cancer centre and additional tertiary centres based in
England. Assuming that the majority of the population will access the two Welsh centres, this
would result in a catchment population for these services of 1.5 million each.