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

Review of Acute Hospital Services in HSE Mid-West
An action plan for acute and community services
Accident & Emergency .......................................................................................... 33
Other specialty services ........................................................................................ 37
Clinical Governance .............................................................................................. 39
Developing safe, sustainable high quality acute and community
services in the Mid-West ..........................................................41
Integrating PCCC services with the acute services............................................... 42
The Mid-West needs 3 local ‘centres of excellence’.............................................. 48
The Mid-West needs one regional ‘centre of excellence’ for acute care ............... 54
Understanding the impact of the new clinical model of acute care upon service
capacities and configuration.................................................................................. 59
Understanding the functions of the clinical networks............................................. 60
Understanding how the model works in practice for patients ................................ 65
Developing the implementation plan ........................................70
Pre-conditions to delivering service reconfiguration .............................................. 70
Managing the implementation programme ............................................................ 72
Using best practice standards for clinical change management............................ 74
The implementation plan: details and timescales.................................................. 75
Resourcing the implementation plan ..................................................................... 83
The benefits for patients from this new system ........................86
For local (non-acute) care: .................................................................................... 86
For regional (acute) care: ...................................................................................... 87
Appendix 1 – Terms of Reference and Steering Group ...........88
April 2008
HSE Mid-West Acute Hospital Services Review