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
Table 12: indicative profile for a local ‘centre of excellence’ at Ennis, County Clare
Resource Number and type
Day cases (Surgical and Medical) 12,850 patients
Day beds 29 beds
Day case theatres 2 theatres
Endoscopy 1 room
Therapy beds / Observation Unit 52 beds (rehabilitation, step-up and step-down)
Urgent Care Centre (UCC) 10,000 attendances
Diagnostics
PCCC base
Primary Care Teams
Outpatient Clinics
1 x MRI scanner, 1 x CT scanner
Information Technology
HIPE system, PACS, LIMS interface, telemedicine
equipment
Note: UCC attendances are based on 50% of current A&E attendances.
North Tipperary/East Limerick Locality
The North Tipperary locality (60,000) on its own would fail to satisfy the minimum catchment
for a local ‘centre of excellence’. However, a third of its resident population is from the East
Limerick area and therefore gives it a resident population of some 119,000 which is a viable
population base to support and sustain a local centre.
The Mid-West Regional Hospital, Nenagh is located in this area with a bed base of some 81
inpatient and day case beds. Over the years there has been some capital development to
improve its facilities.
A profile of the services and facilities that could be provided in a local ‘centre of excellence’
at Nenagh Hospital is presented in Table 13. However, we recommend that an estates
review is undertaken with a view to refurbishment or new build to establish a standard local
‘centre of excellence’.
52