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
Understanding the impact of the new clinical model of acute care
upon service capacities and configuration
Table 17 gives an indication of the possible changes in bed capacity requirements by type of
activity and by site across the Mid-West. This shows that the Dooradoyle site would require
301 41 (676 beds less 375 beds) additional in-patient beds to operate as the regional ‘centre
of excellence’ for acute care. Assuming the relocation of obstetrics and orthopaedics, the net
additional requirement would be 135 acute inpatient beds.
Table 17: What the new acute hospital bed configuration looks like in the future
Beds
Baseline 2005
Dooradoyle Ennis Nenagh Obstetrics Croom St. John’s TOTAL
Acute Inpatient 375 88 75 99 67 96 800
Day Case 97 6 6 0 10 10 129
Total (Beds) 472 94 81 99 77 106 929
Emergency and ring-fenced Elective inpatient centre at Dooradoyle (see Note re occupancy)
Non-elective 508 508
Elective 168 168
Day Case 29 30 38 97
Total 676 29 30 0 0 38 773
Change in acute inpatient beds:
Acute inpatient beds
change
301 -88 -75 -99 -67 -96 -124
Of which:
Obstetrics 99
Orthopaedics 67
Net addit. acute beds 135
Including 'Required equivalent beds' for rehabilitation:
Acute IP bed baseline 676 0 0 0 0 0 676
Day case 0 29 30 0 0 38 97
Rehab beds 0 52 54 0 0 67 173
Total beds 676 81 84 0 0 105 946
Source: Based on analysis of HIPE data, 2005 and application of best practice assumptions.
Note: Beds for non-elective and elective critical care dependent activity are modelled at an occupancy level of 80% and
all other bed requirements are modelled at an occupancy level of 85%.
The MWR Orthopaedic and Obstetric Hospitals are assumed to be re-located to the Dooradoyle site.
41 The bed figures for the non-elective and the critical care dependent elective workload have been derived based on occupancy
levels of 80%. This lower occupancy level will ensure that there is sufficient capacity and flexibility within the bed base to allow
for all peaks in activity. All other beds have been modelled based on an occupancy level of 85%.
59