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

Organisational infrastructure:
Review of acute hospital services in HSE Mid-West
An action plan for acute and community services
• The regional critical care centre is at the heart of the regional ‘centre of excellence’;
• The service is led by a consultant team of at least 8, providing 24/7 supervision and input
across the clinical network, with some consultants working on a full-time basis for critical
care only, and others also supporting the regional anaesthetic and pain management
service;
• There is a dedicated operational management structure to ensure the smooth day-to-day
running and organisation of the clinical network;
• There are dedicated robust triage, transfer and transport arrangements in place for both
admission and transfer home of patients; and
• The intensivist team lead a system of critical care education and training for the whole
network.
Planned care network
The local elements of the network:
• The local ‘centres of excellence’ will provide a wide range of services, including
outpatient, day surgery and diagnostic testing. The benefits of these centres are the
provision of local access, dedicated facilities, and the development of new models of care
enhancing the quality of patient care.
At the regional centre:
• All major planned care is undertaken in the regional centre; and
• There is separate streaming and bed provision for planned in-patient and for emergency
admissions to ensure no interruptions of planned procedure activities.
Cancer care network
The local elements of the network:
• Day case and outpatient medical oncology services to be provided by the local ‘centre of
excellence’;
• Appropriate care closer to home or at home, with access to supportive and rehabilitative
services including pain management, psychosocial support and end of life care; and
• Integrated, multidisciplinary team working involving primary, community and social care
services.
64