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

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Review of acute hospital services in HSE Mid-West An action plan for acute and community services • Additional PCCC staffing and home care costs partly covered from current HSE investment plans and partly by staff redeployment. Achieving the centralisation of acute inpatient services at the new ‘centre of excellence’ on the Dooradoyle site will result in sufficient consultant staff numbers across the core specialties without the need for further permanent appointments. 85
Review of acute hospital services in HSE Mid-West An action plan for acute and community services The benefits for patients from this new system The results for patients will be profound. They include: • Safe, sustainable, high quality local and regional services, operating to international standards and quality assured; • Patients accessing much more care at home and in their local ‘centre of excellence’; • Fewer patients going to or spending unnecessary time in the regional ‘centre of excellence’; and • Receiving care from a workforce that is much better organised and supported, due to improved teamworking, better facilities and better access to ongoing education, training and research programmes. While the service configuration changes proposed for the Mid-West are significant, patients should be assured by the HSE that: • Current services will be maintained until the new system and services are in place and tried and tested; and • The changes proposed are geared towards the delivery of a high quality, safe, sustainable, locally accessible and financially sound service. The benefits which patients are entitled to expect the HSE to deliver from the new system are described below. For local (non-acute) care: • More care provided in locally convenient and appropriate settings, including home; • A wide range of local services meeting the vast majority of the needs of local communities in the Mid-West, supported by outreach services from the regional centre; • More development of local services, including new Primary Care Teams, Urgent Care Centres, better access to diagnostics and improved emergency ambulance services; • More resources being available, acknowledging the transfer of patient care from the acute hospital to community and home settings; • Many more patients being able to safely avoid admission to hospital for their care; and 86
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Key messages Review of acute hospit
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educe the length of stay in hospita
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What is ‘International Best Pract
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Page 47 and 48: Integrating PCCC services with the
Page 49 and 50: Key findings from the analysis are:
Page 51 and 52: Resource type Proportion Patients A
Page 53 and 54: The Mid-West needs 3 local ‘centr
Page 67 and 68: The regional elements of the networ
Page 69 and 70: Organisational infrastructure: Revi
Page 75 and 76: Developing the implementation plan
Page 81 and 82: Within three years Review of acute
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Page 97 and 98: Appendix 3 - Documents provided Rev
Page 103 and 104: Current service delivery Regional s
Page 105 and 106: Consultant Medical Workforce Review
Page 115 and 116: Future clinical model of care Revie
Page 117 and 118: The patient at the local ‘centre
Page 121 and 122: Centralising specialist acute servi
Page 125 and 126: Specialty British Columbia 100 New
Page 127 and 128: Table 43: A comparison of specialis
Page 131 and 132: Critical care network Review of acu
Page 133 and 134: Tele-medicine Review of acute hospi
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