HSE Plan To Reorganise Acute Hospital Services in Cork and Kerry

bprob

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The HSE have published their plan for reorganisation of Acute Hospital services in Cork and Kerry.

i know that it will probably get swamped in the surge of IMF/Election discussion, but i feel it warrants discussion because of its implications for the Cork/Kerry region in the next 30-40 years, and because of its implications if similar plans are applied to other parts of ireland.

there is a summary on the HSE website here, but to summarise the implications for each hospital:

The Roadmap recommends that Bantry General Hospital (BGH), Cork University Hospital (CUH), Kerry General Hospital (KGH), Mallow General Hospital (MGH), Mercy University Hospital (MUH) and South Infirmary Victoria University Hospital (SIVUH) operate as an integrated university hospital network.
Complex and cancer care will be concentrated at Cork University Hospital

The Mercy University Hospital will be the regional centre for several surgical and medical specialist areas

The South Infirmary Victoria University Hospital will become a specialist elective hospital in areas such as orthopaedics and eye surgery

Bantry General Hospital and Mallow General Hospital will continue to provide acute care to their populations in addition to new outreach specialist services from the larger hospitals

Kerry General Hospital will continue to provide the full range of acute services to the people of Kerry.
I think there are an awful lot of positive developments in the plan, but i envisage that all analysis will focus on 1 fact:
For a population of 621130, there will be two Emergency Depts open 24-7 (CUH and KGH).

SIVUH Emergency Dept will close. the other three hospitals (MUH, BGH, MGH) having 12-7 Emergency Depts and 12-7 Urgent Care Centres and a new Urgent Care centre will open at St Mary's (Orthopaedic) Hospital in Cork, managed from MUH

Plans are one thing, but this is Ireland, and implementation is where we usually fall down
 


making waves

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Could well lead to FF not winning a single seat in Cork or Kerry
 

Red_93

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Could well lead to FF not winning a single seat in Cork or Kerry
Nah, they'll hold 1 in KS, 1 in CSW (now both FGers are retiring), 1 in CNW, 1 in CSC (just - it's a 5 seater) and may or may not hold 1 in KN, CNC and CE.
 

Nemi_

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There is only one principled response to this.

In the national interest, Jackie Healy-Rae must immediately make representations to the IMF to secure Kilgarvan's share of the 90 billion loan facility to fund a new acute hospital.

This is no parochial matter, as it would be an excellent location to serve not merely Kilgarvan, but the whole of the Kenmare River including parts of West Cork.

Did Ireland invent cognitive dissonance, or did we just like the concept so much that we made it our own?
 

ironic twist

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Would someone be able to explain the difference between an Emergency Department and an Urgent Care Centre, please? :)
 

bprob

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this is a gross simplification:
ED is full service, has a full range of laboratory tests and consultant level doctors will be available. ambulance control will direct all ambulances there while the 12-7 EDs are closed at night.
UCC is for less serious cases: bumps and bruises, simple fractures. it may be where your 24 hour GP service operates from in future or it may be run by ANPs. they may deal with respiratory infections by having a CXR before deciding to discharge or send on the the ED or AMU for admission, or similarly assess other infections that are borderline admission cases
 

ironic twist

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Nov 21, 2010
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this is a gross simplification:
ED is full service, has a full range of laboratory tests and consultant level doctors will be available. ambulance control will direct all ambulances there while the 12-7 EDs are closed at night.
UCC is for less serious cases: bumps and bruises, simple fractures. it may be where your 24 hour GP service operates from in future or it may be run by ANPs. they may deal with respiratory infections by having a CXR before deciding to discharge or send on the the ED or AMU for admission, or similarly assess other infections that are borderline admission cases
Thanks.
 


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