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Nenagh and Ennis A & E services cutback

Big Bobo

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Oct 3, 2008
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A&E's in Nenagh and Ennis will have their opening hours cut in half from April onwards. Both will now only be open from 8am to 8pm.
 


goosebump

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May 23, 2008
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A&E's in Nenagh and Ennis will have their opening hours cut in half from April onwards. Both will now only be open from 8am to 8pm.
The Health Service will be the biggest beneficiery of the Recession.

Finally, the HSE will be able to make the decisions they need to without have to worry parish pump politics.

The days of maintaining of maintaining A&Es in every 2 horse town just in case Barney Joe gets a heart attack may thankfully be over.
 

patslatt

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The Health Service will be the biggest beneficiery of the Recession.

Finally, the HSE will be able to make the decisions they need to without have to worry parish pump politics.

The days of maintaining of maintaining A&Es in every 2 horse town just in case Barney Joe gets a heart attack may thankfully be over.
Who is going to look after the third or so of A & E admissions suffering from alcohol poisoning after 8pm on weekends?

Their friends will stick two fingers down their throats to induce vomiting!
 
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wjkett

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Nov 15, 2008
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Bye Bye Maire Hoctor

Those publicly supporting the plans are the HSE managers and local Minister for elderly Maire Hoctor, while local Independent TD Michael Lowry did not state whether he supported the plans but said that any changes would have to be underpinned with new investment.

"I have stressed to the HSE and Minister Harney that the services must be clearly in place in Limerick before any changeover occurs from the current services in Nenagh," said Minister Hoctor.

She added that additional consultants and accommodation must be in place in Limerick before changes are brought through.

North Tipperary General Practitioners are understood to be planning a public awareness campaign outlining their opposition to the changes. Three North Tipperary GPs have publicly criticised the plans, Dr. Brendan Thornton in Ballina, Dr. Roisin Costelloe of Cloughjordan and Dr. Colm Reilly of Toomevara

Above ex Nenagh Guardian
 

Clanrickard

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The Health Service will be the biggest beneficiery of the Recession.

Finally, the HSE will be able to make the decisions they need to without have to worry parish pump politics.

The days of maintaining of maintaining A&Es in every 2 horse town just in case Barney Joe gets a heart attack may thankfully be over.
Have you heard of the golden hour? Where I live you have to drive the equivalent to Dublin to Tullamore to reach the only A&E hospital. We are not talking a\bout every one horse town merely that A & E be sufficiently close to the patients.
 

cyberianpan

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Very few cases presenting to A&E are "emergencies- need to be dealt with in the next 30 minutes". Many A&Es have an average waiting period of 2-6 hours.

In a small A&E getting the "blend" right of staff is very challenging - e.g. on a shift you can only have 1 or 2 radiologists ... but demand suggests you need 1.4 - so either you have 2, and a waste of 43% or 1 and cause a process choke-point.

Already in Nenagh there is a CT scanner lying idle, it clearly isn't a serious "trauma" A&E (i.e. where we'd expect urgent patients to go).

Nenagh is on the main Dublin-Limerick road, 20 miles from Limerick, so for worse case scenario that adds 30 minutes to journey.

cYp
 

rjh

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Bad decision made by morons who have never treated a patient in their lives. Cowardly administrators protected by their VHI positive "job for life" who sit in ivory towers and condemn others to rot on trolleys

The hospitals referenced here were efficient, well run and enjoyed high clinical standards. They are a credit to their medical staff

What is happening in the mid west has already happened in the north east

For those of you unfamiliar with this NE balls up (and the many other HSE **** ups over the past few months) I invite you to read this - I wrote it

Every January, the HSE is surprised by winter bugs - Comment, Opinion - Herald.ie


As an organisation the HSE are a failure. They are governed by a culture of incompetence and an absolute indifference to human suffering. They prefer to place the job for life for second rate bureaucrats ahead of the welfare of the sick and elderly

They are a disgarce to our nation. Those who defend them are seriously misguided.
 

wjkett

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Nov 15, 2008
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Bye Bye Maire Hoctor

Citizens become inured to the availability of local services ..don't take away that service without a properly thought out replacement system i.e. a fully operational integrated para-medic/ambulance/local GP's/Fire Brigade/Garda and so on...talk to anybody within the service and they will say it hasnt been thought out at all ... just cut the service and all will be well

EX HSE website

"About the HSE

The Health Service Executive (HSE) is responsible for providing Health and Personal Social Services for everyone living in the Republic of Ireland.

It is the largest organisation in the State, employing over 130,000 people, with a budget of €14.7 billion, operating 24 hours a day, seven days a week. Almost every one of us will use a service provided by the HSE during any given year.

The HSE was set up as part of the provisions of the Health Act, 2004, which states the objective of the HSE is to provide services that improve, promote and protect the health and welfare of the public"

.. where did it all go wrong somebody asks!!!!
 

wjkett

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Nov 15, 2008
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I said 30 minutes? Even the CIE bus manages 40 mins with 2-3 stops ...

cYp
You said "20 miles from Limerick, so for worse case scenario that adds 30 minutes"
You don't know what ur talking about .. chancer.. looking up bus schedules..theres no bus from Nenagh to the Hospital in Dooradoyle
 

cyberianpan

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You said "20 miles from Limerick, so for worse case scenario that adds 30 minutes"
You don't know what ur talking about .. chancer.. looking up bus schedules..theres no bus from Nenagh to the Hospital in Dooradoyle
I used the bus schedules to demonstrate clearly a travel time from Nenagh to Limerick.

People going to A&E from rural areas tend not to rely on regular public transport, indeed I think it is safe to say that the most common rural means of conveyance to the A&Es would be (in no particular order)

1) Private car
2) Ambulance
3) Walk in's

Now for someone in case 1 or 2 it is certainly true that about 30 minutes is added in worst case scenario.

Regards case 3: they are highly unlikely to attempt to take public transport, yes they are inconvenienced but I would assume they'll get someone close to drive them or an ambulance and same extra journey time applies.

And as I said in worst case scenario 30 mins. Someone in Roscrea which is c 20 miles from Nenagh, might now chose to go to Portlaoise which is only c 25 miles away (rather than Limerick which is c 45 miles). So that's only an extra 10 minutes journey.

cYp
 
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wjkett

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1) Private car
2) Ambulance
3) Walk in's

Now for someone in case 1 or 2 it is certainly true that about 30 minutes is added in worst case scenario.

Regards case 3: they are highly unlikely to attempt to take public transport, yes they are inconvenienced but I would assume they'll get someone close to drive them or an ambulance and same extra journey time applies.

cYp
For someone in case I or 2: 30 min is not the worst case scenario, but prob the best case scenario. Try it sometime
Any its not the issue.. the issue is downgrading the services without a properly functioning back-up
e.g a person bleeding to death on he road side half ways between Nenagh and Roscrea for example will die based on the replacement short term model proposed
 

cyberianpan

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For someone in case I or 2: 30 min is not the worst case scenario, but prob the best case scenario. Try it sometime
Any its not the issue.. the issue is downgrading the services without a properly functioning back-up
e.g a person bleeding to death on he road side half ways between Nenagh and Roscrea for example will die based on the replacement short term model proposed
Currently that would be a 10 mile journey to Nenagh, assuming Nenagh to be the best destination (it is not a serious trauma centre).

Alternately it would be c 35 miles to Portlaoise from the specified location ... or 35 miles to Limerick, an additional 30 minutes travel time.

Many patients can be stabilised by paramedics (stop external bleeding, plasma transfusions), and indeed for certain injuries it is quite plausible that Limerick would have been the preferred destination in any case (as it has better trauma facilities).

In any cases very few patients that could have been saved in Nenagh would die by having to go the extra miles to Limerick. But there's a strong element of red herring here as in honesty Nenagh's function is not as a trauma A&E - look at the case mix of A&E's (colds, minor wounds, broken wrists etc).

Doing detailed hospital network planning requires a lot of data (population, prevalence of injury types, travel times) and I would suggest that this is not the forum for it.

Downgrading Nenagh is likely valid - however the correct issue to be addressing here is whether the other hospitals will be appropriately upgraded. As RJH points out there's been huge strain on A&E these past few weeks...

cYp
 
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Limerick Lad

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Nov 17, 2006
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The Mid-West Regional Hospital is already struggling to cope with the number of patients already using it's A&E Dept. without the additional numbers the HSE proposes should be sent there following the downgrading of A&E services at Nenagh and Ennis Hospitals. There doesn't appear to be any proposal to expand the capacity of the A&E Dept. at the MWRH or the provision of extra beds should they need to be admitted for treatment.
 

X-ray

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Jan 17, 2009
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you want centralised AEs supply helicopters like a normal country. People will die like flies if they have to drive up some joke of a road for half the night. We cannot transfer people to specialised centers as it is in a hurry. At least it will be entertaining watching this unfold. Expect same all over the country. Nobody outside the Pale really counts if they die, get used to it.
 

goosebump

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May 23, 2008
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The Mid-West Regional Hospital is already struggling to cope with the number of patients already using it's A&E Dept.
Good.

People might finally cop on and start attending their GPs.
 


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