2. NAHB St Josephs 30/09/021 Progress Report St Josephs Hospital Raheny Presentation to Board Members 30 th September 2002 Northern Area Health Board Laverne McGuinness A/Assistant Chief Executvie

3. NAHB St Josephs 30/09/022 Introduction ERHA acquired St Josephs Hospital September 2001 and transferred operational and management resposibiltiy to NAHB Initial objective was to develop plans for the commencement of public activity as soon as possible In conjunction with the scoping exercise for public work we embarked on the Development of Strategic Plan Pending the receipt of funding for public work the status quo of the hosptial remained

4. NAHB St Josephs 30/09/023 Stages Short Term Proposals Public Work Day Surgery Long Term Site Development Plan

5. NAHB St Josephs 30/09/024 Approach Looked at Infrastructure at hospital Identified options for short term public work Sought advise from Secta and British Association of Day Surgery

6. NAHB St Josephs 30/09/025 Development Proposals To realise the objectives a number of studies have been carried out which include the following 1. Short term proposals for the development of day surgery at St. Josephs- report to Board Dec 2001 2. Review of Day Case Surgery in the context of St Josephs by British Association of Day Surgery 3. Site Control and Development Plan – report to Board May 2002

7. NAHB St Josephs 30/09/026 Scoping St Josephs Feasible to be utilised in the short term 3 – 4 years for the carrying out of public work following minor refurbishments and the investment in equipment necessary to carry out this work The cost of the short and medium term capital requirements €1.133m

8. NAHB St Josephs 30/09/027 Short Term Short term Proposals Phase I submitted to Board and ERHA – December 2001 Identified additional capacity by way of theatre maximasiation and day surgery Identified Equipping needs necessary for commencemet of public work Entered into dialaogue with Beaumont Consultants in relation to public work

9. NAHB St Josephs 30/09/028 Short term Plans to Action Public Work At St Josephs Commencement of Public Work at St Josephs was contingent on the receipt of funding for capital equipment and minor refurbishments Confirmation of funding in the amount of €1.133m received from Authority August 2002 to meet the short and medium term capital needs

10. NAHB St Josephs 30/09/029 Public Work at St Josephs Equipment has been ordered and is due for delivery October 2002 Schedule of Equipment is attached

11. NAHB St Josephs 30/09/0210 Public Work at St Josephs Engaged in ongoing dialogue with the consultants from Beaumont to work out a schedule of additional surgical capacity until end of year 2002 without impacting on public work at Beaumont Initial schedule has been worked up and Surgical public work is due to commence in October 2002 following the installation of essential equipment Process of identifying appropriate public patients suitable for treatment in St Joseph’s is at an advanced stage at Beaumont Hospital

12. NAHB St Josephs 30/09/0211 Long Term Site Development Plan An outline of our Board’s proposed site plans were made available to members at May meeting this year. Copy of Draft plan was circulated to GP’s CEO Beaumont and other interested groups Services proposed for development on the site include the following :>>>>

13. NAHB St Josephs 30/09/0212 Site Development Proposals Community Unit for the care of older persons including a day centre and services for Alzheimers patients. An Extended Care Unit for frail mentally ill including a day activity centre. Development of a primary care centre. Sensory and Disability Unit with facilities for rehabilitation, day care and extended care facilities. Rehabilitation Unit for mental health patients

14. NAHB St Josephs 30/09/0213 Summary Conclusions on Proposals In the short term St Josephs will be used to carry out pubic work Public work is due to commence October 2002 Long term Site development plan for St Josephs include elderley, primary care and disability services Submission for development of a Communtiy nursing Unit on the site was made to the Authority

15. NAHB St Josephs 30/09/0214 St Josephs Service Issues Where are we at in terms of clinical risk at St Josephs?

16. NAHB St Josephs 30/09/0215 St Josephs Service Issues Update

17. NAHB St Josephs 30/09/0216 St Josephs Clinical Risk Management Our Board initiated a review of clinical risk in July 2002 at St Josephs A clinical risk review was carried out by IPB Throughout the review process consultation took place with staff and consultants A number of information sessions were held to discuss the findings with the staff during August and September

18. NAHB St Josephs 30/09/0217 Clinical Risk Clinical Risk Manager from IPB continues to work in partnership with staff to address the issues and to improve the quality of service A Theatre Utilisation group has been set up to monitor theatre activity

19. NAHB St Josephs 30/09/0218 Update on Service Issues Activity Surgical discharges were 3,359 up until 31/08/02 45.54% of surgical patients were in-patients 54.46% were day cases Average length of stay for surgical patients was 2.22 bed days.

20. NAHB St Josephs 30/09/0219 Service Issues Medical Discharges Average length of stay for medical patients is 9.64 bed days. Total number of medical and surgical inpatients and day cases to 31 st August 2002 were 4,260 which compares well with August 2001 at 4,255 54.18 % of patients are day cases. Average length of stay of medical and surgical patients combined is 5.64 bed days.

21. NAHB St Josephs 30/09/0220 Finance Following the acquisiton of St Josephs once off funding in the amount €634 was provided by the Authority to assist with cashflow and stock acquisition Thereafter St Jospehs has been operating on a self financing basis Commencement of public work will attract revenue funding from the Authority and private income will reduce

22. NAHB St Josephs 30/09/0221 Conclusion Following confirmation of funding in August 2002 of €1.133m public work will commence in October 2002 Continue to work to improve quality and standards Continue to move from inpatient activity to day activity and to keep the Board advised

23. NAHB St Josephs 30/09/0222 Thank You