Regional Health Forum West
Questions for Hospital Committee meeting Manorhamilton 28th of April

Question 1 HIQA Report

I Request a detailed response from the HSE on the findings of the HIQA report on patient Safety in Ennis Regional Hospital. Are Change in the proposed reconfiguration of Acute services in the Mid west being considered as a consequence of the reports findings.

Question 2 Blood Usage

I request the following information on Blood usage in the hospitals in the West and Mid West

(A) The Amount of Blood used by each Hospital Network and percentage wastage for the last three years.

(B) The Amount of Blood used by each Hospital and the percentage wastage for the last three years.

(C) To compare performance I request the same details for all other Networks and Hospitals in the control of the HSE in the State.

(D) What do the HSE consider a minimum attainable level of Wastage of Blood

(E) How do the HSE propose to attain the 20% reduction in Blood Usage Outlined in the Service Plan in facilities that are operating to best practice .

(F) What actions will be taken if this target is not met. What is the unit cost of Blood. What blood management structures are in place in the HSE. Does oversight for these structures meet and review these structure and are details of these procedures and reviews available.

Question 3 Assaults

The number of assaults by patients on staff in the Midwest HSE acute and psychiatric care network in 2008 and 2007. A breakdown of the assaults recorded in each hospital/health establishment; a description of the injuries received in each attack; the job title and sex of the victim in each attack and if any charges were instigated arising from any of the assaults. What policy is in place to prevent such attacks.

Question 4 Security

The amount spent on security at the HSE's Midwest hospital network in 2008/2007 and 2006 and a breakdown of the security costs per hospital in each year and the names of companies that received the payments and how much each company received.

Meeting 24th June 2008
Cost of Review of Acute Hospital Services Mid-West -Question No. W15Q127
Councillor Brian Meaney stated he was concerned that he had not received a reply, at the last meeting of the Regional Health Forum, to Question No. W15Q127 regarding the cost of the Review of Acute Hospital Services in the Mid-West area. He has since received a reply, but was unhappy in that the response stated that due commercial sensitivities, such details could not be released. Mr. John Hennessy Hospital Network Manager stated that he was not in a position to release such information.
Staff employed in the HSE West - Question No W15Q128
Cllr Brian Meaney stated he had not yet received a reply to this question which was submitted to the
previous meeting of the Regional Health Forum. It was agreed that the matter would be taken up with Mr
Frances Rogers Assistant National Director for Human Resources, HSE West
Ennis Capital Developments
A number of members raised concerns regarding the lack of progress on Capital Developments at Ennis
General Hospital and also regarding staffing for the new CAT Scan. Mr. John Hennessy, Hospital Network Manager, stated that the Minister for Health & Children had not yet approved the Capital Allocations for 2008. He informed the meeting that work was ongoing on the provision of a new CAT Scan at Ennis General Hospital. No additional staff has been approved for the operation of the CAT Scan and this would have to be dealt with by way of review and reconfiguration of existing staff resources in the hospital.

Motion No. W15M123 – Councillor Brian Meaney
"That this forum request the Road Safety Authority to display Speed Limit in Meters Per Second as well
kilometres per hour"
Proposed by Councillor Brian Meaney and seconded by Councillor Bridie Willers
A debate ensued and as a result, a vote was taken and the Motion was passed.

Meeting May 08
Ennis – Capital Development
In reply to queries raised at Ennis General Hospital, Mr. John Hennessy, Hospital Network Manager stated that Ms. Mary Harney, TD., Minister for Health & Children, would shortly announce the capital priorities for 2008. He also stated that following a review, the Ennis Capital Development Project has been included in the priority list from the Director of Estates in the HSE.

W15Q126 - Cllr. Brian Meaney
“What is the current Budget position of each of the Acute Hospitals in the HSE West area? Are Hospitals
staying within budget targets?”
HSE Reply:
Annual
Hospital Actual Budget Variance Budget
€'000 €'000 €'000 €'000
Western Network
Galway University Hospital 78,496 74,651 -3,845 227,427
Merlin Park Regional Hospital 16,156 15,404 -752 46,934
Mayo General Hospital 28,410 27,001 -1,409 82,052
Portiuncula 17,304 16,625 -679 50,618
Roscommon County Hospital 8,067 7,450 -617 22,694
Sligo General Hospital / OLH 39,167 37,530 -1,637 114,759
Letterkenny General Hospital 37,444 36,471 -973 110,872
HQ (including E112) 1,015 635 -380 1,915
Network Total 226,059 215,768 -10,292 657,271
Mid Western Network
MW Regional Hospital Limerick 52,588 52,355 -233 162,000
MW Regional Maternity Hospital 7,045 6,079 -966 20,000
MW Regional Orthopaedic Hospital 4,440 4,320 -120 13,362
MW General Hospital, Ennis 8,464 7,688 -776 24,500
FinalRHFWMins#15_27.5.08
11
MW General Hospital, Nenagh 7,621 7,107 -514 22,600
St John's 8,866 8,527 -339 24,466
Network Manager’s Office (including
Orthodontics) 1,022 3,216 2,194 4,417
Network Total 90,046 89,292 -754 271,345
The deficit at April is €10.046m but our target is to achieve breakeven by the year end. Our breakeven plan
includes cost control measures such as strict control of locums, overtime, agency and on-call costs,
particularly during the summer months and cost containment measures in relation to overhead costs such as
travel and subsistence, telephone, energy, computers and training, etc.
W15Q127 - Cllr. Brian Meaney
“What did the review of Acute Services in the Mid West cost?”
Reply was not available at time of meeting.
W15Q128 - Cllr. Brian Meaney
“How many people are employed by the HSE West area? Can that number be categorised by general area,
i.e. Admin, Management, Clinical?”
HSE Reply:
A total number of 27,341 wholetime equivalents were employed by the HSE West Area as at April 2008. A
breakdown by staff category will be provided to the Forum members under separate cover.

W14Q195 - Cllr. Bill Chambers, Cllr. Joe Cooney, Cllr. Brian Meaney
“Are the HSE National Estates Office considering changing the proposed redevelopment of plans for Ennis
General Hospital? If this is not the case, we ask that the contract for the 39 million redevelopment of Ennis
General Hospital, particularly when full planning permission for this project has been obtained, be allowed to
go to tender.”
HSE Reply:
Capital funding has been provided in the HSE National Capital Development Plan 2006-2011 for a
significant upgrade of facilities at Ennis and advance preparation has been completed in relation to the
detailed briefs and specifications for this development. Planning permission has also been secured to
proceed with Phase 1 of the project.
All capital projects, within the HSE are reviewed on an annual basis and priorities are determined on the
basis of national need. The HSE has submitted its 2008 capital plan to the Department of Health for
approval. Some projects may have to be delayed unless additional funding can be identified or they can be
substituted for another project in the capital plan.
W14Q196 - Cllr. Brian Meaney
“I request a break down of the number of children waiting for psychiatric services referred by schools and
the length of wait in each county in the HSE West area.”
HSE Reply:
We have sought clarification from Councillor Meaney on the reply to this Question.
W14Q197 - Cllr. Brian Meaney
“What are the minimum services the HSE requires for a hospital to maintain an acute status.”
HSE Reply:
The HSE does not have a prescriptive policy on this, but the usual understanding of an acute general
hospital is one that can accept and deal with patients who present in an emergency for specialist care. In
this regard, at a minimum an acute general hospital would accept emergency and elective medical and
surgical patients for diagnosis and treatment. Provision of appropriate care requires resources in the form of
medical consultants, nurses and allied health professionals such as radiographers and medical laboratory
scientists, with diagnostic and treatment facilities such as operating theatres, laboratories and x ray
equipment.
However, there are also acute hospitals which do not deal with emergencies, e.g. elective orthopaedic
specialty hospitals.

W13M120
“That this forum calls on the ministers of Finance, Health, and the HSE to provide the 3.5 million Euro
necessary to ensure services are not reduced at Ennis General Hospital”
Proposed by Councillor Brian Meaney and seconded by Councillor Patsy O’Brien and adopted.
HSE Position
Mr. John Hennessy, Hospital Network Manager stated that there is an over-expenditure in the budget for the
Hospital in 2007 and activity was above target. The budget for 2008 increased, however it was operating
over budget and activity at the moment and was required to ensure that it did not exceed its budget or
activity for the year as a whole.

January 08 Meeting

W13Q168 - Cllrs Bill Chambers, Joe Cooney, Pat Daly and Brian Meaney
“When will the HSE National Estates Office sign off the contract for the 39 million redevelopment of Ennis
General Hospital, particularly when full planning permission for this project has been obtained?”
HSE Reply/Freagra an FSS
Capital funding has been provided in the HSE national Capital Development Plan for a significant upgrade of
facilities at Ennis General Hospital and significant advance preparation has been completed in relation to the
detailed briefs and specifications for this development. Planning permission has also been secured to proceed
with Phase I of the project. As you are aware, a strategic review of Acute Services in the Mid-West is shortly to
FinalRHFW#13_22.01.08_ItemNo.1 14
be published, this review is likely to have significant implications for capital developments for the foreseeable
future. It is essential therefore that the recommendations contained in this review are synchronised fully with
all of the forthcoming capital developments in the Mid-West area. This exercise is currently being undertaken
and will be rolled out in an integrated manner as part of the implementation of the acute review report. The
preparation of tender documentation will commence immediately upon the completion of this revision and the
publication of the acute services review.
W13Q169 - Cllr Brian Meaney
“I request an update on the review of acute services in the west and that forum members be given a copy of
the report?”
HSE Reply/Freagra an FSS
Preparatory work for the acute services review in the Mid-West was conducted in 2007 by Horwarth Consulting
and Teamwork. The final report has not been concluded as yet as further meetings are due to take place
between the consultants and the NHO. Once this is concluded, it is understood that the final report will be
submitted to the HSE Board for consideration. Until this process is concluded it is not anticipated that the
report will be circulated or published in any form.
W13Q170 - Cllr Brian Meaney
“I ask for a full break down of the Health budget 2008 for all Health services in Clare?”
HSE Reply/Freagra an FSS
The funding for Local Health Manager Clare for 2008 is currently being finalized and will be forwarded to Cllr.
Meaney at a later stage. The final allocation for the Acute services in Clare has not yet been finalised and is
not expected to be completed until the end of January, 2008. However, I am enclosing an indicative
breakdown of the budget and staffing position for Ennis General Hospital for the information of members.
Please note that there may be further adjustments to the budgetary figures contained in this breakdown before
final budgets are allocated.
Mid-Western Regional Hospital, Ennis 2007 2008
In-patient beds 88 88
Day Beds 6 6
Budget 22.8m 23.657m
Staffing (WTE ceiling) 291.85 295
In-patient Discharges 5,272 4,807
Day Cases 2,131 2,596
Out-patients 12,365 13,621
W13Q171 - Cllr Brian Meaney
“I request a full break down of the acute and community hospitals in the HSE west area for 2008 including
comparison figures with 2007 figures?”
HSE Reply/Freagra an FSS
The final allocation for the Acute services has not yet been finalised and but is expected to be completed until
the end of January, 2008. An indicative breakdown of funding and staffing levels by hospital for the HSE Mid-
West area is included for the information of members. Please note that there may be further adjustments to
these budgetary figures before final allocations are made. The Community allocations for each Local Health
Manager area for 2008 are currently being finalized and will be provided to Cllr. Meaney when completed

November 2007 Meeting

W12Q115 - Cllr. Brian Meaney
“What support disciplines, structures, facilities and resources will be available to the recently appointed
Neurologist at Limerick Regional Hospital, due to commence in January 2008?”
HSE Reply/Freagra an FSS
The new Consultant Neurologist will take up post in early 2008.
This post was approved with 3 support staff. As the Consultant has asked for input into the recruitment of
these support staff, the recruitment process will not commence until early 2008.
As per the Comhairle na Nospideal Report of the Committee to Review Neurology and Neurophysiology
Services, it was recommended that there was a need to develop a consultant staffed neurology unit in
Limerick to provide sessions for out-patient clinics and in-patient consultations within the Mid-West region
and be linked to the neuroscience centre at Cork University Hospital.
In addition the Report recommends that neurology services be developed around a group of neurologists
based at or linked to a major neuroscience centre. In the case of the Mid-West, this would be Cork
University Hospital.

W12M111
“The Hospital Committee recommend to the Regional Health Forum, West that they request the Department
of Health & Children to levy a charge on those patients attending Accident & Emergency Departments under
the influence of alcohol and causing disruption to patients and staff”.
Proposed by the Hospital Committee.
This Motion will be deferred to the next meeting.

Meeting June 2007

W10Q91
Cllr. Brian Meaney
“I request an up to date account on all ambulance response times on call on an incident by incident
basis detailing location of call and ambulance station involved in the region involving Co. Clare over
the last two years”.
HSE Reply/Freagra an FSS
County Clare is serviced by Ambulance Stations in Ennis, Ennistymon, Kilrush and Scariff which
cover a geographical area of 3,438 square kilometres and a population of 104,000 approximately.
Part of County Clare is serviced by Limerick Ambulance Station.
Activity Levels
Emergency calls from 1st May 2005 to 1st May 2007.
Ennis 4,175
Kilrush 841
Scariff 807
Ennistymon 688
Total 6,511
Station Emergency Response Times and number of Calls January to April 2007
Ennis Average Response Times
Response Time Activity Level
% 8 mins 26% 167
%14 mins 55.6% 358
%19 mins 66.62% 430
% 26 mins 80.2% 519
Ennistymon Average Response Times
Response Time Activity Level
% 8 mins 10.55% 9
%14 mins 28 % 27
%19 mins 37.18% 36
%26 mins 61.75% 57
Kilrush Average Response Times
Response Time Activity Level
% 8 mins 13.65% 16
%14 mins 30.65% 35
%19 mins 55.02% 63
% 26 mins 70.23% 81
Scariff Average Response Times
Response Time Activity Level
% 8 mins 16.9% 20
%14 mins 42.37% 51
%19 mins 59.55% 71
% 26 mins 74.37% 87
W10Q92
Cllr. Brian Meaney
“Without seeking to breach the Standing Orders of this Forum I request an up date on assessment and
treatment of MS within the functional are of this forum and in the country. Are the full range of
medical options given international best practice available and what options are available under the
NTPF?”
07#10MinutesRHF26.06.07_AGM 7
HSE Reply/Freagra an FSS
The prevalence of Multiple Sclerosis (MS) in Ireland is difficult to determine, as there is no MS
register, and the key information from various sources needs to be collated to give an estimate of
prevalence. MS Ireland estimates there are approximately 7,000 people with MS in this country.
Care for people with multiple sclerosis is under the direction of a consultant neurologist. For patients
in the West of Ireland, there have long been problems with delays in access to neurology services. The
Comhairle na nOspidéal Report on Neurology and Clinical Neurophysiology Services (April 2003)
detailed a plan for the development of neurology and neurophysiology services and consultant
staffing in Ireland over the next decade. The report made specific recommendations based on an
interim target of 1 consultant neurologist per 150,000 population, which it hoped could be realised
over the following decade. The ratio in 2003 was 1/ 280,000 population approximately.
NEUROLOGY SERVICE DEVELOPMENT FUNDING
In 2006/7 the HSE has approved an additional 7 posts of consultant neurologist.
In 2006 the HSE received funding of €3m which was allocated to the establishment of three new
consultant led neurology units in the Mid-west, North West and South East, areas where at the time
there were no pubic consultant neurologists. The funding also included a provision of supporting staff
to work along side the consultant neurologists. The supporting teams, which includes clinical nurse
specialists and allied health professionals, are to be employed, working across traditional primary /
secondary care boundaries. The new teams will have an immediate impact on reducing the current
waiting list experienced by those living in these areas. In the absence of local services people from
these regions had to travel for appointments to Dublin, Galway or Cork. Interviews have been held
for the Sligo and Limerick posts.
In 2007 the HSE has been allocated an additional M4m to enable it to continue to implement the
Comhairle report on neurology. The neurology funding for 2007 will facilitate the appointment of 3
additional consultant neurologists. These posts will be in Beaumont, Cork and Galway.
Nationally there are currently 24 approved posts of consultant neurologist in Ireland, an
increase of 10 posts since the publication of this report, giving a ratio of one consultant neurologist
per 180,000 population (2006 preliminary census figures).
Table 1. Approved Posts of Consultant Neurologist as at 23/04/07.
HOSPITAL / HSE REGION FILLED APPROVED
VACANT POSTS
CONSULTANT
ESTABLISHMENT
St. Vincent's 2 0 2
St. James's Hospital 2 0 2
Tallaght Hospital 2 0 2
Dublin Mid Leinster Total 6 0 6
Beaumont Hospital 3 1 4
Mater 2 0 2
OLOH Drogheda 0 1 1
Dublin North East 5 2 7
Galway Regional Hospitals 2 1 3
Sligo General Hospital 0 1 1
Limerick 0 1 1
West 2 3 5
CUH 3 1 4
Mercy 1 0 1
Waterford Regional Hospital 0 1 1
South 4 2 6
Overall Total 17 7 24
07#10MinutesRHF26.06.07_AGM 8
PLANNING FOR FUTURE SERVICES:
The HSE is currently conducting a national neurology needs assessment. This work is assessing the
current configuration and provision of services. It is also examining future requirements for the
service as the population ages and as new treatments develop and become available. It will propose
how different aspects of the service can be well structured and integrated to the benefit of patients
and their families. The work is examining medical neurology, neurophysiology and support services
including Primary Care services.
A Steering Group has been established and this has multi-disciplinary and multi-sectoral
representation. It has already identified key priorities for 2007, which reflect the recommendations of
the 2003 Comhairle report on Neurology and Neurophysiology. The Steering group has three specific
subgroups which are examining: disease prevalence and trends so that services can be aligned to
need, service configuration and potential for integration of different parts of the service to benefit
patients, the value of technology in neurology, R&D, training etc. The group is due to finish its work
in the near future.
The steering group has also commissioned a specific piece of work on the prevalence of multiple
sclerosis in Ireland, which is due for publication in the near future. In addition, much work has
recently been undertaken by the HSE (in the context of neurology needs assessment) and by the
National Centre for Pharmacoeconomics onto to the impact of the new drug Tsyabri on people with
MS. Tysabri is currently being prescribed to MS patients.
As MS is a long-term illness with mental and physical complications, it has not come within the scope
of the NTPF.

W10M88 “That this Forum request the HSE give a long term commitment to 24 hour accident and
emergency services at Ennis General Hospital”.
Proposed by Councillor Brian Meaney, seconded by Councillor Bridie Willers and
adopted.

W10M87 “I ask that this Forum request that the CEO of the HSE, Dr. Drumm outline his view of
the advantages and disadvantages of the co-location of private hospitals on the grounds of public
hospitals”.
Proposed by Councillor Brian Meaney, seconded by Councillor John Hogan and adopted

W8M72 “That the HSE have regard for the link between availability of acute Health Services and
industrial development. The models of international best practice that delivers acute services
through smaller hospital services and have regard for the models of international best practice”.
Proposed by Councillor Brian Meaney, seconded by Councillor Bridie Willers and
adopted.

W10M89 “This Forum requests the releasing of funds to allow the completion of their Alzheimer
Day Centre in Clarecastle, Co. Clare”.
Proposed by Councillor Brian Meaney, seconded by Councillor Gerry Reynolds and
adopted.

March 2007 Meeting

W8Q73
Cllr. Brian Meaney
“I request a list of all the elderly day care centres in the HSE west area. I request a break
down by centre, of the numbers attending and the funding made available / given, to each
centre for the years of 2005 and 2006 identifying the sums paid in each year. I request a
break down of the number of staff working in each centre. The reply to identify all sums
made available through the section 26 process”
HSE Reply/Freagra an FSS
ATTENDANCES FUNDING STAFFING
HSE OTHER 2005 2006 2005 2006 2005 2006
County Name of Day
Centre
LIMERICK Alzheimers (Adare
Day Care Centre)
_ 2333 2421 €89,083 -
Inclusive of
once off
funding
102083 -
Inclusive of
once off
funding
Funding provided to
partially fund the
revenue costs towards
3 Registered Nurses, 2
Ambulance Drivers, 1
Cook, 7 Care Workers
and 1 Co-Ordinator
Funding provided to
partially fund the
revenue costs towards 3
Registered Nurses, 2
Ambulance Drivers, 1
Cook, 7 Care Workers
and 1 Co-Ordinator
Dromcollogher Day
Care Centre
_ 3723 3751 €33,000.00 €33,000.00 All staff are funded by
FAS
All staff are funded by
FAS
MinutesRHFW27.03.07(Agenda1) 7
Broadford
Voluntary Housing
_ 1325 1447 €7,000.00 €7,000.00 Funding provided to
partially fund the
revenue costs towards
2 paid personnel for
catering and cleaning
& 7 volunteers
Funding provided to
partially fund the
revenue costs towards 1
paid personnel for
catering and cleaning
and 13 volunteers
Drombanna Day
Care Centre
_ 3883 4711 €53,312.00 €58,912.77 Funding provided to
artially fund the
revenue costs of 1
remunerated cook and
2 assistant cooks. Fas
staff as follows, 3
general Assistants and
1 Bus Driver
Funding provided to
partially fund the
revenue costs of 1
remunerated cook and 2
assistant cooks. Fas
staff as follows, 3
general Assistants and
1 Bus Driver
Mount Mercy Day
Care Centre
_ 2705 2518 €36,000.00 €36,000.00 Funding provided to
partially fund the
revenue costs towards
1 paid staff member.
4 FAS Staff members
and 14 volunteers
Funding provided to
partially fund the
revenue costs towards 1
paid staff member. 4
FAS Staff members and
14 volunteers
St. Ita's Voluntary
Housing
_ 9696 10259 €8,000.00 €8,000.00
Dawn Court
Housing Project
_ 4254 5288 €119,559.00 €123,055.00 Funding provided to
partially fund the
revenue costs of 1
cook/cleaner, 1 full
time nurse/night
warden
Funding provided to
partially fund the
revenue costs of 1
cook/cleaner, 1 full
time nurse/night
warden and I part-time
bus driver
Ballylanders Day
Care Centre
_ 2455 4947 €20,000.00 €45,000.00 Funding provided to
partially fund the
revenue costs of 1
remunerated cook
Funding provided to
partially fund the
revenue costs of 1
remunerated cook
Glin Homes for the
Elderly
_ 5373 €6,000.00 €6,000.00 FAS Staff FAS Staff
Desmond Ability
Day Centre
20 people
x 2 days a
week since
05/12/06
€12,500.00
NR.
TIPPERA
RY
Templemore Day
Centre, Bank Street,
Templemore, Co.
Tipperary
Voluntary 1968 2196 124,500 134,000 Care Attendant 20 hrs
Care Attendant 15 hrs
Care Attendant 33 hrs
Mini Bus Driver - 16
hrs Manager - 29 hrs
Manager 39 Hrs Care
Attendant 35 Hrs Care
Attendant 30 Hrs
Thurles Day Centre,
Parnell Street,
Thurles, Co.
Tipperary
Voluntary 840 864 155,000 158,000 Manager 39 Hrs Care
Attendant 35 Hrs Care
Attendant 30 Hrs
Manager 39 Hrs Care
Attendant 35 Hrs Care
Attendant 30 Hrs
Nenagh Day Centre,
Ashe Road, Nenagh
Voluntary 1608 1560 268,000 281,000 Mini Bus Driver 39
Hrs Care Attendant 39
Hours x 3 Staff Nurse
23.5 Hours Staff
Nurse 15.5 Hours
Cook 20 Hours Cook
20 Hours Clerical
Officer 9 Hours
Manager 39 Hours
Mini Bus Driver 39 Hrs
Care Attendant 39
Hours x 3 Care
Attendant 10 Hours
Staff Nurse 23.5 Hours
Staff Nurse 15.5 Hours
Cook 20 Hours Cook
20 Hours Clerical
Officer 9 Hours
Manager 39 Hours
Newport Day
Centre, Church
Road, Newport
Voluntary 2424 1932 206,000 231,000 Staff Nurse 32 Hrs
Staff Nurse 8 hrs each
x 2 Care Asst 23hrs x
2 Care Asst 24 Hrs
Care Asst 18 Hrs x 2
Care Asst 10 Hrs Care
Asst 12 Hrs Mini Bus
Driver 39 Hrs
Manager 40 Hrs
Staff Nurse 32 Hrs
Staff Nurse 8 hrs each x
2 Care Asst 23hrs x 2
Care Asst 24 Hrs x 2
Care Asst 16 Hrs Care
Asst 24 Hrs Mini Bus
Driver 39 Hrs Manager
40 Hrs
Dean Maxwell Day
Centre, Roscrea, Co.
Tipp
HSE 1248 1392 Core funding Core
Funding
Cappamore Day
Centre (St.
Michael's),
Cappamore, Co.
Limk
Voluntary 1464 1464 130,500 137,000 Nurse 17 Hrs Care Att
12 Hrs x 2 Care Att 20
Hrs Care Att 28 Hrs
Chef 20 Hrs Mini Bus
Driver 24 Hrs
Nurse 17 Hrs Care Att
12 Hrs x 2 Care Att 20
Hrs Care Att 28 Hrs
Chef 20 Hrs Mini Bus
Driver 24 Hrs
Milford Day Centre Voluntary 2856 2808
MinutesRHFW27.03.07(Agenda1) 8
Good Shepherd Day
Centre, Pennywell
Road, Limk
Voluntary 876 852 74,000 91,000 Manager 24 Hrs
Attendant 12 Hrs
Hairdresser 9 Hrs Chef
12 Hrs Clerical Officer
8 Hrs Mini Bus Driver
24 Hrs
Manager 24 Hrs
Attendant 18 Hrs
Hairdresser 9 Hrs Chef
15 Hrs Asst Chef 17
Hrs Clerical Officer 8
Hrs Mini Bus Driver 24
Hrs
Alzheimer Society
Day Centre, Grattan
Steet, Limerick
Voluntary 0 324 245,000 262,000
CLARE Kilrush Day Centre HSE 2760 1764 Core funding Core
funding
2 2.5
HSE Raheen,
Tuamgraney, Co.
Clare
HSE 2700 2700 Core funding Core
funding
2 2
HSE Ennistymon,
Ennistymon, Co.
Clare
HSE 2328 2436 Core funding Core
funding
1 1
Stella Maris
Lisdoonvarna -
Open Oct 05.
Lisdoonvarna, Co.
clare.
Vol 312 600 €49,192.00 €99,747.00 4 5
Kilmaley, Kilmaley,
Co. Clare
Vol 564 564 €114,000.00 €116,281.00 4 4
Clarecaste, Co.
Clare
Vol 2880 2880 €314,000.00 €333,391.00 11 12
Alzheimers Society,
Ennis, Co. Clare
Vol 60 60 €136,455.00 €141.65 3 3
Miltown Malbay,
Miltown Malbay,
Co. Clare
Vol 576 576 €19,315.00 €20,050.00 3 3
MAYO Sacred Heart Home HSE 11,700 14,300 €200,000.00 €260,000.00 4 4
Disctrict Hospital,
Swinford
HSE 7,800 10,400 €160,000.00 €180,000.00 4 4
Dalton C.N.U HSE 2,496 2,496 40,000 43,000 0.5 0.5
McBride C.N.U. HSE 2496 2496 40,000 43,000 0.5 0.5
St. Augustines
C.N.U.
HSE 2496 2496 40,000 43,000 0.5 0.5
GALWAY Ballinalsoe Social
Services
Vol 4032 403.2 138,337 135,000 13 13
Glenamaddy Comm
Care
Vol 4416 4416 55,000 63,358 16 16
Dunmore Social
Services
Vol 3120 3120 4,000 4,000 5 Volunteers 5 Volunteers
North Connemara
Social Services
(Clonbur)
Vol 1920 1920 25,000 26,818 2 Part-time 2 Part-time
Portumna Social
Services
Vol 4560 4560 24,117 34,617 7 7
Eyrecourt-Killimor
Day Centre
Vol 3840 3840 36,858 36,000 4 4
Athenry & District
Social Services
Centre
Vol 2880 2880 36,045 35,000 3 Part-time 3 Part time
COPE - Sonas Day
Centre (Mervue)
Vol 5040 5040 37,000 38,000 2 2
St. Francis CNU,
Newcastel
HSE 2912 2912 Core funding Core
funding
3 3
Aras Mac Dara,
Tuam
HSE 1664 1664 Core funding Core
funding
1.5 1.5
Arus Mhuire, Tuam HSE 2340 2340 Core funding Core
funding
1.5 1.5
St. Brendan's,
Loughrea
HSE 3640 3640 Core funding Core
funding
3 3
Aras Ronan, Aran
Islands
HSE 1248 1248 Core funding Core
funding
1 1
ROSCOM
MON
Sacred Heart
Hospital,
Roscommon
HSE 7280 Core funding Core
funding
5.5
Plunkett Home,
Boyle
HSE 6500 Core funding Core
funding
2.5
Aras Mathair Pol HSE 3120 Core funding Core
funding
1.1
MinutesRHFW27.03.07(Agenda1) 9
W8Q74
Cllr. Brian Meaney
“How many basic grade speech and language therapists are graduating in the HSE west
area in 2007?
How many basic grade speech and language therapists are graduating in the HSE west area
in 2008?
How many basic grade Speech and language therapists are to be employed in the HSE west
area in 2007?
How many basic grade Speech and language therapists are to be employed in the HSE west
area in 2008?”
HSE Reply/Freagra an FSS
In 2007, forty-eight basic grade Speech and Language Therapists are due to graduate in
HSE West, with a further fifty graduating in 2008 as per figures obtained from the
National University of Ireland Galway and University Limerick.
LHO Area The number of basic grade Speech
& Language Therapists to be
employed in HSE West in 2007
The number of basic
grade Speech &
Language Therapists to
be employed in HSE
West 2008
Any other information
Galway 1 Senior Speech & Language Therapist
post as part of the Home Care Package
Funding for 2007 and this will be
backfilled by a basic grade Speech &
Language Therapist
No allocation to date in
respect of 2008
Galway PCCC has been allocated 2.3 WTE basic
grade Speech & Language Therapists for 2006
through Disability
Galway 1 Senior Speech & Language Therapist
post as part of the Home Care Package
Funding for 2007 and this will be
backfilled by a basic grade Speech &
Language Therapist
No allocation to date in
respect of 2008
Galway PCCC has been allocated 2.3 WTE basic
grade Speech & Language Therapists for 2006
through Disability
Mayo
3 temporary Speech & Language
Therapists to cover maternity leave
Allocation for 2008 not yet
available
None
Roscommon
7.45 Speech & Language Therapist
posts
Allocation for 2008 will be
available in late 2007
There are currently 2.5 positions waiting to be
filled, one of which is a senior position and the
other is 1.5 of development posts.
Donegal 2 Speech & Language Therapist posts 1 Speech & Language
Therapist posts
2007 and 2008 developments have not yet been
approved. Our figures are based on allocations
that we have received to date. This is an estimate
as there is no guarantee that existing basic grades
will be successful at forthcoming Senior Speech &
Language Therapy competitions.
Sligo/Leitrim
2 Speech & Language Therapist posts 1 Speech & Language
Therapist posts
None
Clare 1 Speech & Language Therapy post
No allocation received as of
yet
None
Limerick
2 senior are expected to take up duty in
2007 and these will be backfilled by
basic grade Speech & Language
Therapists
No allocation received to
date in respect of 2008
The scope for the employment of basic grade
therapists in PCCC areas is limited due to national
agreements on this issue
North
Tipperary/East
Limerick
2 seniors are expected to take up duty
in 2007 and these will be backfilled by
basic grade Speech & Language
Therapists
No allocation to date in
respect of 2008
Our complement is 11, not including 2 Seniors
under Primary Care at present

January 07

W7Q59
Cllr. Brian Meaney
“Can the HSE detail the waiting times for Clinical psychological assessment and psychiatric
assessment of children referred from the primary school s in the HSE west area county by
county.
The numbers of children currently waiting for such assessments in a county-by-county
breakdown.
The Numbers of professionals employed or contracted by the HSE west and the numbers of
vacancies in a county by county break down.”
HSE Reply/Freagra an FSS
Children are generally not referred from Primary Schools as they are dealt with through
the National Education Psychology Service.
We do get referrals from other sources and the number of children waiting for assessment
are set out below.
What is the number of children
currently waiting for such
assessments?
What is the number of
professionals employed or
contracted?
What is the number of
vacancies?
Galway Operate a “no waiting list” policy 23 17
Mayo
73 Psychology
140 approx Psychiatry
6 Psychology
11 Psychiatry
0.5 Psychology
1 Psychiatry
Roscommon
56 6 Psychology
4 Psychiatry
1 Psychology
No vacancies in
Psychiatry
Clare
Clinical Psychology – initial screening
18
Follow-up therapy 142
CAMHS –
36 (estimate – some referral letters do
not state if child is 12 or 13 years
Children Service –
6-18 Service - 125
2.9 Psychology
6 Psychiatry
0
1 Psychology
No vacancies
2 Psychiatry
Limerick 43 7 0
North Tipp
East Limerick
39
90
4
6
1
1
Donegal
37 Psychology
91 Psychiatry
4.5 Psychology
10 Psychiatry
3.7 Psychology
1 Psychiatry
Sligo/Leitrim
30 Psychology
68 Psychiatrist
5 Psychology
8 Psychiatry
3 Psychology
1 Psychiatry
Vacancies are due to the difficulties in recruitment due to the shortage of these
professionals. However, increased training places made available over the last number of
years will help to alleviate these difficulties.

“This Forum condemns and seeks explanation from the HSE on the reported 235
million of its budget for 2006 remaining unspent”
Proposed by Councillor Brian Meaney.
Councillor Meaney asked that this Motion be deferred to the next meeting of the Forum.

“This forum requests that Ennis General Hospital not be regarded as a protected
building”
Proposed by Councillor Brian Meaney.

“This Forum voice concern over the ongoing delay of the upgrade at Ennis
General Hospital and seek assurances that the review of acute services in the Midwest will
not affect the status of Ennis General Hospital.”
Proposed by Councillor Brian Meaney.