HSE Report on MW Hospital

Speech by Dan Neville TD, Fine Gael Spokesman on Mental Health on the Fine Gael Private Members Debate on the HSE Teamwork/Howarth Report of Acute Hospital Services in the Mid-West. Dail Eireann – Wednesday 11th February, 2009

Deputy Dan Neville

I wish to join with Deputy Reilly and my Fine Gael colleagues this evening in expressing my deep concern about the proposed rationalisation of hospital services in the mid-west.

The HSE commissioned Horwarth Consulting Ireland and Teamwork Management Services to report on acute hospital services in the mid-west and the report was made publicly available in January of this year. While none of us can argue against best international practice that aims to maximise best clinical outcomes and improve patient safety as outlined in the report, we can argue about the way the Minister and the HSE plan to implement these changes and the potential negative impact these changes will have on patient care.

As the Minister, Deputy Harney, will be aware, the report clearly identifies a number of preconditions that must be met if the new plan for hospitals services in the mid-west is to succeed. These preconditions include significant increases in medical manpower, further development of pre-hospital and primary care services as set out in the Primary Care Strategy 2001 and the development of critical infrastructure requirements including regional centres of excellence in Limerick city.

The purpose of this Private Members’ motion is not to oppose reforms that are in the best interests of patients’ safety. The purpose of this Private Members’ motion is to remind the Minister of the precondition that must be met before critical hospital services are withdrawn as outlined in her report, and to remind the Minister of the “over-riding principle”, contained in the report, “that no acute services will be withdrawn from the current general hospitals until the regional ‘centre of excellence’ is resourced and ready to deliver that service with reference to international quality standards”.

Despite this clear recommendation, it seems that the Minister and the HSE plan to set ahead with the withdrawal of the accident and emergency services even though the essential upgrade of facilities in Limerick has not taken place, as well as ambulance, general practitioner and primary care provision.

We are extremely concerned about the provision of ambulance facilities from the Kilmallock area for which we have been pressing for a number of years. Currently there are three hard-working accident and emergency consultants spread across four accident and emergency services in the mid-west. This is contrary to the patient safety best international practice and is unsustainable in the long term. The report commissioned by the HSE strongly recommends that it take prompt action to reduce the current levels of clinical risk and improve patient safety.

Acting Chairman

The Deputy has one minute remaining.

Deputy Dan Neville

In that one minute I join with my colleague, Deputy Noonan, to pay tribute to the professionalism of the staff of Limerick Regional Hospital. I am proud that my family have been part of this. My sister Mary has been with the Mid-Western Regional Hospital for almost 40 years, my wife Goretti for 30 years.

I wish to pay a special tribute to the staff of St. John’s Hospital for their caring for Goretti during her time there in recent years. Likewise I pay tribute to those in the Mid-Western Regional Hospital for their kindness to her. My family, Tom, Maria, Maeve, Danny and I, especially wish to thank Dr. Liam Casserly and the staff for their efforts to save Goretti’s life on the 25 and 26 January last, and thank them for her peaceful departure on the 27th.