Sometimes the obvious, rather than the conspiracy theory is closer to the bone.
As for the system as it is - we took something like 3,000 beds out of the Public Hospitals in 1987.
Less than half of them have, I hear, been restored.
Population in 1987 c3.5m
Population in 2023 c5m.
You can't fit a Quart into a Pint bottle (or for younger readers) 2 litres into a litre bottle
Many years ago a senior public servant told me that this was as much about supply as demand.Because demand is not distributed optimally across available capacity?
I suspect the processes for progressing patients through the system are lacking / absent / not complied with.Yes, we have too many hosps, okay.
I think there are 50-53?
The ED doctors say that there are too many EDs.
I think there are 29 ED?
If they are correct, then why are there queues / waiting in the 29 EDs?
Only if you take HSE spin as gospel.So there is more to this.
I disagree vehemently.For example, we have too many hospitals for a country with our population and geography but it is political poison for TDs.
I try to unhear spin.Only if you take HSE spin as gospel.
I don't think anyone is blaming you all as a group. It's beyond doubt that the organisation is full of good people doing their best, it's just so frustrating that the system within which they work is so structurally dysfunctional. Also it's easy to forget that health outcomes are improving all the time particularly in recovery rates from serious illnesses and life expectancy generally.I try to unhear spin.
As an admim worker in the HSE it is very tiresome that we are all lumped into one and blamed for blocking progress.
As in from the patients' angle, which is the only angle that counts if he's to use his box of tricks to improve service levels and outcomes, reduce queues and misery?Actually, I read from the article that he is regrouping to attack the issue from a different angle.
Kilkenny is part of Ireland East Hospital Group so Waterford isn't in that group. You're meant to be treated within your own hospital group. In Clare lots want to be treated in Galway but Limerick is their group.@mathepac - what a dreadful ordeal.
As you say, a hospital should mean a hospital with the full range of services.
I don't understand why you have to travel to Dublin. Surely either St Luke's or at the very least, WUH should provide you with those services.
In Clare lots want to be treated in Galway but Limerick is their group.
Kilkenny is part of Ireland East Hospital Group so Waterford isn't in that group. You're meant to be treated within your own hospital group. In Clare lots want to be treated in Galway but Limerick is their group.
Pardon my ignorance @becky!
If that is the case, why is St. Luke's in Kilkenny not a fully equipped hospital?
Another point is that there are 6 or 7 different hospital groups.
Is there some benefit in those groupings or is it just historical?
For instance, why are Dublin hospitals not all part of the same group?
In 2013 James Reilly, Minister for Health announced a reorganisation of public hospitals into six hospital groups, which has been described as the most fundamental reform of the Irish acute hospital system in decades.
The decision regarding the establishment and operation of the new hospital groups was informed by two reports — ‘The Establishment of Hospital Groups as a Transition to Independent Hospital Trusts’, produced by an expert group led by Prof John Higgins, and ‘The Framework for Development – Securing the Future of Smaller Hospitals’.
The Framework for Smaller Hospitals outlined the need for smaller hospitals and larger hospitals to operate together and is therefore intrinsically linked to the formation of sustainable hospital groups.
By working in groups, hospital services will be provided by the hospitals in each group, based on the evidence based needs of their populations. Each group of hospitals will work together as single cohesive entities managed as one, to provide acute care for patients in their area, integrating with community and primary care. This aims to maximise the amount of care delivered locally, whilst ensuring complex care is safely provided in larger hospitals.
Each group will comprise between six and eleven hospitals and will include at least one major teaching hospital. Each grouping will also include a primary academic partner in order to stimulate a culture of learning and openness to change within the hospital group. Robust governance and management structures will be put in place at group level.
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