A&E to close at night/Protest Friday 24th

kilburn

DundalkDuffman wrote: »

You can't see the similarity between closing an A&E for another one and then cut the services there?

No similarity here at all

zuroph

DundalkDuffman wrote: »

You can't see the similarity between closing an A&E for another one and then cut the services there?

as you said yourself, you had dundalk and drogheda, with a combined population of 70k, only 30 minutes away from each other, according to google maps.
Limerick and surrounding surburbs alone is estimated between 90-120k, and thats before the country areas around it such as Clare are added to what The Regional covers. Its also a much further distance from other facilities.
Its a much different facility and catchment area than Dundalk and Drogheda, which, in all honesty were too close together and had too low a population to facilitate having both 24 hours.

Kess73

There is meant to be some kind of meeting on this evening about it with the Health Minister along with representatives from the HSE.


At least that is what was said on the radio anyway.

DundalkDuffman

zuroph wrote: »

as you said yourself, you had dundalk and drogheda, with a combined population of 70k, only 30 minutes away from each other, according to google maps.
Limerick and surrounding surburbs alone is estimated between 90-120k, and thats before the country areas around it such as Clare are added to what The Regional covers. Its also a much further distance from other facilities.
Its a much different facility and catchment area than Dundalk and Drogheda, which, in all honesty were too close together and had too low a population to facilitate having both 24 hours.

Those are the populations of the 2 towns, it encompasses North Dublin, Cavan Monaghan as well as Louth and Meath, hinterland is 300,000 for the catchment area. No one here thought that the new A&E in Drogheda could cope, however all were assured that it would easily manage. Dundalk is a 12 hour minor injury unit while Drogheda is a 24 hour facility. The only reason that I mentioned it was that the HSE can do pretty much whatever they like and anyone that thinks that common sense would prevail would be wrong as illustrated in Louth. No one wanted 2 full time A&Es which was unsustainable in practical terms, one fully functioning one would be nice however.

zuroph

one is all we have too. with a much bigger area to the next one.

crackcrack30

kilburn wrote: »

Staffing levels wont go below safe levels, you people are all scare mongering !

Ambulance point I mad is correct the ambulance will go to the nearest a&e department obviously one thats open.

Ambulance destination is decided by the paramedics on board i.e nearest appropriate hospital which can treat the patients needs and can bypass hospitals as seen fit..........

dave 27

I was just listning to the stats on the radio, they are as follows;

Catchment area population of 362,000 (nenagh and ennis a+e closed putting more pressure on Limerick)

Second busiest hospital emergency department in the country!

Serves the third largest city in the country In the 2006 census Limerick had a population of just over 90,000 and 115,000 including the surrounding suburbs, thats how many people are immediately affected, not even looking at the rest of the region!

Limerick City only has one A+E department as St Johns was closed and now this region will cease to have a night time a+e.

surely it makes more sense to close smaller hospitals serving a smaller population then the second busiest in the country?

touts

dave 27 wrote: »

I was just listning to the stats on the radio, they are as follows;

Catchment area population of 362,000 (nenagh and ennis a+e closed putting more pressure on Limerick)

Second busiest hospital emergency department in the country!

Serves the third largest city in the country In the 2006 census Limerick had a population of just over 90,000 and 115,000 including the surrounding suburbs, thats how many people are immediately affected, not even looking at the rest of the region!

Limerick City only has one A+E department as St Johns was closed and now this region will cease to have a night time a+e.

surely it makes more sense to close smaller hospitals serving a smaller population then the second busiest in the country?

You missed the most important one
Senior HSE decision making officials in catchment area: 0

resus

Afraid as it stands the MWRH ED as we know it IS changed from July 11th 20h00.

There simply are NOT enough Emergency Medicine staff to cover the night shift. And that is that. Now the hospital will probably stay open for medical and surgical admissions sent in via GPs, but there will not be specialists in Emergency Medicine about unless NCHDs agrees to redeploy. Other specialty teams are simply too busy to pick up the workload, they are overworked themselves.

The way the contract works, NOBODY can just say to an NCHD in St. Johns to just redeploy !! You can only do that with someone on contract !! Most NCHDs have NOT GOT their contract yet in Limerick, such is Medical Manpower's efficiency. If their job is simply taken away from them, so what ! They just go locum somewhere or join their colleagues in Australia.

"More Carrot Less Stick" is what the Minister said, like it or not that is what has to happen.

legendary.xix

mikemac wrote: »

It's not enough that Tipp North and Clare were stripped of their services and we now on rely on Limerick Regional but now that's been cut too.

The smaller hospitals are not expecting fantastic services for everthing but a basic A&E in a large geographical area surely makes sense.
They can be transferred to the Regional once stabilized

Madness and this makes it even worse

Agreed with all points made. It is madness.

source

It'll be interesting to see if and when this does happen, will the lawsuits start to follow this decision?

I would 110% agree with a family suing the HSE if a family member dies in transit to Cork or Galway. It's nothing more than negligence for the HSE to close the regional down, especially given that they have closed every other emergency department in a 50-60 mile radius of here.

Mc Love

Grizzly 45 wrote: »

BTW the "new wing" in the Regional is apprently a multistory car park!!:(:mad:

BTW - have you seen the signs? It is a new CCU "Critical Care Unit"

Berty

I have been back visiting the regional for the past 2 weeks at 2pm and 6pm during visiting hours so get to hear all the blurb from staff about this issue. I have 2 Aunts working in the Regional, one in Barringtons and a friend in the Maternity so all the stories I hear all mildly different.

However, they ALL say more or less the same thing "It's a load of crap, it was never going to happen"

Parking is also not too much of an issue. Staff leave around 5:30 so loads of spaces come free on the road and the opposite car park. NOICE ONE!!! I hate paying for parking, feck I pay taxes already to have the car park, I ain't paying twice!

eclectichoney

Beer Baron wrote: »

I have been back visiting the regional for the past 2 weeks at 2pm and 6pm during visiting hours so get to hear all the blurb from staff about this issue. I have 2 Aunts working in the Regional, one in Barringtons and a friend in the Maternity so all the stories I hear all mildly different.

However, they ALL say more or less the same thing "It's a load of crap, it was never going to happen"

I also work eh... nearby *cough* and am hearing the same. I think it is just 'preparing' people for the worst, so if services are cut in another way / aspect, people will feel relieved and think 'ah well it could have been worse'! Ridiculous to even suggest it though imo - no way could it happen and the government have any credibility - surely they can rejuggle staff, and I am sure a few last minute NCHDs will be found. Sure I might even stick on a white coat myself if needs be

Cianpop

It is now clear that the statements by Limerick Regional Hospital on Sunday that 24hr A&E services could be in danger due to the lack of Junior Doctors, and the almost immediate statements that this was not the case are choreographed attempts to divert attention from the real serious cutbacks that are taking place at the Regional Hospital, the ongoing crisis in the A&E and the emerging critical lack of Junior Doctors wiling to work in these appalling conditions. With that in mind, a protest is being organised tomorrow (Friday) from 6pm at the Regional Hospital to say clearly "End the Threats, Stop the Cuts - Defend our Health Services!". The Campign for a Real Public Health Service, who called the protest, are also planning a public meeting is also planned for next week to discuss the crisis in health services in the Mid West.

This protest is being organised both in response to the recent threat and subsequent confusion being stirred up about possible downgrading the of Regional A&E service, and the already existing crisis and planned cutbacks that are taking place there.

Under vast pressure from cutbacks, centralisation, lack of staff and subsequent over working of health workers, the health service is lurching from crisis to crisis. This latest crisis, where so far the Regional Hospital has been unable to get enough junior doctors (NCHDs) to staff the A&E, and have threatened shutting it at night time, is just the latest. It must be seen in the context of constant and consistent cutbacks in health, and deteriorating quality of service at the Regional. Back in February the Medical Board at the Regional came out and said that the hospital and A&E were crumbling under the pressure of centralisation, saying:

“There are not enough beds at Mid-Western Regional Hospital, Limerick. There are deficiencies also in other essential elements of the service including staffing levels and infrastructure in the emergency department and the department of radiology, and there is an enormous strain on the intensive care facilities. The cancellation of planned surgical procedures is now a routine occurrence due to bed pressures” URL="http://www.irishtimes.com/newspaper/ireland/2011/0203/1224288890957.html"]source[/URL

Then in May, Consultant Paul Burke warned Michael Noonan that due to budget cuts the Regional Hospital would being forced to "reduce elective surgical activity, close operating theatres, reduce drug costs and possibly close beds", but Noonan refused to reverse any of the cuts URL="http://www.examiner.ie/ireland/consultant-told-make-do-with-hospital-budget-156354.html"]source[/URL. The savage cuts to the health budget have meant that many hospitals have found themselves over budget so far for this year, meaning savage cuts will be coming in the latter half of this year. Limerick Regional hospital is one of the worst affected by this, not least because of the pressure caused by downgrading Ennis, Nenagh and St. John's A&Es, centralisating services to Limerick URL="http://www.irishtimes.com/newspaper/ireland/2011/0614/1224298863980.html"]source[/URL.

Rather than solve the crisis that currently exists in the Regional, the government and the HSE are trying to soften up the people of Limerick and the mid west for more savage cuts. We have already seen the closure of two theatres in St. John's in recent weeks. The threat of cutting the opening hours of the Regional A&E must be seen in this light. This threat was raised as part of the ongoing national crisis regarding a lack of Non-Consultant Hospital Doctors, otherwise known as Junior Doctors, primarliy due to the terrible working conditions, and huge amount of hours they are expected to work. The responsibility for this lies with the HSE and the government - they have run the health service into the ground, cut staff numbers to the bone so it is therefore dependent on huge sacrifices from Junior Doctors.

The government are now saying that this crisis will be averted, at least for Limerick, and the HSE Area Manager for Limerick, Bernard Gloster, has told the Socialist Party (which I'm, a member of) that they have "no intention of taking the A&E off call" and that, whilst they still have a almost 50% shortfall in the number of NCHDs they believe they will make up the difference some how by July 11th. Leaving aside, for a second, that this is far from a cast iron guarantee, the threats to other important services as a result of the lack of NCHDs remain, and the broader issue of the continuing crisis at the A&E, made worse by the cutbacks expected in the next months, continues. With this uncertainty and the threat of 'death by a million cuts' still hanging over our health service in mind, I am calling on everyone who is concerned about the attacks on our health services to turn out on Friday for the emergency protest from 6pm on at the Regional Hospital to demand decent health services for all.

- Cian Prendiville
Campaign for a Real Public Health Service
(and also Socialist Party)

Insect Overlord

Threads merged.

kilburn

Emergency protests, a wannabe politician who wont read the facts. MInister for Health has stated there will be no downgrade or closing of the a%e services in Limerick. So please get your facts right before you start organising protests. Why dont you go march up and down outside anglo or the aib?

zuroph

Lol Cian, its not going to happen, no need for a bandwagon.

It was management trying to play hardball with HSE to speed things up, theres no issue.

Grizzly 45

Mc Love wrote: »

BTW - have you seen the signs? It is a new CCU "Critical Care Unit"

No I didnt ,and very glad to hear that it was a rumor.:cool:

Cianpop

Hey,
As I said earlier on, I know of the assurances that have been given. But, we have to ask ourselves why they leaked it out and then quickly denied it, as I say I think part of it is an "attempt to divert attention from the real serious cutbacks that are taking place at the Regional Hospital, the ongoing crisis in the A&E and the emerging critical lack of Junior Doctors wiling to work in these appalling conditions."

They are trying to soften us up for further cuts planned for the next 6 months, as warned last month by Paul Burke. That is what requires a protest: the ongoing crisis at the A&E and the hospital in general, the failure of centralisation (which many in the current government claimed to oppose at the time, but are not reversing!) and the fact the government are planning more serious cuts. I think we should also protest against the very fact that they raised this threat at all, it was an attempt to frighten us so we'll accept these other cuts. Hence the demand: No more threats, Stop the cuts - Demand decent health services.

Cheers,
Cian

zuroph

nah, it sounds like the management were just trying to throw some weight around to scare the HSE into getting a move on. Doesnt really matter anyway, HSE will be replaced shortly.

mad_shopaholic

how are they building a critical care unit if they dont have the staff for the departments they already have?

crackcrack30

I'd say this is scaremongering & spin and the real goal (for them) is the full closure of st johns a&e which the public will gladly accept in the shadow of these threats...........2p

source

So announced today that Sligo A&E is closing from July 11. I wonder if this is the linked to the story about MW Regional A&E.

Edit: My bad, it's Roscommon that's closing.