Cllr. Ray McAdam Cllr. Séamas McGrattan Cllr. Mags Murray Cllr. Darren O Rourke Cllr. Noeleen Reilly Cllr. Tomás Sharkey

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1 REGIONAL HEALTH FORUM - DUBLIN NORTH EAST FÓRAM RÉIGIÚNACH SLÁINTE - BAILE ÁTHA CLIATH AGUS AN TOIRTHUAISCEART MINUTES OF MEETING HELD ON MONDAY, 25 TH JULY, 2016 AT 2:00PM IN THE BOARDROOM, HSE, BECTIVE STREET, KELLS Members Present Cllr. Philip Brady Cllr. Christy Burke Cllr. Tommy Byrne Cllr. David Costello Cllr. Séamus Coyle Cllr. Richie Culhane Cllr. Mark Dearey Cllr. Kieran Dennison Cllr. Wayne Forde Cllr. Adrian Henchy Cllr. Deirdre Heney Cllr. Teresa Keegan Cllr. Eithne Loftus Cllr. David Maxwell Cllr. Mary McCamley Cllr. Paddy McDonald Cllr. Brian McKenna Cllr. Peter McVitty Cllr. Paddy Meade Cllr. Lorna Nolan Cllr. Claire O Driscoll Cllr. Ciaran O Moore Cllr. Gillian Toole Not in Attendance Cllr. Ray McAdam Cllr. Séamas McGrattan Cllr. Mags Murray Cllr. Darren O Rourke Cllr. Noeleen Reilly Cllr. Tomás Sharkey Officials Present Ms. Rosaleen Harlin, Lead Manager, Regional Health Office - HSE DNE Ms. Eilish Hardiman, Group Chief Executive, Children s Hospital Group Mr. John Pollock, Project Director, National Paediatric Hospital Development Board Ms. Mairead Lyons, General Manager, RCSI Hospitals Group Mr. Des O Flynn, Area Manager, Dublin North City Ms. Ann Coyle, General Manager, Louth Meath Mr. Cathal Hand, Primary Care Manager, Cavan Monaghan Ms. Dymphna Bracken, Area Communications Manager, HSE Dublin Mid-Leinster Ms. Katherine Kellett, Regional Health Office HSE DNE Ms. Lorraine Timmons, Regional Health Office HSE DNE Minutes of Regional Health Forum 1 25 th July, 2016

2 1. Election of Chairperson Cllr. Richie Culhane, Acting Chairperson, sought nominations for the position of Chairperson of the Forum. Cllr. Claire O Driscoll was nominated for the position on the proposal of Cllr. Wayne Forde and seconded by Cllr. Gillian Toole. As there were no other nominations for the position of Chairperson, Cllr. O Driscoll was declared elected as Chairperson. Cllr. O Driscoll then took the Chair and thanked the members for electing her. 2. Election of Vice Chairperson Cllr. Claire O Driscoll, Chairperson, sought nominations for the position of Vice Chairperson of the Forum. Cllr. Richie Culhane was nominated for the position on the proposal of Cllr. Paddy Meade and seconded by Cllr. Kieran Dennison. Cllr. Wayne Forde was nominated for the position on the proposal of Cllr. Christy Burke and seconded by Cllr. Lorna Nolan. There were no other nominations. A roll call vote took place, the results of which were:- Cllr. Richie Culhane Cllr. Wayne Forde Abstain Absent Tommy Byrne Philip Brady Mark Dearey David Costello Christy Burke Ray McAdam Séamus Coyle Wayne Forde Séamas McGrattan Richie Culhane Teresa Keegan Mags Murray Kieran Dennison Paddy McDonald Darren O Rourke Adrian Henchy Brian McKenna Noeleen Reilly Deirdre Heney Lorna Nolan Cllr. Tomás Sharkey Eithne Loftus Claire O Driscoll David Maxwell Ciaran O Moore Mary McCamley Peter McVitty Paddy Meade Gillian Toole Cllr. Richie Culhane was elected as Vice Chairperson. Minutes of Regional Health Forum 2 25 th July, 2016

3 3. Adoption of minutes of meeting held on Monday, 23 rd May, 2016 The minutes of the meeting held on Monday, 23 rd May, 2016 were adopted by the Forum on the proposal of Cllr. Gillian Toole and seconded by Cllr. Paddy Meade. 4. Health Service Executive Updates Ms. Rosaleen Harlin, Lead Manager, Regional Health Office, gave a report to the meeting which dealt with the following:- Dublin North City Mental Health Service wins two IASW Awards; National Ambulance Service receives ISO Accreditation; New Adviceline service launched; All public hospitals now receiving electronic referrals; New pharmacy-based Minor Ailment Scheme for medical card patients; HSE launches Partnership for Change the report of the Mental Health; Reference Group; Injury Units; Louth Mental Health Support Group; Kells Primary Care Centre goes Smoke Free; Health Matters; Members raised the following issues:- Adviceline for Asthma and COPD - cost of service and number of calls; Tobacco Free Campuses applicable to private nursing homes; NAS ISO accreditation - new system to track locations; List of Primary Care Centres (proposed, active, locations, etc.); NAS staff misuse of drugs and impact on service due to seven staff being suspended; Presentation on COPD. It was agreed that responses would issue to members on these matters. The report was noted by the Forum. 5. Presentation National Children s Hospital Ms. Eilish Hardiman, Group Chief Executive, Children s Hospital Group and Mr. John Pollock, Project Director, National Paediatric Hospital Development Board gave a presentation to members on the National Children s Hospital (copy appended to the official minute). Members thanked Ms. Hardiman and Mr. Pollock and a discussion took place where members raised the following issues:- New Children s Hospital an all Ireland hospital; Members of Board; Clarification on whether satellite hospitals will open at same time as new Children s Hospital; Minutes of Regional Health Forum 3 25 th July, 2016

4 Details of staffing at satellite centres; Staffing and consultation with various unions; Rooms in satellite centres; CF units in satellite centres; Opening hours of satellites; Accommodation of critical patients in Connolly; Ambulance protocol re critically ill paediatrics; Preservation orders in respect of building at the St. James s site; Car parking charges; Large number of staff car parking spaces; Luas through St. James s disruption during works; Future of Temple Street and Crumlin Hospitals; Need for public awareness in relation to new Children s Hospital and satellite centres; Motions passed at Council meetings promoting move to Connolly. Ms. Hardiman and Mr. Pollock responded to the questions and comments from the members as follows:- The new Children s Hospital will be the national hospital for the children with the sickest conditions on the island of Ireland. Discussions are ongoing with the Northern Ireland Minister to identify what other services can be carried out on an all Ireland basis; The Children s Hospital Group Board is chaired by Dr. Jim Browne. Mr. Michael Scanlon, Mr. Sean Sheehan and Mr. Frank Magee, Chairs/Vice Chairs for the three hospital boards, also sit on the Board. The remaining members are made up from legal, business, ICT, Change Management competencies and also a Northern Ireland representative; The two satellites centres at Connolly and Tallaght Hospitals will open on phased basis in The building handover of Connolly will take place in March 2018 and the centre will open in June As Tallaght Hospital will require a decant of some services, this centre will open approximately six months later; The new Children s Hospital will be a single legal entity with staff from both the main hospital and the satellite centres working as team and rotating. There will be some existing staff and some new staff in the satellite centres; Staff issues are one of the biggest challenges involved. However, there will be plenty of time to work on issues prior to the move to the new facilities. Engagement has taken place with unions and there are well established mechanisms to deal with concerns. There will also be a new Director of Strategic HR starting in September; The satellite centres rooms will consist of single cubicles and single beds; There will be dedicated isolation rooms in the satellite centres that can accommodate CF patients; The vast majority of services at the satellites will operate from 8:00am 10:00pm, seven days per week; Critically ill patients will be transferred to the Children s Hospital. A public awareness campaign will take place in relation to the use of the satellite centres. Minutes of Regional Health Forum 4 25 th July, 2016

5 GPs and relevant personnel are being advised. Patients can be resuscitated or stabilised at the centres and transferred to the hospital. Discussions have commenced with Bumbleance on options for the transport of patients; Discussions are ongoing with the ambulance service in relation to protocols. It has been agreed that patients can be stabilised in the satellite centres and then transferred to the main hospital, as is normal practice. The National Retrieval Protocol will issue to members; None of the buildings at the St. James s site have preservation orders. Two buildings were an interest to Dublin City Council. Materials were salvaged from the Chapel and reused and the steps from the Lodge were also reused; There will be 1,000 car parking spaces in the new Children s Hospital and An Bord Pleanála has adjudicated that 675 of these spaces will be reserved entirely for families. Charges will incur for car parking as the health service is not funded to run car parks. However, there will a number of free long term car parking spaces available for families; Equality issue in relation to staff car parking. Some staff work out-of-hours and therefore, cannot take public transport. There are also a number of staff living in the Midlands; There will no disruption to the LUAS. There is a direct link from the Rialto stop to the hospital; Temple Street Hospital is governed by a Board and part of the Mater Hospital governance structure. The building consists of two townhouses and there are restrictions in relation to what can be done with it. Crumlin is also Board governed and covers 12 acres. Negotiations are required in relation to its use for acute children s healthcare; Planning and information campaigns are planned through the national/regional newspapers and meetings have taken place with families. A three day Laya family event has taken place in Dublin; The NPHDB have written to all County Councils and had hoped to present to each Council. Where the NPHDB/CHG did present, these Motions were not passed. 6. Regional Health Forum Annual Report 2015/2016 The report was noted by the members. A discussion took place in relation to attendance at Forum and Committee meetings. It was outlined by Ms. Rosaleen Harlin that where a member of a Forum has not, for a consecutive period of three meetings, attended a meeting of the Forum, his or her membership of the Forum shall terminate, except where the non-attendance was due to the illness of the member or to a reason approved by the Forum. It was agreed a letter would issue to members who have not attended three or more Forum meetings. Members also raised concerns in relation to the attendance of management at meetings and stated that, on occasion, there has been no senior manager present to speak on Questions or Motions. It was outlined that each HSE area is represented at Forum meetings, although the personnel may differ. It was agreed that a photo list of relevant HSE senior management would be made available at meetings. Minutes of Regional Health Forum 5 25 th July, 2016

6 Members also queried the cancellation of recent local Hospital Group briefings. It was clarified by management that briefings were cancelled due to poor confirmation of attendance by members and that meetings could be rescheduled if members wished. 7. Committee(s) of Forum It was agreed that the Forum would continue with one Committee. 8. Motions That this forum supports the adoption of the Public Health Alcohol Bill. Cllr. Claire O Driscoll The Motion was seconded by Cllr. Gillian Toole and agreed by members. It was agreed to forward to the Minister for Health. 9. Questions The responses to Questions were noted by the members. 10. Report by Chairperson of Committee The report was noted by the members. 11. Chairperson s Correspondence The Chairperson informed members that Monaghan County Council has appointed Cllr. Séamus Coyle to the Regional Health Forum. 12. Date and time of next meetings The next meetings of the Regional Health Forum - is as follows:- Forum Monday, 26 th September, 2016 at 2:00pm Committee Monday, 24 th October, 2016 at 11:00am Signed: Claire O Driscoll, Chairperson Minutes of Regional Health Forum 6 25 th July, 2016

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