34 HEALTH MATTERS baby boom
• national maternity Hospital, Holles St, is co-located with St Vincent’s University Hospital
• Rotunda Hospital is co-located with the Mater Hospital.
The HSE is aware of the widespread desire to progress the implementation of the recommendations and has begun putting in place appropriate supports for the work streams identified across service redesign, workforce needs, clinical governance, teaching and training, and physical infrastructure requirements. Progress to date is as follows:
OBSTETRICS & GYNAECOLOGY • A HSE clinical programme for obstetric and gynaecology has commenced with the appointment of two clinical leads for midwifery and obstetric/gynaecology. The roles of the clinical leads are to develop and implement a maternity and gynaecology clinical programme in accordance with the HSE Service Plan.
FETAL MEDICINE
• A fetal medicine clinical network has been established between the three Dublin Maternity Hospitals in line with the implementation of the Review recommendations pertaining to Fetal Medicine Services in Dublin.
DESIGN BRIEF
• The HSE is engaging all relevant parties in relation to the preparation of a design brief for the proposed co-located maternity
+ Dr Elaine Madden, Head of Midwifery & gynaecology, South Eastern Trust, Belfast recently welcomed a delegation from the HSE and three Dublin maternity hospitals to the newly-opened maternity unit in Ulster Hospital, Dundonald. The visit was part of a planning exercise looking at the future of the maternity services in the greater Dublin area. The maternity unit in dundonald had a total of 3,500 births last year. It has been developed to provide choice for mothers in terms of the model of care, with a consultant-led service for women deemed to have risk factors, and a midwifery-led unit on the floor below for women who are considered low risk, wishing to have no intervention in labour. Pictured: Dr Maria Fleming, Margaret Philbin, Patricia Hughes, Mike Robson, dr Chris Fitzpatrick, Patricia Scott, Pat o’Boyle, Sheila Sugrue, Eleanor mashese, mary Brosnan, Elaine Madden, Louise McMahon and Pauline Treanor.
The Coombe Hospital and Tallaght Hospital in Dublin are working together to accelerate the co-location of the two hospitals.
Significant partnership initiatives include: • The Coombe-provided antenatal clinic in Tallaght • The provision of occupational Health Services to the Coombe by Tallaght • joint Coombe/Tallaght colposcopy mdTs • Co-ordination of Coombe/Tallaght
response to H1n1 influenza • Co-location financial business case prepared by senior management teams from both hospitals
The two hospitals have also engaged positively with the National Paediatric Hospital project in relation to the Ambulatory & Urgent Care Centre to be constructed on the Tallaght campus. It is the intention of both hospitals to achieve co-location within four years.
and gynaecology service physical infrastructure. A design brief for the recommended co-location projects is currently being prepared with specific emphasis on scope of service planning, design issues and shared services. Planning of new services will look at the potential for operational efficiencies and revenue savings that can be achieved to contribute towards development costs, as well as identifying and exploiting opportunities for revenue generation. It is proposed to set up project steering groups to progress these proposals in accordance with normal public sector capital works procedures. The groups will include representatives from the hospitals concerned, the HSE, the Department of Health and Children, and the National Development Finance Agency.
SCOPING PROPOSALS • Each of the three dublin maternity hospitals has begun to develop site-specific
business/scoping proposals in relation to their proposed co-location moves. This process involves working closely with each of their proposed adult hospital sites and in the case of the Rotunda Maternity Hospital also with the National Paediatric Hospital project. Local project steering groups have been established between the maternity hospitals and their proposed adult co-location sites.
LEARNING EXPERIENCES • To inform the approach for design, operations planning and how to relocate, the HSE in association with the maternity hospitals has been researching the learning experiences of other relocated organisations including The Mater mothers maternity Hospital in Brisbane, Australia, and the new Maternity Unit that incorporates a Midwifery Led Unit in the Ulster Hospital NHS Trust in dundonald, Belfast.
COOMBE AND TALLAGHT HOSPITALS AIM TO CO-LOCATE WITHIN FOUR YEARS
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