26th January 2023

‘Management class’ in health service is distracting from delivery of care to patients

Leading Professor at University of Limerick says health service has “taken eye off the ball” Professor Orla Muldoon says emphasis on performance indicators and lack of focus on expanding frontline hospital capacity and resources to care for patients is creating a ‘management class’ in the health service and detracting from treating patients Current corporate management structures a source of frustration for medical professionals who are “not trusted to manage the system” Meanwhile, almost 8 in every 10 Consultants screening positive for burnout as many medical and surgical specialists continue to move abroad to other health services 870,000 people were on some form of hospital waiting list at the end of November, including almost 97,000 children Prof Muldoon: “A vast amount of effort is put into counting Key Performance Indicators. KPIs in the private sector come with the resources to achieve them; when imposed on the public health service, there are no extra resources to deliver the care.” A leading Professor at the University of Limerick has said that the continued trend towards imposing a corporate model in our public health system is compounding the service’s inability to deliver care to patients.
23rd January 2023

Statement by the Irish Hospital Consultants Association (IHCA) on today’s publication of an interim report by the Mental Health Commission into the Child and Adolescent Mental Health Service (CAMHS)

Commenting on the interim report, Vice President of the Irish Hospital Consultant Association (IHCA) and Consultant Liaison Psychiatrist, Prof Anne Doherty says:
13th January 2023

Government must answer ‘emergency 999 call’ on health service crisis

Waiting List Action Plan fails to deliver as almost 900,000 people on hospital waiting lists, 900 patients treated on trolleys and over 900 Consultant posts vacant, says IHCA
4th January 2023

“We are consistently left to fire fight without the necessary resources, the moral injury caused is almost irreversible at this stage” – say Consultants

Concerns mount among Consultants as Irish hospital services continue to bear brunt of healthcare pressures;  Hospitals could see 1,000 admitted patients being treated on trolleys on a single day in the weeks ahead; As peak of winter illness hits, 51 additional Emergency Medicine Consultant post have yet to be delivered under HSE Winter Plan 2022/23; IHCA: “To move away from this constant wheel of crises, the Government must put in place the capacity expansion that is needed and the HSE must empower hospitals and community services to make decisions and take the actions needed to provide timely and safe care to their patients.”   Today (04 January 2023), the Irish Hospital Consultants Association (IHCA) has expressed its concern over the continued pressures being faced by Ireland’s acute hospital services as extreme levels of overcrowding in our emergency departments and un-safe capacity limits hit record new highs.
20th December 2022

Over 77,000 people now waiting for hospital care across the Mid-West as 1 in 3 Consultant posts remain unfilled 

52,200 people on NTPF waiting lists in UL Hospital Group and an additional 25,100 waiting for urgent diagnostic scans; Almost 1,600 patients admitted to UHL Emergency Department treated on trolleys last month – the worst November on record – and 17,500 this year;  Consultant recruitment crisis and worsening capacity deficits in region’s hospitals is root cause of delays in providing care, with record 1 in 3 permanent Consultant posts vacant or not filled as needed; At least an additional 302 inpatient beds and 63 day case beds needed by 2036 to address current shortfalls and meet increased patient demand. IHCA President Prof Robert Landers: “The extreme shortage of Consultants and worsening capacity deficits across the UL Hospitals Group are the main contributors to the unacceptable delays in providing care to patients in the Mid-West region.” 
15th December 2022

Government on course to significantly miss waiting list reduction targets as over 1 million people await hospital care

€70 million allocated to Waiting List Action Plan left unspent as one-fifth of the population remain on waiting lists  
7th December 2022

Irish Hospital Consultants Association statement regarding the proposed new ‘Consultant contract’

Commenting on the agreement by Government of the proposed new Consultant contract today, the President of the Irish Hospital Consultants Association (IHCA), Professor Rob Landers, said:   “We have communicated our views on Minister Donnelly’s proposal consistently to both the Minister himself and the Secretary General of the Department of Health.   “Currently, over 900,000 people are on a waiting list to see a hospital consultant. Over 900 permanent Consultant posts are unfilled. For a decade, we have been calling on Government to constructively engage so as to address these stark realities.    “Despite progress in discussions over the recent period, the Minister and Government have moved on and ended talks with representative bodies.   “There remain a number of critically important issues that need to be addressed to ensure any proposed contract will reduce patient waiting times and address the Consultant recruitment and retention crisis.    “The Donnelly proposal must stand up against international standards in order to make Ireland’s health service a place that medical and surgical specialist want to work. This is the lens through which our members will evaluate this proposal.   “We will also be looking at this from the perspective of the almost 1 million people currently waiting for essential care across the country, to assess whether the core objective of providing patients with timely essential care can be achieved through this proposed contract.     “We have a detailed consultation process to undertake with our membership now, including those currently working abroad, to determine Consultants’ final view on the Donnelly proposal.”   ENDS  
11th November 2022

Hospital crisis impacts on most vulnerable as child waiting lists surge

1 in 12 children are on some form of hospital waiting list due to growing Consultant vacancies and worsening capacity deficits, says IHCA  98,000 children on some form of NTPF waiting list; more than 1 in 4 (27,000) waiting longer than a year for treatment or assessment in public hospitals, due to capacity deficits and an extreme shortage of Consultants; Additional 8,000 children awaiting diagnostic scans at the three Dublin children’s hospitals not included in NTPF waiting lists;  21 additional children (+9%) added to waiting lists for scoliosis related surgeries since start of the year; Record 918 permanent Consultant posts not filled as needed at end of September, 23% of the total approved posts; an increase of 190 unfilled Consultant posts (+26%) in past two years; New Consultant contract must provide attractive working conditions to persuade Irish trained specialists to return home from abroad, fill the vacant Consultant posts and address unacceptable waiting lists. IHCA President Prof Robert Landers: “The monthly NTPF figures have recorded 98,000 children on waiting lists for hospital care, with more than one in four of these children waiting longer than a year to be treated or assessed in public hospitals due to capacity deficits and an extreme shortage of Consultants. This is resulting in thousands of children not getting the care they need in a timely way, and the real possibility that they will suffer health and developmental issues that could have been reversed or mitigated against if only they were seen in time.”   The Irish Hospital Consultants Association (IHCA) has today (Friday, 11 November 2022) expressed its extreme concern at the number of children now waiting for an appointment to be treated or assessed in public hospitals.
3rd November 2022

Leading Economist says health service supply-demand issues have created a ‘rationing of care’ as almost 1 in 5 people on hospital waiting lists

Dr Brian Turner compares health service capacity challenges to “climbing Skellig Michael”  Ireland has one of the lowest number of public hospital beds on a population basis and the fewest specialist doctors per capita – both around 40% less than the EU average; Proportion of medical graduates vs foreign-trained doctors in the health service points to serious recruitment and retention failings when it comes to home-grown medical and surgical talent; 1,400 specialists have voluntarily withdrawn their registration from the Medical Council since the pay inequity was imposed by Government on Consultants appointed since October 2012; Dr Turner: “It’s going to be a very challenging climb to get to where we need to be. Focus must remain on improving the health service...we need to make sure the Government keeps on track.” A leading Economist and Lecturer at Cork University Business School has said the Irish health service is effectively having to “ration care” through long waiting lists and wait times for care, as a result of serious capacity and resourcing deficits. 
24th October 2022

Over 288,500 people in Dublin face longer waits for care this winter as Government’s waiting lists plan fails to deliver in capital’s hospitals

Almost a quarter of a million people on outpatient waiting lists at Dublin hospitals (243,255); an increase of 9,500 people this year alone; Number of patients waiting longer than a year for hospital treatment has increased by 18% since 2015, with a massive 3-fold increase in children waiting longer than 12 months for care; Consultant vacancies in Dublin’s acute hospital and mental health services now account for a third of all Consultant posts unfilled on permanent basis nationally. IHCA President Prof Robert Landers: “Our health service, hospital management and medical teams in the capital need to fill the almost 300 vacant permanent Consultant posts across Dublin’s acute hospital and mental health services and significantly increase hospital capacity, ahead of yet another challenging autumn and winter for patients in desperate need of timely care.” 
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