Transcript Regional Service Plans 2012 Bilateral Meetings with

Impact of ‘grace period’ retirements in the HSE
Update for Joint Committee on Health and Children
Laverne McGuinness
National Director,
Integrated Services Directorate
23rd February 2012
1
Retirement Numbers
 4,326 notified retirements as at 16th Feb (3,822 WTEs approx)
 Of the 4,326 approximately
 2,300 (53%) aged over 60 years
 730 (17%) retiring on other grounds
 1,052 are early retirees under the Cost Neutral Early Retirement scheme
 Numbers who have left




At end December 2011
At end January
At 16th February
Balance to leave
1,759 (41%)
2,176 (51%)
2,347 (54%)
1,979 (46%)
Please note that the figures contained in this report are ‘point in time’ information and are liable to change as more information becomes available.
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Retirements by Region
Dublin
Mid
Leinster
Dublin
North
East
South
West
National
Total
Grand
Total
998
888
1217
1194
29
4326
% of Total
23%
21%
28%
27%
1%
100%
Region
3
Retirements by Care Group and staff type
Acute Hospitals
1,490
General Support
Staff
468
Health & Social Care
419
Ambulance Services
38
Children and Families
66
Management/ Admin
400
Corporate Functions
101
Medical/ Dental
170
Disability Services
478
Nursing
Elderly Care
572
821
Mental Health
586
Other Patient &
Client Care
To be Determined
54
Primary Care
Other
676
319
Total
Total health service staff
(WTE as at 31/12/11)
Grand Total
1,994
4,326
104,392
4,326
4
Planning Process
 Planning commenced in Autumn 2011
 National and Regional Service plans reflect retirements.
 Regional plans reflect both the HSE’s budget reduction of €750m and
retirements in 2012.
 The National Service Plan assume 3,313 exits yielding pay bill reduction
of €160m
 Refined contingency plans have been developed locally
 Hospital and community services
 Risk assessment undertaken by each hospital CEO/ community manager.
 Priority is on maintaining essential critical frontline services
 e.g. Maternity, Emergency Departments, Critical Care, Neonatal etc
5
Planning process: Assurance
 Individual Contingency Plan Review meetings
 Held between the National Director, Integrated Services and RDOs,
Hospital CEOs, Area Managers to review individual plans
 Review of replacement for critical posts
 Staff redeployment/ reorganisation/ work practice changes are first
contingency option.
 Short term transition measures (increased hours/agency/ postponed
leave)
 Where critical roles cannot be filled through redeployment or other
changes a limited number of posts have been identified for replacement
 Signed assurance statements
 Formal written assurance provided by each RDO, hospital CEO and
service managers, that appropriate contingency measures are in place
across all services
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National levers
 Public Service Agreement
 Maximising staff flexibility and productivity
 National Clinical Programmes
 Greater productivity (€23.4m)
 Strategic allocations in the National
Service Plan 2012
 Mental health €35m, Primary Care €20m
 Targeted recruitment
 €16 million
7
Hospitals: Key risks South
 General
 326 retirees, 57 replacements
 Consultant posts
 19 Consultants will be retiring and 14 critical posts will be replaced.
 In addition over 20 new Consultant Posts being filled as part of the
Clinical Programmes.
 Maternity services
 32 midwives will retiring and 23 replacements have been agreed.
 Nursing
 For the transition period to the end of March graduate nurses have
been maintained on a 3 month contract in the two regional hospitals /
cancer centres Cork University and Waterford Regional.
 In addition a number of these posts have also being maintained in the
mental health service in Waterford / Wexford & the Cork Area.
8
Hospitals South
Numbers of staff retiring and being replaced
Hospital
To be replaced
Bantry General Hospital
4
Mallow General Hospital
3
Mercy Hospital Cork
2
South Infirmary
3
Cork University Hospital (Including Maternity)
11
St. Luke's, Kilkenny
13
South Tipp General Hospital
3
Kerry General Hospital
4
Waterford Regional Hospital
9
Wexford General Hospital
5
Total
Total retirees
57 (17.48%)
326
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Consultant Posts South
Numbers of consultants retiring and being replaced
Acute Hospital
No. retiring
No. being
replaced
Specialties
Bantry General
2
2
Surgical Registrarx1; Radiologist x1
Cork University
5
2
Ophthalmology (0.5 replacement), Neuropathology
(0.5 replacement)
Mallow General
1
1
Radiology - reduced hours plus additional
ultrasonographer recruited
Mercy Hospital
2
2
Anaesthetics, Microbiology
Kerry General
3
3
Radiology
South Tipperary
3
1
General Medicine,
St. Luke's,
Kilkenny
1
1
Surgery
Waterford
2
2
Nephrology, Gastroenterology
Total HSE South
19
14
10
Maternity Services South
Numbers of staff retiring and being replaced
Hospitals
Cork University Hospital
No. retiring
No. being
replaced
14
8
Kerry General
1
0
Waterford Regional
4
2
Wexford General
3
2
St. Luke's Kilkenny
10
11
Total HSE South
32
23
11
Community services: Key risks South
 General
 891 retiring, 31 to be replaced
 Figures do not include the new investment in mental
health/ primary care
 Nursing in the community
 266 nurses including 21 Public Health Nurses to
retire. 28 additional nurses to be recruited.
 Nurse management posts to be reorganised.
 A number of PHNs to be replaced with Registered
General Nurse community nurses
12
Hospitals: Key risks Dublin North East
 General
 357 retirees, 71 replacements
 Consultant posts
 10 Consultants will be retiring and 8 critical posts will
be replaced
 Maternity services
 21midwives retiring and 20 critical posts to be
replaced
13
Hospitals Dublin North East
Numbers of staff retiring and being replaced
Hospital
To be replaced
Connolly Hospital, Blanchardstown
6
Cappagh Orthopaedic Hospital
3
Our Ladys Hospital, Navan
2
Louth County Hospital
19
Our Lady of Lourdes, Drogheda
19
Cavan/ Monaghan
9
Rotunda
11
Beaumont Hospital
15
Mater Hospital
5
Total
Total retirees
71 (19.88%)
357
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Consultant posts Dublin North East
Numbers of staff retiring and being replaced
No. retiring
No. being
replaced
Beaumont
4
4
Anaesthetics, Nephrology, Psychiatry
Connolly
1
1
Surgery
Mater
2
2
Anaesthetics, Opthalmology
Rotunda
1
1
Histopathology
Cavan
2
0
Anaesthetics, Registrar ED/ MIU
Total
10
8
Hospital
Specialties
15
Maternity Services Dublin North East
Numbers of staff retiring and being replaced
Maternity Hospitals / Services
No. retiring
No. being replaced
Rotunda Hospital
8
8
Our Lady of Lourdes, Drogheda
8
8
Cavan/ Monaghan Hospital Group
5
4
21
20
Total Dublin North East
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Community services : Key risks Dublin North East
 General
 531 retiring, 109 to be replaced
 Figures do not include the new investment mental health/ primary
care
 Public Health Nursing
 24 Public Health Nurses to retire.
 Nurse management posts to be reorganised.
 A number of PHNs to be replaced with Registered General Nurse
community nurses
 Mental Health
 After maximising reconfiguration a number of critical mental health
posts are to be replaced.
 St Joseph’s Intellectual Disability services
 Clinical posts to be replaced
 Primary Care Cavan/ Monaghan
 Key members of PCTs to be replaced.
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Hospitals: Key risks Dublin Mid Leinster
 General
 415 retirees, 83 replacements
 Consultant posts
 18 Consultants will be retiring, all of whom will be replaced.
 Maternity services
 31 staff retiring, mainly midwives, 25 critical staff to be replaced
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Hospitals Dublin Mid-Leinster
Numbers of staff retiring and being replaced
Hospital
To be replaced
CUH Temple St
1
Eye & Ear
7
Our Ladys Hospital for Sick Children
4
Naas General Hospital
8
AMNCH, Tallaght
5
Midland Regional Hospital, Tullamore
4
Midland Regional Hospital, Portlaoise
11
Midland Regional Hospital, Mullingar
17
St. Vincent's University Hospital
4
National Maternity Hospital
6
Coombe Maternity Hospital
9
St. James's Hospital
7
Total
Total retirees
83 (20%)
415
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Consultant posts Dublin Mid-Leinster
Numbers of staff retiring and being replaced
No. retiring
No. being
replaced
Holles St
1
1
Temple St.
1
1
Orthopaedics
Mullingar
3
3
Medicine, Paediatrics, Anaesthetics
Portlaoise
1
1
Obstetrics
Tullamore
1
1
Anaesthetics
Tallaght
4
4
Anaesthetics, Orthopaedics, Radology,
Urology
St. James'
2
2
Histopathology, Medicine
St. Vincent's & St.
Michaels
4
4
ENT, Orthopaedics, Radiology
Royal Victoria Eye & Ear
1
1
Opthalmology
Total Dublin Mid-Leinster
18
18
Acute Hospital
Specialties
20
Maternity Services Dublin Mid-Leinster
Numbers of staff retiring and being replaced
Maternity Hospitals / Services
Coombe Women & Infants Hospital
No. retiring
No. being replaced
7
7
10
6
Midland Regional Mullingar
7
6
Midland Regional Portlaoise
7
6
31
25
National Maternity Hospital, Holles Street
Total Dublin Mid-Leinster
21
Community services: Key risks Dublin Mid Leinster

General
 583 retiring, 50 being replaced
 Figures do not include the new investment mental health/ primary care

Central Mental Hospital
 7 nurses will be retiring.
 Hospital impacted by the cumulative effect of the Moratorium.
 Business case for staff replacement plan developed.

Nursing in the community
 183 nurses including 33 Public Health Nurses to retire. 30 additional nurses to be
recruited.
 Nurse management posts to be reorganised.
 A number of PHNs to be replaced with Registered General Nurse community
nurses

Public Analysis Laboratory
 1 x Medical scientist to be replaced. (specialist post)
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Hospitals: Key risks West
 General
 392 retirees, 77 replacements
 Figures do not include the new investment mental health/ primary
care
 Consultant posts
 11 Consultants will be retiring and 8 critical posts will be replaced.
 Maternity services
 27 midwifery staff are retiring, particularly in the Limerick Maternity
Hospital. Of these 12 will be replaced including 5 in Limerick
Regional (A further 5 midwives will be transferred from general
nursing duties to the Maternity Unit).
 Midwest Hospital Group
 Particular risks and challenges remain as a result of the
cumulative impact of the Moratorium and reconfiguration.
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Hospitals West
Numbers of staff retiring and being replaced
Hospital
To be replaced
Sligo General Hospital
2
Mayo General Hospital
5
Letterkenny General
7
Galway University Hospital Group
25
Mid Western Regional Hospital Group
38
Total
Total retirees
77 (19.64%)
392
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Consultant posts West
Numbers of staff retiring and being replaced
Hospital
No. retiring
No. replaced
Galway University
4
4
Respiratory, General/Vascular Surgery;
Cardiology, Obstetrics/Gynae
Letterkenny
3
2
Orthopaedics, Paediatrics (nonreplacement), Surgery
Limerick University
1
1
Consultant Biochemist
St. John's,
2
1
Consultant Surgeon; Casualty officer
Ennis
1
0
Consultant Anaesthetist
11
8
Total HSE West
Specialties
25
Maternity Services West
Numbers of staff retiring and being replaced
Hospitals
No. retiring
No. being
replaced
Limerick Maternity Hospital
19
5
Letterkenny General
1
1
Sligo General
2
2
Mayo General
2
2
University Hospital Galway
1
1
Portiuncula Hospital
2
1
Total HSE West
27
12
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Community services : West
 General
 802 retirements, 46 replacements
 Nursing in the community
 318 nurses including 32 including Public Health Nurses to retire.
 Nurse management posts to be reorganised.
 A number of PHNs to be replaced with Registered General
Nurse community nurses
 Community Nursing Units
 Sacred Heart Castlebar
 Conlans, Limerick
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Conclusion
 The HSE is satisfied that following the planning process
appropriate measures are in place to deal with the
impact of these retirements.
Thank you
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