Minister’s response signals the end of long term care in community hospitals – Cope


A ministerial response to a question tabled by Deputy Pat The Cope Gallagher seems to confirm the end of long stay accommodation at three community hospitals in Donegal.
In his response, MInister Jim Daly says “it is proposed to build a new 130 bed community nursing unit in Letterkenny by the end of 2021, through a Public Private Partnership or alternative funding model, to replace existing long-stay accommodation including that provided at St Joseph’s, Stranorlar and Ramelton and Lifford Community Hospitals”.
Deputy Gallagher has expressed shock at this response, saying it now seems the Rhatiogan report published laat week was “a smokescreen”…………..

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Ministerial Response –
 
QUESTION NOS: 1004 to 1006
DÁIL QUESTIONS addressed to the Minister of State at the Department of Health (Jim Daly T.D.)
by Deputy Pat The Cope Gallagher

* 1004. To ask the Minister for Health his plans for St Joseph’s hospital, Stranorlar; his further plans for keeping all 78 short and long term stay beds which are based in wards (details supplied) in the hospital; the timeframe for staff restoration in order to facilitate this commitment at the hospital; and if he will make a statement on the matter.
– Pat The Cope Gallagher T.D.
Details Supplied: the barnes view, finn view and woodville wards
* 1005. To ask the Minister for Health his plans to retain the long term bed capacity at Lifford community hospital; his further plans to bring the hospital up to the required standards to ensure its future survival; the delivery of such proposals; the stage at which those plans are at; and if he will make a statement on the matter.
– Pat The Cope Gallagher T.D.
* 1006. To ask the Minister for Health his plans for retaining all long term bed capacity at Ramelton community hospital; his further plans for the long term future of the hospital; and if he will make a statement on the matter.
– Pat The Cope Gallagher T.D.



REPLY.
Many public units are housed in buildings that are less than ideal in the modern context, but notwithstanding this, the care delivered to residents is generally of a very high standard. It is important therefore that we upgrade our public bed stock and this is the aim of the 5 year Capital Investment Programme for Community Nursing Units which was announced last year. This provides the framework to allow for an enhanced programme to replace, upgrade and refurbish these care facilities, as appropriate. Significant work was undertaken to determine the most optimum scheduling of projects within the phased provision of funding to achieve compliance with National Standards. By the end of 2016 I understand that 14 projects were operational and a further 12 are expected to be operational by the end of this year.
Under this Programme it is proposed to build a new 130 bed community nursing unit in Letterkenny by the end of 2021, through a Public Private Partnership or alternative funding model, to replace  existing long-stay accommodation including that provided at St Joseph’s, Stranorlar and Ramelton and Lifford Community Hospitals.
Operational responsibility for delivering the programme is a matter for the HSE. The Executive has advised that the Letterkenny project is currently at Design Feasibility stage with a projected completion date of 2021. As part of the preparatory work for the development of the new community nursing unit, I understand that the HSE is undertaking a review of the three Community Hospitals, referred to by the Deputy with a view to identifying any options for their future use.
 
Minister of State  Jim Daly T.D.
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Deputy Pat the Cope Gallagher’s statement –
Long stay beds to go in St Joseph’s, Lifford and Ramelton states Health Minister – Pat the Cope.
-Shock as Minister reveals Governments true intentions for Donegal’s three Community Hospitals-
 
Deputy Pat the Cope Gallagher Leas Cheann Comhairle has expressed complete shock following receipt of a reply to a Dáil question placed to the Minister for Health concerning the long term future of the three community hospitals in Donegal namely St Joseph’s Stranorlar, Lifford and Ramelton Community Hospitals. What is truly unbelievable is that this comes in the same week in which the HSE released the Rhatigan report into the future plan for the three Hospitals in question. Whilst I gave a guarded welcome to the publication of the Rhatigan Report due to the lack of any real commitment of finance by the Government and the complete lack of clarity on the overall intentions regarding long stay bed capacity or bed usage in the Hospitals, it now seems that the entire process and the Rhatigan report itself was just a façade or a smokescreen to cover up what the clear intentions of the Government were all along. The true intentions of the Government are to downgrade and remove the long stay accommodation capacity and other essential services from the three hospitals, it also calls into question what further intentions the HSE would have for Lifford Community Hospital in the context of the reply I have received from Minister of State Jim Daly on behalf of the Government and the Department of Health.  
 
Pat the Cope added nothing has changed since I publically revealed the original Department of Health decision of 26th of January 2016, which also clearly stated the Government decision to downgrade all three Hospitals and remove the long stay accommodation capacity and services from all three hospitals. What is completely galling is that in the intervening 18 months, are the numerous Government representatives denying that this was their intention and downgrading or removal of services was never their intention. The Dáil reply which I have received now casts serious doubts and raises even more serious questions as to the true intentions of the process in which the HSE officials  were engaged in with the community action groups, who in good faith were lobbying for the retention of the long stay accommodation capacity of the three hospitals .The overall process is superseded by the views expressed by the  Minister in charge of Mental Health and Older People Care has not alone made his  own mind up but has already underwritten it as Government policy by way of a reply to a Dáil question. I quote  directly from the reply to my Dáil question of the 26th of July.
 
“Under this Programme it is proposed to build a new 130 bed community nursing unit in Letterkenny by the end of 2021, through a Public Private Partnership or alternative funding model, to replace  existing long-stay accommodation including that provided at St Joseph’s, Stranorlar and Ramelton and Lifford Community Hospitals.”
 
 
Pat the Cope stated the entire process surrounding the community hospitals is in chaos with a complete breach of trust and faith by both the Government and the HSE, the Rhatigan report which I received just this week is not worth the paper it is printed on until such time as the current Government reverse their own political decision to downgrade the three hospitals in the first instance. The communities which are served by these three hospitals need to be vigilant and fully aware of perilous situation that their three community hospitals are in at present – the only certain fact is that, it is the clear intention of this Government to close the long term stay capacity of St Joseph’s Stranorlar, Ramelton and the possible overall closure of the entire Lifford Community Hospital. The only possible way forward for these three Community Hospitals is for the Government, the Minister for Health to reverse their original political decision to downgrade the three hospitals, to publically commit to the long term bed capacity of all three hospitals and to back this up with financial resources in order to make the building comply with the HIQA standards. The Rhatigan report will not suffice as its parameters were to explore alternative uses other than long term bed capacity which was also revealed in the Dáil reply of the 27th of July. The Minister needs to get directly involved in this process which is now in complete turmoil, and both veracity and integrity needs to be restored to this process concerning the future of our three community hospitals. Any further or future negotiations concerning the future of St Joseph’s, Lifford and Ramelton needs to be based on the principle that the Government is fully supporting the three hospitals and all of their existing services, including the recruitment of additional staff for all three hospitals rather than the farce we have witnessed over the past 18 months from both the Government and the HSE concluded Pat the Cope.  
 
 
Pat the Cope Gallagher
Dáil Eireann

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