Oireachtas Joint and Select Committees

Thursday, 18 January 2018

Joint Oireachtas Committee on Future of Mental Health Care

Community Health Care Organisations: Discussion

10:00 am

Ms Aileen Colley:

The breakdown in the appendices shows the general adult teams. There are 17, but the list is shorter because, for example, in some bigger places they will be broken up into smaller subsets of teams. There is an analysis there not just in percentages but in terms of the whole-time equivalent, WTE, gap. Taking on board what was said earlier about CHO4, we have a good analysis. In terms of our adult provision, we are at nearly 77% of what is in A Vision for Change. We still have a gap of approximately 49 clinical staff to go for adults.

There is a variance between our counties and local populations of 50,000. That is the comment that is really important. We range in population groups of 50,000 but sometimes, given the way people work with GPs or on foot of where they live, some of our teams have population groups which are larger or smaller than that. We need to reflect that. The other reason it might appear in our area that there is overpopulation compared to the area of another team is that there are legacy issues where we had people employed in acute services or longer-term facilities which have been closed on foot of deinstitutionalisation. In the context of development posts, we analyse that and prioritise the counties which need to come up to an effective level by having a complete team for the area.

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