Dr. Michael O'Dwyer:

On the in-hospital piece, we have a model for adult sepsis and one for paediatric sepsis and all medical and relevant staff must take that module and get it signed off on their employment record. That is currently monitored at local level but we will bring it to national level next year.

The pre-hospital piece has become a key focus of the programme over the past 12 months because we have been embedded in the hospitals for previous years and now we are really focusing on pre-hospital. This is why we have a GP lead who is based in Dungarvan and provides education to GPs nationally. She is developing a state-of-the-art document on treatment of sepsis within primary care. We developed a leaflet at the end of the summer that we circulated throughout all GPs and community pharmacies. Our previous programme manager was a pharmacist. She has delivered training to trainee GPs on sepsis so it is certainly on our radar and something we are pushing.