Written answers

Wednesday, 11 December 2013

Department of Health

Health Services Provision

Photo of Dara CallearyDara Calleary (Mayo, Fianna Fail)
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200. To ask the Minister for Health his plans to allocate adequate health cover to an island on the western seaboard (details supplied) in County Galway in the event of the resident public health nurse not being on the island due to holiday time, sick leave and so on; his views on whether it is unsafe that in the event of the resident public health nurse not being on the island, no locum nurse is provided; and if he will make a statement on the matter. [53285/13]

Photo of Alex WhiteAlex White (Dublin South, Labour)
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As this is a service matter, I have arranged for the question to be referred to the Health Service Executive for direct reply to the Deputy.

Photo of Caoimhghín Ó CaoláinCaoimhghín Ó Caoláin (Cavan-Monaghan, Sinn Fein)
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201. To ask the Minister for Health the guidelines, protocols and management procedures in place in acute hospitals for the management of patients with sepsis; the oversight and accreditation systems in place to ensure compliance; and if he will make a statement on the matter. [53291/13]

Photo of James ReillyJames Reilly (Dublin North, Fine Gael)
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I have asked the HSE to forward details of the current guidelines, protocols and management procedures in place in acute hospitals for the management of patients with sepsis along with the oversight and accreditation systems in place to ensure compliance to the Deputy as soon as possible.

The Health Information and Quality Authority’s (HIQA) report into the care and treatment of Ms Halappanavar at University College Hospital, Galway recommended that the HSE should develop a national clinical guideline on the management of sepsis and ensure that all hospitals put in place arrangements for formal staff training on the recognition and management of sepsis and on the clinically deteriorating patients including pregnant women in line with the guideline.

The report also recommended that the Department of Health should immediately review the current arrangements in place to ensure the National Clinical Effectiveness Committee (NCEC) is adequately resourced to support the national endorsement of key national guidelines.

The NCEC through the processes of prioritisation and quality assurance of a clinical guideline reach consensus as to whether the clinical guideline has been developed using a quality methodology and is based on evidence.

Following on from the HIQA report I have requested that four national clinical guidelines are immediately commissioned and quality assured through the NCEC as a matter of urgency for the Irish health system. These guidelines are a National Maternity Early Warning Score Guideline, a National Paediatric Early Warning Score Guideline, a National Sepsis Management Guideline and a National Clinical Handover Guideline. I expect these guidelines to not only detail best practice but also to make recommendations for staff education and training. This is in order to provide for assurance of the competence of our doctors, nurses and midwives for these critical life-saving clinical issues.

I am pleased to advise the Deputy that significant progress has been made on this work to date.

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