Statement of Purpose

St. John’s Hospital, Limerick

Version

Review date

December 2016

Service Provider
Name	St. John’s Hospital
Address	John’s Square
City	Limerick
County	Limerick
Website Address	stjohnshospital.ie
Email	info@stjohnshospital.ie
Main telephone	061 462222

Legal Status

Status

Registered Charity

Charity No.: CHY 212

Governance &

Management

Scheme of Management and Bye Laws

(1988 No. 778 SP)

Board of Governors
Management Committee
Governance/Management Organogram

Quality and Safety of Service
Individual with overall responsibility and accountability	Emer Martin
Title	Chief Executive
Contact Number	061 462253

Mission Statement

Faithful to our tradition, we provide the highest possible standard of care and treatment in a professional and compassionate manner to every person who avails of our services.

Aims and Objectives

To deliver high quality, safe and reliable healthcare in accordance with evidence based best practice in an effectively managed and maintained environment

2. To provide healthcare based on the assessed needs and preferences of our service users which ensures mutual respect, holistic care and continuous learning and training

3. To monitor, evaluate and continually improve our services

Service Delivery Model

St. John’s Hospital is a service provider to the Health Service Executive and is a member of University of Limerick Hospital Group. Services are delivered in line with an agreed annual Service Level Agreement with the Health Service Executive. An annual budget is allocated to the Hospital by the Health Service Executive.

Services are provided in line with national health strategy, particularly those outlined in 2013 publications:

“The Establishment of Hospital Groups as a transition to Independent Hospital Trusts” (The Higgins Report)
“Securing The Future of Smaller Hospitals: A Framework for Development”

The Clinical Programmes of most relevance to St John’s Hospital are:

The Acute Medicine Programme
The Emergency Medicine Programme
The National Clinical Programme in Surgery (NCPS)

Under the Smaller Hospitals Framework, St. John’s has been designated a Model 2S Hospital – a hospital that can carry out intermediate surgery, which cannot be carried out on a day case basis and would require in-patient stay and accommodation. Also, Model 2 hospitals may only admit “scheduled” (non-emergency) medical patients and this can only be done through a Medical Assessment Unit (A&E units can only be operated by Model 3 & 4 hospitals).

In addition to the services listed hereunder which are delivered on site, there is significant inter-linking of services between St. John’s and the other hospitals in the University of Limerick Hospital Group.

Service User Population

Primary catchment area is Limerick City and its environs. Services are also availed of in the wider Mid-West Region (Clare, North Tipperary).

Staff Complement No. Employed Whole time Equivalent
Management/Administrative	67 61.26
Medical/Dental	23 22.35
Nursing	138 112.60
Health and Social Care Professionals	23 20.50
General Support Staff	44 34.98
Other Patient & Client Care	26 23.02

Service	In-Patient
Visiting Hours	2.00 p.m. – 4.00 p.m. daily and 6.30 p.m. – 8.30 p.m. daily
Bed Complement	89
Admissions/Central Bookings Office
	In-Patient Admissions
Contact Person	Admissions Officer
Contact Number	061 462104
	Day Ward Admissions
Contact Person	Central Bookings Office Supervisor
Contact Number	061 462376
Contact Person	Admissions/Discharges/Transfers Co-ordinator
Contact Number	061 462149
Dietetics
Contact Person	Senior Dietitian
Contact Number	061 462175
Gynaecology
Contact Person	Secretary
Contact Number	061 462203 Dr. Gerry Burke Dr. Catherine Casey Dr. Una Fahy Mr. Kevin Hickey Dr. Mark Skehan Dr. John Slevin 061 462104 In-Patient Gynaecology Admission 061 462127 Day Ward Gynaecology Admission
Health Promotion
Contact Person	Health Promotion Officer
Contact Number	061 462275
Medicine
	General Nephrology Respiratory
Contact Person	Medical secretariat
Contact Number	061 462205 Dr. Eithne Mulloy 061 462206 Dr. C.J. Cronin Dr. James O’Hare 061 462337 Dr. Liam Casserly Dr. Michelle Gaffney
Nursing Management

Contact Person	Secretary
Contact Number	061 462100
	Clinical Nurse Specialists
Contact Number	061 462280 Continence Care 061 462271 Diabetes Care 061 462283 Infection Prevention & Control 061 462285 Pain Management 061 462282 Palliative Care 061 462274 Respiratory Care
Surgery
	General Gastro-intestinal (GI) Urology Vascular
Contact Person	Surgical secretariat
Contact Number	061 462202 Mr. Paul Burke Mr. Eoin Condon Mr. Eamonn Kavanagh Mr. Ali Mahmood Ms. Anne Merrigan Mr. David Waldron 061 462204 Mr. Frank Brady Professor Calvin Coffey Mr. Ashish Lal Mr. Neville Shine Ms. Shona Tormey 061 462207 Mr. Muhammad Akram Dr. Wei Lan Mr. Hugh Flood Mr. Subhasis Giri Dr. Heather Holloway Dr. Maeve Skelly
Pathology
	Biochemistry Haematology External Tests – Histology/Microbiology/ Serology
Contact Person	Secretary
Contact Number	061 462141
Pharmacy
Contact Person	Chief Pharmacist
Contact Number	061 462172
Contact Person	Warfarin Clinic Pharmacist
Contact Number	061 462249
Physiotherapy
Contact Person	Physiotherapy Manager
Contact Number	061 462118
Radiology
	CT Scanning Ultrasound X-Ray
Contact Person	Secretary
Contact Number	061 462120

Service	Day Ward
Opening hours	8.00 a.m. – 6.30 p.m. Monday 8.00 a.m. – 5.00 p.m. Tuesday – Friday
Contact Person	Central Booking Office Supervisor (8.00 a.m. – 5.00 p.m.)
Contact Number	061 462376
Bed Complement	10
Services provided	Cardiac Assessment
	Endoscopy procedures
	Gynaecological procedures
	Medical procedures
	Pain procedures
	Surgical procedures
	Infusion Clinic

Service	Out-Patient Clinics
Contact Person	Secretary
Contact Number	061 462221
Services provided	Ear, Nose & Throat Wednesday mornings . Mr. Neville Shine
	Medicine Wednesday afternoons Dr. Eithne Mulloy 1^st, 3^rd and 4^th Thursday mornings monthly Dr. C.J. Cronin 2^nd Thursday mornings monthly Dr. James O’Hare (Diabetic Clinic) 1^st Thursday afternoons monthly Dr. Liam Casserly
	Surgery Alternate Fridays Mr. Paul Burke Alternate Fridays Ms. Anne Merrigan Monday afternoons (subject to availability) Mr. Gerry Byrnes Mr. Ashish Lal
	Gynaecology Tuesday mornings Dr. Catherine Casey Tuesday afternoons Dr. Una Fahy
	Pain Management Monday mornings Dr. Wei Lan
	Urology 2^nd and 4^th Thursday afternoons Mr. Subhasis Giri

Service	Local Injury Unit
Opening Hours	8.00 a.m. – 6.00 p.m. Monday – Friday
Contact Person	Secretary
Contact Number	061 462132
Service User(s)	Referred by self	√
Referral criteria	Suspected broken bones	√
	All sprains and strains	√
	Wounds, bites, cuts, grazes and scalp lacerations including minor facial injuries, oral, dental and nasal injuries	√
	Minor scalds and burns	√
	Small abscesses and boils	√
	Splinters and fish hooks	√
	Foreign bodies in eyes/ears/nose	√
	Minor head injury (fully conscious patients) who did NOT experience loss of consciousness or have more than one episode of vomiting after the head injury	√
	ALL CHILDREN UNDER 5 YEARS OF AGE	x
	Conditions due to medical illness (Chest pain/Respiratory conditions will be seen in the Medical Assessment Unit)	x
	Serious head injuries	x
	Abdominal pain	x
	Gynaecological problems	x
	Neck/back pain	x
	Pregnancy related problems	x
	Pelvis or hip fractures	x
	Injuries due to self-harm	x
	Suspected serious injury or inability to walk following a fall from a height or a motor vehicle collision. Patients with neck pain or back injury that started on the day of injury should attend an ED rather than a Local Injury Unit	x
	Injury causing chest pain, abdominal pain or shortness of breath	x

Service	Medical Assessment Unit
Opening Hours	8.00 a.m. – 6.00 p.m. Monday – Friday
Contact Person	Secretary
Contact Number	061 462130
Service user(s)	Referred by GP	√
Referral criteria	Patients who are unstable are not suitable for referral for assessment and/or admission to St. John’s. All patients must fall into one of the following clinical categories. Patients not on this list must not be referred to MAU. The specific criteria for each condition are outlined below. Clinical judgement and discretion will remain essential in all cases.
	Uncomplicated TIA	√
	Suspected DVT	√
	Syncope with full recovery/falls	√
	New onset of A Fib or irregular pulse	√
	New onset seizures	√
	Acute confusion (may need discussion with senior decision maker)	√
	Low risk Chest pain (now pain free, no history of ischemic heart disease, existing heart murmurs, normal ECG)	√
	Non Acute Headache	√
	COPD/CCF/Asthma	√
	Diabetic – new onset/uncontrolled (no evidence of diabetic ketoacidosis or diabetic coma)	√
	Persistent chest infection/UTI without sepsis	√
	C2H5OH Detox	√
	Diarrhoea/Vomiting	√
	Loss of independent living	√
	Anaemia	√
	Cellulitis	√
	Dyspnoea of uncertain cause	√
	Uncontrolled hypertension	√
	Other cases may be considered following discussion with the Consultant on call Vital signs must be in the following ranges: Systolic blood pressure >90, <200 Heart rate >40, <120/min Respiratory rate <24/min Pulse oximetry (room air) >90% Temperature >35 Vitals will be taken in conjunction with the clinical picture	√
Categories not suitable for referral	Obstetrics	x
	Haematology	x
	Oncology patients	x
Contact Number Case Manager St. John’s Hospital	061 462303 (8.00 a.m. – 6.00 p.m.)
Contact Number Case Manager Limerick	086 0452882 (8.00 a.m. – 6.00 p.m.)

Service	Surgical Admissions Unit
Opening Hours	In-Patient Admissions From 7.30 a.m. daily Pre-Assessment 8.00 a.m. – 4.00 p.m. Monday & Friday 8.00 a.m. – 4.30 p.m. Tuesday – Thursday
Contact Person	Secretary
Contact Number	061 462104
Service user(s)	Pre-Surgery elective patients

Service	Support
Administration
	Executive Management Accreditation/Licensing Quality Management
Contact Person	Secretary
Contact Number	061 462253
Finance
Contact Person	Financial Controller
Contact Number	061 462255
Contact Person	Patient Accounts
Contact Number	061 462257
Contact Person	Creditors Accounts
Contact Number	061 462263
Human Resources
Contact Person	Secretary
Contact Number	061 462254
Patient Complaints
Contact Person	Complaints Officer
Contact Number	061 462109
Patient Services
Contact Person	Patient Services Manager
Contact Number	061 462272
Risk Management
Contact Person	Risk Manager
Contact Number	061 462247
Other Services
	Catering & Household	√
	Central Purchasing	√
	Central Sterile Supplies	√
	Chaplaincy	√
	Linen	√
	Maintenance	√
	Portering	√
	Contract Cleaning	√
	Contract Security	√

Approved by the Management Committee at its meeting on 13 July 2015