Statement of Purpose

St. John’s Hospital, Limerick

Version

2

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)

Quality and Safety of Service
Individual with overall responsibility and accountability Fearghal Grimes
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
  1. 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

1st, 3rd and 4th Thursday mornings monthly
Dr. C.J. Cronin

2nd Thursday mornings monthly
Dr. James O’Hare (Diabetic Clinic)

1st 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

2nd and 4th 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