ICHN 2018

SUPPORT ORGANISATIONS

RESEARCH

PUBLIC HEALTH NURSING PRACTICE

CONFERENCE & AWARDS

2018

HEALTH NEWS

MEMBERSHIP

ICHN

YEARBOOK AND RESOURCE GUIDE PROMOTING NURSING IN THE COMMUNITY

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CONTENTS ICHN REGULARS

10 ICHN WEBSITE & HISTORY

11 ICHN MEMBERSHIP

12 ICHN FELLOWS

13 ICHN PATRONS & ADVISORS

CONTENTS

2

Minister for Health, Simon Harris

4

Chief Nursing Officer, Siobhán O’Halloran

6

ICHN President, Anne Lynott

ICHN NEWS 15

ICHN Service Level Agreement

16

ICHN Research Ethics Committee

18

Growing Up in Ireland

HEALTH NEWS 21

National Service Plan

22

Sláintecare Report

24

Maternity Information on Sepsis

28

Severe Weather Challenges

ICHN CONFERENCES & AWARDS 31

ICHN Conference 2017

32

ICHN Community Nurse Awards 2017

37

ICHN Conference 2018

40

Global Network 2018

ICHN CLOSE UP 42

ICHN Snapshot 2017

43

33 Years in the ICHN

45

ICHN Council Interviews

ICHN EDUCATION & TRAINING

14 ICHN STAFF & COUNCIL MEMBERS

ICHN Yearbook 2018 is published by Ashville Media Group on behalf of the Institute of Community Health Nursing.

Ashville Media Group Unit 55, Park West Road, Park West Industrial Estate, Dublin 12, D12 X9F9 Tel: (01) 432 2200 Email: info@ashvillemediagroup.com

50

Third Level Colleges

53

Miller Trust

Material printed in this journal is not necessarily endorsed by the Irish Community Health Nurses or by Ashville Media Group. All rights reserved.

Reproduction by any means in whole or in part without permission of the publisher is prohibited. ©2018

ICHN YEARBOOK & RESOURCE GUIDE 2018

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INTEREST GROUPS 57 Whatsupmum & Family First TV 58 Diabetic Foot 61 ICHN Health Informatics 62 Child Health Interest Groups 64 Care Framework for Older Persons

WELCOME

CHILD HEALTH 67 Child & Family Health Interest Group 69 Mother & Baby Group for Postnatal Depression 70 Placements for General Nursing Students 71 Child Safety Programme 72 PHN-led Sleep Clinics 75 Nurture Programme – Infant Health & Wellbeing 77 Breastfeeding Observational Assessment Tool 78 Quality Improvement for Infant Weaning PUBLIC HEALTH NURSING PRACTICE 82 Virginia Pye 85 Catherine Whitty RESEARCH 86 Electronic Health Records for Palliative Care Nurses 89 PHN-led Breastfeeding Groups RELATED BODIES 92 Nursing & Midwifery Board of Ireland 93 All Ireland Institute for Hospice & Palliative Care SUPPORT ORGANISATIONS 95 Support Orgnaisations

Editor: Ellen Flynn Editorial & Production Manager: Mary Connaughton Creative Director: Jane Matthews Design: Alan McArthur Design Assistant: James Moore Sales Director: Paul Clemenson Photography & Illustrations: iStockphoto.com

1 10/05/2018 14:39

ICHN UPDATE

MESSAGE FROM

MINISTER FOR HEALTH

I

am very pleased to have been asked to provide the foreword to the 2018 yearbook of the Institute of Community Health Nursing (ICHN).

The ICHN has a long history of supporting community nursing services through education, development and research and by developing collegial networks. I know that the nursing policy developments in the Department of Health are greatly supported by these networks.

As you are aware this Government is committed to a decisive shift of the health service from an acute hospital focus to community care. We currently have a system that is designed to be hospital centric and while this may have worked in the past, we all know that this is not the reality we face now. More and more people are living with chronic conditions that need long term care plans and a hospital centric system is not an efficient way of handling such challenges. The nature of illness has transformed, so must the system that deals with it. This requires an overhaul in how we configure our services and, in particular, the development of much more robust and comprehensive community care services.

The Slรกintecare Report is very clear on this and I am committed to ensuring that we deliver that better care close to home.

Already our community health nurses and midwives

are involved in the delivery of care to service users of all ages. As we move toward the implementation of Slรกintecare we will start to see a reconfiguring of these existing community nursing and midwifery services.

I believe that once implemented, this will have the potential to revolutionise the delivery of nursing and midwifery services to our patients and support the transition of care being delivered in the patients home or as close to home as possible.

I am particularly committed to the development of advanced practise and propose to extend its impact to community care settings. These developments will enhance the nursing and midwifery service provided to our communities and contribute significantly to the overall health of our society.

I would like to acknowledge your dedication and commitment to nursing and healthcare and I look forward to your significant contribution as we move forward with the implementation of Slรกintecare and the development of a genuinely integrated health service.

Simon Harris Simon Harris Minister for Health

I believe that once implemented, [Slรกintecare] will have the potential to revolutionise the delivery of nursing and midwifery services to our patients and support the transition of care being delivered in the patients home or as close to home as possible.

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ICHN UPDATE

MESSAGE FROM

CHIEF NURSING OFFICER

I

am delighted to be given this opportunity to acknowledge the work of the Institute of Community Health Nursing and the role it has played since its establishment in 1985. I recognise the long tradition of the Institute in providing professional development resources for public health and community nurses. I want to congratulate the ICHN for providing a forum for their members by facilitating development and responding to the evolving healthcare needs of community nurses.

The establishment of the Office of the Chief Nursing Officer as a Division of the Department of Health has presented a great opportunity to shape nursing and midwifery policy. As you will be aware the Government is committed to the implementation of a significant programme of health reform as outlined in the Sláintecare Report published last year. The vision of Sláintecare is to deliver a “decisive shift from acute to community-based care” at home or as near to the home as possible. I am pleased to advise you that there are a number of key policy initiatives in development in my office which will play a central role in delivering on this vision. I believe the focus on community-based care brings to light the enormous amount of work currently under development and being delivered through your services.

Health reform is about change. Changing how health services are organised, delivered and financed. With

Sláintecare we envisage a re-direction of resources to enhance and up skill the service and pathways of care offered to patients and families. The community health nurse has a very important role in achieving this decisive shift in service provision. Community nursing services are at the forefront of our health system. Community nursing and midwifery has a longstanding history of both driving and responding to the needs of patients in a consistently changing and more demanding health service. Access to a strong, cohesive and joined-up community-based service will help people to live longer, manage chronic diseases better and reduce the impact of ill health.

Community nursing brings comprehensive, quality and compassionate care into the place people feel most comfortable; their home. Community nurses build relationships and support and enhance health, healing and quality of life. I want to thank all community nurses and midwives for their contribution to the health service and society. Your input is essential in keeping the population healthy for as long as possible.

Thank you,

Siobhán O’Halloran Chief Nursing Officer

Community nurses build relationships and support and enhance health, healing and quality of life. They bring comprehensive, quality and compassionate care into the place people feel most comfortable; their home.

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ICHN YEARBOOK & RESOURCE GUIDE 2018

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ICHN UPDATE

MESSAGE FROM

ICHN HON PRESIDENT

T

his is my second year working as Honorary President of the ICHN. This is a very exciting time for nurses working in the community with the government committed to the implementation of a significant programme of health reform as outlined in the Sláintecare Report in 2017.

The vision of Sláintecare is to reorientate health services from acute to communitybased care at home or as near to the home as possible. As you are aware there are a number of key policy initiatives in development which will play a central role in delivering on this vision.

Developments such as the Nurture Programme, the Women’s and Infant Health Programme, and Healthy Ireland will support community nurses in delivering a quality, evidence based nursing service. The coming period will see great changes as we embrace the advancing needs of community nurses working in primary care and our communities.

The Institute’s conference was held in May 2017 in Dublin. The theme was ‘Community Nursing: Towards an Integrated Model of Care’. Papers were presented by national and international speakers who emphasised the need for nurses to provide quality evidence based care. Participant involvement contributed to the interactive discussions relevant to everyday community nursing. The feedback reviewed was positive and influenced this year’s conference, incorporating the recommendations of delegates. The conference was a great success due to the commitment of the ICHN council and the administrators who co-ordinated the programme.

Five public health nurses were recognised for the exceptional care they provide, and their commitment to promoting public health nursing in the community. Nominees for the ICHN Annual Awards, in partnership with Home Instead Senior Care, are highly commended for their professional commitment to nursing in the community

The development of a firm research basis for work in public health and community nursing is crucial to advances in our discipline, and to our recognition as leaders in care in the community. It so encouraging to see the steady expansion of research in our field along with the improvements this brings to both our clinical practice and to the organization of services for the benefit of the large number of people who are helped.

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ICHN UPDATE

and for their work in the promotion and development of best practice and services for identified health needs of varying population groups. Those awarded have committed to their professional development ensuring that all practice delivered by them is evidenced based and will enhance the quality of care of their patients and the community at large.

Two Assistant Directors of Public Health Nursing were the successful recipients of the Scientific Research Awards. The ICHN Research Awards are given in recognition of the scientific effort taking placing in community nursing and are part of the implementation of the ICHN Research Strategy, ‘Making Evidence Work for Community Nursing’. The development of a firm research basis for work in public health and community nursing is crucial to advances in our discipline, and to our recognition as leaders in care in the community. It so encouraging to see the steady expansion of research in our field along with the improvements this brings to both our clinical practice and to the organisation of services for the benefit of the large number of people who are helped. I would like to thank Ms Catherine Mulvaney, Operations and Education Manager Faculty of Nursing and Midwifery RCSI for her support.

Following on from the service level agreement signed between the ICHN, Faculty of Nursing and Midwifery at the RCSI, and Research Matters Ltd, in August 2016, The Institute of Community Health Nursing Collaboration launched a suite of new, innovative and clinically focused programmes for registered public health nurses, nurses and midwives in community settings. Each programme is designed, facilitated and delivered by nurses, midwives, and public health nurses, or experts in the specialist area, with support and guidance from both the Faculty of Nursing Midwifery and Dr Sinéad Hanafin of Research Matters Ltd. Each facilitator has expertise in the specialist area of the programme. Each programme will be formally evaluated on its completion and feedback will be provided to the

ICHN YEARBOOK & RESOURCE GUIDE 2018

006_ICHN_2018_ICHN Update_ICHN President.indd 7

programme commissioners and also utilised to influence future programme development.

Further detail including CEUs, programme facilitators, short summary, programme aims and learning outcomes are available on the ICHN website.

A central focus of the ICHN is to support the creation of an evidence base relevant to nurses working in the community. The Research Ethics Committee now in its second year has considered and approved research studies for which ethical approval was required. A standard operating procedure and application form is available on the ICHN website online and on request.

I would like to welcome new members to the ICHN council. Ms Margaret Costello, Director Public Health Nursing Clare, Ms Sinead Grogan, CNM 11 Integrated Care Programme for Older Persons CHO 9, and Ms Dolores Gallagher, Director Public Health Nursing Donegal. New council members have considerable experience in the field of public health nursing and both I and the council members are looking forward to working with them over the coming years.

I would also like to say thank you to Ms Bernadette O’Riordan, Ms Teresa Cronin, and Ms Ainna Fawcett-Hensey for their contributions to the ICHN. The ICHN works in collaboration with all its partners to ensure we identify the professional needs of our members and respond accordingly to support community nursing services in Ireland. We are supported by our patron, President Michael D Higgins and our advisors, of whom we are very grateful to for their advice and guidance along the way.

I hope you enjoy the yearbook and I look forward to seeing you at the conference. On behalf of the ICHN Council and staff and I wish to thank you sincerely for your ongoing support and commitment to the ICHN.

Anne Lynott Anne Lynott Honorary President, ICHN

7 10/05/2018 11:03

COMMERCIAL PROFILE

IMMUNISATION MADE EASY THE IDEA OF CHILDHOOD VACCINES IS THAT THEY PROTECT YOUR BABY FROM POTENTIALLY SERIOUS ILLNESSES AT THE START OF HIS LIFE. WITH THE MOST COMMON CONCERNS IN MIND, WE EXPLORE THE OFTEN-NAVIGATED WATERS OF BABY VACCINATIONS.

W

hen the Public Health Nurse visits your home they will give you a booklet called ‘Your Child’s Immunisation – A Guide for Parents’. Please read this booklet carefully and keep it safe. It contains a lot of information about the immunisations your baby will be offered over the next 13 months. In the back pocket of this booklet there is a magnet with the immunisation schedule. Put this somewhere visible to remind you about the vaccines your baby needs. There is also an immunisation passport in the back pocket. Bring this passport with you to each visit and the practice nurse will write down the vaccines your baby has received. Please keep this immunisation passport in a safe place and bring it to all appointments to be filled in and kept up-to-date.

What Happens Next?

• At your baby’s 6 week check you will be given a leaflet with more information about your baby’s immunisations.

• The HSE will write and ask you to arrange to visit your GP (doctor) for the first of your five visits. If you do not hear from the HSE, you should arrange to visit your GP (doctor) when your baby is two months old.

To provide the best protection for your baby it is important that they get all their vaccines on time.

Can I Give My Baby Anything Before They Are Vaccinated?

You can give your baby milk a few minutes before their vaccination.

8 244141_DPS_CP_HSE_ICHN.indd 8

This can help to reduce pain at the injection site. Do not give infant paracetamol to your baby before you go to your GP (doctor) surgery.

What Happens Before Immunisation?

Before your baby is immunised, the doctor or practice nurse will check with you that your baby is well and able to get the vaccines. If you have any worries or questions about your baby’s immunisations, ask the doctor or practice nurse before your baby is immunised. There are very few reasons why your baby should not get a vaccine.

After Immunisation • Your baby may have a sore leg or fever after they get their vaccine.

• The MenB vaccine given at 2 and 4 months may give your baby a high fever.

• We recommend you give your baby 3 doses of liquid infant paracetamol 2.5 mls (60 mg).

This will reduce the fever.

• You do not need to give infant paracetamol routinely at or just after their 6, 12 and 13 month vaccines.

But, if your baby is distressed or has a high fever, you can give them plenty of fluids and infant paracetamol or infant ibuprofen.

• You can feed your baby at any time after their vaccines including after the rotavirus oral vaccine.

If you are worried about your baby, please contact your GP (doctor), practice nurse or public health nurse for further advice.

REMEMBER YOUR BABY NEEDS FIVE VISITS TO YOUR GP TO COMPLETE THEIR COURSE OF VACCINES. REMEMBER TO BRING YOUR BABY’S IMMUNISATION PASSPORT TO EACH VISIT.

Where Can I Find Out More Information?

• From the booklet ‘Your Child’s Immunisation – A Guide for Parents’.

• From the leaflet given at your baby’s 6 week check .

• From the leaflet given after your baby’s immunisation.

• Online from our website www.immunisation.ie

Where Can I Find Out More Information About The Vaccines Used?

This information can be found in the patient information leaflet (PIL) and the Summary of Product Characteristics (SmPC). It is also available on the following websites • www.medicines.ie • www.hpra.ie/homepage/medicines • www.ema.europa.eu/ema/ You need to know the name of the vaccines to search these websites. The product name of each vaccine are available on our website www.immunisation.ie

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COMMERCIAL PROFILE

What common reactions can my child get after being vaccinated and what should I do?

COMMON REACTION

WHAT TO DO?

AT 2 AND 4 MONTHS (VISITS 1 AND 2) A fever is common after MenB vaccine

• Give liquid infant paracetamol 1 Give 2.5 mls (60mg) at the time of the immunisation or shortly after.

2 Give a second dose of 2.5 mls (60 mg) 4-6 hours after the first dose.

3 Give a third dose of 2.5 mls (60 mg) 4-6 hours after second dose.

4 Give a fourth dose 4-6 hours after the third dose if your baby still has

Soreness, swelling and redness in the area where the injection was given

• Make sure clothes are not too tight or rubbing against the area where the injection was given.

Mild diarrhoea after the rotavirus vaccine

• Give extra milk to drink • Wash your hands carefully after changing and disposing of your baby’s nappy.

AT 6, 12 AND 13 MONTHS (VISITS 3, 4 AND 5) Soreness, swelling and redness in the area where the injection was given

• Give liquid infant paracetamol or infant ibuprofen to relieve aches and pains • Make sure clothes are not too tight or rubbing against the area where the injection was given

Headache or irritability

• Give liquid infant paracetamol or infant ibuprofen to relieve aches and pains.

Immunisation Schedule (For babies born on or after 1 October 2016) Age

Vaccination

2

Visit 1

6 in 1+PCV+MenB+Rotavirus 3 Injections+Oral Drops

4

Visit 1

Visit 2 6 in1+MenB+Rotavirus 2 Injections+Oral Drops

6

Visit 1

Visit 3 6 in 1+PCV+MenC 3 Injections

months

months

months

No Rotavirus vaccine on or after 8 months 0 days

12

Visit 1

Visit 4 MMR+MenB 2 Injections

13

Visit 1

Visit 5 Hib/MenC+PCV 2 Injections

months

months

EXPERT OPINION

Dr. Brenda Corcoran, Specialist in Public Health Medicine has this advice on the common concerns that parents have about vaccines.

Vaccines are given at an early age because young babies are most vulnerable to these diseases and need to be protected as early as possible. For example, babies younger than 6 months are at the highest risk for serious complications of whooping cough (6 out of 10 need to go into hospital, and 9 out of 10 deaths from whooping cough are in this age group). The MMR vaccine is not usually recommended for children under 12 months unless they are going to a country with a measles outbreak because it may not work properly. Some parents worry that giving several vaccines at once will overload their child’s immune system or that the vaccines may not work properly. However, there is nothing to worry about as your child’s immune system can easily cope with vaccines. Studies have shown that vaccines are just as safe and just as effective when they are given together as when they are given separately. A number of injections are needed to give your child the fullest possible protection, so it is important to complete the course. The ages at which vaccines are recommended are chosen to give your child the earliest and best protection against disease. So make sure your child is vaccinated on time every time.

REMEMBER YOUR CHILD NEEDS

5 GP VISITS. BRING YOUR CHILD’S IMMUNISATION PASSPORT TO EACH VISIT.

www.immunisation.ie All vaccines used by the HSE are licensed by the Health Products Regulatory Authority and the European Medicines Agency.

ICHN YEARBOOK & RESOURCE GUIDE 2018

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9 10/05/2018 15:36

ICHN REGULARS

ICHN

ICHN

A professional body dating back to 1985, the Institute of Community Health Nursing is a representative organisation aimed at promoting community nursing services in Ireland.

The Institute of Community Health Nursing website was upgraded and redesigned in 2014. The website is divided into the following sections:

HISTORY

The Institute is a professional and educational body representing public health nurses and community registered general nurses throughout the State. It is not a trade union, but an organisation of public health nurses, registered general nurses, and community nurses incorporated in 1985, to promote community nursing services through continuing education, development and research. Groups, formed nationally (sometimes referred to as special interest groups), cater for members who wish to be more active in the study and development of some special areas of community nursing service e.g. care of the elderly, child health, disability and professional development.

WEBSITE

Membership: Application forms are available online. There is also a facility to pay membership fees online.

Events: The events section is a valuable resource as it displays details of events held by the Institute of Community Health Nursing and details of other events related to community nursing which are being held around the country.

The logo or crest of the Institute is symbolic of the Institute and the work of the community nursing team. The two semi-circles are like two stylised hands protecting and caring for the central unit, which can be the family with its members or a community containing several families or groups.

Procurement: This section provides information on procurement regarding invitation to quote on ICHN projects. This section is updated as quotes are sought for various projects.

What Does The Institute Do?

Partners: This section outlines some of the sponsors and the associates which are partnered with the ICHN.

• Through its branches and interest groups, it provides a forum for public health nurses and community registered general nurses to share their ideas and experiences in a common goal of healthcare development.

• Acts as a centre of unity and a practical resource/advice centre for the members.

• Acts as a consultative body available to inform the Department of Health and the Department of Children and Youth Affairs when requested.

• Offers opportunities for specialists in other disciplines or from educational and research institutes to exchange ideas with those actively involved in delivering nursing services.

• Investigates and studies critical issues facing community and national healthcare services through conferences, seminars, workshops at branch level and through the activities of the interest groups.

• Publicises information about future trends and development in the healthcare services and cooperates with government working groups on particular issues or policies.

• The Institute holds two national professional meetings which normally take the form of seminars or conferences in spring and autumn.

For more information, visit www.ichn.ie

Resources: This section is divided into the ICHN resources (meeting minutes, ICHN submissions etc) and general resources (including links to publications, websites and journals). The ICHN latest news section keeps you up to date with all the latest news, events and updates from the ICHN. Members can also subscribe to our blog to be notified by email when a new post has been published, keeping you up to date with all that is happening.

Research Ethics: This section provides information on the application process and provides applicants with information regarding the application form, the Standard Operating Procedure and Notification of Decision Form.

Contact: Details are available at www.ichn.ie/contact-us Or visit us on Facebook – www.facebook.com/ICHN

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ICHN REGULARS

REASONS FOR BECOMING A

MEMBER • To be part of the only professional organisation focused on community health nursing in Ireland. To demonstrate your commitment to continuous professional development.

• To participate in conferences, events, professional fora, and interest groups as a member of ICHN. • To have access through the ICHN website to the latest information on conferences and events relating to community health nursing.

• To have access to education and research funds as a member of ICHN. • To advocate for resources for services in community nursing through ICHN. • To link and network with policymakers and service providers in community health nursing through the ICHN.

Nomination and Election of Fellows:

1

HONORARY FELLOWS

• Honorary fellows must be

appointed and approved by the Council. Nominations can be made directly by the Council or by members of the Institute. The Council will send out the name(s) of people who it is seeking to make Honorary Fellows at least six weeks before the AGM. • Members wishing to make a nomination for an Honorary Fellowship must complete the approved application form.

• Each nomination must be supported by at least ten members of the Institute from more than one branch or centre. The nomination must be submitted no later than two weeks after receipt of papers for the AGM. • Each nomination should be accompanied by a short biography of the nominee (300 to 500 words) stating why the nomination is being made to the Council.

• The Council has the final decision in accepting or rejecting people for Honorary Fellowships.

2

FELLOWS • Any member of the Institute who has been working within the field of community health nursing for ten years may apply to become a Fellow of the Institute. Applications must be made on the approved form and supported by five members of the Institute; at least two members should be Fellows or Honorary Fellows of the Institute.

• Any member of the Institute who has been a member for more than seven

ICHN YEARBOOK & RESOURCE GUIDE 2018

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years, working in a specialised area, may apply to become a Fellow of the Institute. Applications must be made on the approved form and supported by five members of the Institute; at least two of the five members should be Fellows or Honorary Fellows. The application form will be supported by a short statement (300 to 500 words) stating the relevance of the specialist area for community health nurses. The Council may approve and appoint individuals to the class of Fellow of the Institute who they consider have made an outstanding contribution to community nursing or the profession of community health nursing. The Council will send out the name(s) of people who it is seeking to make Fellows at least six weeks before the AGM. • Members wishing to apply or make a nomination for Fellowship must complete the approved application form. Each nomination must be supported by at least five members of the Institute, at least two of whom should be Fellows or Honorary Fellows. The nomination must be submitted no later than two weeks after receipt of the AGM papers.

For more information on the privileges and responsibilities of Fellows go to www.ichn.ie.

11 10/05/2018 11:02

ICHN REGULARS

ICHN

FELLOWS

CONFERRING OF ICHN FELLOWSHIPS TOOK PLACE ON AUGUST 26TH 2013 BY THEN ICHN PRESIDENT, ANNE CORRIDAN. HONORARY FELLOWS MUST BE APPOINTED AND APPROVED BY THE ICHN COUNCIL. NOMINATIONS CAN BE MADE DIRECTLY BY THE COUNCIL OR BY MEMBERS OF THE INSTITUTE.

PROFESSOR DAME SARAH COWLEY

DR SINÉAD HANAFIN

MAURA CONNOLLY

Dame Sarah was awarded a Fellowship of the ICHN in 2013.

She practised as a health visitor and practice teacher, before completing her doctoral studies and joining the academic staff at King’s College London in 1992. There, she led a dual qualification health visiting/ district nursing programme for five years, before being appointed as Professor of Community Practice Development, after which she concentrated on research and Masters and Doctoral level education.

Dame Sarah’s needs assessment research is recognised internationally, and she has advised on studies in Brazil, Australia, Japan, Ireland and New Zealand.

After retiring from Kings College in 2012, Dame Sarah received a lifetime achievement award from the CPHVA and was created Dame Commander of the British Empire (DBE) for services to health visiting in 2013.

Sinéad is a nurse, midwife and public health nurse and has worked as a practitioner, lecturer, researcher and most recently as head of research at the Department of Children and Youth Affairs in Ireland. She was awarded an MSc from Trinity College Dublin and a PhD from King’s College London. She is a scholar of the European Academy of Nursing Science and is widely published nationally and internationally in areas related to children’s lives, strategic development, public health nursing and knowledge transfer.

Since March 2013 she is managing director of her own research specialist company, a visiting research fellow of Trinity College and has worked as the principal investigator on many research studies since 2010. Since 1988 she has been the author or co-author of over 60 papers mainly on topics relating to public health nursing and child health and wellbeing.

Maura’s nursing career began in 1968 in King’s College Hospital London.

Alongside postings in Gambia in West Africa, to WHO European HQ, Maura spent a lot of her time in the UK working in various management and consultancy posts relating to health visiting. She was appointed to Visiting Research Fellow in the Department of Nursing Studies in King’s College London for a period of two years from 1998 to 2000. She then moved to Ireland and initially took a post as the first lay director with Ruhama, and joined the ICHN in 2004. Maura played an important part in developing the ‘cutting edge’ of the ICHN, and helped regenerate it after a period of difficulty. She has dedicated her career and her retirement to the art and science of home visiting and in doing so she has made an enormous contribution in the UK and Ireland.

Now fully retired, Maura continues to support the ICHN President and Council in their work.

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ICHN YEARBOOK & RESOURCE GUIDE 2018

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ICHN REGULARS

ICHN

PATRONS

PATRON PRESIDENT MICHAEL D. HIGGINS The ICHN are honoured that President Michael D. Higgins is the Patron of the Institute of Community Health Nursing. Our ninth President spent over 30 years in politics prior to his election, and has a strong record of engagement on justice and social issues.

ADVISORS ANN ORMONDE Ann Ormonde was educated at Presentation College Clonmel. From there she went on to receive B. Comm. at University College Dublin, MA psychology, H.DipEd, and a diploma in career guidance. A teacher of business study subjects and a career guidance counsellor at Dublin VEC, Ann’s main interest in teaching was assisting those from disadvantaged areas in attaining a good education. As a Senator, Ann served as a member of the Boards of Management in community schools in south Dublin and served as a member of the General Council of County Councils. She also contested the 1987, 1989, 1992 and 1997 general elections for Fianna Fáil in Dublin South. Ann was re-elected to the Seanad in July 2007 on the cultural and educational panel. Ann’s nominating body was the Institute of Community Health Nursing, whose views she represented in the Seanad.

DR DERVILLA DONNELLY Dr Dervilla Donnelly is the Emeritus Professor of Organic Chemistry, University College, Dublin. Since 1996 Dr Donnelly has been chair of the Dublin Institute for Advanced Studies. She is also chair of the Interim Review Group for Institutions in the technological sector since 1997. Her interest in science is reflected in her involvement as chair of the Evaluation Committee OECD Programme-Megascience Forum, council member of the Royal Irish Academy, member of the Standing Committee of ESF, Life and Environmental Science Committee, and finally, the Physical and Engineering Science Committee.

DR SINÉAD HANAFIN Dr Sinéad Hanafin is a nurse, midwife and public health nurse and has worked as a practitioner, lecturer, researcher and, most recently, as head of research at the Department of Children and Youth Affairs in Ireland. She was awarded an MSc from Trinity College Dublin and a PhD from King’s College London. She is a scholar of the European Academy of Nursing Science and is widely published nationally and internationally in areas relating to children’s lives, strategic development, public health nursing and knowledge transfer. Since 1988 she has co-authored over 60 papers.

PROF ALF NICHOLSON MR FERGUS FINLAY, CEO, BARNARDOS Since June 2005, Fergus Finlay has been chief executive of Barnardos, Ireland’s largest children’s charity. For around 20 years prior to that, he was employed as senior adviser to the Labour Party, serving in three governments and working for the party in opposition. He was one of the drafters of the Downing Street Declaration and was centrally involved in the election of President Mary Robinson in 1990. Fergus Finlay is the author of four best-selling books. He has founded a number of organisations that campaign for the rights of people with disabilities, and was chairperson of Special Olympics Ireland for four years. He is currently chair of Volunteering Ireland.

He broadcasts regularly on radio and television, and contributes a weekly column to the Irish Examiner.

PROF DES O’NEILL As a medical undergraduate of TCD, Prof O’Neill spent a year in Marseilles as a volunteer with a NGO working with older people.

He subsequently trained as a geriatrician in St James’s Hospital and the University of Bristol. Following an appointment as consultant geriatrician in Selly Oak Hospital, Birmingham he returned to Dublin and currently is the senior academic in medical gerontology at the TCD campus at Tallaght Hospital. His focus of research is rooted in gerontology and the neurosciences, with a strong emphasis on liaison with the humanities.

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Professor Alf Nicholson FRCPI, FRCPCH is a consultant paediatrician in Temple Street who returned to Ireland in 1996 from Melbourne, where he worked in the second largest paediatric hospital in the world. He is secretary of the faculty of paediatrics in the Royal College of Surgeons in Ireland and clinical paediatric lead of the HSE Paediatric Clinical Care Programme.

PROF ROGER O’SULLIVAN Professor Roger O’Sullivan has been Interim Chief Executive of the Institute of Public Health in Ireland (IPH) since November 2016. He is also Director of the Ageing Research and Development Division within IPH. In 2016 he was named a visiting Professor at Ulster University. Between 2007 – 2015 Roger was Director of The Centre for Ageing Research and Development in Ireland. He is a council member of Northern Ireland Cohort for Longitudinal Study of Ageing and a member of the Oversight Board of the Irish Longitudinal Study on Ageing.

DR KEITH SWANICK Practice name and address: Swanick Family Practice, Church Rd, Belmullet, Co. Mayo. Graduate of Royal College of Surgeons 1997, member Royal College Of General Practitioners 2003 and former Secretary of National Association of General Practitioners. Now Senator to Seanad Eireann Cultural and Educational Panel.

13 10/05/2018 11:02

ICHN REGULARS

COUNCIL MEMBERS

ANNE LYNOTT

(HONORARY PRESIDENT) DPHN Dublin, Elected to office 2016

EMER SHANLEY

(VICE PRESIDENT) CNS, Tissue Viability

SINEAD GROGAN CNM

AIDEEN HENEGHAN

(HONORARY TREASURER) ADPHN

DENISE GILLESPIE

(HONORARY SECRETARY) ANP

CORA WILLIAMS

MARGARET KEOHANE

DPHN Cork North

PHN

DOLORES GALLAGHER

MARGARET COSTELLO

DPHN Donegal

DPHN Clare

PROFILE: ANN MELVIN ADMINISTRATION OFFICER Ann joined the Institute of Community Health Nursing in November 2015. She has a strong administration and training background from various roles taken throughout her career. She has particular strengths in advanced computer skills and customer service. Ann also lived in Australia for several years where she was employed as manager of the hire department for Fisher Lane Mobility.

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ICHN YEARBOOK & RESOURCE GUIDE 2018

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ICHN NEWS

ICHN SERVICE LEVEL AGREEMENT THE SERVICE LEVEL AGREEMENT SIGNED IN OCTOBER 2015 BETWEEN THE ICHN, ROYAL COLLEGE OF SURGEONS IN IRELAND AND RESEARCH MATTERS LTD HAS LED TO NEW, INNOVATIVE, AND CLINICALLY FOCUSED PROGRAMMES FOR PUBLIC HEALTH NURSES, NURSES AND MIDWIVES IN THE COMMUNITY.

I

n October 2015, a service of Community Health Nursing level agreement was signed Collaboration strongly believes between the ICHN, the that good patient and client care is Faculty of Nursing and underpinned by up-to-date, evidence Midwifery at the Royal informed practice. Each programme College of Surgeons in Ireland is designed, facilitated and delivered (RCSI) and Research Matters Ltd. by nurses, midwives, and public Present at the formal signing were health nurses, or experts in the Dr SinĂŠad Hanafin; Marie Carney, specialist area, with support and Dean Professor (RCSI); Johanna guidance from both the Faculty of Downey, Honorary President Nursing Midwifery and Dr SinĂŠad (ICHN); Thomas Kearns, Executive Hanafin of Research Matters Ltd. Director (RCSI) and Virginia Pye The Institute of Community Health (ICHN). The purpose of this Nursing Collaboration strongly service level agreement is to believes in participant involvement, develop an educational interaction and engagement relationship whereby the with the programme, faculty, in collaboration alongside engagement and partnership with with the facilitator and Professional beliefs and Research Matters Ltd, others undertaking values anchor these would meet some the programme. programmes, with safety, of the education, Participant interaction quality and excellence in training, professional is achieved through service delivery taking development and the use of teaching a central role in each professional competence methodologies such programme. needs of members of as lectures, discussions, the ICHN. self-evaluation, case study reviews, group discussions, In August 2016, the ICHN, feedback, hands-on workshops, Research Matters Ltd and the RCSI questions and answer sessions and launched a suite of new, innovative reflection. Each programme will be and clinically focused programmes formally evaluated on its completion for registered public health nurses, and feedback will be provided to midwives and nurses in community the programme commissioners settings. The programmes are and also utilised to influence future shaped by an education and learning programme development. Each of philosophy underpinned by the the following programmes have concepts of adult, student-centred, been submitted to the Faculty of lifelong learning. In addition, Nursing and Midwifery (FNM) professional beliefs and values for Accreditation and awarding anchor these programmes, with of Continuing Education Units safety, quality and excellence in (CEU) and also to the Nursing service delivery taking a central role and Midwifery Board of Ireland in each programme. The Institute

ICHN YEARBOOK & RESOURCE GUIDE 2018

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(NMBI) for Category 1 Approval.

Further details including CEUs, programme facilitator, short summary, programme aims and learning outcomes are available on the website.

The following programmes are available and requests for further information can be found on the website.

1. Care Planning and Documentation for Nurses and Midwives Working in Community.

2. Assessment and Management of Behavioural Sleep Difficulties in Infants and Children.

3. Assessment and Management of Lymphoedema in the Community 4. Safeguarding Adults at Risk of Abuse, Self-Neglect and Hoarding.

5. Improving Community Nursing Practice through Clinical Supervision.

6. Fitness to Practice Inquiries and Nursing Negligence Cases: Implications for Community Nursing Assessment and Management of Leg Ulcers in Community Settings.

The Nurses and Midwives Act (2011), places obligation on the registrar, regulator and employer in relation to maintaining education, training and continuing professional development; all of which are fundamental to maintaining professional competence.

This collaboration contributed to the ICHN Strategic Plan (2014- 2017) in meeting its goals and key areas of development.

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ICHN NEWS

ICHN RESEARCH ETHICS COMMITTEE THE INSTITUTE OF COMMUNITY HEALTH NURSING IS A PROFESSIONAL AND EDUCATIONAL BODY REPRESENTING COMMUNITY NURSING THROUGHOUT THE STATE. IT WAS ESTABLISHED IN 1985, TO PROMOTE COMMUNITY NURSING SERVICES THROUGH CONTINUING EDUCATION, DEVELOPMENT AND RESEARCH.

O

ne of the objectives of the ICHN is to promote research in areas in which it is engaged. It seeks to do this by the provision of resources for the carrying out of research and by stimulating and facilitating research within its areas of interest. One of the ways in which it helps to facilitate research is through the provision of a framework within which ethical approval for research which is being supported by the Institute can be provided. To this end the Institute has established a Research Ethics Committee (REC).

The terms of reference of the REC are that any research meets the requirements of respect for the persons taking part; privacy and confidentiality; and appropriate purpose of the research.

The key issues which the Research Ethics Committee include: 1. The extent to which the research proposal respects the dignity and autonomy of persons taking part; obtains their informed, valid and voluntary consent; protects their privacy and confidentiality.

2. The validity of the research and its scientific merit.

3. The minimisation of any risks to the individual participant/ subject and to the rest of society.

4. The fair distribution across society the benefits and risks of the research.

The REC has a broad membership which represents research, ethical and community nursing interests

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of different types. Its present Chair is Mr Ciarán Lynch, former Development Manager of LIT, Chair of LIT Research and Development Sub-Committee, a member of its Ethics Committee and with a long background in community development. The other members are Ms Anne Lynott, Ms Emer Shanley, Ms Bernadette O’Riordan, Ms Ainna FawcettHenesy, Ms Johanna Downey, Ms Patricia O’Dwyer, Ms Marianne Healy, Ms Elizabeth Healy and Mr Alan Kearns.

The REC has adopted a simple but robust process through which the granting of ethical approval for a research project can be considered.

Initially, a detailed application form is completed by the applicant which sets out the nature of the research; the procedures for recruiting research subjects, the mechanisms through which their informed consent can be assured; the data gathering and data-storage methods proposed together with the ways in which the data gathered will be protected. Any vulnerable or potentially vulnerable research subjects must also be identified and ways of ensuring their protection set out.

Once received, the proposal is considered by the REC (or by the Chair and another member in simple cases) and a notification issued to the applicant. This notification can be of approval, conditional approval or rejection. The REC is part of the ICHN’s structure for encouraging and facilitating research within its areas of interest. To date two research projects have been approved. Requests are welcome and the REC are happy to discuss your proposals with you.

ICHN YEARBOOK & RESOURCE GUIDE 2018

10/05/2018 11:01

We provide the best care to the elderly and disabled throughout the province of Leinster and Midlands.

WHY CHOOSE KARE PLAN: • Can provide 1/2 hour to 24 hour care.

• Fully vetted, trained, insured and monitored staff.

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• Home care saves you money compared with nursing home care.

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Call Us: +353-1-851 1411 Website: www.kareplan.ie All staff have completed the FETAC level five course and receive in house training on an on going basis in practical care skills and manual handling so as to provide safe and professional care. All staff are monitored on a frequent basis by Kare Plans supervisors to ensure customer satisfaction.

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10/05/2018 16:36 16:23

ICHN NEWS

GROWING UP IN IRELAND STUDY GROWING UP IN IRELAND IS THE NATIONAL LONGITUDINAL STUDY OF CHILDREN AND YOUTH IN IRELAND. IT IS CARRIED OUT BY THE ECONOMIC AND SOCIAL RESEARCH INSTITUTE (ESRI) AND TRINITY COLLEGE DUBLIN (TCD). IT IS FUNDED THROUGH, AND OVERSEEN BY, THE DEPARTMENT OF CHILDREN AND YOUTH AFFAIRS (DCYA).

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T

he Growing Up in Ireland study (GUI) began in 2006 by following two cohorts of children aged nine years (Child Cohort) and nine months (Infant Cohort).

Currently the members of the Child Cohort are around 19 years old and the Infant Cohort are nine years old.

The GUI study is funded by the Department of Children and Youth Affairs (DCYA), and is overseen by the DCYA in association with the Central Statistics Office. It also received a contribution in Phase Two from the Atlantic Philanthropies.

The study aims to Phase One of funding relation to children, provide evidence for covered ages nine and young people and the creation of effective 13 years of the Child families. and responsive policies Cohort, and ages nine The founding and services for months to five years of objectives for the study children and families. the Infant Cohort. Phase were: Two (2015-2019) covers 1. To describe the lives ages seven, eight, and nine of children in Ireland in years for the Infant Cohort, and the relevant age categories, ages 17, 18 and 20 years for the to establish what is typical Child Cohort. and normal as well as what is The Principal Investigator at atypical and problematic.

Phase Two is Professor James 2. To chart the development of Williams (ESRI). He is supported children over time, to examine by a project management team of the progress and wellbeing of seven leading academics from the children at critical periods from ESRI and Trinity College Dublin birth to adulthood. as well as a research team and 3. To identify the key factors fieldwork team based in the that, independently of others, ESRI. A wide range of experts most help or hinder children’s provide support and advice to development. the study as part of the Scientific 4. To establish the effects of early Advisory Group. childhood experiences on later life.

Aims and Objectives 5. To map dimensions of variation in children’s lives.

The primary aim of the study is to inform government policy in 6. To identify the persistent adverse

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ICHN NEWS

L-R Professor James Williams, Director of Growing Up in Ireland (GUI); Dr Aisling Murray, Research Officer GUI; Daráine Murphy, Research Assistant GUI; Dr Desmond O’Mahony, Research Analysis

effects that lead to social disadvantage and exclusion, educational difficulties, ill health, and deprivation.

7. To obtain children’s views and opinions on their lives.

8. To provide a bank of data on the whole child.

9. To provide evidence for the creation of effective and responsive policies and services for children and families.

About the Child Cohort This cohort started in 2008 with 8,500 children aged nine years.

Information was collected from parents, teachers, principals and the children themselves. Additional perspectives were collected by post from non-resident parents and regular carers of the Study Child.

This cohort was revisited at age 13 years and most recently at age 17 to 18 years. Further information can be found at www.growingup.ie. This cohort will be visited again when they are 20 years old.

About the Infant Cohort Data collection for the Infant Cohort started in 2008 with over 11,000 nine month old babies and their families. Follow-up waves were completed when the child was aged three years, five years and seven to eight years (postal). Depending on the particular wave, information has been collected from parents, carers, non-resident parents, teachers and principals. Further information can be found at www.growingup.ie. The next visit to this cohort is currently underway at age nine years.

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Governance and Consultation Processes All information provided as part of Growing Up in Ireland are treated as strictly confidential.

The study is carried out under the Statistics Act (1993) – this makes it an offence to use the data for anything other than research purposes or to attempt to identify individuals. Researchers seeking to use Growing Up in Ireland anonymised data must agree to these conditions and abide by any other conditions, such as relating to data security, as set out by the Central Statistics Office, DCYA, ISSDA, the GUI Study Team or related bodies.

More information is available to download at www.growingup.ie

19 10/05/2018 11:00

A Plus Community Care

Professional care at home because you can't put a value on piece of mind.

A Plus Community Care are six community care providers who have come together to combine resources and offer personal home care across a large geographic spread in Dublin: Crumlin, Drimnagh, Walkinstown, K.C.R., Perrystown, Templeogue, Terenure, Harold’s Cross, Ballyfermot, Palmerstown, Inchicore, Clondalkin, Lucan, Rathcoole, Newcastle, Rathmines, Rathgar, Rathfarnham, Churchtown, Ranelagh, Ballyboden, Knocklyon, Tallaght, Firhouse, Kingswood, Ballymount, Greenhills, Tymon, Kilnamanagh, Hell Fire club to Glenasmole, Saggart, Westland row, City Quay & Surrounds, Usher’s Quay, Oliver Bond Street, St. Audeons, James’s Street, Basin Street, Mount Brown, Kilmainham, Rialto, The Coombe, Meath Street, Christchurch, Francis Street, The Tenters & Sth. Circular Road.

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Tel: (01) 253 0030 Dublin West Home Help Civic Centre, Ballyfermot, Dublin 10.

Tel: (01) 623 6686 Trustus We Care Trustus House, 1-2 Main St, Tallaght, Dublin 24.

Tel: (01) 468 5500 St. Andrews Resource Centre 114 Pearse St, Dublin 2.

Tel: (01) 677 1930 Liberties & Rialto Home Help Service Cathedral Court, Fumbally Lane, Dublin 8.

Tel: (01) 473 3700 Terenure Home Care Service 68 Terenure North Road, Dublin 6W. Tel: ( 01) 492 0291

10/05/2018 01/05/2018 15:48 10:27

HEALTH NEWS

ONGOING AND SIGNIFICANT MANAGEMENT CHALLENGE

NATIONAL SERVICE PLAN

T

he HSE National Service Plan 2018 was approved by the Minister for Health Simon Harris in December 2017.

Required under legislation, the plan sets out the type and volume of services that will be provided across the HSE during 2018. The 2018 budget of 14.5 billion represents an overall increase of 608 million (4.4 per cent) which is a substantial and very welcome additional level of funding. There has been cumulative additional funding in recent years, and this has supported growth in targeted service areas and developments, and further funding has been made available in 2018 for new developments and the expansion of some services. The number of people seeking to access services is higher than ever before and public expectations for quality services continue to increase.

Key

1 Improving population health.

Key

Key Reform Themes

2

Consistent with the need to improve the health of the population, and to radically reshape where and how services are provided, the HSE shall be pursuing four key reform themes during 2018 and beyond, namely: • Improving population health.

• Delivering care closer to home.

• Developing specialist hospital care networks.

• Improving quality, safety and value.

The Service Plan will also Aim for: • An investment of 9m to support the expansion of paediatric and adolescent orthopaedic services including scoliosis.

Delivering care closer to home.

Key

3

• An investment of 25m in primary care to support the GP contract, GP training, diagnostics, therapies, nursing, Advanced Nurse Practitioner appointments and community nursing.

• An investment of 15m in mental health to support a range of key service developments.

• An investment of 10m for respite care, providing support in 2018 to 400 individuals with a disability and their families.

Other priorities will support decision-making and accountability as close as possible to front-line services through the hospital groups, Community Health Organisations (CHOs) and the National Ambulance Services (NAS). The 2018 National Service Plan is supported by its Performance and Accountability Framework, the focus of which is on recognising good management and outcomes while continually improving performance within our services. The framework sets out the means by which the HSE and in particular the national divisions, hospital groups, CHOs, NAS, Primary Care Reimbursement Service and individual managers are held to account for their performance.

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Developing specialist hospital care networks.

Key

4 Improving quality, safety and value.

21 10/05/2018 16:51

HEALTH NEWS

SLÁINTECARE

REPORT 2017

THE REPORT ON THE FUTURE OF HEALTHCARE, PUBLISHED ON THE 30TH MAY 2017, OUTLINES A NEW MODEL OF HEALTHCARE WITH CROSS-PARTY SUPPORT REQUIRING AN ADDITIONAL €2.86BN OVER 10 YEARS, WITH THE EXPANSION OF ENTITLEMENTS PHASED IN OVER THE PERIOD.

L

egislation will be introduced giving people a clear entitlement to care, rather than the current eligibility system, will be introduced over the next few years.

The chairwoman of the Oireachtas committee on the future of healthcare, Roisín Shortall, said the Sláintecare report represents a new vision for the future of healthcare and that it features “a very careful and conservative approach” to the cost.

The committee was set up last year to get cross-party political agreement on health service reforms. It heard evidence from experts, medics and patient groups over the past year.

An expansion of capacity in primary care and social care includes investment in community diagnostics, primary care teams and mental health teams, services for people with disabilities, home care services and free GP care.

Shifting care out of hospitals and into the primary and community setting will in turn help address the challenge of access to the hospital system.

Key recommendations in the Sláintecare report include:

Infrastructure Under the committee’s plan there would be investment in hospital infrastructure and staffing in order to enhance capacity.

“The outcome of the Capacity Review currently under way should inform the detailed planning for the infrastructural investment provided

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for in the proposed Transitional Fund, as well as for the staffing required.”

It also sets treatment targets, stating: “No-one should wait more than 12 weeks for an inpatient procedure; ten weeks for an outpatient appointment; and ten days for a diagnostic test.

Hospitals that breach guarantees are held accountable, through effective measures including, ultimately, sanctions on senior staff, but not to the detriment of healthcare delivery.”

Providing timely access to public hospital care would be achieved by measures including the expansion of public hospital care, costing 649m from years two to six of the plan with an increase in the numbers of public hospital consultants costing 119m between years four and 10.

Renovation and hospital bed capacity would cost 1.23bn.

In acute hospitals, “the provision of private care by consultants in public hospitals will be eliminated over five years. This means that all patients will be treated on the same public basis in public hospitals, ensuring equity of access for all based on need rather than ability to pay”.

It would also see the removal of inpatient charges for public hospital care. People without medical cards and those who opt not to have their care covered by private health insurance are charged 80 per night for public hospital care, capped at 800 per year.

Primary Care Under an expansion of primary care, community diagnostics would

grow and treatment would be moved from the acute sector to the community sector.

It would also affect counselling in primary care, with plans to extend counselling provided by private providers through GP/primary care referral at a cost of the order of 6.6m over three years. According to the report: “Significant expansion of diagnostic services outside of hospitals to enable timely access for GPs to diagnostic tests. Primary care centres should be the hub of community diagnostic services so that all patients can access diagnostics.

It would also develop public psychology services in primary care at a cost of the order of 5m over two years to get the service up and running. This would fund 114 assistant psychologists, 20 child psychologists and allow for the development of a cognitive behavioural therapy online resource.

Universal GP care would cost 455m over five years aligned with universal primary care to cost 265.6m over first five years of the plan.

Integrated Care The proposals on integrated care are based primarily around policy changes led by “a strong, governmentwide commitment to promoting health, reducing health status inequalities and supporting good health throughout the life course”.

The report recommends that care should be delivered at the lowest level of complexity as is safe, efficient and good for patients, assisted by the

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HEALTH NEWS

significant expansion of diagnostic services outside of hospitals. Enabling “timely access for GPs and other referring clinicians to diagnostic tests which do not necessarily need to be provided in hospitals”.

According to the report, a new model of integrated care would also require the disentanglement of public and private care and the phased elimination of private care from public hospitals. “This will require a range of measures including, addressing the replacement of private income currently received by public hospitals, and careful workforce planning and strategies to recruit and retain staff.”

The committee recommends an independent impact analysis of the separation of private practice from the public system with a view to identifying any adverse and unintended consequences that may arise.

It also aims to address long waiting times, poor conditions and delayed access to essential diagnosis and treatment in emergency departments and to address long waiting list for access to elective care.

Cárta Sláinte Under the proposals a new health card called a Cárta Sláinte would ensure access to all publicly funded health and social care services. It would also mean access to public health services, mental health services, maternity care, services for people with disabilities, access to medication, aids and appliances, as well as dental, eye and ear services.

Under the plan the Cárta Sláinte would be introduced to the whole population over a five-year period.

According to the report, the card would entitle all those ordinarily resident to access care based on need.

The report says the phasing-in of the card would be dependent on funding and have the staffing capacity to deliver universal care, with costings projected at an additional 380m465m per year to deliver universal healthcare annually for the first six years, after which additional costs would decline.

According to the report:

House of the Oireachtas

“Cárta Sláinte will ensure access to healthcare in primary care centres either free of charge or at a low cost.”

Funding To fund all the proposed changes, the report states that it should be spearheaded by a National Health Fund.

According to the report: “The single-tier system will be funded through a combination of general taxation revenues and earmarking of some taxes, levies or charges into a single National Health Fund”, to be decided by the government of the day.

It would feature guaranteed expansion of health funding by between 380-465m per year, for expanded entitlements and capacity to deliver universal healthcare. It recommends implementation of transitional and legacy funding arrangements to a total of 3bn over six years, to boost reinvestment into one-off system changing measures, training capacity and capital expenditure.

It also wants to earmark funds to healthcare priorities, such as expanded primary and social care, palliative care, and mental health, and to ring-fence savings that will arise from reduced tax-relief costs as people move from private health

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insurance to avail of improved public health provision and allocate these to expansion of entitlement and transitional funding.

It says: “For change to happen investment is needed. Significant change cannot be squeezed out of resources already allocated to already stretched regular healthcare activities and services.”

Removing Charges The plan proposes removing a raft of existing charges including reducing the prescription charge for medical card holders from 2.50 to 1.50, to 50c.

It also proposes to halve the drugs payment scheme threshold or single-headed households in year one to 72 per month, and to remove the emergency department charge in year eight.

It recommends the hiring of up to 900 more general nurses to work in the community, thereby freeing up PHNs to carry out child health work as part of the current NurtureInfant Health and Wellbeing Programme and the HSE’s National Healthy Childhood Programme. It also proposes universal palliative care, home care, adequately staffed mental health teams, and more staff in old-age psychiatry mental health teams, among other key recommendations.

23 10/05/2018 11:18

HEALTH NEWS

MATERNAL SEPSIS SEPSIS IS A LIFE-THREATENING CONDITION TRIGGERED BY INFECTION. IT IS A RARE BUT IMPORTANT DIAGNOSIS THAT CAN OCCUR DURING AND 42 DAYS AFTER PREGNANCY. BECAUSE PREGNANCY AFFECTS THE BODY’S ABILITY TO RESPOND TO INFECTION THIS CAN MEAN AN INCREASED RISK OF SEPSIS.

WHAT IS SEPSIS?

Pregnant women are generally young, healthy and well-nourished which are all factors that help fight off infection and prevent sepsis. If sepsis does occur it can be treated most effectively if recognised early.

To diagnose sepsis, the person must have an infection that has led to the function of one or more organs being affected (see sepsis checklist).

These symptoms can be caused by other In particular, the pregnant conditions too, so immune system is not as good at while sepsis can be fi ghting off viral infections and suspected it requires this is why pregnant women are a medical review at particular risk during seasonal and blood tests with flu outbreaks. other investigations to be confirmed.

WHO IS AT RISK? The immune system is designed to identify and destroy bacteria, viruses and other bugs in areas that should be sterile. But during pregnancy the immune system changes to prevent the fetus, which is developing from a combination of the mother and father’s DNA, from being identified as ‘not a usual part of the body’.

These changes mean that the immune system during pregnancy is not as good at fighting off infection. In particular, the pregnant immune system is not as good at fighting off viral infections and this is why pregnant women are at particular risk during seasonal flu outbreaks.

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SIGNS AND SYMPTOMS OF INFECTION Infections are often suspected when a person develops a temperature and feels unwell. A high temperature is > 38°C. A low temperature, < 36°C, is also of concern but do check your technique.

Watch out for loved ones who have taken paracetamol as that may lower the temperature but does not treat any underlying infection.Infection causes a combination of non-specific and local signs and symptoms depending on where the infection is in the body.

NON SPECIFIC SIGNS AND SYMPTOMS OF INFECTION • Temperature > 38ºC or < 36ºC • Rigors (severe uncontrollable shivering) • Fatigue • Loss of appetite • Muscle and joint pain • Vomiting and diarrhoea

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HEALTH NEWS

SPECIFIC INFECTIONS RELATED TO PREGNANCY

LOCAL SIGNS & SYMPTOMS Respiratory or Lung Infection Cough with or without green sputum and you may be breathless.

Breast Infection (i.e. Mastitis) Your breast may be painful and/ or warm to the touch. There may be swelling and areas of your breast may look red, often in a wedge-shaped pattern. You may also be feeling generally unwell and experience pain or a burning sensation which may occur during breastfeeding, or at any other time.

Wound Infection following a Caesarean Section or where Stitches Occur

Skin Pain, swelling, redness and hot to touch. There may be a pus or fluid ooze.

Around the caesarean section wound may feel hot and painful and look red and swollen. There may or may not be pus. You may also be feeling unwell with non-specific signs and symptoms.

Pregnant women are generally young, healthy and wellnourished which are all factors that help fight off infection and prevent sepsis.

Womb Infection (i.e.

Chorioamnionitis)

Genital Tract Infection

Tummy or lower tummy pain that is not relived by pain killers or requiring more pain killers than you are used to taking. You may have stinky blood loss on your pad. You may experience heavy bleeding again that had previously been easing off.

You may also be feeling unwell (see non-specific signs and symptoms).

You may experience inflammation and irritation and vaginal discharge in the birth canal or irritation on the skin of the labia.

If you have a pelvic infection you may experience pain lower in your tummy and/or back and may have a vaginal discharge. You may also have a temperature and feel unwell.

Abdominal Infection Unexplained abdominal (tummy) pain with or without swelling. You may have worse pain when your tummy is pressed.

Brain and Meningitis Severe headache, neck stiffness, not able to tolerate bright lights. You may or may not have a trash. You may or may not be agitated or confused.

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HEALTH NEWS

Urinary Tract Infection Burning sensation on passing urine with intense urge, flank (side) pain.

Genital Tract Infection Lower tummy discomfort or pain with or without stinky discharge.

Bones and Joints Pain, swelling, redness and hot to touch. There maybe a pus, fluid ooze or stiffness.

Device Related (applies to materials in the body that are not a normal part of it e.g. medical tubes or metal work) Pain, swelling, redness and hot to touch in the area of the device. There Not all bugs cause infection may be a pus or fluid and bugs in the right place are ooze. Examples are a essential for our body to be cannula in your vein, healthy.We have bugs on our or a catheter which skin and our digestive system can cause infection. A that not only help keep us cannula in your vein may well but also ensure that our cause redness, swelling immune system is and pain and/or pus at the working well. point of entry to the vein.

The catheter may cause a urinary tract infection (see above).

Blood Stream Infection or Blood Poisoning Severe nonspecific signs.

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good working order. Not all bugs cause infection and bugs in the right place are essential for our body to be healthy. We have bugs on our skin and our digestive system that not only help keep us well but also ensure that our immune system is working well.

The Skin and Mucous Membranes

INFECTION AND SEPSIS PREVENTION Our bodies are very well designed and have multiple layers of defense against infection.

To work well all of these must be in

Intact skin and mucous membranes (the lining of our mouth, lungs and gut) act as a physical barrier to prevent bugs from getting into our body. Friendly bugs on the skin are normal and keep the numbers of bad bugs down.

Good Sanitation Clean water to drink and clean toilet facilities get rid of contaminated waste and prevent clean areas from being contaminated.

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HEALTH NEWS

Breastfeeding

Vaccination or Immunization

When a baby is born his or her immune system is not fully functioning and hasn’t been exposed to the bugs in the environment.

At birth, the baby gets exposed to mum’s bugs as he or she is delivered and cuddled. This is important so that baby can be exposed to a nice healthy diverse population of bugs for his or her skin and digestive tract. Breast milk contains cells and proteins from the mother’s immune system that can be used by baby to fight infections. Immune cells and proteins are also transferred across the placenta before birth and these give some protection too. Because of their immature immune systems babies are at increased risk of infection and indeed sepsis.

Vaccination is a method of stimulating the immune system to recognise and destroy dangerous bugs. It works with the body’s own natural defences and it only identifies the dangerous bugs. This is different from using antibiotics where both good bugs and bad get killed and the body’s natural balance may be put out of order. Having a healthy natural balance of bugs is important for healthy living.

SEPSIS CHECKLIST If your loved one has an infection do the following checklist.

Brain Abnormality can range from mild agitation or confusion to a coma.

Are they too sick to communicate?

Good Hygiene Keeping our environment and ourselves clean. Not with disinfectant sprays but using soap and water to keep the total number of bugs down and to get rid of things like food stains that bugs can thrive on.

Breathing

Exposure

Clotting

Is their breathing pattern very fast, for instance can they finish a sentence without a pause? Are their lips blue-tinged?

Food Hygiene Avoid deli meats, prepared dairy based dressings, raw milk, soft cheeses, pâtés and smoked fish. All these can cause Listeriosis. Cook food thoroughly, especially meat. Wash salads, fruit and raw vegetables thoroughly before eating to prevent Listeriosis and Toxoplasmosis.

Have any close contacts been very sick recently with similar symptoms? Has your loved one had a recent operation or infection?

Are they known to carry a multidrug resistant bacteria (or Group B strep)? Have they recently travelled to tropical areas or to an area with an outbreak? If you come in contact with childhood WHAT TO DO? illnesses such as chicken If any of the signs pox, measles, parvovirus of sepsis are (slapped cheek) while present or you pregnant and if you Vaccination is a method of are worried are not vaccinated or stimulating the immune your loved have not had these system to recognise and destroy one is getting illnesses yourself, dangerous bugs. It works with worse: contact your GP or the body’s own natural defences • Get urgent midwife immediately. and it only identifies the medical Avoid handling assistance dangerous bugs. raw meat, soil, sand (GP, Midwife, or cat litter or use gloves Maternity Unit, when handling these to avoid Out of hours service, Toxoplasmosis which may be Local Emergency harmful to your baby.

Department).

• Tell them the part of the body that is abnormal from your checklist and ask - COULD THIS BE SEPSIS?

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This information was sourced from the National Sepsis Programme. See more at www.hse.ie/sepsis

Do they have a new rash that does not disappear when pressed on by your finger or when a glass is rolled over it? t

Kidneys Have they passed no urine in the past 12 hours and do not feel the need to go?

Circulation Is their heart racing very fast and are their hands and feet cold, clammy and pale?

Do they get very dizzy when they try to stand?

Functional Status Do they have a change in behaviour or performance?

Young people may have severe leg pain and difficulty standing.

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HEALTH NEWS

SEVERE WEATHER CHALLENGES

PUBLIC HEALTH NURSING AND EMERGENCY MANAGEMENT

DR TRISH MARKHAM, HSE NATIONAL OFFICE FOR EMERGENCY MANAGEMENT, MILLENNIUM PARK, NAAS, COUNTY KILDARE DISCUSSES THE IMPACT CLIMATE CHANGE HAS ON THE ABILITY OF PUBLIC HEALTH NURSES TO MAINTAIN FULL SERVICE DELIVERY.

respond to, and recover from major emergencies. Events are unique, with requirements differing depending on the emergency situation. It is important that key roles are defined and that responsibility for coordination is explicit. An established communication infrastructure combined with a media system is necessary to ensure that pre-agreed co-ordination, dissemination, monitoring and management of information exists.

RECO VE RY

E S N

ATION TIG MI

RE S PO

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PR PL E

28

Public Health Nursing interventions orientate around assessment, policy development, planning, response, resilience, engagement and management. This occurs at different levels in the community including: individuals, families, subpopulations and the community as a whole. Primary prevention can include education programmes which increase knowledge of service users in

HAZAYRSD ANAL IS

Major Emergency Management Framework 2006 In 2006, a Major Emergency Management Framework was published to combine the efforts of the Principle Response Agencies (An Garda SĂ­ochĂĄna, the HSE and Local Authorities) to prepare for and make a co-ordinated response to major emergencies resulting from events such as fires, transport accidents, hazardous substance incidents and severe weather. It is based upon an internationally recognised systems approach, an iterative cycle of continuous activity that includes hazard identification, mitigation, planning and preparedness, response and recovery.

The framework works at national, regional and local levels with all HSE services, and on an inter-agency and interdepartmental basis to maintain and improve the capability of the health service to plan, prepare for,

Public Health Nursing Intervention

& NG SS NI DNE ANAR P

C

limate change affects human health both directly and indirectly particularly through extreme temperature and severe weather events (Frumkin et al. 2008). Ireland continues to experience severe weather episodes ranging from excessive rainfall, extended periods of ice, snow and high winds. These events have given rise to flooding, power outages and dangerous road conditions which impacts on the ability of public health nursing to maintain full service delivery.

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HEALTH NEWS

areas such as the use of appliances operational throughout severe from both a technical and weather episodes. The lack of practical perspective. Secondary coterminous geographical areas for prevention strategies include the community and hospital care can be transferring of identified severe a challenge for PHNs, particularly weather vulnerable service in achieving a co-ordinated, users to hospital to ensure seamless response. Prior the continued delivery planning and examination of necessary services. is required of the The framework works at Tertiary prevention geographic footprints national, regional and local includes the in conjunction with levels with all HSE services, and provision of after severe weather on an inter-agency and interthe event services, vulnerable service departmental basis to maintain such as supportive users to determine counselling to an overall blue print and improve the capability of the survivors of flooding of requirements health service to plan, prepare (Polivka, 2012). All during severe weather for, respond to, and recover such interventions episodes.

Due to the from major emergencies. aim to maintain service different characteristics of continuity, minimise adverse the country and depending health effects and manage risk on the impacted area, local through the mobilisation and variations will exist in terms of utilisation of local services to meet service user demand, access and social service user needs. isolation. PHNs play a pivotal role in emergency planning, co-ordination

and response as they possess knowledge and insight. PHNs integrate their services with other organisational providers to ensure that all essential needs are met when in crisis response mode. To conceptualise the Emergency Management cycle incorporation with the Nursing process (Wilkinson 2006), below please find a diagrammatic representation of relevant areas.

PHNs are competent community advocates with a unique skill set and clinical knowledge concerning disease pathophysiology and epidemiology in combination with community assessment skills which, when combined serve a crucial role in emergency management. These community clinicians take cognisance of essential services, severe weather vulnerable service users and have developed an awareness of internal and external resources that can assist when mobilised in the response phase during episodes of severe weather.

Structures Structures are in place across all HSE services with both planning and response arrangements in place, to facilitate a common understanding of requirements, roles and responsibilities.

Procedures to mobilise the National Ambulance Service, the appropriate Acute Hospitals, Community Healthcare Areas and other services will trigger an integrated health service emergency response, which is co-ordinated with the responses of the other Principal Response Agencies.

These structures have been used to manage other serious incidents, without the declaration of a major emergency. This is particularly relevant to public health nursing as the mission, core functions and essential public health nursing services do not change in an emergency.

PHNs view service delivery holistically, which includes the environment in which they deliver services. This is an invaluable awareness when essential services need to remain

Concepts

Assess

Plan

Implement

Evaluate

Hazard Analysis

Risk Assess and identify threat

Develop Plan based on identified need.

Support identified vulnerable groups

Evaluate set targets against achievement

Mitigation

Identify population vulnerabilities

Develop material to increase knowledge

Target group activities to increase awareness

Establish resilience and knowledge gain of identified individuals

Planning and Preparedness

Maintain Severe Weather Vulnerable Register

Identify essential services based upon identified need.

Input findings into the care planning process

Evaluate plans on delivery of essential services post event

Response

Engage with ACMT to determine requirements

Activate plans for severe weather and workforce resilience

Deliver essential services and deploy local staff

Hold debriefs, capture lessons learnt and amend future plans

Recovery

Identify community requirements in different scenarios

Work with functions and agencies to plan for meeting need

Engage in service delivery and restoration

Evaluate effectiveness of plans and impact on service users

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29 10/05/2018 14:40

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10/05/2018 11:52

ICHN CONFERENCES & AWARDS

ICHN ANNUAL CONFERENCE 2017 THE ICHN CONFERENCE 2017 WAS A GREAT SUCCESS WITH A NUMBER OF STIMULATING TALKS, PRESENTATIONS AND DISCUSSIONS ON COMMUNITY HEALTH NURSING. THE THEME WAS ‘COMMUNITY NURSING: TOWARDS AN INTEGRATED MODEL OF CARE.’

T

he Institute’s annual general conference was held in the Hilton Hotel on the 17th May 2017.

The theme was ‘Community Nursing: Towards an Integrated Model of Care’. Papers were presented by National and International Speakers on a broad range of topics. Participant involvement contributed to the interactive discussions relevant to everyday community nursing.

The conference was opened by Ms Essene Cassidy President of the Nursing and Midwifery Board of Ireland. Ms Cassidy spoke on the current reform and progress at the NMBI and on continuing the work that has taken place since the enactment of the Nurses and Midwives Act 2011.

Dr Susan Kent presented on Community Nursing; Towards an Integrated Model of Care Policy, Health Care Audit.

Participant involvement while Ms Anne Pardy Ms Cornelia Stuart, contributed to the interactive presented on the Interim Assistant discussions relevant to every Nurture Project 2015National Director day community nursing.

2018. The Nurture Quality Assurance project is an integrated Office of the National programme of work, Director Quality primarily within the HSE Assurance and Verification Health and Wellbeing Programme presented on Risk Assessment Division and Primary Care Division and Management and Ms Sue to improve Health and Wellbeing Thomas, NHS Chief executive Outcomes for infants and Commissioning Excellence their families. presented on Dementia Care Ms Fiona O’Farrell, Models in Primary Care. This was Occupational Therapist presented followed by Ms Kathleen Kinsella, on Premature Babies and Sensory Honorary Lecturer RCSI on the use Issue and Ms Cora McCaughan, of Doppler Therapy in Wound Care Assistant National Director Management.

Healthcare Audit presented on The afternoon sessions included

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a presentation by Ms Clare Lewis, PhD student on Examining the Processes and Impact of Risk Stratification using a Community Virtual Ward Model to Manage Older Persons with Complex Care Needs.

Ms Caoimhe Gleeson, HSE National Specialist in Accessibility/ National Programme Lead presented on Assisted Decision Making and to close the conference Ms Jacqueline Austin, Assistant Director of Public Health Nursing DSW, Ms Sharon Boyle, Public Health Nurse DSW and Ms Liz Pigott, PHN Health Link Coordinator HSE Northside Link Team for People Experiencing Homelessness presented on Building a PHN response to the Homeless Family Crisis in CHO 7.

The feedback received was positive and influenced the design of this year’s conference incorporating the recommendations of delegates which included reference to having breakout sessions on particular themes. The conference was a great success due to the commitment of the ICHN council and the administrators who co-ordinated the programme.

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ICHN CONFERENCES & AWARDS

COMMUNITY NURSE

AWARDS 2017

AT THE 2017 ICHN CONFERENCE, FOUR PUBLIC HEALTH NURSES WERE RECOGNISED FOR THEIR OUTSTANDING CONTRIBUTION TO CARE IN THE COMMUNITY, WHILE ONE OTHER WAS HONOURED FOR HER INVALUABLE DEDICATION TO THE PUBLIC HEALTH NURSING PROFESSION.

F

ive public health nurses were recognised for the exceptional care they provide and for their commitment to promoting Public Health Nursing in the community. Nominees for the ICHN Annual Awards are highly commended for their professional commitment to their profession and for their work in the promotion and development of best practice and services for identified health needs of varying population groups. Those awarded have committed to their professional development ensuring that all practice delivered by them is evidenced based and will enhance the quality of care of their patients and the community at large. Now in their fourth year, the awards are gratefully sponsored by Home Instead Senior Care, who, through their community offices, help to enhance the lives of the elderly by giving them the help, confidence and independence they need to live in their own homes for longer.

CRITERIA FOR NOMINATION All applications are assessed by a subcommittee of the ICHN professional forum and approved by members of the ICHN Council.

Successful nominees will have demonstrated continuous commitment to providing high-quality nursing care in the community, as well as continuously promoting and engaging with developments to enhance community/public health nursing services.

If you would like to nominate a colleague go to www.ichn.ie/ membership.

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Lifetime Achievement Award Winner: Sr Elizabeth McNicholas

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ICHN CONFERENCES & AWARDS

IN PARTNERSHIP WITH

LIFETIME ACHIEVEMENT AWARD WINNER

SR ELIZABETH MCNICHOLAS

SISTER ELIZABETH WAS AWARDED FOR ALWAYS GOING THAT EXTRA MILE WHEN CARING FOR THE COMMUNITY AND FOR HER 30 YEAR COMMITMENT TO THE ICHN.

T

he Lifetime From her work in community Achievement Award nursing, Sr Elizabeth began to 2017 was presented nurture an interest in public to Sr Elizabeth health nursing. After receiving her McNicholas for her diploma from UCD, she took a extraordinary impact on the lives of position in Carraigaline in South people across Ireland throughout her Letrim and continued her work nursing career which spanned across improving facilities for the large 33 years. Recognized in particular elderly population there. Her work in the Western and North Western there included setting up the Meals Health Boards, Sr Elizabeth also on Wheels programme, Voluntary served on the ICHN Council for five Visitors programme, and arranging years as Honorary Secretary, and as daycare services in the local an area representative prior to that. community health centre.

Sr Elizabeth has long been an Back in Sligo in 1997, she got advocate of education and involved with the Community research, and spent much of Lough Arrow project, of her professional life which again developed improving care for the services for older people You’re the instrument elderly, and community in rural areas. Part of this in supporting people healthcare. project included setting and providing care. up the Rural Transport Sr Elizabeth began her It’s a great profession Programme, as there was career in Galway where to be in. no public transport of any she studied general nursing description in the area at the and midwifery in the late time. Under the Sligo Leader 1970s. She became interested in Partnership, the organisation services for older people following arranged a minibus to bring the a position in a community nursing older population to day services, unit in Donegal, when they began to active age clubs and social services. build their daycare services. She then This developed into a partnership went on to set up daycare services with Sligo General Hospital, for the North Western Health Board allowing groups of patients to travel in Sligo, arranging meals, transport, together to make appointments. Sr and social support systems for the Elizabeth, though she might not people in the area. As well as this, admit so herself, was crucial in she developed an Active Age Club in developing these services, and many the Roscommon area in a voluntary of them are still ongoing today, and capacity encouraging socialisation remain a wonderful testament to her and activities for the elderly life’s work. population there.

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Her time on the ICHN Council began in 2010, though she was an active member since her student days in 1989. Prior to her role as Honorary Secretary on the ICHN Council, she represented the Sligo/ Letrim area, and attended all the meetings and conferences throughout the years. Speaking warmly about the organisation, Sr Elizabeth said, “[The ICHN will] continue to develop as a modern, dynamic organisation providing a voice through leadership and advocacy.”

Sr Elizabeth’s many outstanding qualities make her an ideal candidate for the ICHN’s Lifetime Achievement Award. She admits that she was overwhelmed and surprised at her nomination and would like to express her thanks and gratitude for the multitude of phone calls and text messages that followed the award.

When commenting on the award Sr Elizabeth admitted, “I was just going about my work as I would normally be doing,” humbly adding that “one never knows what impact one has really.”

Nursing is one of the most challenging and necessary professions to be in, some would describe it as a true vocation, but though challenging and at times relentless, Sr Elizabeth remarks that it can be rewarding too. “You’re out there in the midst of it, meeting people at their most vulnerable. You’re the instrument in supporting them and providing care.

It’s a great profession to be in.

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ICHN CONFERENCES & AWARDS

COMMUNITY NURSE

AWARD WINNERS 2017 REGIONAL MIDLANDS WINNER - MARY COSTELLO PUBLIC HEALTH NURSE, COUNTY LOAIS AND OFFALY

Mary is a key member of the PHN Service in County Laois and Offaly and also provides tissue viability support and guidance for patients in residential and social care settings throughout the CHO area. Over the last number of years Mary has OVERALL WINNER AND REGIONAL worked in partnership with PHN WEST WINNER - EITHNE GARRICK managers, PHN colleagues, GPs, PUBLIC HEALTH NURSE, Vascular Consultants, Acute Hospital BALLINA, COUNTY MAYO Services and patients in developing and Eithne was named Overall Winner improving tissue viability services for and Regional West Winner for her individuals, families and communities dedication to improving health in the midlands. She has also advocated outcomes, enhancing patient Eithne provides for patients and families in the experiences and transforming exceptional evidence midlands to have improved access to nursing practices in the areas based care in the wound care services and she has lead of breastfeeding and antenatal community and is a out on the development of Nurse education in particular. Eithne great role model.

Led Leg Ulcer Clinics in four areas was also commended for her work in Laois and Offaly, providing a new in supporting the development of the unique service for the management and Healthy Hospital Initiative with Mayo treatment of lymphoedema, thereby University Hospital, among her many other bringing the service closer to clients achievements. Being a lactation consultant she ensures and improving their quality of life. mothers receive expert and timely advice which helps to promote and sustain breastfeeding rates and promote She works collaboratively with optimal child health and development. She also acts her nurse colleagues to develop as a resource and support to her PHN colleagues policies, procedures, guidelines and in the provision of expert advice on breastfeeding. core care plans for implementing Eithne has presented at both local and national study nursing interventions in wound days and is a mentor and preceptor for both student care and pressure ulcer prevention PHNs and general student nurses. Eithne provides that are based on evidence based exceptional evidence based care in the community and practice and person centred care. is a great role model. She is enthusiastic and motivated Mary is a member of the National in the promotion of maternal and child health and Wound Care Group and attends wellbeing within the community. She is a valuable and both international and local distinguished member of the Mayo PHN team. conferences and study days.

Mary is a key member of She has presented both “I am delighted to accept this award in recognition the PHN Service in County verbal presentations and of my contribution to ensure that the public nursing Laois and Offaly and also poster presentations at local community in Ireland is providing excellent care, and provides tissue viability conferences and is a member services that the people of Ireland can be proud of, support and guidance of the NMPDU Midlands whether it’s postnatal care, or the improvements to our for patients .

Research group. community hospitals,” said Eithne.

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ICHN CONFERENCES & AWARDS

IN PARTNERSHIP WITH

REGIONAL DUBLIN SOUTH WEST WINNER - JACQUELINE AUSTIN ADPHN, DUBLIN SOUTH WEST

REGIONAL EAST WINNER - GWEN REGAN PRACTICE DEVELOPMENT COORDINATOR NORTH DUBLIN COMMUNITY SERVICES

Gwen has worked across primary care, social care, community mental health, addiction services Jacqueline is an excellent advocate for the population and residential care providing outstanding of Tallaght and she has a keen interest in children attention to clients and families in the area and families and social inclusion. She is a member Gwen has developed of infection control. Gwen is currently of the inter-agency groups in the Dublin South expertise in infection working as a Practice Development CoWest area and is a strong client advocate for these control, child health ordinator and assists the Public Health groups. She is involved with CDI, the 0-3 initiative, and older persons Nursing Service in the development of Barnardos, SIPSY, DSCC, Parenting Champion Role/ care. advocacy skills reforming practice guidelines Tulsa. She has taken a lead in developing a model that assist the family and client navigating across for tracking homeless families with children under services. Furthermore, she has led out on developing five. Jackie demonstrates excellent skills in case key PHN led projects for practice development within the management and provides guidance and support to North Dublin networks. Gwen has developed expertise in PHNs on case management and undertakes staff infection control, child health and older persons care. She performance through the medium of professional has expertise in service development across the community supervision. She is responsible for setting up healthcare spectrum supporting PHNs in improving practice.

Antenatal Education and Antenatal Clinics in This includes re-evaluation and updating of practice partnership with the local maternity hospitals and guidelines ensuring clinical care provided is of a high standard is constantly striving for continuous improvement as well as developing a supporting role for PHNs in caseload in this area. A strong advocate for mental and management using evidence based practice guidelines relating emotional health and wellbeing, she has organised these two key performance indicators and quality metrics. staff training in this area.

Gwen is an honorary lecturer at the Royal College of Over the past three years Jackie has completed Surgeons Ireland and has presented locally and nationally on the Higher Diploma and Masters in Child community based initiatives. She is also actively involved in Protection and part of her research patient education with a specialist focus on self management identified the need to support the novice of catheters, supporting patients and families as well as PHNs (in particular) in this area. the PHN service. She has developed a risk stratification She has invested a lot of time in Jackie demonstrates system for PHNs in the management of a caseload to ensure supporting newly qualified PHNs excellent skills in case appropriate and timely interventions as well as safe discharge with their documentation for child management and ensuring a rolling programme of care for PHNs. This is has protection case conference and for provides guidance and been achieved through evidence based practice and research legal submissions. Jackieâ&#x20AC;&#x2122;s research support to PHNs. and critically appraising current work practices comparing has recently been accepted for this with up to date evidence. publication by TCD.

ICHN YEARBOOK & RESOURCE GUIDE 2018

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09/05/2018 10/01/2018 10:47 23/11/2016 09:56 09:35 21.11.16 16:48

ICHN CONFERENCES & AWARDS

ICHN ANNUAL CONFERENCE 2018 THE INSTITUTE OF COMMUNITY HEALTH NURSING IS HOSTING ITS ANNUAL CONFERENCE THE LIMERICK STRAND HOTEL ON THE 23RD MAY 2018. THE THEME FOR THE 2018 CONFERENCE IS NEW HORIZONS: ENHANCING CLINICAL PRACTICE IN COMMUNITY NURSING.

T

he programme for this year’s conference promises to be interesting and very informative, with a wide range of speakers presenting on research and topics relevant to public health nursing. The programme has been developed to reflect the theme and in keeping with the recommendations from last year’s conference, there will be three breakout sessions in session two.

The conference will open with a welcome address from ICHN Honorary ICHN ANNUAL President, Ms Anne and participants CONFERENCE 2018 Lynott. Chaired by Ms are encouraged to take Margaret Costello, some time to view the The Limerick session one will open exhibitor stands and Strand Hotel with a presentation posters.

by Ms Catherine Session three, chaired by 23rd May 2018 Whitty titled ‘Towards Ms Aideen Heneghan will a Shared Concept for begin with an address from Community Nursing’. Ms Mr Tony O’Brien Director Sandra McCarthy will present General HSE. Dr David Hanlon on ‘Supporting Family Carers of will present on the National Clinical People with Dementia: a Public and Integrated Care Programmes, Health Perspective’. Ms Anne followed by Dr Melissa Corbally Pardy will provide an update on the presenting on ‘Responding to the Nurture Programme, followed by Problem of Domestic Violence and Ms Angela Dunne speaking on The Abuse’. Ms Maddie Bell will give National Women’s and Infant Health a talk on the ‘Use of the Domestic Programme. Ms Sharon Vard, CEO of Violence Risk Identification Matrix’, Anam Cara will conclude session one and the session will be closed by Dr with her presentation on ‘Supporting Sinéad Hanafin who will present Parents Through Bereavement’. on findings from the part funded Following a short break for tea, ICHN research project ‘Social Return coffee and networking attendees on Investment: PHN Facilitated are invited to attend a breakout Breastfeeding Groups in Ireland’. The session of their choosing. Breakout Annual ICHN Community Nurse sessions are 90 minutes long and Awards and the ICHN Poster Awards participants can choose between three will follow this and the conference will themes: Child and Maternal Health, conclude with an address by ICHN Clinical Practice, and Older Persons.

Honorary President Anne Lynott.

Following the series of talks in each breakout session, lunch will be served, CEU Accreditation Points = 6

ICHN YEARBOOK & RESOURCE GUIDE 2018

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NEW HORIZONS:

ENHANCING CLINICAL PRACTICE IN COMMUNITY NURSING SESSION 1 – CHAIR: MS MARGARET COSTELLO 08.00

REGISTRATION AND REFRESHMENTS

09.00

WELCOME AND ICHN PRESIDENT’S ADDRESS, MS ANNE LYNOTT

09.15

‘TOWARDS A SHARED CONCEPT FOR COMMUNITY NURSING‘ MS CATHERINE WHITTY, NATIONAL PRACTICE DEVELOPMENT COORDINATOR ONMSD

09.40

‘TOWARDS RESILIENCE IN FAMILY CAREGIVING FOR PEOPLE WITH DEMENTIA‘ ‘SUPPORTING FAMILY CARERS OF PEOPLE WITH DEMENTIA; A PUBLIC HEALTH NURSE PERSEPCTIVE‘

10:00

10.20

10.40

‘UPDATE ON THE NURTURE PROGRAMME - INFANT HEALTH AND WELLBEING’ MS ANNE PARDY, HSE LEAD NURTURE PROGRAMME - INFANT HEALTH AND WELBEING ‘THE NATIONAL WOMEN’S AND INFANT HEALTH PROGRAMME’ MS ANGELA DUNNE, LEAD MIDWIFE, NATIONAL WOMEN’S & INFANT HEALTH PROGRAMME ‘SUPPORTING PARENTS THROUGH BEREAVEMENT’ MS SHARON VARD, CEO ANAM CARA

10:50

Q&A

11.00

TEA & COFFEE BREAK. NETWORKING

SESSION 2 – BREAKOUT SESSIONS

11.30

‘CHILD AND MATERNAL HEALTH’ O’BRIEN SUITE, 6TH FLOOR CHAIR

SESSION 3 – CHAIR: MS AIDEEN HENEGHAN 14.00

‘NATIONAL CLINICAL AND INTEGRATED CARE PROGRAMMES’

14.20

14.40 11.30

MR TONY O’BRIEN, DIRECTOR GENERAL HSE

DR DAVID HANLON, OFFICE OF THE NATIONAL DIRECTOR CLINICAL STRATEGY & PROGRAMMES DIVISION, HSE ‘RESPONDING TO THE PROBLEM OF DOMESTIC VIOLENCE AND ABUSE: “IT’S COMPLICATED“’

‘CLINICAL PRACTICE’

DR MELLISA CORBALLY

HENIHAN SUITE, 6TH FLOOR

‘THE USE OF DOMESTIC VIOLENCE RISK IDENTIFICATION MATRIX IN SAFEGUARDING CHILDREN AND YOUNG PEOPLE WHO LIVE IN FAMILIES WHERE DOMESTIC ABUSE IS A CONCERN’’

15.00

MS MADDIE BELL, CHILDREN’S DOMESTIC VIOLENCE CONSULTANT NORTHERN IRELAND

11.30

‘OLDER PERSONS’ WOGAN SUITE, 6TH FLOOR

15.50

‘LAUNCH SOCIAL RETURN ON INVESTMENT PHN-FACILITATED BREASTFEEDING GROUPS IN IRELAND’ DR SINEAD HANAFIN, RESEARCH MATTERS LTD

16:00 13.00

Q&A

LUNCH AND NETWORKING

ICHN POSTER AWARDS

PLEASE TAKE TIME TO VIEW STANDS AND POSTERS OVER THE LUNCH BREAK.

ICHN COMMUNITY NURSE AWARDS (IN ASSOCIATION WITH HOME INSTEAD SENIOR CARE)

ICHN HONORARY PRESIDENT’S ADDRESS , MS ANNE LYNOTT

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ICHN CONFERENCES & AWARDS

SESSION 2 – BREAKOUT SESSIONS: FULL PROGRAMME

Time

11:30

CHILD AND MATERNAL HEALTH

CLINICAL PRACTICE

OLDER PERSONS

O’BRIEN SUITE, 6TH FLOOR

HENIHAN SUITE, 6TH FLOOR

WOGAN SUITE, 6TH FLOOR

CHAIR: MS DENISE GILLESPIE

CHAIR: MS MARGARET KEOHANE

CHAIR: MS SINEAD GROGAN

‘CONCEALED PREGNANCY & MATERNAL INFANT ATTACHEMENT: RIPPLES THAT LAST A LIFETIME’

‘MANAGEMENT OF DIABETES WITHIN PRIMARY CARE’

‘ADVANCE CARE PLANNING & ADVANCE HEALTHCARE DIRECTIVES’

DR SYLVIA MURPHY TIGHE, LECTURER & COURSE DIRECTOR BSC MIDWIFERY PROGRAMME, DEPARTMENT OF NURSING & MIDWIFERY, UNIVERSITY OF LIMERICK

‘ARE IRISH HEAD CIRCUMFERENCES “GETTING AHEAD” OF THE WHO STANDARDS?’

11.50

MS ANNE MARIE CLEERE, RGN, BSC NURSING (HONS), PG DIP DIABETES

‘PRESSURE ULCER TO ZERO COLLABORATIVE PROJECT’ MS TERESA O’ CALLAGHAN, NATIONAL QUALITY IMPROVEMENT DIVISION HSE

MS DEIDRE SHANAGHER, DEVELOPMENT OFFICER IRISH HOSPICE FOUNDATION

‘AN APPRECIATIVE ENQUIRY INTO COMMUNITY DEMENTIA CARE’ PROF KATE IRVING, DCU

DR FIONA MCGUIRE, COMMUNITY HEALTH DOCTOR IN PUBLIC HEALTH

12.10

‘INTRODUCING SOLIHUILL PARENTING APPROACH INTO PUBLIC HEALTH NURSING’

‘DEVELOPING A NEW PATHWAY FOR FALLS REFERRALS IN CHO7- AN MDT INITIATIVE’

MS JANE DARE, ADPHN DSC

MS MARGARET COLLINS, FALL STRATEGY CHO 7

‘ESTABLISHING INFANT MASSAGE IN PHN PRACTICE’

12.30

12.50

CLARE MCHUGH, SAT CLINICAL LEAD CHO 2, AND BERNIE CARROLL, SAT CLINICAL LEAD CHO 3

‘REVIEW OF SAFEGUARDING VULNERABLE PERSONS AT RISK OF ABUSE NATIONAL POLICY AND PROCEDURES’

MS AOIFE MC EVOY, PUBLIC HEALTH NURSE, LUCAN PCT

Q&A

‘THE SINGLE ASSESSMENT TOOL (SAT) - ASSESSING THE HEALTH AND SOCIAL CARE NEEDS OF OLDER PEOPLE IN IRELAND’

MS SIOBHÁN NUNN, HSE SAFEGUARDING TEAM CHO 7

Q&A

Q&A

LUNCH AND NETWORKING

13.00

PLEASE TAKE TIME TO VIEW STANDS AND POSTERS OVER THE LUNCH BREAK.

ICHN YEARBOOK & RESOURCE GUIDE 2018

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ICHN CONFERENCES & AWARDS

GLOBAL NETWORK:

LOOKING FORWARD

• To use the knowledge of those countries with well developed public health nursing practice to support those without such a service so that they might

40 040_ICHN_2018_ICHN C&A_Global Network_V3.indd 40

T WO E N L R

A B

G L O

• To develop public health nursing practice by sharing the experiences, research, and knowledge of public health nurses, health visitors and others practitioners, educators, leaders and researchers in this area from around the world.

·

NG

• To raise the profile of public health nursing practice making this group of professionals more visible and thereby able to influence health policy locally, nationally and globally.

develop their own public health care service.

• To develop a shared definition of public health nursing practice that will be able to reflect the culture, professional traditions, socialeconomic climate and the policy of individual countries throughout the world.

• To develop these objectives the work the Network four pillars will be formed: Research, Policy, Education and Practice.

ALTH NUR

Objectives

HE

T

he Constitution of the Global Network of Public Health Nursing (GNPHN) was adopted on 20th September 2016 and aims to establish a GNPHN, Health Visitors and Community Nurses in Public Health with a focus on strengthening practice, policy, research, leadership and education in this specialized area of professional work in order to increase access to public health services across the lifespan for families, individuals and communities throughout the world.

K

PUBLI F C O

SI

A NETWORK OF PUBLIC HEALTH NURSES, HEALTH VISITORS AND COMMUNITY NURSES WORKING IN PUBLIC HEALTH.

International Public Health Nursing Conference, May 2019 The Health Visitors Association in Billund Denmark hosted the 4th International Public Health Nursing Conference on the 19th and 20th September 2016. Members of the ICHN council attended and Ms Johanna Downey, former President ICHN, formally handed over the gathering quilt to Denmark, which was made especially for the 3rd International Conference held

ICHN YEARBOOK & RESOURCE GUIDE 2018

10/05/2018 11:12

ICHN CONFERENCES & AWARDS

in Galway in 2013. The next International Public Health Nursing Conference is scheduled to be held on the 14th to the 16th May 2019 in Nairobi, Kenya.

Sessions will be held through plenary interactions, workshops, symposia and scientific sessions.

The scientific committee will be representative of international researchers and universities linked to Public Health Nursing.

Preconference Programme: Monday May 13th 2019 (Optional) • Site visits for registered delegates to health-related community projects • Opening ceremony in the evening

Conference Programme: Tuesday May 14th to Thursday May 16th 2019: • Full conference programme, and poster presentations • Global Network of Public Health Nursing discussion forum.

• Gala dinner on March 6th evening (optional) The ICHN continues to be represented on the steering group

by Ms Anne Lynott, Honorary President of the ICHN.

Membership The membership fee is 50 and there will be three types of membership: Individual, Student and Associate membership. All members will have voting rights.

Associates will have one vote per Institution/organisation a) Individual membership is open to any registered nurse/health visitor working or teaching in public health nursing b) Student membership is open to students who are undertaking qualification in public health nursing or health visiting. c) Associate membership will

be opened to colleges and organisations supporting nurse/ health visitors working in public health and is available for five faculty members. The organisation will have one vote at the general meeting.

Application for membership and more information is available at: info@gnhpn.com

Members Of The GNPHN Council September 2016 Dr Cheryll Adams

Director, Institute of Health Visiting, UK

Ros Bryar

Emeritus Professor of Community and Primary Care Nursing, City University, London

Kari Glavin

Head of Master and Postgraduate studies, Department of Nursing, Diakonova University, Norway

Mary O’Dowd

Health & Quality Consultant, Ireland

Linda Reveling Smith

Chair, Assistant Professor, Nursing, Winona State University, USA

Teresa Obwaya

Health & Management Consultant, Nairobi, Kenya

Reiko Okamoto,

Division of Health Science, Osaka University, Japan

Christina Lindhart

The Association of Health Visitors, Denmark

Rhiannon Beaumont Wood

Director of Public Health Nursing, Wales

Dr Karen Whittaker

Reader Child & Family Health, School of Nursing, University of Central Lancashire

Chris Gordon

Senior Lecturer, University of Suffolk

ICHN YEARBOOK & RESOURCE GUIDE 2018

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The membership continues to grow with members from 23 countries including 11 low income countries.

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ICHN

ICHN CLOSE UP

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SNAPSHOT ICHN MEMBERS IN ACTION

ICHN YEARBOOK & RESOURCE GUIDE 2018

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ICHN CLOSE UP

33 YEARS IN THE ICHN 2018 MARKS 33 YEARS OF THE ICHN. WE LOOK FORWARD TO SEE WHAT THE FUTURE HOLDS FOR THIS DYNAMIC ORGANSIATION, ITS MEMBERS, AND THE INDUSTRY OF COMMUNITY HEALTH NURSING.

T

he Institute of ‘think tank’ weekend in All Hallows Community Health College, Drumcondra in 1984 the Nursing was association agreed that an Institute established in 1985 to of Community Nursing should be promote community established to cater for all members nursing services through continuing of the public health nursing service. education, development and research.

The officers of the association From 1980 to 1984, the Public worked with Fr Burke to bring Health Nursing Course run by An this idea to fruition. National Bord Altranais was held in Gort meetings of superintendents and Mhuire Conference Centre in public health nurses were organized Ballinteer, County Dublin. It was in each Health Board region to during this time that Rev Fr TP inform all PHNs of the proposed Burke, who was resident in the structure with its aim and objectives.

Centre, became acquainted Rules and constitutions were with the Public Health written and all business Nursing course. A procedures were put in lecturer in physics in place to establish the UCD at the time, Institute. Funded The ICHN will continue to he was asked by by the existing develop as a modern and dynamic the course leader Superintendents organisation that empowers Ms Ann Flynn Association, community health nurses to assist with the the ICHN was by providing a voice through development and incorporated in leadership and advocacy for upgrading of the September 1985. many years to come. course. A submission The inauguration with proposals for ceremony took place in the course to be placed UCD and was launched in a third level setting was by the then Minister for prepared and submitted to the Health, Mr Barry Desmond.

CEO of An Bord Altranais, Mr Noel The first ICHN President was Ms Daly, together with a draft syllabus Mona Sharkey (deceased), and Ms and recommendations. The course Eithne Mattimoe became the Hon. was admitted to UCD in September Secretary.

1987.

Over the past 33 years the ICHN Rev Burke was then introduced to has had the privilege of working Ms Eithne Mattimoe, Superintendent with a number of Honorary Public Health Nurse Eastern Health Presidents; Ms Eithne Mattimoe, Ms Board. Following discussion and Mary McDermott, Ms Catherine agreement with Eastern Branch of Curry, Ms Nora Cummins, Ms the Superintendent PHN Association, Regina Buckley, Ms Breda Cleary Ms Mattimoe invited Fr Burke (deceased), Ms Kathleen Cusack, to meet in March 1984. During a Ms Catriona Duignan, Ms Anne

ICHN YEARBOOK & RESOURCE GUIDE 2018

043_ICHN_2018_ICHN Close Up_33 Years in ICHN_V2.indd 43

Corridan and Ms Johanna Downey.

The Executive Council has always worked extremely hard behind the scenes to provide education through conferences, the ICHN website, strategic plans and forming committees and interest groups.

Since its establishment, the ICHN’s vibrancy clearly shows its influence by preparing PHNs and community nurses for the dramatic changes that have been in occurring in social care and primary care. Acting as a unifying and stimulating professional body, the ICHN set out to promote active participation from its members in community and nursing affairs, while fostering their professionalism in the quality of service they provide.

With membership now also open to registered general nurses, the ICHN now is a more effective and respected public health nursing body.

As well as supporting its members, the ICHN acts as a consultative body to the Department of Health, the HSE and the Department of Children and Youth Affairs when requested. The ICHN has nomination rights for the Seanad and has always been politically aware, lobbying for healthcare development.

Over the last 33 years, the core function of the ICHN is its role in supporting nurses to maintain their professional knowledge and will continue to develop as a modern and dynamic organisation that empowers community health nurses by providing a voice through leadership and advocacy for many more years to come.

43 10/05/2018 11:11

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ICHN CLOSE UP

INTERVIEW

MARGARET COSTELLO DPHN, HSE MID WEST COMMUNITY HEALTHCARE, CLARE ALTHOUGH SHE HAS BEEN AN ACTIVE MEMBER OF THE ICHN FOR A NUMBER OF YEARS, THIS IS MARGARET’S FIRST TIME ON THE ICHN COUNCIL. SHE TALKS TO US ABOUT HER CURRENT ROLE AS DIRECTOR OF PUBLIC HEALTH NURSING IN THE CLARE AREA, AND ABOUT HER INVOLVEMENT WITH NATIONAL PROJECTS REPRESENTING PUBLIC HEALTH NURSING.

Nurse and Staff Nurse General.

Community nurses report directly to the Assistant Directors. As part of her current role, Margaret is also involved in a number of projects that will further develop and enhance the quality of community nursing.

ICHN Council Education and Background Margaret completed her Higher Diploma in Public Health Nursing in 2000, and then went on to complete her Masters in Health Services Management It’s great to be in a position in UCC from 2005 to 2007. From there she where you can have such worked as a public The Public Health an impact on someone’s health nurse in the Nursing service life. And nurses do and HSE Midwest, and provides home based community nursing does worked in various nursing and clinical everyday. And sometimes different roles until services at local health we underestimate that. her appointment in centres and in the home 2014 as Director of Public to persons who are eligible Health Nursing, HSE Midand based on assessment of West Community Healthcare. need across all client groups Margaret is currently involved including maternal and infant, with a number of different child health and welfare, national projects representing persons with physical and/or Public Health Nursing. sensory intellectual disabilities, persons with acute and/or chronic illness or conditions, Current Role older persons, and persons As Director of Public Health requiring palliative care.

Nursing, Margaret has overall This service compromises responsibility for the governance of the Director of Public and management of the Public Health Nursing (DPHN) with Health Nursing service in Assistant Directors reporting to County Clare, which has a the DPHN, and Public Health population of over 100,000.

ICHN YEARBOOK & RESOURCE GUIDE 2018

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Though only elected to the ICHN Council recently, Margaret has been an active member of the organisation for a number of years. While working on the Care and Case management project for older persons, Margaret presented at one of the ICHN’s annual conferences. She says, “It’s a privilege to be part of a national group working towards enhancing the profile of community nursing, and it’s really encouraging when you are aware and have the opportunity to contribute to many developments within community nursing, that have the potential to have a very positive impact on people’s lives which is really what we are all about.”

Margaret has great admiration for her peers and colleagues in the field of nursing. “Community nursing makes such a very significant contribution to people’s lives at an individual, family and community level.”

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ICHN CLOSE UP

INTERVIEW

SINEAD GROGAN REGISTERED GENERAL NURSE, HOLISTIC THERAPIST AND ICHN COUNCIL MEMBER

AFTER BEING ELECTED TO THE ICHN COUNCIL, SINEAD GROGAN EXPLAINS TO US HOW HER PREVIOUS EXPERIENCES IN HOLISTIC THERAPY CONTINUES TO INFLUENCE HER CURRENT PRACTICE.

for health and wellbeing. I embraced what it truly means to work in a person-centred way; tailoring each of my treatments to the individual needs of each client.”

Upon her return to the RGN Education and Background community, her Sinead Grogan has worked as a time as a holistic community nurse, she ran her own therapist remains holistic therapy clinic and has also to this day, an worked extensively with social care asset to her current and hospital avoidance schemes. work. From the day She joined the ICHN Council to day assessment of an in September 2017, having worked individual’s clinical, functional, diligently in the healthcare industry and social needs to tailoring the for over ten years, albeit in services that will support and out of the nursing them, she gained similar profession. experiences running She completed her her own business. On training with Trinity top of that, she also College Dublin, and Healthcare has always gained invaluable skills was part of the first been my prime passion as a manager relating group to complete the in life, always helping to case management, higher diploma degree other people governance, policy and programme. Her three procedures as well as year course included managing patient outcomes time both in college and with limited resources. in hospital, which was a very exciting time for her and her peer group. “It was a venture out Current Role for nursing education,” and the Sinead’s current role is as a case course changed how nurses would manager in one of the national be educated from therein. From pioneer sites for integrated care there, she went straight into her and works as part of a “multinursing career, and worked as a disciplinary team located in North registered general nurse for some Dublin.” Working with elderly years, before embarking on a more and vulnerable groups, she and entrepreneurial path, managing her team help them to maintain a her own holistic therapy clinic; a healthful life at home, helping them venture which greatly influenced to access services close to home, her current position and practice. where possible. This team working “Being a holistic therapist was a across service boundaries aims to time where I developed my passion improve hospital avoidance for the

ICHN YEARBOOK & RESOURCE GUIDE 2018

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elderly population. Through her time in self-employment, Sinead says, “I learned the importance of empowering clients to self-care and to be responsible for their own healthcare needs. This is something I now bring to my current practice where patient engagement, involving patients and family in the care planning is a key part of any successful episode of care.”

ICHN New to the ICHN council, Sinead’s role involves representing the RGN community, and to act as an advocate for learning opportunities and career development the community. She is also involved in the organisational process for the ICHN’s 2018 Annual Conference entitled ‘New Horizons: Expanding Clinical Practice in Community Nursing’. She has also been involved in recruitment for the ICHN, and looks forward to 2018 being another fantastic year for the organisation.

47 10/05/2018 11:21

ICHN CLOSE UP

INTERVIEW

DOLORES GALLAGHER DPHN, INISHOWEN NETWORK, BUNCRANA, COUNTY DONEGAL Current Role

DPHN FOR BUNCRANA IN COUNTY DONEGAL, DOLORES GALLAGHER IS A NEW MEMBER OF THE ICHN COUNCIL. SHE TALKS TO US ABOUT HER TIME WORKING AS A MIDWIFE IN ZIMBABWE, AND WHAT’S COMING UP FOR THE ICHN. Education and Background Having completed her studies in nursing and midwifery in the Univeristy of Ulster, Colreine and Altnagevin Hospital Derry, and the South Lothian College of Nursing and Midwifery in Edinburgh respectively, Dolores Gallagher began her career as a midwife in Edinburgh.

From there she took they recovered. And The ICHN provides an a position as Midwife then they went home, independent professional in Charge in the Luisa knowing how to do it.” voice for public health Guidotti Hospital in “The experience was and community general Mutoko, Zimbabwe. a huge education for nursing to influence and Here she learned a lot me - you were as much respond to agencies at a about both her own teaching about health national level. practice, and the influence behaviours as you were that health care education providing nursing care.” had on the local population.

Upon returning to Ireland in “It was also a huge education for 1988, whilst the country was in the me around health promotion and grips of a massive recession, Dolores teaching health enabling behaviour,” began training as a Public Health she commented describing how Nurse and joined the ICHN in 1989. the nurses there, due to limited “It was helpful for me to come back means and in a promotion of health to the middle of a recession where education and self-care would there was very little available.” Even provide lessons on caring for babies with limited means, Dolores was suffering from dehydration (among still thankful for things we take for other ailments), which became very granted, like 24 hours of electricity, prominent in the late 1980s due to and simple nursing equipment like the spread of the AIDs epidemic. catheter bags. Her time in Zimbabwe “We’d start the mums with their had taught her to be resourceful, and babies and taught them how to make to focus on the outcomes of the care oral re-hydration solution and they she could provide as opposed to what spooned it into their children until was immediately available.

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Dolores worked as an ADPHN for the Inishowen Network in Buncrana, County Donegal and she influenced a number of projects there. This network is the most northerly in the country; a peninsula located at a distance from tertiary services and major population centres. In response to the challenges that comes with that geographic reality, and with the Inishowen network’s professional commitment to quality and service, nursing roles and practices have been developed to respond to the evolving needs of the people of Inishowen. Working as an ADPHN, she has been a key player in getting a variety of projects off the ground. One of which has her working in partnership with ICHN Hon Secretary, Denise Gillespie developing a sleep clinic for preschool children. The programme, developed by Denise, has trained up PHNs within Donegal to provide management for uncomplicated sleep disorders in preschool children. “We have at least one, if not two clinics in every network that are PHN led and supervised.” Dolores was recently appointed as the Director of Public Health Nursing for Donegal and is looking forward to new challenges ahead.

ICHN Council Recently elected to the ICHN council, Dolores is enjoying supporting the council in its work. She says, “The ICHN has a unique role in providing a forum for all public health and community nursing members to network nationally and internationally, in developing the professional specialty role.”

ICHN YEARBOOK & RESOURCE GUIDE 2018

10/05/2018 11:11

MSC NURSING (PUBLIC HEALTH)

This innovative programme is for qualified Public Health Nurses seeking to attain a Masters qualification in Public Health Nursing.

WHAT WILL I LEARN?

The programme will enhance the Public Health Nurse’s knowledge base by developing key skills in advanced research methods and completion of a fieldwork dissertation. Delivery of the programme will be over one academic year, commencing September.

ENTRY CRITERIA

Applicants must: • be a Public Health Nurse on the live register as maintained by NMBI • have completed a Graduate Diploma in Public Health Nursing within the last 4 years with a minimum GPA of 2.48 (or equivalent) • be working in clinical practice as a Public Health Nurse.

FURTHER DETAILS ON OUR PROGRAMMES ARE AVAILABLE AT

www.nmhs.ucd.ie or by emailing graduate.nmhs@ucd.ie 244065_2L_UCD_JM_ICHN.indd 1

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ICHN EDUCATION & TRAINING

THIRD LEVEL

COLLEGES

THERE ARE ONLY THREE COLLEGES IN IRELAND THAT DELIVER THE POST GRADUATE DIPLOMA IN PUBLIC HEALTH NURSING; UCD, UCC, AND NUI GALWAY. YOU CAN ALSO AVAIL OF AN MSC IN NURSING OR HEALTHCARE PRACTICE FROM DCU.

Graduate Diploma in Nursing (Public Health), UCD The Graduate Diploma in Nursing (Public Health) in University College Dublin (UCD) helps you to develop valuable knowledge and skills in the areas of primary healthcare and community nursing leading to registration on the Public Health Nursing division of the Nursing and Midwifery Board of Ireland (NMBI). This is a full-time graduate diploma level programme, which takes place over two academic semesters (September-June).

Classes take place on Mondays in semester one and the remaining time represents clinical placement in the public health nursing area or the maternity site. In semester two, classes are scheduled according to the availability of clinical placements and schedules vary from year to year. Successful completion of the programme depends on passing all clinical and academic requirements.

Applicants must be registered as a general nurse with the Nursing and Midwifery Board of Ireland (NMBI) and meet the clinical experience requirements set out by the Health Service Executive. All applicants are required to hold a level eight qualification (NQAI) or apply through APEL and be successful in gaining sponsorship as a student public health nurse from the Health Service Executive. Applications must come through the Post-graduate Application Centre (PAC).

Further information is available from Dr Gillian Paul, Programme Director.

Tel: +353 1 7166406, email: gillian.paul@ucd.ie

Postgraduate Diploma in Public Health Nursing, UCC This level nine programme aims to develop informed and skilled public health nurses. On successful completion of the program, participants can apply to the Nursing and Midwifery Board of Ireland for registration as a public health nurse (RPHN).

This is a one year, full-time programme, usually running from September to June inclusive each year. Students undertake nine modules to the value of 60 credits. There are four blocks of placement with a registered public health nurse in the sponsoring HSE area. If your name is not registered in the midwives division of the NMBI register, you will complete an NMBI approved module or unit of study on maternal and child health as part of the course. Maternity placement of five weeks as part of this module will be in Cork University Maternity Hospital. Total clinical placement accounts for over 23 weeks during the year.

The recruitment and sponsorship of the public health nurses is a national joint application process between the Higher Education Institutions (HEI) and the HSE. Requirements may vary slightly from year to year depending on HSE needs. Current applicants are required to be registered general nurses. Candidates must have a minimum of three years postregistration experience as a registered general nurse within the past seven years, working 39 hours per week, or its equivalent within the last seven years if working less hours.

In addition, it is necessary to have an academic level eight (honours degree or higher diploma) course completed or provide evidence that you can perform at this level as directed on the application form. If English is not your first language, fluency must be demonstrated (IELTS 7 or higher). Admission to the course will be subject to a joint he HSE\HEI application process.

Further information is available from Llyod Philpott, Programme Co-ordinator.

Tel: +353 214901509, email: llyod.philpott@ucc.ie

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Postgraduate Diploma/ Master’s in Public Health Sciences (Public Health Nursing), NUI Galway The Masters/ Postgraduate Diploma of Health Science (Public Health Nursing) is run over two academic years. Candidates registering for this programme upon successful completion of year one can register with the NMBI as a public health nurse. To successfully complete year one the student must complete modules totalling 60 ECTS. Students can choose to opt out of the programme on successful completion of year one and will be awarded a Postgraduate Diploma of Health Science (Public Health Nursing). Year one of this programme is offered by the School of Nursing and Midwifery, NUI Galway, and is sponsored by the Health Service Executive.

Eligible students progress on to the Master of Health Sciences (Public Health Nursing) totalling 30 ECTS in year two. Entry to the Master’s programme is subject to the student achieving 60 per cent on the aggregate of the Postgraduate Diploma modules undertaken in year one. Year two of this programme is offered by the School of Nursing and Midwifery, NUI Galway, and is not sponsored by the Health Service Executive.

Further information is available from Dr Marcella Kelly, Programme Director Tel: +353 91495036, email: marcella.kelly@nuigalway.ie

Royal College of Surgeons www.rcsi.ie

University College, Dublin www.ucd.ie

Trinity College, Dublin www.tcd.ie

Galway-Mayo Institute of Technology www.gmit.ie

Dublin Institute of Technology www.dit.iec

Athlone Institute of Technology www.ait.ie

University of Limerick www.ul.ie

National University of Ireland, Galway www.nuigalway.ie

Sligo Institute of Technology www.itsligo.ie

Cork Institute of Technology www.cit.ie

Blanchardstown Institute of Technology www.itb.ie

Tralee Institute of Technology www.ittralee.ie

MSc in Nursing or Healthcare Practice, Dublin City University Currently we are offering a two year, part-time MSc programme in Nursing or Healthcare Practice. You can choose from five specialist areas of study including Intellectual Disability, Mental Health, Child and Adolescent, Dementia Care and General Nursing or Healthcare Practice. We also offer a Graduate Diploma option after 18 months, and a Graduate Certificate in Dementia Care.

One particular strength of our MSc is that you have both an academic and practice supervisor who support you during your studies. Assessment is conducted through assignments and portfolios, rather than exams. Your practice supervisor and academic supervisor will encourage you to use the portfolio as an opportunity to advance projects that are needed in the clinical area.

Many of our students have been successful in gaining advanced practice positions as they have developed their knowledge and practice during the course. Sinéad, a recent graduate from the Msc, has been successful in achieving an ANP role said, “I really enjoyed my time in DCU, it is a very student focused course. I was equipped with the skills and knowledge to progress in my career in an area I’m very passionate about.”

Entry requirements include a relevant first degree or equivalent, minimum of one year’s practical experience, with three months experience in the defined area of specialism.

Further information available from Deirdre Corby.

Tel: +353 1 7008524, email: deirdre.corby@dcu.ie

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COMMERCIAL PROFILE

SCHOOL OF NURSING & MIDWIFERY, TRINITY COLLEGE DUBLIN HIGHLY COMMENDED BOTH NATIONALLY AND INTERNATIONALLY, THE SCHOOL OF NURSING & MIDWIFERY IN TRINITY COLLEGE DUBLIN HAS A WIDE RANGE OF COURSES CATERING TO HEALTHCARE PROFESSIONALS AND STUDENTS.

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hoosing the right course for you can be a daunting task. With a wide range of courses for healthcare professionals the School of Nursing & Midwifery in Trinity College Dublin can cater for most students course needs. As the highest ranked School of Nursing & Midwifery in Ireland (QS subject ranking 2018), and the only Irish

School in the Top 25 Schools of Nursing & Midwifery in the world, it means that our courses are highly recognised both nationally and internationally.

Course Profile - MSc in Community Health The Master in Science in Community Health is an inter-professional course.

There are three exit pathways: Master in Science, Postgraduate Diploma, and Postgraduate Certificate. This course was developed to meet the educational needs of those working in all aspects of community care and those involved in implementing current health policy in community and integrated care. This course aims to advance knowledge and to

promote collaboration between nurses and other health and allied health professions working in community healthcare.

The core focus of this inter-professional course content is the application of community health theoretical frameworks to community healthcare practice related to adults, children, maternal care, mental health and intellectual disability. This is achieved using interdisciplinary teaching and learning strategies that facilitate and support critical analysis to explore, discuss and analyse services, outcomes and impact in the community healthcare arena.

Graduates of this course will be expected to promote and develop excellence in their community practice setting.

TRINITY COLLEGE The University of Dublin Faculty of Health Sciences M.Sc. in Community Health This multidisciplinary course is aimed at people working across the broad spectrum of professional backgrounds in community health and integrates the principles of public health to community healthcare in its analysis of evidence, implementation and evaluation of community healthcare delivery.

This course is available part time over two years or full time over one year.

Application Information: CLOSING DATE for completed applications: 30 June 2018 Please see www.nursing-midwifery.tcd.ie for application information

Further information on all programmes please contact: School of Nursing & Midwifery, 24 Dâ&#x20AC;&#x2122;Olier Street, Dublin 2.

T: (01) 896 2692 | E: nursing.midwifery@tcd.ie | website: www.nursing-midwifery.tcd.ie

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ICHN EDUCATION & TRAINING

GENEROSITY GOES A LONG WAY IN CORK THE MILLER TRUST SCHOLARSHIP WAS SET UP FOR NURSING RESEARCH FOCUSING ON VULNERABLE AND LESS FORTUNATE POPULATIONS IN CORK. THE SCHOLARSHIP IS POSSIBLE THANKS TO THE GENEROSITY OF MRS ALICE MILLER.

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“to stimulate interest and research in rs Alice such areas as primary healthcare”.

Miller, now With this in mind previous deceased, recipients of the award have has been demonstrated through research and described project work a sound commitment by those to working on projects that are that knew her as a very charitable evidence based with a focus on woman who did a lot of good for deprivation and vulnerability in the less fortunate. This is reflected Cork City and County. Initially under the terms of her will, which, scholarships were given towards following the death of her research and studies in the Cork City son, stated that the residue of her and country area, but that estate was to be divided into five has now evolved into the charities equally. development of projects and local One of the charities named, initiatives, with the award funding was the Cork District Nursing the instrumentation of projects in Association, which had already the area. disbanded at the time of her Over the last 12 years death. The nurses who there have been numerous were members of the recipients of the award.

Association, were then Previous recipients of the One of these esteemed enabled to join the award have demonstrated recipients is Cora Public Health Nursing a sound commitment to Williams, who sits on Service, which then working on projects that the ICHN Executive in turn became the are evidence based Council. Cora carried Southern Branch of the with a focus on deprivation out research on traveller ICHN in 1985. and vulnerability in Cork. health and went on to set The trustees of the up primary healthcare for ICHN Southern Branch travellers in Cork City. “I had received the inheritance from an interest in the deprived and I am the Miller Trust in January 2002, very interested in traveller health and and a subcommittee was established culture. So I set up the first primary comprising of five members and a healthcare for travellers and I helped terms award agreement was reached. set up the one in North Cork and The title of the award is ‘The ICHN Kerry. I also went on to work with Cork Miller Trust Scholarship’. women as a primary healthcare coThe main object of the ordinator for three years,” says Cora.

Miller Trust, as described in the The guidelines for the award Memorandum and Articles of are strictly set out by the Board Association is “to construct and of Commissioners of Charitable promote nursing programmes that Donations and Bequests for Ireland. are intimately related to community Monies are awarded on an annual need and health practice”. basis and a decision to award is Subsidiary to the main object is “to made by a minimum of three people identify the health nursing needs of who are members of the ICHN the community particularly among Southern Branch. vulnerable or at risk groups” and

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53 10/05/2018 11:47

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POST PREGNANCY

WIPE OUT

ANY NEW MUMS CAN RELATE TO FEELING CONSTANTLY TIRED, OR EVEN WIPED OUT. AFTER ALL, YOUR BODY IS RECUPERATING FROM THE INCREDIBLE PHYSICAL CHALLENGE OF PREGNANCY AND CHILDBIRTH. AT THE SAME TIME, YOU’RE CARING FOR A NEWBORN THAT WHAT SLEEP YOU DO GET IS LIKELY TO BE LESS RESTORATIVE BECAUSE IT’S SO FRAGMENTED.

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“Pregnant women are particularly vulnerable to low iron levels due to the increased demand of iron for the optimum growth and development of the baby.”

here could also be other reasons for fatigue post birth, so consult your doctor if you are struggling with feeling constantly tired. Low iron levels are a common cause which can add to fatigue as many women experience lower iron levels during pregnancy and child birth can further reduce iron levels. In this case a natural iron supplement may be beneficial, such as Spatone® Apple.

Midwife, Maggie Evans, comments; “Pregnant women are particularly vulnerable to low iron levels due to the increased demand of iron for the optimum growth and development of the baby. In the last six weeks of pregnancy the baby builds up its own storage of iron from its mother to last for the first 4-6 months following birth. Therefore iron demands can triple by the end of pregnancy, this is often difficult to achieve from dietary sources alone, so help top up your iron levels with a natural iron supplement such as Spatone Apple.”

Top tips to tackle tiredness for new mums Rest: easier said than done, but rest MAGGIE EVANS R.M, HV CERT., CERT. ED., MSC HAS 30 YEARS OF EXPERIENCE AS A PRACTICING MIDWIFE IN VARIOUS CARE SETTINGS AND MORE RECENTLY AS A MIDWIFERY LECTURER AT SHEFFIELD UNIVERSITY FOR 10 YEARS.

when you can. Try sleeping when your baby sleeps in the day and go to bed as early as possible once you have put your baby to sleep. Drink: plenty of fluids, try to make healthy food choices, and don’t skip meals. Now is not the time to crash diet. Food is your fuel.

Walk: try taking your baby out for a walk every day. Exercise can give you a

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boost of energy, and the fresh air and movement may help you both sleep better at night.

Spatone Apple* combines the unique natural liquid iron supplement Spatone with added Vitamin C. One sachet of Spatone Apple provides your recommended daily amount (RDA) of absorbed iron and Vitamin C. Vitamin C is well recognised to increase iron absorption, contributing to a healthy immune and nervous system whilst also supporting our energy metabolism, reducing tiredness and fatigue. Spatone Apple contains Spatone® spa water sourced from the Welsh mountains of Snowdonia National Park - which can help top up your iron levels whilst causing fewer of the unpleasant side effects often experienced with conventional iron supplements. Generally, iron is a very difficult mineral for the body to absorb. However, the iron naturally present in Spatone has been shown to be easily absorbed, with up to 40% bioavailabilityii, compared to 5- 20% from food and other iron supplements.

The additional Vitamin C in Spatone Apple helps you to absorb iron, that’s why each sachet of Spatone Apple includes added vitamin C. Notes: It is important to follow a varied and balanced diet and healthy lifestyle. Food supplements should not be used as a substitute. i, ii Worwood, ‘Iron absorption from a natural mineral water (Spatone Iron +)’, Clinical and Laboratory Haematology, 1996

55 10/05/2018 11:17

COMMERCIAL PROFILE

AUDIOLOGY MEDICAL SERVICES – GIVING YOU THE GIFT OF HEARING AFFECTING ONE IN FIVE ADULTS IN IRELAND, HEARING LOSS TOUCHES EVERY ASPECT OF LIFE. IF YOU RECOGNIZE SOME OF THE SYMPTOMS, YOU CAN GET A FREE HAEARING TEST FROM AUDIOLOGY MEDICAL SERVICES. Tell-tale signs of hearing loss While loss of hearing can be considered a normal part of ageing, it can be very isolating. Hearing problems may make it difficult to understand and follow a doctor’s advice, respond to safety warnings, hear doorbells and alarms and may even lead to increased falls. If untreated, hearing loss may also lead to depression and withdrawal.

Understanding hearing loss Hearing loss affects one in five adults in Ireland. It happens gradually, so you might not even realise it is getting worse. It can be a normal part of ageing or caused by experiencing too much noise over time.

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Common symptoms There are a number of tell-tale signs that might indicate you have hearing loss. Do any of these seem familiar to you?

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• Asking people to repeat themselves • Turning up the TV or radio to a volume others find loud • Having trouble understanding conversation in noisy places • Feeling like other people mumble or slur their words • Having trouble hearing women’s or children’s voices • Having trouble hearing people on the phone • Feeling more irritable or depressed • Avoiding social situations that were once enjoyable • Having difficulty following a fastpaced conversation • Missing important information at meetings • Being told by others that you have hearing loss

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ICHN YEARBOOK & RESOURCE GUIDE 2018

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INTEREST GROUPS

FAMILY FIRST TV & WHATSUPMUM THE DEVELOPERS BEHIND THE MOBILE APPS WHATSUPMUM AND WHATSUPBABY HAVE DEVELOPED FAMILY FIRST TV EDUCATIONAL VIDEO CONTENT DETAILING THE CAUSES OF ACCIDENTS, ILLNESSES AND INJURIES IN CHILDREN AND WHAT PARENTS CAN DO AS THE FIRST RESPONDER.

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ichelle Berkery, managing director of Whatsupmum worked with the HSE Clinical Programme for Obstetrics and Gynaecology, and with Professor Michael Turner to provide free healthcare information, education and parenting advice to expectant parents and their families.

Developed in 2015, the Whatsupmum programme provides educational video content from a range of healthcare professionals that is broadcast in the waiting areas of maternity hospitals around Ireland.

Research Research conducted revealed 94 per cent of those surveyed watched the pregnancy TV while they were waiting, 95 per cent of those found the information useful, and 97 per cent found watching the pregnancy TV improved their waiting experience. This proved

injuries and what parents can do as the first responder. It recognises the impact of visual demonstrations and aims to equip viewers with the necessary skills to improve child health and wellbeing, since according to the Red Cross, only 5 per cent of people in Ireland are that hospital waiting rooms are the trained in first aid, and 55 to 60 ideal location to promote health per cent of all deaths could have and safety messages to an engaged been prevented with knowledge of audience. That’s why Whatsupmum, first aid. The short first aid clips has launched Family First TV; a child were filmed with 16 emergency safety channel in paediatric hospital department paediatricians units across Ireland. and nurses, and Family First TV has since Family First TV been rolled out Whatsupmum has Watching these short videos and to the majority been working with learning how to respond could of paediatric the HSE Clinical potentially improve a child’s hospitals across Programme for the country.

Paediatrics and outcome.” Professor Alf Nicholson, Michelle Professor Alf Consultant Paediatrician, Temple Berkery, Nicholson to Street Children’s University Managing produce clips Hospital and Clinical Lead, Director of that demonstrate National Clinical Programme for Whatsupmum basic child first aid Paediatrics and Neonatology. said, “Following the and address the top success of the Pregnancy illnesses and injuries Clinic TV which provides that bring children to the pregnant women and expectant emergency department. The parents access to expert advice Family First channel offers expert from healthcare professionals advice and insight from leading using the same medium in waiting paediatric consultants and other rooms around maternity hospitals medical professionals on the main in Ireland, we are confident that causes of accidents, illness and these health and safety video demonstrations will engage a captive audience. Over the coming months we will be extending the video content to include many more topics relating to child health and wellbeing”.

For more information see their website at www.whatsupmum.ie or contact Michelle Berkery at mberkery@whatsupmum.ie

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INTEREST GROUPS

HAPPY FEET AN OVERVIEW OF

THE DIABETIC FOOT CLINIC INITIATIVE

MURIEL CROWTHER, COMMUNITY RGN, KILBARRACK PRIMARY CARE CENTRE INVESITGATES THE IMPACT OF DIABETIC FOOT IN THE DUBLIN NORTH AREA.

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clients and healthcare professionals as improved foot care reduces risk of foot disease. This clinic has been pivotal in bridging the gap between community and hospital care by ensuring the necessary supports are in place when clients with care needs are discharged home. This avoids unnecessary re-admission.

orking as a community RGN Foot Assesment Clinics in Dublin North, There are now five nurse-led it’s clear that type II diabetic foot assessment clinics diabetics account for a large cohort in operation in Dublin North of clients. Almost six per cent of City and County. In the planning people with diabetes are affected by phase, in partnership with RCSI foot disease and between 0.03 per Beaumont Hospital, we gained our cent and 1.5 per cent have related competencies and our evidence diabetic amputations (Mishra base with a view to implementing et al, 2017). The majority this programme. ‘The Model of amputations start of Care for the Diabetic with a foot ulcer and Foot’ (HSE, 2011) is the can be prevented or guidance document To enable effective education, significantly reduced currently being used.

I developed a quick reference with good glycaemic The vision of the guide in a colourful poster control, regular clinic is to promote format detailing the main steps foot assessments, good foot care effective education habits for people of good diabetic foot care. This in foot care and with diabetes by had the dual effect of informing suitable footwear. empowering them clients about good foot care Combining this to take responsibility as well as creating awareness knowledge and evidence, for their disease about our service. a group of enthusiastic, management through motivated community nurses education and information. assembled to develop the first To enable effective education, I Diabetic Foot Assessment Clinic developed a quick reference guide in in Kilbarrack Primary Care Centre a colourful poster format detailing in 2014. As part of the planning the main steps of good diabetic foot phase for this programme, it care. This had the dual effect of was necessary to meet with the informing clients about good foot stakeholders. We needed to discuss care as well as creating awareness and outline the need for the clinic about our service. These posters with our line manager, fellow will be widely displayed in the community nurses, diabetes link diabetic foot clinics in Dublin North nurses and diabetic podiatrists. We City and County as a visual aid for had buy-in from the outset as it was clients to reinforce the education clear the initiative benefited both they receive in the clinics.

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A nurse led clinic focusing on health promotion, its success was obvious by the early identification of foot ulcers in some younger diabetic clients that would not have otherwise been captured. The clinic encourages ongoing selfmanagement of good foot care habits and identifies active foot disease. The two key benefits of this clinic to clients are: 1. Education on prevention of foot disease.

2. Seamless link and referral pathway to specialist Foot Care Team, Beaumont Hospital.

Where foot disease has been identified, as well as linking with Beaumont Hospital, the clinic also has a strong tie with the dressing clinics in the local primary care centres meaning that patients who require follow up dressings do not slip through the cracks. This demonstrates the truly seamless care offered by the service.

Risk Stratification The role of the community nurse is to carry out a comprehensive foot assessment, checking for sensation (Morris, 2012) and circulation status (Turns, 2012) as well as providing a physical foot examination and foot care advice (HSE, 2011). Clients are put into risk categories depending on the result of their foot assessment (i.e.

Low, Moderate, High or Active Foot Disease). Where active foot disease is identified, clients are considered urgent and referred though our established referral pathway to the specialist diabetes podiatry services in Beaumont Hospital.

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INTEREST GROUPS

were satisfied with how the initiative was progressing. Clients who were initially less motivated to attend our clinics enthusiastically attended review appointments once they experienced the benefits of the initiative first hand. This demonstrates both the effectiveness and quality of the service provided. In the spirit of continuous improvement it is planned to develop a questionnaire for clients to complete as a qualitative method of evaluating the quality of the programme.

Key Successes

The risk stratification recommends a yearly foot assessment but depending on the risk category, clients may be seen sooner (HSE, 2011). In case of low risk (i.e. normal sensation, palpable pulses) the recommendation is for an annual review. Moderate risk (i.e. reduced sensation or absent pulses) calls for referral to client’s GP and review in three to six months. If a high risk is identified (i.e. reduced sensation, absent pulses plus foot deformity, skin change or previous ulcer), the recommendation is for referral to specialist team and review in one to three months.

Clients in the high risk category are usually linked into the diabetes day unit. Active foot disease recommends, as already stated, urgent assessment within by the specialist foot team. The nurse led clinics operate on a monthly basis

The key to success in promoting diabetic foot care is enthusiastic, motivated community nurses with the appropriate training (McHugh et al, 2012).

The teaching and TThe key to success in promoting advice provided by diabetic foot care is enthusiastic, the nurse should be easily understood motivated community nurses and appropriate to with the appropriate training. the individual’s risk The teaching and advice provided status (Nemcova by the nurse should be easily et al).

Barriers understood and appropriate to to success can be, the individual’s risk status. existing workloads and and referrals come to reluctance to taking on our administration staff extended roles. Nemcova mainly from GPs but clients et al (2014), found that after may self-refer. engaging in education, diabetics’ Methods of evaluation can help had a more positive approach in measuring the effectiveness to their foot care. Fujiwara et and quality of an initiative after al (2011) showed that nurse led implementation and show aspects diabetic foot education clinics of the change that were positive or have a positive impact on the negative as well as examining the prevention of diabetic foot disease. processes or structures surrounding All in all, our experience has been the programme initiative (Grol overwhelmingly positive and we et al. 2013). Effectiveness was look forward to extending the relatively easily answered as all services even further. stakeholders were actively engaged in the programme and evaluation of activities and outcomes was For further information on the ongoing. At this time, all involved Diabetic Foot Clinic, please email were reporting good success and phn.northdublin@hse.ie

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T: 01 670 4114 E: enquiries@foldtelecare.ie

www.foldtelecare.ie Fold TeleCare, supports over 23,000 people through our award winning personal alarms service throughout Ireland. We’re delighted to introduce our new CareClip Service which will give users easy access to help through Fold’s TeleCare Response Centre, not only when you are at home but also when you are out and about.

Fold’s CareClip Service The CareClip uses smartphone technology.

There is a dedicated CareClip App which allows you or your contacts to view your CareClip information on a Smartphone.

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The CareClip supports independence for you, increasing your confidence with the knowledge that help is available should you need it. It also provides peace of mind for your family and carers, knowing that you can retain some freedom with the reassurance that support is available around the clock wherever their location.

Fold’s Personal Alarm Service Fold’s Personal Alarm service provides the reassurance that help is available at any time of day or night. We will provide an alarm unit and personal pendant which can be worn on your wrist or around your neck. The alarm unit is linked via the ordinary telephone line to Fold’s 24/7 Monitoring Centre. By pressing the pendant, an emergency call is made to a Fold Call Advisor who will offer immediate reassurance and support.

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INTEREST GROUPS

ICHN HEALTH INFORMATICS INTEREST GROUP:

SECRETARY’S REPORT 2017

SIOBHÁN STAFFORD, ADPHN, DISCUSSES THE HEALTH INFORMATICS INTEREST GROUP, WHICH WAS CONVENED IN 2016 UNDER THE AUSPICES OF THE ICHN. ITS PURPOSE IS TO IDENTIFY, PROMOTE, AND ADVOCATE FOR INFORMATION AND COMMUNICATION TECHNOLOGIES RELEVANT TO PUBLIC HEALTH NURSING SERVICES IN IRELAND.

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ork to date on the Health Informatics Interest Group (HIIG) has been guided by the HSE Knowledge and Information Strategy developed by the Office of the Chief Information Officer under the ehealth strategy for Ireland, which provides an introduction to the language, culture and vision for Health Informatics (HI). The draft terms of reference for the group was signed off in November 2016.

community nursing model was central to this exercise. Progress on the Individual Health Identifier (IHI), the Nurture Ireland project, and the impact of the recent implementation of the Maternal and Newborn Clinical Management System e-referral pathway on birth notifications to the community were reviewed. Other relevant IT platforms which were discussed included the Single Assessment Tool (SAT), the Applejack (not in use) and the Crystal system.

Current Members

Guided by the review of evidence, the group developed the following wish list for an electronic solution which would provide:

Chairperson of the group is Anne McDonald, PHN, PHIT Project lead Dublin North City and County, and secretary is Siobhán Stafford , ADPHN Meath Primary Care. Other members of the group include Mary O’Reagan, PHN Cork, Catríona Duignan, PHN Sligo and Dolores Gallagher, DPHN Donegal. Both Grainne Gaffney, DPHN Meath PCC, and Sr Elizabeth resigned from the group in 2017. In January 2017, the group identified a number of goals which included the identification of the essential elements of an electronic solution for the public health nursing (PHN) service. The purpose of this exercise was to streamline the groups thinking and direction and to have a collective proposal to promote with relevant stakeholders.

Information and Communications Technology Searching for evidence and identifying current national Information and Communications Technology (ICT) projects relevant to a contemporary

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• A dynamic solution which is easy to use empowering every nurse to be e-capable.

• More time to spend with patients and significantly reduce paperwork.

• A single entry data collection of quality data at the point of care which can be accessed and used multiple times providing real time information.

• Interoperability, and support the use of terminology codes and automated interfaces with other systems e.g, Healthlink, SAT, Primary Care referral.

• Predefined caseload statistics, metrics, patient registers and population profiles.

• A patient portal for access to personal health record and communication.

• A full record of health information which delivers and monitors safe patient care and support indirect systems.

A decision was made to design a poster to promote the goals and aspirations of the group incorporating the wish list. The poster was completed over the summer months, printing was funded by the ICHN and the poster was subsequently displayed at the ICHN AGM in September 2017.

During discussions, Anne identified the need for a glossary of terms to support ease of comprehension of the ICT language and she brought this to the Health Informatics Society of Ireland (HISI). The group was subsequently invited to present and display the poster at the HISI Conference in Croke Park in November 2017.

Aims for 2018 • To actively recruit new members – two new members have already joined in early 2018.

• To investigate methods of fostering integration with other ICHN groups for the purpose of sharing information.

• To ensure that the work of the group is complementary to the work of the ICHN. • To continue to identify, promote and advocate for effective electronic solutions for the PHN service one of the goals of which is to request the ICHN to invite nominated ICT vendors to their meeting in May. • To continue to collaborate with the ICNP group led by Dr Pamela Hussey in Dublin City University to enhance our own learning.

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INTEREST GROUPS

CHILD HEALTH THE INSTITUTE OF COMMUNITY HEALTH NURSING HOSTS INTEREST GROUPS WHICH LINK AND NETWORK COMMUNITY NURSES NATIONALLY TO SHARE MODELS OF BEST PRACTICE IN COMMUNITY NURSING.

FirstLight The sudden loss of a child is one of the most unimaginable pains a family can experience. Every year in Ireland, children and young people die suddenly, unexpectedly and often without explanation.

FirstLight offers free professional and qualified support to parents and families who have lost a child, regardless of the circumstances.

FirstLight also provides support and training to front line professionals in dealing with the impacts and implications surrounding the sudden death of a child.

FirstLight’s vision is that every parent, couple, family and front line professional in Ireland will have access to the best possible support services and information available when they are affected by the sudden loss of a child or young person.

If you or a family that you work with needs support – do not hesitate to contact us. FirstLight is available 24 hours a day, seven days a week on our hotline number, 0872423777.

You can also email support@ firstlight.ie All of our services are available free of charge and nationally. If you are looking for specialise sudden bereavement training please contact Louise, at louise@firstlight.ie

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National Paediatric Mortality Register The National Paediatric Mortality Register (NMPR) is part of the Children’s University Hospital, Temple Street. A reduction of 75 per cent in the Irish SIDS rate following successful intervention campaigns by the National SIDS Register has led to a corresponding reduction in Ireland’s overall infant mortality rate (IMR) to a record low rate which is currently among the lowest worldwide. The NPMR evolved as a natural progression of the work of the SIDS Register, with the objective of extending the successful reduction in infant mortality rates to children greater than one year of age.

The Safe Sleep for Your Baby – Reduce the Risk of Cot Death booklet and poster was produced by the register in partnership with the HSE Child Safety Programme and is currently available to order from www.healthpromotion.ie.

We encourage all public health nurses to use the booklet at their first postnatal home visit. If you would like more information please contact us at (01) 8788455 or email Karina Hamilton, Researcher at NMPR, at karina.hamilton@cuh.ie

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INTEREST GROUPS

Yellow Alert App

Biliary Atresia

The Yellow Alert app, which has been endorsed by Public Health England and the Institute of Health Visiting, is the newest initiative in Children’s Liver Disease Foundation’s (CLDF) Yellow Alert campaign to promote the early diagnosis and referral of liver disease in babies.

The free app contains information designed to make it quick and simple to spot the early signs of liver disease in newborn babies including, information regarding the signs of liver disease in newborns, tests and referrals for liver disease and a stool chart allowing users to compare a newborn’s stool to a variety of healthy and suspect colours.

CLDF are initially encouraging health visitors to download the Yellow Alert app, however, it contains useful information for all healthcare professionals working with newborn babies and the parents of newborns.

Biliary Atresia in children is by far the most common reason for liver failure resulting in liver transplantation.

Identification of children before six weeks of age and referral to a tertiary center for a Kasai procedure is imperative if the child is to have any chance of avoiding transplantation.

Late referral is repeatedly recognised by us and others around the world as the main reason for poor outcomes in biliary atresia.

Persistently dark urine staining the nappy can be a sign of liver disease and babies with pale stools and dark urine should be referred to a paediatrician for investigation Currently a paper copy of the programme is distributed by Our Lady’s Hospital to the GP and public health nurse of a newly diagnosed patient.

Should you be interested in receiving this please send your name and address to childrensliverdiseaseireland@gmail.com.

This information is supported by the Consultant Paediatric Gastroenterologists and Liver Nurse Specialists in Our Lady’s Children’s Hospital which is the Center for Paediatric Liver Disease in Ireland.

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National Poisons Information Centre of Ireland The National Poisons Information Centre of Ireland (NPIC) operates a 24-hour telephone service providing information on the management of poisoning to healthcare professionals.

In 2011, a dedicated public poisons line was set up to provide urgent treatment advice to members of the public when accidental poisoning is suspected. The public poisons line operates from 8am to 10pm, seven days a week. The secondary role of the NPIC is to collect epidemiological data and monitor poisoning trends.

Their annual reports describe the type and volume of inquiries received, including outreach activities to raise awareness of the poisons information service, collaborations and current research interests. They also maintain a website and Facebook page with information and resources for healthcare professionals and members of the public. They also produce poison prevention materials for parents and guardians to highlight potential poisons in the home, and simple preventative steps that can be taken to keep children safe.

For more information please visit www.poisons.ie.

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INTEREST GROUPS

INTEGRATED CARE FRAMEWORK FOR OLDER PERSONS AS PART OF THE NATIONAL CLINICAL & INTEGRATED CARE PROGRAMMES, NORTH DUBLIN HAS BEEN SELECTED AS A PIONEER SITE FOR THE 10 STEP INTEGRATED CARE FRAMEWORK, WHICH AIMS TO IMPROVE HOSPITAL AVOIDANCE FOR THE FRAIL AND ELDERLY POPULATION.

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L

ooking at the national the Frail Intervention Therapy census figures over Team (FITT), to support the the last few years, elderly population remain at a trend is emerging home and as a hospital avoidance whereby the gap initiative. Comprehensive geriatric between the number of older assessment in conjunction with and younger people is widening evidence based risk assessment with people living longer lives tools are used to plan care in often in the presence of multiple a holistic manner, to pre-empt and increasingly complex coinstability and plan for future care morbidities. Increases in the needs accordingly. The primary over-65 year old age group are as aim of this service is to offer a much as 19 per cent since 2011 continuum of care for the frail and expectations are that this elderly population across existing gap will widen further by 2031 service boundaries, to provide a with predictions that the size communication bridge between of the over-80 year old age them and to develop group will treble by 2036 new ways of working (Kearney et al 2011). The alongside patients with By offering a Case implications of this complex needs.

Management approach for long term service Referrals are there is a notable shi planning in areas such accepted from away from episodic care as health, housing, multiple sources to planned delivery of care transport, service such as Primary with the focus being very delivery, and policy Care, Beaumont much person centered and are significant with key Hospital, Clontarf co-ordinated. areas of concern being the Rehab, FITT, St cost of healthcare and the Josephâ&#x20AC;&#x2122;s Day Hospital, provision of long term care.

HSE manager Older Persons, St Josephâ&#x20AC;&#x2122;s Rehab Unit and the With this in mind and as part of Community Virtual Ward. As the National Clinical Programme such, the team work alongside for Older Persons, North Dublin these services offering both inwas selected as a pioneer site for reach and outreach, and where the National Integrated Care necessary drawing support from Programme. The programme is sub-acute services such as the outlined by the 10 Step Integrated Community Intervention Team Care Framework for Older Persons. who can offer out of hours care The team in North Dublin is at home for patients who would offering Clinical Case Management otherwise present at the emergency within a multidisciplinary team department and potentially require for patients with complex care hospital admission. By offering needs. They work alongside a Case Management approach specialists in the care of the there is a notable shift away from elderly field such as specialists in episodic care to planned delivery of gerontology, psychiatry of old age, care with the focus being very much chronic disease management, GPs, person centered and co-ordinated. community nurses, ED including

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INTEREST GROUPS

10-Step Integrated Care Framework for Older Persons National Clinical & Integrated Care Programmes

1 Establish Governance Structures 3 Map Local Care Resources

Person-centred, co-ordinated care

2 Undertake Population

Planning for Older Persons

Enable older persons to live well in the community

Very high risk 1% OP 10% C

• • • • • • • •

High risk 4% OP 17% C At risk 15% OP 25% C

10 Monitor & Evaluate

7

Community Transport Social Activities Home modifications & handy person Medication Management Shopping Harness Technology Support carers information & Advice

Person-centred Care Planning & Service Delivery

• Track service developments • Measure outcomes • Staff and service user experience

The team in North Dublin have drawn inspiration from the Community Virtual Ward (CVW) model of care in the same area. Developed by Clinical Case Manager, Clare Lewis as part of her PhD with the RCSI, they utilise key aspects of this model to monitor and manage patient flow.

The framework for the CVW’s traffic light system is proving to be an invaluable tool, Red (high risk), Amber (moderate risk), Green (low risk). Patient flow through the system is managed by time and intensity of care within each stage and by a defined number on the caseload (Lewis et al, 2017).

The provision of an Integrated Care Team using this model is a way of maximising chances of hospital avoidance and also to counter balance issues arising in

the health and social care needs of this cohort.

In conclusion, as a result of the health and care needs of this rapidly aging cohort of patients, the integrated care teams have been established and are working across the length and breadth of North Dublin city and county to find new ways of supporting the frail and elderly patient to live well at home and to help them to access services as close to home as possible. The system’s goal is to facilitate frail, elderly patients to live a supported life at home with dignity in their local community and that any healthcare services required would be provided as close to home as possible. This service will undoubtedly grow and develop alongside its primary service user in the years to come.

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• • • • • •

8 Supports to Live Well

Risk Stratification % Older Persons / % Cost

Minimal risk 80% OP 48% C

Services 4 Develop & Care Pathways Rehabilitation Ambulatory Day Care Acute Care Nursing Homes Dementia Falls etc...

New 5 Develop Ways of Working New roles including case management approach for long term complex needs in-reach and outreach

Multidisciplinary 6 Develop Teamwork & Create Clinical Network Hub

Co-ordination between care providers

9 Enablers

• Develop workforce • Align finance • Information systems

• Kearney, P.M., Cronin, H., O’regan, C., Kamiya, Y., Savva, G.M., Whelan, B. and Kenny, R., 2011. Cohort profile: the Irish longitudinal study on ageing. International journal of epidemiology, 40(4), pp.877884.

• Lewis, C., Doyle F., Moore Z., Martin, A., Patton, D., Nugent, L.E. (2017) A Community Virtual Ward to Support Older Persons with Complex Healthcare and Social Care Needs. Clinical Interventions in Aging, 12, 985-993 • Fig 1: ICPOP Steering Group, Making a start in Integrated Care for Older Persons A practical guide to the local implementation of Integrated Care Programmes for Older Persons.

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COMMERCIAL PROFILE

DENTAL HEALTH FOUNDATION PROMOTING GOOD ORAL HEALTH IN IRELAND The Dental Health Foundation supports health professionals by providing evidence based best practice resources to increase awareness amongst the public, empowering them to make healthier oral and general health lifestyle choices.

O

ral health is not only important to your appearance and sense of well-being, but is also an important component of general health at all stages of life. The available evidence shows that oral diseases share important common risk factors with the four leading chronic diseases - cardiovascular diseases, cancer, chronic respiratory diseases and diabetes - including unhealthy diet, tobacco use, and excessive alcohol consumption.

Oral disease remains a serious public health issue. Dental caries and treatment is traumatic for a child, it may result in pain, lead to infection and result in hospitalisation and extraction of teeth under general anaesthetic.

Baby teeth are important for eating, talking and smiling. Getting children actively involved in their oral health from an early age improves both their oral and general health as adults. Poor oral health has been linked to sleeping, behavioural and developmental problems in children.

Advice to pregnant women about their oral health during pregnancy is important for both them and their baby. Studies suggest a link between poor oral health and women delivering pre-term, low birth weight babies. Making healthy choices can positively affect their baby’s development including their teeth.

Hormonal changes during pregnancy can make women’s gums more vulnerable to plaque/bacteria and more likely to bleed.

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Good oral health is also essential for healthy ageing, a healthy mouth will improve general wellbeing and quality of life. Tooth loss and ill-fitting dentures in older people affects their ability to eat, speak or socialise properly. It also puts them at a higher risk for malnutrition, cardiovascular disease and infectious respiratory diseases such as pneumonia. Older people in long-term care facilities are at particular risk of complications from poor oral health because of frailty, poor health and increased dependence on others for personal care.

Community nurses have an important role to play in the oral health care of their patients by promoting daily oral hygiene, a healthy diet, avoidance of smoking, and low consumption of alcohol. In 2013, a ‘lift the lip’ early childhood oral screening and referral program by public health nurses was implemented in Co. Cork.

Oral health related awareness can benefit the whole family, for example grandparents who care for their grandchildren during the day can help establish good oral hygiene and dietary habits during childhood.

The Dental Health Foundation supports health professionals by providing evidence based best practice resources to increase awareness amongst the public, empowering them to make healthier oral and general health lifestyle choices. Having the right information on tooth tips, diet and general health will help keep teeth healthy for a

Good Oral Health is Key to Overall Health

TH HEAL lifetime. Good oral health is of vital importance to the general health of everyone in Ireland.

Health Promotion is about empowering people to take control of their own lives so make every contact count.

See more at www.dentalhealth.ie/ publications/resources.html

Further Training Public Health Nurses and/or Community Nurses who would like professional education and training in the principles and practice of Oral Health Promotion can also apply for a one year Specialist Certificate in Health Promotion (Oral Health)

For further details see www.dentalhealth.ie/ professionals/specialistcerti.html

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CHILD HEALTH

CHILD AND FAMILY HEALTH INTEREST GROUP DEPUTY CHAIR OF THE CHILD AND FAMILY HEALTH INTEREST GROUP, KATHLEEN GRIFFIN DISCUSSES THE KEY ROLE OF THE GROUP AND THE SYSTEMS AND PROCESSES IT ADVOCATES FOR.

A

key role of the Child and Family Health Interest Group (CFHIG) is to advocate for improved health systems, processes and structures in the delivery of child and family health through written submissions, participation on national groups and facilitation of small studies and research.

The CFHIG provides an excellent opportunity for PHNs to network and share developments in practice and to highlight areas that require further exploration. Members include; DPHNs, PHNs, ANP Child Health, CNS Child Health and Development, PHN Lecturers, and PHN Consultant and Practice Development Co-ordinators.

The ICHN is represented on the National Child Health Steering Group by Patricia O’Dwyer (member of CFHIG).

Other members of the CFHIG participating on the Nurture - Infant Health and Wellbeing Programme are Patricia McLoughlin and Helen Mulcahy.

In 2016 a sub group of the CFHIG developed and undertook a small scale pilot of a selection of Child and Family Health Core Care Plans in three Community Healthcare Organisation (CHO) areas. The evaluations were very positive and highlighted the need for this resource in public health nursing practice to support delivery of a safe, effective and quality child and family health service. A submission to the ICHN for a project person to undertake the implementation and evaluation of

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the Child and Family Health Core Care Plans has been successful and a proposal for quotes was invited by the ICHN in February 2018. The group look forward to supporting the implementation of this initiative in collaboration with the Directors of Public Health Nursing, Public Health Nurse Practitioners, and clients.

The CFHIG continue to meet and/ or teleconference every two months, areas of interest include: • Child and Family Health Core Care Plans • Sleep • School Health • Breastfeeding • Role of PHN in Child Protection • Updates on National Child Health Steering Group/ Nurture • ANP development in Child and Maternal Health New members are very welcome to join.

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COMMERCIAL PROFILE

IRISH CANCER SOCIETY WITH THE RATE OF CANCER INCREASING, JOAN KELLY OF THE IRISH CANCER SOCIETY HIGHLIGHTS THE INFORMATION AND SUPPORT SERVICES AVAILABLE TO PATIENTS AND HEALTH PROFESSIONALS.

T

he Irish Cancer Society provides support, advice, and information to cancer patients and their families throughout Ireland. The charity’s cancer information and support services are available at every stage of treatment from early diagnosis to post-treatment and recovery.

Cancer Nurseline, a freephone call service operated by the Irish Cancer Society, offers reassurance and practical information from experienced cancer nurses to patients, their loved ones and healthcare professionals.

There are also 13 Irish Cancer Daffodil Centres, located in general hospitals across Ireland, where cancer nurses provide the same cancer information and support through face-to-face interaction. In 2017, over 44,000 people received free information,

advice and support from the charity’s cancer nurses through Nurseline and in Daffodil Centres.

Joan Kelly, Cancer Support Manager at the Irish Cancer Society adds, “While the uptake of our cancer information services is high amongst patients, family members and the general public, we would like more community nurses and public health nurses to recommend our service to their patients.

Our Cancer Nurseline, Daffodil Centres and website are a great support to cancer patients and their families and are also there to provide up to date and accurate information to health care professionals so we would encourage community nurses to avail of them.”

Every three minutes in Ireland someone gets a cancer diagnosis. The incidence of

cancer is rising and by 2020, one in two of us will get a cancer diagnosis in our lifetime.

There are currently 165,000 people living with cancer in Ireland and 40,000 more will be diagnosed with cancer or a related tumour this year.

“As the incidence of cancer increases public health and community nurses are going to have more interaction with cancer patients and their families so our information services are there to support them too,” explains Joan.

The Irish Cancer Society’s services and information are available to anyone affected by or concerned about cancer and healthcare professionals.

Call the Cancer Nurseline on freephone 1800 200 700, visit www.cancer.ie or drop into one of our 13 Daffodil Centres.

Want to talk Call the Cancer Nurseline on

Freefone 1800 200 700

Visit our Daffodil Centres nationwide

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CHILD HEALTH

MOTHER & BABY GROUP JENNIFER GRAY, A PUBLIC HEALTH NURSE IN HARTSTOWN, IDENTIFIED A NEED TO ESTABLISH A MOTHER AND BABY GROUP TO SUPPORT MOTHERS DIAGNOSED WITH POSTNATAL DEPRESSION IN 2011.

J

ennifer qualified as a public health nurse nine years ago and she currently works in Hartstown Health Centre, in Dublin. The area managed by Jennifer works in partnership with parents and families providing advice on a wide range of topics, health education and promotion, and the planning, implementation and evaluation of care plans.

Through her work as a public health nurse, Jennifer identified a need to establish a mother and baby group to support mothers diagnosed with post natal depression. This was based on careful examination of her caseload with findings suggesting that a significant number of mothers were living in isolation without existing family supports and Jennifer did not have the capacity within her caseload to undertake domiciliary support visits.

Aims The aims of establishing the group were: • To reduce social isolation felt by new mothers.

• To provide ongoing support to mothers during the first 6 months.

Prior to establishing the group, Jennifer met with her line manager and fellow colleagues who had experience in group facilitation.

She also attended a course on group facilitation to acquire further knowledge, as she wanted this concept to work in the long term.

Research Research on mother and baby groups positively indicates that mothers benefit in terms of social support, which in turn exerts a protective function against depression and anxiety, and a better relationship with their baby and wider family members.

Jennifer considered a number of locations and settled on facilitating the group in a local community centre. Weekly meetings commenced in 2011, and Jennifer witnessed approximately ten to firsthand the value and 15 mothers and babies impact of the group on attended. Provided at mothers and babies who the first meeting was a basic introductory a ended and she observed letter containing rules that mothers interacted which were set up to value and impact of be er with their baby since create a safe, confidential the group on mothers a ending the group. and relaxed space for and babies who attended mothers to come with their and she observed that babies. Jennifer also encouraged mothers interacted better with mothers to communicate using their baby since attending the social media to keep in touch group. outside the group to support each Jennifer has shown that other. developing community supports for mothers and babies has a positive impact on mothers’ mental health.

Outcomes Working in partnership with the A record of attendance of all parents is key and the results prove children and adults was maintained that the group is both a necessity and the mothers were requested to and an asset to the community of complete an evaluation form when Hartstown. Jennifer is still involved their babies were six months old with this group with some mums and moving on from the group. returning on their third child. Last This information was analysed and month, over 25 mothers attended the mothers reported a reduction the group with their babies and the in social isolation and improved feedback remains very positive and confidence in managing their baby. rewarding.

Jennifer witnessed firsthand the

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CHILD HEALTH

GENERAL NURSING STUDENT PLACEMENTS ROSEMARY O’CALLAGHAN, INTERIM DIRECTOR OF PUBLIC HEALTH NURSING IN THE PUBLIC HEALTH NURSING DEPARTMENT, DETAILS THE INITIATIVE BY THE HSE AND IT TRALEE TO DEVELOP GENERAL NURSING STUDENT PLACEMENTS IN GENERAL PRACTICES.

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he development of a new primary healthcare experience for nursing students in general practice began in May 2014 and is evolving ever since across the counties of Kerry and Limerick.

This initiative was initially driven by the fact that up to 90 per cent of patient contact happens in Primary Care. Furthermore, the review of the Undergraduate Nursing Programme placed greater emphasis on providing nursing students with a longer period of time on community placement. This created a need to provide a broader range of placements in the community for nursing students. In an effort to embrace this, the aim of this initiative was to develop General Nursing Student placements in general practice. The concerted and collaborative effort between the Institute of Technology, Tralee (ITT), the Health Service Executive (HSE) and General Practices has progressed this initiative and made it a reality.

Initiation of this Development Initially the ITT and the HSE, who are the key stakeholders in developing student placements in primary care sought placements from general practices within the Kerry/ Limerick region. It was made possible by the commitment of the Link Lecturer (Triona Heffernan and currently by Sinead Flaherty) and the Clinical Placement Coordinator for the Community

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(Rosemary O’Callaghan and currently by Kay O’Connor).

The Link Lecturer (LL) and the Clinical Placement Coordinator (CPC) worked with Practice Nurses and General Practitioners (GPs) in an effort to recruit and support interested sites to facilitate placements. Educational audits were undertaken in the dedicated general practices for its potential suitability as a quality learning environment.

One day preceptorship training programmes for Practice Nurses were organised with the Centre of Nurse Education in University Hospital Kerry.

The essentials of placement duration, the logistics of travel, networking with Practice Nurses and GPs, learning outcomes and evaluation methods were agreed between the participating members of the Kerry Practice Nurses Association, the Practice Development Coordinator for Practice Nursing, the LL and the community CPC. A proposed two-week placement was decided on, in either year two or three of the nursing programme.

Nursing students allocated to this placement were assigned a preceptor/associate preceptor and their supernumerary status was protected.

To support the continuous professional development of participating practice nurses, the following resources were provided:

and database resources.

• Access to the Preceptorship

Programme which on completion awards 5 NMBI CEUs. • On-going support of the designated support team including the CPC and LL.

Outcome The evaluated outcome of the initiative is that the two weeks’ student placements have been a positive experience for both the practice nurses and the nursing students. Feedback from the practice nurses and the nursing students is captured by using the evaluation mechanism survey monkey.

Exposure of the student to diverse learning opportunities, development and enhancement of essential clinical nursing skills, facilitation of the preceptorship programme for practice nurses, with the on-going support of the key stakeholders were all positively evaluated, leading to the continuation of this initiative.

At present, there are five general practices in Kerry and Limerick facilitating two week placements for students. The participating General Practices are as follows: • Farranfore Medical Centre,

Farranfore, Co. Kerry • Oakpark Medical Centre,

Tralee, Co. Kerry • Westbury Medical Centre,

Athea, Co. Limerick • Convent Street Clinic,

41 Market St, Listowel, Co. Kerry • Ardfert Medical Centre,

• Access to the ITT library books

Tralee, Co. Kerry.

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CHILD HEALTH

CHILD SAFETY PROGRAMME THE CHILD SAFETY PROGRAMME IS DELIVERED BY PUBLIC HEALTH NURSES TO FAMILIES AND CARERS WITH CHILDREN IN THE ZERO TO FIVE AGE GROUP IN ORDER TO PREVENT UNINTENTIONAL CHILDHOOD INJURY.

U

nintentional injury is the leading cause of death among children and teenagers in Ireland.

In 2015 there were 53 injury related childhood fatalities, and over 15,000 children were hospitalised due to injuries. Unintentional childhood injury remains a major public health challenge. Certain unintentional injuries can occur whatever a child’s age, however, children in the zero to five age group are most at risk of injuries in the home.

The Child Safety Awareness Programme Developed in the midlands in 2003, the Child Safety Awareness Programme Certain unintentional (CSAP) has since been delivered in many injuries can occur whatever counties across the a child’s age, however, country. A framework Supporting children in the zero to five document and other Materials age group are most at risk of information materials A CSP manual for injuries in the home.” including a public health PHNs and the wallchart nursing manual, and a (for parents and carers) wallchart for parents and carers have being revised and were developed in line with best printed. A CSP checklist resource practice to support its delivery to (for parents and carers) has also parents and carers in the zero to five being developed and printed. age group. A child safety section on Information about the HSE website was also developed, unintentional childhood injury in line with best practice, to support prevention can be found at www. the programme. You can see more at hse.ie/childsafety. These are www.hse.ie/childsafety updated constantly, in keeping with new developments and In 2017, the programme was any changes in best practice and renamed the Child Safety Programme guidance. These pages are helpful (CSP). As part of The Nurture both to professionals delivering Programme – Infant Health and child health services and to Wellbeing, the CSP training for PHNs parents and carers who look after has been converted to online training young children. and is available on HSELand.

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Aim, Objectives and Delivery Aim • To reduce and prevent ‘unintentional injury’ to children in the zero to five age group inside and outside the home.

Objectives • Empower families to make the necessary changes inside and outside the home to promote child safety.

• To deliver a model of best practice on child injury prevention and safety promotion.

Delivery The PHN delivers the CSP to parents and carers of children in the zero to five age group at the five core contacts, in line with the National Healthy Childhood Programme. There is specific information to share with and to guide parents and carers through at each contact point and the material resources have been developed to support this. Key elements to the delivery of CSP are: • Communication • Education • Participation • Empowerment

For further information about the Child Safety Programme, email Brenda Shannon, HSE Child Safety Programme Lead at brenda.shannon@hse.ie

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CHILD HEALTH

PHN-LED SLEEP CLINICS IN DONEGAL RESPONDING TO IDENTIFIED BEHAVIOURAL SLEEP PROBLEMS IN INFANTS AND CHILDREN, THESE SLEEP CLINICS ARE LED BY PUBLIC HEALTH NURSES IN ALL FIVE PRIMARY CARE NETWORKS IN THE DONEGAL AREA.

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he international literature has consistently identified night-wakings as a common sleep problem with 25 to 50 per cent of infants and toddlers waking at night (Mindell & Owens 2015).

Sleep is essential for functional health and wellbeing in infants and children, and for growth and development (Mindell & Owens 2015). Sleep deprivation in children increases the risk of behavioural problems which can present as aggressive or hyperactive behaviour (Honaker & Meltzer 2014).

A recent study carried out on data from the Sleep deprivation in Growing Up in Ireland to promote positive children increases the longitudinal study has sleep habits with their risk of behavioural provided an overview children. problems which can of the sleep patterns in present as aggressive or Irish infants and young PHN-led Sleep hyperactive behaviour. children and the incidence Clinics of sleep problems in this in Donegal cohort. It analysed data from The Donegal Public almost 30,000 children and found Health Nursing (PHN) service that 14 per cent of mothers reported recognised this need and now that their children aged nine months provides community based PHN woke every night, with 80 per cent led sleep clinics for children with of mothers reporting occasional behavioural sleep difficulties in wakings in this age group. Overall, all five primary care networks in 30 per cent of mothers of infants Donegal. reported their childâ&#x20AC;&#x2122;s sleep pattern as A one-day course was delivered a problem for them, with 22 per cent to all PHNs in Donegal by the of mothers of three year olds, also Advanced Nurse Practitioner reporting that sleep was a problem (ANP) in child health and parenting for them. The majority of Irish prior to commencement of the children go to bed between 7:00pm sleep clinics in each network. and 9:00pm (Hanafin 2017).

This course prepares PHNs to Hanafin (2017) describes provide anticipatory advice to her findings as highlighting a parents on sleep issues at the core substantial unmet need and suggests developmental assessments. The that public health nurses have a key ANP also attended the community role to play in supporting parents sleep clinics to provide training and

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CHILD HEALTH

mentorship to the PHNs in setting up and running sleep clinics in each network area.

A sleep steering committee was established to oversee the roll out of sleep clinics in the five primary care networks. Terms of reference were agreed, and the Letterkenny Primary Care Network was the first site with clinics starting in December 2014.

Scope of practice guidelines as well as a self-competency assessment tool has been developed and is awaiting approval from the Primary, Community, and Continuing Care (PCCC) Policy, Procedures and Guideline Committee.

The TCSQ was developed in Scotland for use in a primary care setting to assess for Disorders of Initiating and Maintaining Sleep (DIMS) in children aged one to five years (McCreavey et al 2005), and has been tested by the designers for reliability and validity.

Audit

The audit which was carried out by phone six months following discharge and the Tayside Children’s Sleep Questionnaire was repeated and compared with the TCSQ which was completed at the initial assessment. The results of that comparison were:

An audit was carried out in 2017 on 60 children who had attended the PHN led sleep clinics in three primary care networks in Donegal and had been discharged from the sleep clinic for at least six months.

Age of Child at Time of Referral • 60 per cent of the children referred to the clinic were aged two years and under, with 32 per cent being under 12 months.

Sex of Child Referred • 31 of the children were male and 29 were female.

Number of Visits to the Clinic • 53 per cent of the children attended one to three appointments in the clinic.

• 28 per cent of the children attended four to six appointments in the clinic.

• 19 per cent of the children attended seven to ten appointments in the clinic.

• At the initial assessment, 97 per cent of the children referred to the PHN led sleep clinic scored in the clinical range on the TCSQ, which suggested they had a behavioural sleep difficulty.

• 72 per cent of the children had a repeat TCSQ score in the normal range.

• 28 per cent of the children, who scored in the clinical range initially, had lower scores in the follow up audit.

Parents were asked to identify reasons they felt contributed to night wakings in their children. Some of these were: • A parent getting up to put the dummy back in.

• A new baby in the house.

• Child going into parents bed at night and not being returned to their own bed.

• Naps being taken late in the day.

• Having milk feeds at night.

contact from a parent (65 per cent) as the most common difficulty. 14 per cent of the children had a sleep association of music or lights, 37 per cent of parents identified a sleep association of feeding as well as physical contact from the parent.

The delivery in Donegal of the one day training in sleep problems in children raised awareness of the incidence of sleep problems and the need for anticipatory advice for parents in establishing good sleep practices. PHNs are ideally placed to provide this advice. For parents who need extra support to deal with their child’s sleep problem the PHN led sleep clinic provides locally accessible advice and support in a timely manner which benefits the health of the child and the mother.

Hanafin S. Sleep patterns and problems in infants and young children in Ireland. Child Care Health Dev. 2017: 1-6. https://doi. org/10.1111/cch.12539 Honaker S., Meltzer L. (2014) Bedtime

The Tayside Children’s Sleep Questionnaire

Associations and Impressions

children: an update of the evidence. Paediatric

During the initial sleep assessment in the sleep clinic The Tayside Children’s Sleep Questionnaire (TCSQ) (McGreavey et al 2005) was completed to screen for behavioural sleep difficulties.

Following a full sleep assessment in the sleep clinic, PHNs recorded their impressions of a possible cause for the sleep difficulties and they identified sleep associations of feeding (62 per cent), and physical

Respiratory Reviews, 15(4), 333-339.

problems and night wakings in young

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McGreavey J., Donnan P., Pagliari H., Sullivan F. (2005) The Tayside Children’s Sleep Questionnaire: Child: Care, Health and Development, 31(5), 539-544.

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CHILD HEALTH

NURTURE

THE INFANT HEALTH AND WELLBEING PROGRAMME NURTURE – THE INFANT HEALTH AND WELLBEING PROGRAMME IS AN INTEGRATED PROGRAMME OF WORK, PRIMARILY WITHIN THE HEALTH SERVICE EXECUTIVE’S HEALTH AND WELLBEING DIVISION AND PRIMARY CARE DIVISION, TO IMPROVE HEALTH AND WELLBEING OUTCOMES FOR INFANTS AND THEIR FAMILIES. IT AIMS TO SUPPORT THE STRATEGIC REFORM OF UNIVERSAL HEALTH AND WELLBEING SERVICES FOR INFANTS AND THEIR FAMILIES.

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he programme will be implemented through a grant from Atlantic Philanthropies to the Katharine Howard Foundation (KHF) and will be delivered by the Health Service Executive (HSE) with support from the Centre for Effective Services (CES).

Over a three year period, Atlantic Philanthropies is committed to providing 6.5m to the HSE towards the delivery of an agreed Implementation Plan. The HSE has committed to contributing leveraged budget, resources in kind and elements of matched funding to the delivery of the programme.

One of the most significant findings from national and international research is that the first two years are the most critical time in a child’s development and what happens in this developmental phase can influence the trajectory of a child’s life positively or negatively.

Furthermore, early intervention and prevention can offer significant benefits in terms of delivering best outcomes for children. There is also recognition of the importance of focusing on how prevention and early intervention practice is integrated and mainstreamed into child and family services.

Two significant policy documents aimed at strategically addressing the needs of children

and families have provided the opportunity to create an enabling context and environment for the development of a programme focused on the newborn to twos and their families. Healthy Ireland (2013): The National Framework for Improved Health and Wellbeing and Better Outcomes Brighter Futures: The National Policy Framework for Children and Young People 2014 – 2020, launched in 2014.

Nurture – The Infant Health and Wellbeing Programme, is closely linked with the work of the National Steering Group for the Revised Child Health Programme. Synergies between both programmes will add to the cohesiveness of the overall model implemented.

The programme will be continually monitored to assess progress and will prioritise seeking the views and ongoing engagement with service users.

The CES will provide The programme has four technical assistance key components: and implementation One of the most significant support to facilitate 1. Public information findings from national and the design and education. international research is that and effective 2. Staff the first two years are the implementation of development. the programme.

3. Development and most critical time in a child’s This will include implementation development and what happens evaluation-related of tools and in this developmental phase can implementation resources. influence the trajectory of a support to enhance local 4. Development and child’s life. capacity for evaluation. An implementation of an action research approach will integrated service delivery be utilised where ongoing learning model. will continuously influence the shape and direction of the work.

A reference group consisting of KHF will commission an a range of child health and allied external, independent process health professionals was convened evaluation to assess how the in July 2014 and developed a logic programme was implemented model for the programme. overall, the implementation support A high level oversight group that was provided and the extent and a programme steering group to which it impacted on systems comprising the main stakeholders change. The learning will be Atlantic, KHF, HSE and CES - will disseminated widely with the aim oversee programme implementation of influencing policy and practice. and compliance.

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CHILD HEALTH

BOAT:

A QUALITY ASSESSMENT TOOL RACHEL EUSTACE, PHN AND SIOBHÁN BRUTON, PHN INVESTIGATE THE USE OF THE BREASTFEEDING OBSERVATIONAL ASSESSMENT TOOL (BOAT) IN NORTH DUBLIN.

PHN Breastfeeding Policy

HSE policy requires that all PHNs must observe and assess a breastfeeding episode at the first postnatal visit (Health Service Executive, 2015). In Community Health Organisation 9 (CHO9), we are working on ways to standardise our PHN assessment of breastfeeding he recent episodes so that we accurately Sláintecare report identify any difficulties at outlined the the earliest opportunities proposed new and provide mums with best model of healthcare for practice feeding plans.

Ireland with a focus on the This work is spearheaded expansion of primary care and by the Breastfeeding Support a shift away from the acute Audit Group North Dublin, sector. It highlights the need to which was formed in 2007. free up Public Health Nurses This group of community(PHNs) to carry out their based health key role in child health professionals meet work especially The feedback from the quarterly. Some of in the area of the key members breastfeeding PHNs using the tool was involved in the support that it was very useful in initiation of this (Government of prompting practitioners to project were Syliva Ireland, 2017). ask all relevant questions of Kennedy, Angela It is well breastfeeding mothers and Nolan, Anne established that assisted them in completing O’Malley, Mary what happens care plans when required.

Mc Dermott, Vivenne to a child during Goodwin and Siobhán pregnancy, and the first Bruton. In December 2014, three years of life impact the group decided to implement enormously on their lifetime a standardised assessment tool health and wellbeing. Early for observing a breastfeed. The intervention and prevention tool is adapted from UNICEF, of health-related issues are the and is called the Breastfeeding best way to maximise a child’s Observational Assessment Tool developmental potential (BOAT). Local workshops were (Health Service Executive, provided for PHNs in CHO9, 2016b). Good health starts prior to the implementation of with breastfeeding (Gallagher the tool. et al., 2015). Our target is to increase breastfeeding rates by 2 per cent each year from Using BOAT 2016 to 2021 (Health Service At every notification visit to Executive, 2016a). mums who are breastfeeding,

T

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PHNs in our area use this tool to document observations of a feed. The colour coding, onepage layout and tick-the-box format make it simple for PHNs to systematically assess the effectiveness of the breastfeed based on best practice. If problems are identified, then a feeding plan is agreed with the mother and additional support is provided. The care episode is documented in a care plan.

The use of the tool was audited in March 2016. Thirty random charts were selected from the whole of CHO9 and interviews were conducted with PHNs. The results indicated that 63 per cent of the charts reviewed included a completed BOAT. The feedback from the PHNs using the tool was that it was very useful in prompting practitioners to ask all relevant questions of breastfeeding mothers and assisted them in completing care plans when required. The positive outcome of the audit resulted in a decision to continue the use of the BOAT when visiting postnatal breastfeeding mothers.

This initiative is in line with the HSEs National Healthy Childhood Program which is seeking to standardise supports to parents delivered by healthcare professionals based on best international evidence available.

For further information please contact Rachel Eustace by email at rachel.eustace@hse.ie or phone at 01 8283113.

77 10/05/2018 11:42

CHILD HEALTH

QUALITY IMPROVEMENT INITIATIVE FOR

INFANT WEANING

TARA MULLEARY, PRACTICE DEVELOPMENT COORDINATOR FOR PHN SERVICE CAVAN/MONAGHAN CHO 1, OUTLINES THE PROCESS OF THE INFANT WEANING/COMPLIMENTARY FEEDING INITIATIVE IN THE CAVAN/ MONAGHAN AREA.

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he Healthy Ireland Framework, launched in 2013, clearly addresses concerns regarding the current health status of the Irish population, highlighting health inequalities and poor lifestyles which are leading us to a future that is dangerously unhealthy.

The public health nursing service is uniquely positioned at the core of the community setting, working collaboratively with every age demographic. It is our role, as health promoters, to help tackle many of these health issues including obesity, overweight and unhealthy diets and aim to achieve the goals set out by the Healthy Ireland framework.

Research and Development The UN Standing Committee on Nutrition (2006) acknowledges the first 1,000 days of life-between conception and a childâ&#x20AC;&#x2122;s second birthday are vital in shaping healthier futures. The right food and nutrition can promote lifelong health and wellbeing, and protect against many chronic diseases such as heart disease, diabetes, and obesity prevalent in Ireland today. Parents have a vital role and responsibility to foster positive eating and lifestyle habits in their children from birth. Parents need guidance on practical aspects of breastfeeding, formula feeding and weaning onto complementary food. It is essential that healthcare professionals educate parents on best practice in their chosen

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method of infant feeding in order to give consistent, evidence-based information to parents and allow them to make the best choices for their infants. The Growing up in Ireland study (2014) showed almost half of Irish children were weaned onto solid food by four months of age with a further 10 per cent taking solid food by three months of age, and less than a third were weaned after six months, despite the World Health Organisation (WHO) recommendations for introducing complementary food at six months. The prevalence of early introduction of complementary food or weaning in Ireland (before six months) suggests parents in Ireland are not fully aware of the

health consequences for their child in childhood through to later life, therefore it is vital that health promotion and education is delivered in a clear and consistent manner to parents by healthcare professionals.

While examining the Operational Action plan for Primary Care 2018, the PHN service identified the need to establish weaning clinics in both Cavan and Monaghan. These clinics would re-enforce the information and education already being given

by Registered Public Health Nurses (RPHN) on a daily basis to parents commencing their infant on solid food. A newly appointed Practice Development Coordinator was tasked with coordinating the set up of these weaning clinics by the Director of Public Health Nursing (DPHN) in Cavan & Monaghan.

Staff involvement and collaboration were key to ensuring a successful outcome and roll out of these weaning clinics. Much research was conducted into how best to structure the clinics to maximise knowledge exchange between the facilitator and parents in attendance at the class whilst being cognisant that parents would be short on time and that infants in attendance with their parents may become restless and upset. The Practice Development Coordinator and two

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CHILD HEALTH

RPHN colleagues visited a number of other PHN led weaning clinics in operation in other parts of the country, Dun Laoghaire County Dublin and Coollooney County Sligo. Fellow RPHN colleagues were extremely supportive and open to sharing of information and ideas of what worked for their clinics and what did not work so well. Engagement with other members of the Primary Care Team was essential, especially the dieticians, who supported the weaning clinics and also agreed to present at the clinics where issues were identified which may be outside of the PHN scope, i.e. cowâ&#x20AC;&#x2122;s milk allergies, fussy eating, and specific diets. Barriers to the success of the clinics were also identified and discussed including location of clinics, an increase to a RPHNs already busy caseload with the added pressure of extra paperwork, developing and printing

to complementary feeding. This draft procedure document was reviewed several times by PHN colleagues and management until a consensus was reached on the final draft. The document was then sent for approval and final sign off from the DPHN and will guide the RPHN in the successful running of the weaning clinics.

The dedication by the PHN staff to ensure an interactive, visually Support Materials attractive and hands on approach and Reception has led to a successful start for Along with the practical elements the weaning clinics in Cavan and of setting up a specialised clinic, Monaghan. Through word of the development of a guidance mouth, informative posters document for the PHN staff in health and resource running the clinic was centres, parenting group essential. A draft locations and invitation procedure document Parents have a vital role letters given by each was developed based RPHN in Cavan on recent national and responsibility to foster and Monaghan at and international positive eating and lifestyle the three month research in relation habits in their children developmental from birth. Parents need check the weaning guidance on practical aspects clinics are growing of breastfeeding, formula in popularity and feeding and weaning onto the feedback from complementary food. parents has been hugely positive. The hope is to roll out even more PHN led weaning clinics in the region, where staffing allows, to allow easier accessibility for parents and try and instil key messages about weaning onto complementary food so that the next generation are given the best possible start to a healthy life.

This work provides a valuable opportunity for future research to examine the affect this innovative nurse led initiative can have on the infant, the parent and the health of our communities. The initiative also highlights the importance of collaboration and support within the PHN service across the whole of Ireland which, in time, may lead to a national standardised consistent approach in the service we provide ensuring positive outcomes for both service users and staff whether they are in the North, South, West or East of the country.

handouts as well as language barriers for parents whose first language was not English. Where possible, simple and practical solutions were put in place to try and remove some of these barriers such as central locations for clinics with parking or local transport accessibility and minimising paperwork in relation to the clinics.

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79 10/05/2018 11:42

COMMERCIAL PROFILE

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here is no place like home. Home is a place to feel safe and warm surrounded by the memories that make up a lifetime. Home is the foundation of our lives; a symbol of our families and friends. It’s a personal sanctuary of comfort and familiarity. Home is the one place where we can truly be ourselves.

Young and old, we all understand the importance of home. And especially as we age, home is where we want to stay. Time passes and calendars change, but inevitably the moment comes when families start to wonder: Can mum stay safe without me? Who will help dad with the groceries when I’m not around? How can I even start this conversation?

Home care is a very personal type of care. A professional caregiver in the home will deliver one-on-one care and will provide care that matches the needs of the person. There is no waiting for help with activities of daily living, and a professional caregiver spends quality time with the person and is readily available. The benefits of professional home care services include: • Home care is delivered at home • The person receives personalised, one-on-one care • Home care encourages older people to maintain their independence • Home care is often the first choice of families • Home care is often less expensive than other kinds of care, and

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Interestingly, a report published in the UK reveals people with dementia stay longer in hospital than other patients and leave in a worse condition. As a result the UK Alzheimer’s Society is urging hospitals to discharge people with

The Home Instead training programme addresses an important and growing need for older people and their families. Using principles of adult learning to instruct caregivers and incorporating stateof-the-art research on behavioural approaches, this programme promises to raise the level of expertise in dementia care for a large group of caregivers. The behavioural issues addressed by this programme are among the most challenging for families. Caregivers who complete this training will be able to demonstrate, and teach how best to provide care for persons with dementia and also improve the quality of life for those individuals through sensitive and empathetic care.

— Jane Potter, MD, Home Instead Centre for Successful Ageing

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COMMERCIAL PROFILE

dementia in hospital a week earlier.

The society also conducted a survey revealing half of all carers believed that a period in hospital had “a significant negative effect” on the health of a loved one suffering from dementia, and, additionally, worsened their dementia.

Home Instead Senior Care • 25 offices providing nationwide home care services • Almost 4,500 professional CAREGivers • Caring for 4,000 older people in the community • Monthly dementia care education workshops for public health nurses

Dementia Care Education Workshops For Public Health Nurses If you would like support in your role of caring for patients with dementia in the community, why not register for a complimentary dementia care education workshop?

The workshops are hosted specially for public health nurses and focus on the symptoms, care and dignity of the person with dementia rather than the condition, physiology, treatment or cure. In particular the workshop addresses the following: • What dementia generally is and isn’t • Potential signs of dementia • Potential triggers to common behavioural symptoms that may arise from the disease • Suggestions for handling such situations • Suggestions for interacting with someone who may have the disease The vast majority of people with Alzheimer’s disease or other dementia are living at home in the community. Sign up for a workshop and let Home Instead Senior Care help you keep people living safe at home, where they want to be. Sign up today by calling 1890 930 013 or visit HomeInstead.ie for more information.

Alzheimer’s And Dementia Care Programme The dementia care workshops for public health nurses are derived from the Home Instead CARE: Changing Ageing Through Research and Education (CARE) programme

- a unique research-based training approach for Home Instead’s professional CAREGivers. Designed by renowned experts in the field of Alzheimer’s and dementia care, the approach focuses on personalising the care experience and looks at practical ways of dealing with some of the most common issues associated with dementia. You will learn expert techniques to keep dementia patients engaged in life and understand and reduce certain behavioural symptoms of dementia. The training will provide you the confidence to know that your dementia care expertise will be enhanced by keeping up to date with the latest in dementia education and care techniques.

If you have any questions about home care services and how they can help older people in the community maintain their independence and live at home longer, please contact your local Home Instead Senior Care office on 1890 930 013 or visit HomeInstead.ie. All local offices will work with public health nurses to ensure the safety and care of people in the community whether this include assisting with a care plan or providing home care services.

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Too o en in dementia care we seek to create a behavioural void. We focus on keeping the person with dementia from doing this and that unwanted behaviour. But living beings behave. So the best way to avoid unwanted behaviour is to focus on supporting wanted behaviours. What activities do we want to help the person do more o en? I am honoured to be an advisor to this training programme because of its focus on what the person with dementia can do.

— Glenn Smith, MD, The Mayo Clinic

81 10/05/2018 16:01

PUBLIC HEALTH NURSING POLICY

INTERVIEW

VIRGINIA PYE NATIONAL LEAD FOR PUBLIC HEALTH NURSING VIRGINIA PYE, NATIONAL LEAD FOR PUBLIC HEALTH NURSING IN THE OFFICE OF THE NURSING AND MIDWIFERY SERVICES DIRECTORATE OF THE HSE, DISCUSSES INCREASED FOCUS ON COMMUNITY CARE FOR THE FUTURE.

I

was appointed to the role of National Lead for Public Health Nursing in the office of the Nursing and Midwifery Services Directorate of the HSE in January 2015. This was a new post and the primary purpose of the position is to provide a strategic approach to the development of public health nursing services and structures. I work between the National Nursing office and Primary Care. I also liaise and input as required into other divisions, for example Quality Safety and Risk, and the Quality Improvement Division Health and Wellbeing. Public health nursing is unique in that We must remember that the client groups that we deliver services to span one determined person and integrate with all can make a significant the divisions within the difference, and that a health service. My focus small group of determined always is what we can do people can change the as PHNs to improve the course of history. quality of the service that we provide, is it patient focused â&#x20AC;˘ To develop and implement and based on the best evidence a national governance available. I am very excited that we framework to support and now have for the first time a National progress evidence based Practice Development Coordinator in quality improvements/practice post. Catherine Whitty commenced in developments for Public Health her role in March 2017.

Nursing Services.

Current Projects In January 2018 the Quality Improvement Governance Group for Public Health Nursing was established. This is the first such group at national level and I am the chair of this group. The main aim of the group is:

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This is a joint initiative between the National Nursing Office and Primary Care and it represents an exciting opportunity for PHNs to identify critical national projects for development. There are several projects underway and a consultation process with

all staff will be key to successful implementation.

There is an acute need for an ICT system that all professionals working in the community can access and ensures that patient care needs are integrated. The development of a Primary Care Management system is on-going and this initiative will support the work of all health professionals working in Primary Care. This system is currently in design phase and I will endeavour to ensure that the needs of community nurses are integrated into the system design.

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PUBLIC HEALTH NURSING POLICY

Research A national worksheet for collection of child health and child protection activity is currently in development in collaboration with the National Healthy Childhood Programme.

This worksheet will be supported by standardised definitions for core child health activity and will assist with the collection and return of key performance indicators.

This work is all about raising the profile of public health nursing and demonstrating the range of work that PHNs provide to children and families.

One of the objectives of the National Steering Group for implementation of a revised child health model, is the development of a National Standardised Child Health Record. This record will then be used by all PHNs and will ensure a quality assured and equitable child health programme for all children seen by the PHN service. As a member of the sub group responsible for developing this record, I have been in a position to contribute to the content and scope of this programme.

Future Opportunities With the publication of the Sláintecare report in 2017 and the proposed enactment of the Irish Healthcare Act, there will an increased focus on community care. Providing for universal access to Primary Care and GP services is a welcome initiative but will require additional resources. The Sláintecare report provides a strong foundation for the wider health services, but crucially it will also provide an opportunity to develop and expand community nursing services. Public health nursing needs to prepare a clear vision of what it can contribute to this emerging healthcare environment. I would like to see continued development of integrated nursing posts and the development of advanced nurse practitioners particularly in the area of chronic disease. PHNs

are ideally positioned to deliver health promotion programmes at individual and community levels.

Unfortunately, this aspect of the PHN role is continually under pressure due to competing demands from the acute services.

The National Healthy Childhood Programme are in the process of revising the child health model of care and alongside this there will be updated educational and learning resources for all PHNs. All of this work is very valuable and ensures that the PHN service is delivering the highest possible It is a reality that there standards of child and are always challenges in family healthcare. the use of ICT as a health environments as The National means to do this. service needs fluctuate and Wound Care Like other services there is on-going pressure Guidelines have and healthcare on staff to deliver services. just been revised and institutions we have approved. Ensuring that to prepare for external staff are aware of the revised review and accreditation. guidelines and are integrating The publication of the National new evidence into practice is Standards for Safer Better critical for me. Community nurses Healthcare by HIQA provided spend up to 40 per cent of time a framework for community on wound care so it is imperative nursing to build on and prepare that these best practice guidelines for validation. Much work has are communicated and integrated been done to date in order to meet into practice. I will work with the these standards and I believe that relevant departments within Office sharing of expertise and projects is of the Nursing and Midwifery key to meeting the standards in an Services Director (ONMSD) to efficient way. The introduction of ensure that this will take place. the Quality Care Metrics project in community nursing demonstrates a commitment to identifying Challenges good practice and putting plans in It is a reality that there are always place to deal with deficit areas of challenges in health environments performance. as service needs fluctuate and I believe that each member of the there is on-going pressure on staff community nursing staff has the to deliver services. For me in my potential to lead and bring about role, it is about acknowledging change. I like the quote by Sonia these pressures and finding a way Johnson, “We must remember that to motivate and engage staff in one determined person can make such a climate. My experience a significant difference, and that a from meeting with staff in the small group of determined people last two years is that there is an can change the course of history”. appetite for change and making So if we harness the expertise and improvements to how we do energy of all community nursing things. For me, the challenge is to staff we can do a great deal to find a way to implement change develop and improve community without overburdening staff and nursing services. compromising delivery of care. I see

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PUBLIC HEALTH NURSING POLICY

CATHERINE WHITTY NATIONAL PRACTICE DEVELOPMENT CO-ORDINATOR

WORKING CLOSELY WITH THE NATIONAL LEAD FOR PUBLIC HEALTH NURSING, CATHERINE WHITTY IS RESPONSIBLE FOR FACILITATING DEVELOPMENT IN THE PHN SERVICE, INCLUDING STANDARDISED QUALITY AND PRACTICE.

• She is a member of a national group that have developed an electronic PHN caseload register to support robust caseload management.

Quality Improvement

A Quality Improvement Governance Group Catherine has worked as an for Public Health ADPHN, and DPHN for a number Nursing was established of years before commencing her at the beginning of current role as National Practice this year. The main aim Development Coordinator in March of this group is to provide a 2017. This was a newly created post support framework for practice based within the Office of the development within the service Nursing and Midwifery nationally. Catherine Services Director was actively involved (ONMSD) working Catherine is leading on the from the early stages closely with Virginia of consultation Pye the National development of a national and design of this Lead for the PHN authorised prescriber quality improvement Services. The chief request form for the framework and she purpose of the administration of medication is a member of the post is to facilitate by community nurses as part Governance Group. the development of of the ‘Safe Administration of All nursing grades excellence in the PHN Medication’ project. and geographic regions service and contribute to are represented. Quality the strategic development improvement work currently of standardised practice and underway includes the following: quality standards nationally.

During her first year in this role, • The establishment of a development Catherine has been involved in the programme for ADPHNs. following projects: • The development of key performance indicators for wound management.

• The role out of primary care • The development of a national metrics for the service. mission statement for the service • Leading on the development of nationally. the first national procedure for the service, the discharge of patients from the PHN caseload. This Catherine is leading on the procedure is in final draft and is development of a national authorised awaiting approval by HSE senior prescriber request form for the management. administration of medication by

Current Role

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community nurses as part of the ‘Safe Administration of Medication’ project. The request form and related operating procedure are in final draft and awaiting final approval prior to national implementation.

Other projects Catherine is working on include: • Preparing a first draft of a PPPG for the referral of patients to the PHN service.

• Progressing a child health activity metrics collection template and definitions workbook.

• In alignment with the HSE national service plan and Nurture programme she is supporting the implementation of the ASQ-3™ screening questionnaire and sleep management awareness training in child health services offered by PHNs. Catherine’s specific areas of interest going forward include supporting frontline services in the promotion of person centred and evidence based practice.

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ELECTRONIC HEALTH RECORDS FOR PALLIATIVE CARE CARMEL BROWNE MSC, CLINICAL NURSE SPECIALIST IN THE PALLIATIVE HOMECARE SERVICE IN COUNTY DONEGAL INVESTIGATES THE USE OF ELECTRONIC PATIENT RECORDS FOR COMMUNITY PALLIATIVE CARE NURSES.

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his was an exploratory quantitative study, examining the attitudes, concerns and potential barriers of clinical nurse specialists to the introduction of standardised documentation and the potential of introducing Electronic Patient Records (EPR) to the palliative homecare services, in the Republic of Ireland. For the purpose of this paper the author will focus on the results relating specifically to Electronic Patient Records.

opposition of CNSs in relation to the introduction of EPRs.

Methods

This study was undertaken in four parts. A literature review was undertaken to examine the extent of work already carried out by other scholars in relation to this topic.

The second part of this study included the application for ethical approval from the Research Ethic Committee, Trinity College Dublin, without which this study would not have materialised.

Background The third part of the study Healthcare delivery is infected involved a survey of the census with enormous inefficiencies. Poor of CNSs employed in palliative utilisation of our most valuable homecare service in the human resource is one such Republic of Ireland, by inefficiency and inadequate use of an anonymous coordination of care electronic is another. These Healthcare delivery is questionnaire. The two inefficiencies infected with enormous questionnaire sought combined, lead inefficiencies. Poor to establish the the researcher to utilisation of our most current position examine if Clinical valuable human resource of the target Nurse Specialist is one such inefficiency and audience with regard (CNS), employed in inadequate coordination of to standardised the palliative homecare care is another. documentation and the service, would be likely potential of introducing to embrace the introduction EPRs. of standardised documentation The fourth part of the study and to explore the potential of involved the anonymous data introducing electronic patient collection, the confidential analysis records into this service. and thesis write-up.

Objectives The study undertaken sought to ascertain, primarily, the level of current knowledge, skills, interest and/or opposition of CNSs in relation the introduction of standardised documentation. A secondary objective of this study was to ascertain the level of current skills, attitudes, interest and/or

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Results and Recommendations The response rate to the electronic questionnaire was a healthy 47.7 per cent. A 40 per cent sample of the target audience.

Interestingly, this study initially highlighted the fact that a register does not exist of all the CNSs

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employed in palliative homecare in the Republic of Ireland. The author identifies this as a major administrative oversight and would advise that this should be addressed as a priority.

This study also highlighted the interest which already exists within the Palliative Homecare Service in standardised: documentation; protocols; policies; procedures and practices nationally. The author recommends that this is followed up, actioned and delivered upon, based not only on the predicted cost saving benefits as outlined by Kaplan (2011) but also the improved patient outcomes as evidenced by Blumenthal (2010).

The results of this quantitative study have led to a number of recommendations, not only for the Palliative Homecare Service but indeed other Community Services also, not to mention hospice units

and hospitals nationwide.

The need for effective, practical training has been noted and should be addressed as a priority in the event that EPRs are introduced, this is similar in nature to that found in numerous studies (Cooper, 2012; Neary, 2014; Tower, Chaboyer, Green, Dyer, & Wallis, 2012).

The inefficiencies of paper based records and the lack of IT infrastructure within palliative homecare and throughout the Primary Care Service in general, results in communication difficulties and excessive duplication of documentation (Oâ&#x20AC;&#x2122;Riordan, 2011).

CNSs report that they use computers to input patient data and record the frequency of home visits, however, they are unable to record nursing activities, cross check prescription details or access hospital discharge information.

Desktop computers are reportedly

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the most common computers currently available to CNSs. These computers seem under utilised as they are too restrictive in their functionality, and are non-portable by their very nature.

A national standardised EPR with an in-built decision support system would potentially minimise the risk of errors in care delivery (Commission on Patient Safety and Quality Assurance, 2008; inter RAI, 2014; Kutney-Lee & Kelly, 2011). This would require a form of mobile computer system to be available to CNSs and accessible at the point of care.

Continuous research and audit is now considered a requirement of nursing practice. This is necessary to determine whether current practice is safe and of a high quality. It also allows accurate measurement of healthcare outcomes. Electronic Health Records can easily facilitate this form of investigation.

The author notes that at no point did any participant refer to their employee representative in the free text comment sections. However, the author is cognisant that should any significant change be made to work practices, negotiations are necessary with all key stakeholders including employer and employee representative bodies, the Nursing and Midwifery Board of Ireland and patient advocacy groups.

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Conclusion

healthcare would also be achieved concurrently (Department of The results of this study have Health, 2012, 2013, 2015; Health both theoretical and practical Service Executive, 2015). implications. The research results Evidence suggests that the are convincingly in favour of Healthcare Industry in general introducing Electronic has lagged behind other Patient Records, as long as industries in the uptake effective preparation and of IT (Evans, 2015). training is provided in The research results are Ireland, it seems has advance. The study convincingly in favour of lagged well behind the results suggest that, introducing Electronic rest of Europe, in the the Community introduction of EPRs. CNSs employed in Patient Records, as long The EU Commission the palliative care as effective preparation are now determined service in the Republic and training is provided to achieve cross border of Ireland are a savvy in advance. interoperability of workforce with good IT Electronic Health Services proficiencies.

(European Commission, 2012).This The key operational goals and indicates that eHealth will become objectives of both the Department a compliance issue within all of Health and the HSE would be member states, rather than a matter addressed with the introduction of choice. of EPRs and standardisation of

• Blumenthal, D., & Tavenner, M. 2010. The “meaningful use” regulation for electronic health records. N Engl J Med, 363(6): 501504.

• Commission on Patient Safety and Quality Assurance. 2008. Building a culture of patient safety: report of the Commission on Patient Safety and Quality Assurance: Stationery Office.

• Cooper, A. 2012. Electronic record system preparation. Nursing Times, 108(6): 26-27.

• Cresswell, K., Morrison, Z., Crowe, S., Robertson, A., & Sheikh, A. 2011. Anything but engaged: user involvement in the context of a national electronic health record implementation. Informatics in Primary Care, 19(4): 191-206.

• Department of Health. 2012. Future Health. A Srategic Framework for Reform of the Health of the Health Service 2012-2015. In D. o. Health (Ed.). Dublin.

• Department of Health. 2013. eHealth Strategy for Ireland. In D. o. Health.

(Ed.). Dublin, Ireland.

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• Department of Health. 2015a.

Statement of Strategy 2015 - 2017. In Department of Health (Ed.).

• Department of Health. 2015b.

Varadkar and Lynch publish Health priorities for 2015.

• European Commission. 2012. eHealth Action Plan 2012-2020 Innovative Healthcare for the 21st Century.

• Evans, M. 2015. IT LABOR CRUNCH slows hospital data initiatives. Modern Healthcare, 45(24): 14-16. Health Information and Quality Authority. 2012.

Guidance on Information Governance for Health and Social Care Services in Ireland.: HIQA. • Goldstein, D. H., Phelan, R., Wilson, R., Ross-White, A., VanDenKerkhof, E. G., Penning, J. P., & Jaeger, M. 2014. Brief review: Adoption of electronic medical records to enhance acute pain management. Can J Anaesth, 61(2): 164-179.

• Health Information and Quality Authority. 2015. ePrescription Dataset and Clinical Document Architecture Standard.

The author cautions that failing to implement the HSE eHealth plan in its entirety has other more serious risks, including poor communication between practitioners, lack of availability of important information at the point of care leading to suboptimal treatment and continued organisational dysfunction.

The findings identify the need for conscious efforts to be strategically built upon to ensure that the HSE fully implement their eHealth Strategy for all sectors of the health service, including the Community Palliative Care Service (Department of Health, 2013; Health Service Executive, 2015).

The author keenly awaits the full implementation of the eHealth Strategy for Ireland.

• Health Service Executive. 2015.

Health Service Executive service plan 2015: Health Service Executive (HSE).

• interRAI. 2014. The Tools in the Suite (on-line).

• Kaplan, R., & Porter, M. 2011. The Big Idea. How to solve the Cost Crisis in Health Care. Harvard Business Review: 1-18.

• Kutney-Lee, A., & Kelly, D. 2011. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. The Journal Of Nursing Administration, 41(11): 466-472.

• Neary, A. 2014. Do emergency nurse practitioners provide adequate documentation? Emergency Nurse, 22(4): 34-40.

• O’Riordan, M. 2011. Primary Care Teams: a GP perspective: Irish College of General Practitioners (ICGP).

• Tower, M., Chaboyer, W., Green, Q., Dyer, K., & Wallis, M. 2012.

Registered nurses’ decision-making regarding documentation in patients’ progress notes. Journal of Clinical Nursing, 21(19/20): 2917-2929.

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SOCIAL RETURN ON INVESTMENT FOR LOCAL BREASTFEEDING GROUPS DR SINÉAD HANAFIN (RESEARCH MATTERS), KIERAN O’DWYER (RESEARCH MATTERS), MARY CREEDON (ICHN), AND CATHERINE CLUNE-MULVANEY (RCSI) PRESENT FINDINGS FROM THEIR STUDY ON SOCIAL RETURN ON INVESTMENT (SROI) IN PUBLIC HEALTH NURSE-FACILITATED BREASTFEEDING GROUPS IN IRELAND.

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his research focused on breastfeeding groups facilitated by public health nurses in 11 locations across Ireland.

Mothers attending the group were mainly aged between 30 to 40 years, had completed third-level education and about one in six had not been born in Ireland. Over 60 Aim of Study per cent were first time mothers The overall aim of the project and a further six per cent had not was to estimate the value of breastfed before, although they had PHN-facilitated breastfeeding other children. About 30 per cent support groups. The research was of the 11 PHNs who facilitated informed by, and coherent with, groups, had been doing so for more the methodology used to calculate than five years, about 40 per cent Social Return on Investment (SROI). for three to five years, and 30 per This type of approach provides cent for less than one year. Four a framework for measuring and of those included in the study accounting for the broad concept of had undertaken the required value by measuring changes in training to be a lactation ways that are relevant to the consultant while the people or organisations remaining PHNs had that experience or Mothers a ending the completed a range of contribute to it. group were mainly training and education aged between 30 to 40 in breastfeeding. The Participants years, had completed groups were facilitated Information was in different ways, collected using third-level education and including by one PHN qualitative and about one in six had not (generally a lactation quantitative methods and been born in Ireland. consultant), by two PHNs, data was collected from all and, in one case, by a rota of relevant stakeholders. In total, PHNs where each PHN facilitates 75 interviews (individual, joint the group every six to eight weeks. and focus groups) were conducted Facilitating a group was estimated with eight PHNs who facilitate a to take zero to two hours by six of breastfeeding group, 61 mothers the PHNs and three to four hours currently attending a breastfeeding by three PHNs. group, three PHNs who do not facilitate a breastfeeding group but where mothers in their care attend Costs one, and two PHN managers.

Costs, other than time costs for Surveys were completed by 104 PHNs, associated with facilitating mothers, 16 family and friends of the group were negligible and mothers attending a PHN-facilitated the vast majority did not pay for breastfeeding group, 11 PHNs who the hire of the venue. In general, facilitate a breastfeeding group, and funding is not provided for the eight PHNs who do not facilitate operation of breastfeeding groups a breastfeeding group but where although in one case, 200 was mothers in their care attend one. grant aided through a community

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Findings: Inputs

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scheme and in another couple of cases, the HSE paid for the hire of the room. In some cases, the PHNs paid for tea and biscuits themselves and, in most cases, PHNs reported no travel costs associated with attending the group. Again, costs associated with attending the group were small for mothers. The vast majority of mothers did not have any childminding costs although five mothers (five per cent) reported having childminding costs of more than 20. Almost all mothers reported having no travel costs (54 per cent), or costs of less than 5 (43 per cent). Some mothers (3 per cent)did identify travel costs.

Activities Taking Place at the Groups In summary, a range of activities were identified

by PHNs and mothers The findings from this study as taking place before, show that the social return during and after the on investment is €15.85. In breastfeeding group. other words, every €1 spent While mothers could on breastfeeding support attend the group groups returns €15.85 in without a referral, • PHNs mediating the it was noted that in social value. group; general, they were told • Mothers socialising with about it and referred to each other; it by their PHN. Other less • Sharing information; common sources of referral included • One-to-one consultations with the antenatal classes where attending the PHN; breastfeeding group was an element • And in eight of the 11 groups, for anyone wishing to breastfeed, weighing breastfeeding infants.

GPs and maternity hospitals. In some instances where the same PHN was not in attendance each week, After the group, some mothers a rota had to be developed. On went for coffee together, while arrival at the venue, PHNs generally PHNs reported that they ensured prepared the room which included their records were up-to-date, that putting out chairs, getting baby mats feedback to other PHNs were given, ready for use, making a weighing if necessary, and that they followedarea available if that activity took up with mothers they had concerns place there, preparing tea and coffee about. and getting records ready. In a small number of instances, mothers Outcomes and Impact of spoke about getting childminding Attendance at the Groups arrangements in place.

Two broad impacts of attendance The activities taking place at at the breastfeeding support groups each breastfeeding group were very for mothers were identified and similar and five main activities were these were: identified. These were:

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1. Improved mental health (through having a purpose and reason to get out of the house, development of a social network, and feeling reassured and supported).

2. Breastfeeding for a longer period of time (through improvements in knowledge, confidence and through the normalisation of breastfeeding).

The findings for each area were exclusively positive and many examples were given of specific incidents or developments that were beneficial to mothers. Positive outcomes were also identified for PHNs facilitating the groups and these were: • An increase in their knowledge about breastfeeding; • An increase in job satisfaction; • And the ability to provide a better quality service.

PHNs who did not facilitate the breastfeeding group themselves

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but had mothers in their care who attended the group (eight in total), also highlighted positive benefits including an increase in the quality of their service to breastfeeding mothers, greater levels of confidence in helping mothers, and an increase in their knowledge and awareness of breastfeeding. Almost twothirds of these PHNs reported their workload decreased in respect of breastfeeding mothers.

With the exception of one, partners/family/friends of mothers who attended the group (16 in total), reported that as a result of their family member or friend attending the breastfeeding group, they were more knowledgeable, more supportive of their family member or friend, more positive about breastfeeding and more likely to recommend breastfeeding to others.

Social Return on Investment Calculating an SROI for any programme of action involves a number of stages, notably: • Mapping outcomes and impacts for all relevant stakeholders (showing relationship between inputs, outputs and outcomes); • Verifying and putting a value on outcomes; • And accounting for impacts that cannot be attributed to the programme (that might have happened anyway or might be attributable to other factors).

These steps need to be taken in consultation with identified key stakeholders and results verified with them. Actual calculation involves summation of positive impacts, subtraction of negative impacts and comparison with costs/ investment. The findings from this study show that the SROI is 15.85.

In other words, every 1 spent on breastfeeding support groups returns 15.85 in social value.

Limitations It is not possible to determine

whether those randomly selected for inclusion were similar to all breastfeeding support groups in Ireland. In addition, information was not available about, or collected from, mothers who had stopped coming to the breastfeeding support groups. While there are many reasons mothers may stop attending (e.g. stopped breastfeeding, gone back to work, does not have time to attend), dissatisfaction with the group may also be a factor.

Areas for Consideration The findings from this study clearly highlight a number of benefits for key stakeholders, reflected in the positive return on investment of 15.85 for every 1 invested.

It is clear that the facilitation of breastfeeding groups by PHNs has a demonstrable impact on maternal and child health. Based on these findings, the following areas should be considered: • Adopt a more systemised approach to the implementation of PHNfacilitated breastfeeding groups nationally to ensure equity of access for all breastfeeding mothers at local level.

• PHN lactation consultants should be made universally available, and resourced, so that they can share their expertise with all PHNs providing a service for breastfeeding mothers.

• A national policy on activities, processes and procedures for breastfeeding support groups should be developed to ensure consistency in how groups are implemented.

• Consideration should be given to ensuring the premises, location and facilities available for breastfeeding support groups are a suitable environment for the delivery of the group.

• Each PHN-facilitated group should be provided with a small amount of annual funding to ensure that basic equipment and facilities (e.g. baby mats, tea, coffee) are available at each breastfeeding group.

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• Local level information about the breastfeeding groups (e.g. leaflets with information about times, location and contact details) need to be made widely available and accessible.

• It is recommended data on the frequency and outputs emerging from PHN-facilitated breastfeeding groups be collected and published.

Acknowledgements and Thanks This study was part-funded by the Institute of Community Health Nursing (ICHN). The Research Team are grateful to the ICHN and particularly to Ms Anne Lynott, President of the ICHN who facilitated our engagement with PHNs and who enabled ethics approval for this study.

The Research Team gratefully acknowledge the help, insights and cooperation of the PHNs who made this study possible and who facilitated the research team to take account of the views of a wide range of stakeholders. We are especially thankful to them given their very busy workload and appreciate that they accommodated us in implementing this study.

A special thanks to all the breastfeeding mothers and their family members and friends who took part in this research. We express our appreciation to them for their time and willingness to share their experiences.

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RELATED BODIES

THE NURSING AND MIDWIFERY BOARD OF IRELAND About Us The Nursing and Midwifery Board of Ireland was established by the Nurses Act, 1950 to take over the functions of two bodies, the Central Midwives Board and the General Nursing Council, which had been established in 1918 and 1919, respectively. The Board was re-constituted and its functions were redefined and expanded by the Nurses Act, 1985. The Nursing and Midwifery Board of Ireland (NMBI) continues under the provisions of the Nurses and Midwives Act, 2011. The Board consists of 29 members, 17 of whom are nurses and midwives elected by the nursing profession.

The remainder are appointed by the Minister for Health and the Minisiter for Children and Youth Affairs.

Its Core Functions • Protecting patients and other members of the public is at the heart of what the NMBI does. NMBI are committed to fulfilling this objective by supporting registered midwives and nurses to provide patient care to the highest standards.

• Maintaining the Register of Nurses and Midwives.

• Evaluating applications from Irish and overseas applicants who want to practice as nurses and midwives in Ireland.

• Supporting nurses and midwives to provide care by developing standards and guidance that they can use in their day-to-day practice.

• Setting requirements for nursing and midwifery educational programmes in Higher Level Institutions.

• Investigating complaints made from patients, their families, healthcare professionals, employers and holding fitness to practice inquiries.

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Governance Framework of NMBI In addition to the aforementioned legalisation, NMBI must meet the legislative requirements as set out in the Ombudsman Act 2012, Freedom of Information Acts, the Official Languages Act 2003, Ethics in Public Office Acts and Standards in Public Office Act 2001. NMBI must carry out its functions within the context of these frameworks.

In addition, the Code of Practice for the Governance of State Bodies sets out principles of corporate governance which state bodies are required to adopt. The National Public Procurement Policy Framework and the Public Procurement Guidelines – Competitive Process set out steps to be followed by state bodies in conducting an appropriate competitive process under EU and national rules.

Nurses and Midwives Act, 2011 On 21 December 2011; the Nurses and Midwives Act, 2011 was signed into law. This Act updated the provisions relating to the regulation of nurses and midwives. It has been commenced in three stages with the exception of Part 11 - Maintenance of Professional Competence, and any provisions of the Act associated with that part.

The Act more closely aligns the governance of the nursing and midwifery professions with that of other health care professionals such as doctors and pharmacists, as provided for under the Medical Practitioners Act, 2007 and the Pharmacy Act, 2007 respectively.

Following the signing of Commencement Order S.I. No. 385 of 2012, the name of An Bord Altranais agus Cnáimhseachais na

hÉireann Altranais changed to Bord Altranais agus Cnáimhseachais na hÉireann, or, Nursing and Midwifery Board of Ireland. This change of name reflects the recognition of midwifery as a separate and distinct profession to that of nursing.

The Act enhances the protection of the public in its dealings with the professions, while ensuring the integrity of the practice of nursing and midwifery.

Nurses Rules The legislation requires the Board to make rules in relation to the operation of its main functions.

In general, the rules provide the framework for the implementation of legislation governing the professions including: • Establishing each division of the register.

• Governing the elections to the board members.

• Providing for the collection of fees.

The following are the most recent Nurses Rules: • Nurses Rules 2010 • Nurses Rules 2013

Fitness To Practice Department Fitness to Practice Department deals with complaints about nurses and midwives. The Fitness to Practise Department processes allegations of impairment of fitness to practise made against nurses, midwives and community public health nurses on grounds including misconduct, lack of competence and ill health. The main purpose of the proceedings is to protect the public from unsafe nurses/midwives.

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RELATED BODIES

ALL IRELAND INSTITUTE FOR HOSPICE & PALLIATIVE CARE History The foundation of the All Ireland Institute for Hospice and Palliative Care (AIIHPC) can be traced back to 2005 when Professor David Clark, University of Glasgow, took up a post as visiting professor of hospice studies at UCD and TCD, funded by the Irish Hospice Foundation (IHF), with the aim of supporting academic activity in palliative care. As part of his remit, Professor Clark met with many hospice and palliative care service providers and stakeholders and, emerging from these meetings was the potential to create an institute for hospice and palliative care on the island. By May 2006, a proposal was presented to the IHF policy and services committee to support the progression of an institute for palliative care which included not only research but also accommodated education and information/policy functions. The proposal was agreed, with a decision made to begin discussions with the National Council for Palliative Care and with The Atlantic Philanthropies.

By March 2008 the steering group had developed the business case and identified the Institute of Public Health (IPH) as a potential interim host for the initiative.

On behalf of the steering committee, the IPH made the grant application to AP for core funding of 5m, with further matched commitments expected from IHF, ICS, HRB and R&D office and from the eventual consortium of organisations that would make up the institute. Negotiations for funding were successful and in 2009 the Health Research Board was able to issue the call for proposals to organisations to host and establish an All Ireland Institute for Hospice and Palliative Care.

Following the submission of the successful bid, a consortium of partners formed who went on to form an All Ireland Institute of Hospice and Palliative Care, supported by a consortium of funders led

by The Atlantic Philanthropies. AIIHPC

is currently managed by a management committee made up of representatives from the consortium partners.

SOCIAL JUSTICE: In a palliative Aims and Objectives AIIHPC eliminates unnecessary duplication of effort through promoting strategic collaboration. We make meaningful, evidence-based contributions to the policy environment, north and south.

We believe that this collaborative and comprehensive approach will deliver a better experience for patients and their families. Through committed stakeholder involvement across the sector, AIIHPC will: • Drive the strategic development of the palliative care workforce, through supporting high quality, accessible and transferable learning and providing professional development opportunities.

• Foster a strategic approach to research and knowledge development, through a focused, research agenda, the development of critical mass via structured research networks, and develop research capacity and capability.

• Ensure that knowledge and learning has a real impact on service delivery by promoting interdisciplinary working and knowledge translation.

• Build on the history of strength and innovation in palliative care across the island of Ireland.

• Position the island of Ireland as an international leader in palliative care, building on strong international relationships, engaging in relevant fora, and pursuing specific areas of all-Ireland strength which can add international value.

• Engage users, carers and communities in all aspects of palliative care through a structured best practice process.

Values Four values underpin our approach. These apply across all themes, as well as providing

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a basis for how the consortium work together and with other stakeholders.

care context, involvement and access vary greatly and we are committed to challenging health inequalities through equal opportunity and involvement for all. In particular, we will support a community development approach and positive engagement with socially excluded minority groups, with a focus on creating vibrant and engaged communities.

INCLUSIVITY: We will ensure that the activities of the Institute are inclusive, bring together interested parties and reach far beyond the current 12 consortium members to other academic institutions, service providers, policymakers, associations and bodies, communities and families. The inclusivity of users, carers and communities will also be a core focus, ensuring their meaningful involvement in the planning, implementation and review of services, policy, education and research.

ACCOUNTABILITY: We emphasise responsible stewardship, transparency and accountability, not only to our funders and supporters but to our colleagues and the general public. Evaluation on an activity, work package and institute level will be a key priority, with evaluation requirements built into research networks, education programmes and policy and practice initiatives.

EVIDENCE-BASE: Building and maintaining high quality services, engagements, relationships, processes and people in line with best practice is central to the work of AIIHPC. We commit to working with our palliative care partners to develop and promote an evidence-base across the island of Ireland.

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COMMERCIAL PROFILE

EXPERIENCE PEACE OF MIND WITH ELDER HOME SHARE ELDER HOME SHARE MATCHES UP VETTED ACCOMMODATION SEEKERS TO LIVE WITH ELDERLY HOME OWNERS AS HOME SHARE COMPANIONS.

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he home share companion provides companionship and support for an agreed amount of time each week in exchange for low cost accommodation. David, who is Elder Home Share’s oldest client at 98, says, “The service is excellent, I enjoy the company of my home share companion, she is very helpful.”

Saoirse Sheridan, founder of Elder Home Share, says, “The people we place are working professionals and third level students; they are vetted, and you get to choose who moves in. Last week I met a super lady who is 91– she is a fluent Irish and French speaker and asked if I had anyone on my books who might

have these language skills. To my surprise, I did, and I am happy to say we have a successful match.”

Rita reached out to us last year to find a match for her mum and tells us, “It’s peace of mind as a family to know our elderly mum has some company and extra security at night time and a helping hand around the house.” Most of our home owners are in their nineties and live alone, so the main reason they want someone in the house is for companionship and added security.

Akambo, a carer, believes “It’s a very useful service,” one he knows many elderly people would appreciate having. “From what I have seen the home share companion brings life and warmth into the house.”

For more info see www.elderhomeshare.ie or call Saoirse Sheridan at 087 138 5628.

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Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

SUPPORT ORGANISATIONS

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SUPPORT ORGANISATIONS Breastfeeding

Association of Lactation Consultants in Ireland The Association of Lactation Consultants in Ireland (ALCI) was founded in 1990. The purpose of the association is to promote the professional development, advancement and recognition of International Board Certified Lactation Consultants (IBCLC) for the benefit of breastfeeding infants and children, mothers, families and the wider community.

ALCI promotes the education, advancement and recognition of International Board Certified Lactation Consultants (IBCLC) for the benefit of breastfeeding infants and children, mothers, families and the wider community.

ALCI Goals • Provide for education, research, communication, networking and support • Foster universal awareness of IBCLC as the necessary qualification for lactation consultants (or those specialising in lactation) • Act as the advisory authority on issues relating to breastfeeding and human lactation • Raise awareness of breastfeeding and human milk feeding as essential components for health, well-being and disease prevention

CONTACT: www.alcireland.ie

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Breastfedbabies.org

Quite simply, breastfeeding is the healthiest option for mother and baby. By deciding to breastfeed, mums give their child the best possible start in life. Any period of breastfeeding, however short, will benefit baby, but the maximum benefits are gained by feeding breast milk and nothing else until around six months, and then continuing to breastfeed after solids are introduced until baby is a year or more old.

Breastfedbabies.org has been written and designed especially for parents in Northern Ireland to provide help and support to make breastfeeding easier. As well as explaining why breastfeeding is so important, the site offers advice and guidance on how to breastfeed, expressing breast milk, solutions to common breastfeeding problems, weaning and returning to work. We hope that breastfedbabies.org will be able to answer many of the questions about breastfeeding mums may have.

CONTACT: www.breastfedbabies.org

Breastfeeding.ie

The decision to breastfeed is a very important one that can mean better health for mum and baby both now and in the future.

Breastfeeding.ie hopes to provide useful information to help mums make an informed infant feeding decision.

Breastfeeding has many advantages for babies, their mothers, for society and for the environment.

Benefits for Babies The health benefits of breastfeeding for babies include less risk of: • Stomach upsets • Coughs and colds • Ear infections • Diabetes • Asthma and eczema • Obesity (being very overweight) • High blood pressure later in life.

Tots & Teens

Disability Services

Older Groups

Cuidiú

The Irish name Cuidiú means care and support for all parents with bumps or babies, tots or teens. We are a parentto-parent support group run by volunteer parents.

Cuidiú’s motto is education and support for parenthood.

Our aim is to provide information to parents which allows them to make informed choices about pregnancy, childbirth and breastfeeding and to provide a supportive background to empower parents to act upon their decisions. We help thousands of mums and dads each year through pregnancy, birth and early days of parenthood. We offer antenatal and postnatal courses, local support and reliable information to help all parents.

The health benefits of breastfeeding for mothers include: • Less risk of breast cancer • Less risk of ovarian cancer • Less risk of bone thinning (osteoporosis) in later life • Stronger bones in later life

Obviously members with new babies or pressing family matters may find it difficult to commit to joining a committee or run a toddler morning, but we do appreciate input no matter how small and especially from people who may have benefited from our support. Each branch has its own committee to organise and run its events. Most branches produce their own event sheet or newsletter giving full details of events and services on offer.

CONTACT: www.breastfeeding.ie

CONTACT: www.cuidiu-ict.ie

Breastfed babies also have: • Better mental development • Better mouth formation and straighter teeth • Benefits for mothers

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

La Leche League of Ireland

La Leche League of Ireland (LLL) is a voluntary organisation which provides breastfeeding information and support to women who want to breastfeed their babies.

Mother to Mother All La Leche League leaders are volunteer mothers who have enjoyed nursing their own babies and who see the importance of helping other mothers develop a happy nursing relationship. They have completed an accreditation programme and are familiar with breastfeeding techniques as well as current research.

Leaders are available at any time to speak with a mother in person or on the telephone. They also give talks at antenatal classes, sit on breastfeeding committees and are available as a reference source for medical professionals.

The International Board of Lactation Consultant Examiners

The International Lactation Consultant Association

The International Board of Lactation Consultant Examiners (IBLCE) is a nonprofit organisation governed by a board of directors. It was established to develop and administer the certification examination for lactation consultants. The IBLCE examination is the premier, internationally recognised measure of knowledge in lactation consulting.

The International Lactation Consultant Association (ILCA) is the professional association for International Board Certified Lactation Consultants (IBCLC) and other health care professionals who care for breastfeeding families. ILCA membership is open to all who support and promote breastfeeding; you can join at anytime and do not need to be an IBCLC to become a member.

Founded in 1985, IBLCE has administered annual examinations in multiple languages and at numerous sites around the world.

IBLCE will advance the health and well-being of mothers and children worldwide by improving the quality and increasing the number of practitioners in lactation and breastfeeding care.

An International Board Certified Lactation Consultant is a health care professional who specialises in the clinical management of breastfeeding.

An IBCLC works in a wide variety of healthcare settings.

Local Groups Each group holds informal monthly meetings where topics discussed include aspects of pregnancy, parenting and breastfeeding.

Membership ILCA membership is open to all who support breastfeeding.

CONTACT: Tel: + 703 560 7330 www.iblce.org

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• Our vision is that the IBCLC is the globally recognised professional authority in lactation.

• Our mission is to advance the International Board Certified Lactation Consultant (IBCLC) profession worldwide through leadership, advocacy, professional development and research.

What is an International Board Certified Lactation Consultant (IBCLC)

LLL also provides information and experience for women in special circumstances (premature babies, multiple births, babies with cleft of the soft palate, babies with Down Syndrome and many others).

CONTACT: www.lalecheleague ireland.com

Mission and Vision

CONTACT: Tel: +1 9198615577 WWW.ILCA.ORG/HOME

Archways

Who We Are Archways was established in 2006 to deliver and support proven programmes including the Incredible Years series (IY), the Mentoring for Achievement Programme (MAP), and Functional Family Therapy (FFT). Initially the role of Archways was to promote the rollout and evaluation of the IY series in Ireland. In addition to IY, Archways is now delivering and supporting other proven programmes including the mentoring for achievement programme (MAP) and Functional Family Therapy (FFT).

What We Do • Our experienced programme facilitators and therapists work with children, young people and families delivering IY, MAP, and FFT • We provide facilitator training and support to programme facilitators throughout Ireland • We offer advice and support to organisations and services delivering evidence based programmes in Ireland.

• We provide teacher training to teachers in schools throughout Ireland • We research and evaluate programme implementation and outcomes and we support other organisations in research design • We advocate for the use of evidence-based programmes that are proven to work for children and families.

CONTACT: Tel: 01 456 8734 www.archways.ie

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SUPPORT ORGANISATIONS Breastfeeding

Barnardos

Barnardos’ vision is an Ireland where childhood is valued and all children and young people are cherished equally.

Barnardos supports children whose well-being is under threat by working with them, their families and communities and by campaigning for the rights of children. Barnardos was established in Ireland in 1962 and is Ireland’s leading independent children’s charity. Barnardos’ mission is to challenge and support families, communities, society and government to make Ireland the best place in the world to be a child, focusing specifically on children and young people whose wellbeing is under threat.

Children’s Database

The website childrensdatabase. ie was originally developed by the Office of the Minister for Children and Youth Affairs (now the Department of Children and Youth Affairs). Everything on childrensdatabase.ie is free of charge, with the exception of a small number of clearly identified resources.

What is available on childrensdatabase.ie?

• Irish government policy documents • Annotated websites

Annotated Websites A collection of databases, specialist libraries, Irish, European and international resources, organised as follows: • Agencies and organisations • Databases • Data sources • E-journals • Key documents • Libraries and information gateways • DYCA policy and research publications • Policy documents database

How Were Resources Selected for Inclusion?

Children’s Rights Alliance

The Children’s Rights Alliance is a coalition of over 100 organisations working to secure the rights of children in Ireland, by campaigning for the full implementation of the UN Convention on the Rights of the Child. We aim to improve the lives of all children under 18 years, through securing the necessary changes in Ireland’s laws, policies and services.

Our vision: Ireland will be one of the best places in the world to be a child.

Our mission: To realise the rights of children in Ireland through securing the full implementation of the UN Convention on the Rights of the Child.

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CONTACT: www.childrensdatabase.ie/ Irish-child-health-database

Disability Services

Older Groups

Family Lives

We support over one million families every year to improve outcomes for children and their families. We have over 30 years’ experience in helping parents cope with the challenges and experiences which are part of family life.

We support everyone who has the important job of raising children, from dads, grandparents to step-parents and non-resident parents.

We aim to help you and your children be part of a happy and confident family.

Vision Families are the foundation of society. All families should have access to nonjudgmental support.

Mission Membership The Alliance was formally established in March 1995. Many of its member organisations are prominent in the children’s sector – working directly with children on a daily basis across the country.

The Alliance’s policies, projects and activities are developed through ongoing collaboration and consultation with its member organisations.

A sample group of stakeholders was surveyed about their information needs and the information sources they commonly use. Additional websites were reviewed and selected on the basis of relevance.

CONTACT: Tel: 01 453 0355 www.barnardos.ie

Tots & Teens

CONTACT: Tel: 01 662 9400 www.childrensrights.ie

Family Lives works around the clock, transforming the lives of families making happier relationships, happier families and a stronger society. Our experience enables us to help families with any problem or challenge that they face.

Our trained family support workers, both paid and volunteer, offer all family members free immediate and ongoing help on the phone, online or in local communities.

We use the knowledge gained through our work to train professionals and campaign for changes to improve and support family life.

CONTACT: Tel: 0808 800 2222 www.familylives.org.uk

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Growing Up in Ireland Study

The study is funded by the Department of Children and Youth Affairs in association with the Department of Social Protection and the Central Statistics Office. It is being carried out by a consortium of researchers led by the Economic and Social Research Institute (ESRI) and Trinity College – Children’s Research Centre.

The main objectives of the study are: • To study the lives of children in Ireland • To establish what is typical and normal as well as what is atypical and problematic • To identify the key factors that most help or hinder children’s development • To establish the effect of early child experiences on later life • To identify the persistent adverse effects that lead to social disadvantage and exclusion, educational difficulties, ill health, deprivation etc • To obtain children’s views and opinions on their lives; • To provide evidence for the creation of effective and responsive policies and services for children and families.

CONTACT: Tel: 1800 200 434 www.growingup.ie

National Council for Curriculum and Assessment The curriculum for Ireland’s primary and post-primary schools is determined by the Minister for Education and Science who is advised by the National Council for Curriculum and Assessment.

The curriculum sets out, not only what is to be taught, but how it is to be taught, and how learning in the particular subject area is to be assessed.

While Ireland has a centrally devised curriculum, there is a strong emphasis on school and classroom planning.

At school level, the particular character of the school makes a vital contribution to shaping the curriculum in classrooms.

Adaptation of the curriculum to suit the individual school is achieved through the preparation and continuous updating of a school plan.

The selection of text books and classroom resources to support the implementation of the curriculum is made by schools, rather than by the Department of Education and Science or the National Council for Curriculum and Assessment. Since 2005, the NCCA has participated in planning and development in curriculum, assessment, teaching and learning - key areas of the senior cycle.

CONTACT: Tel: 01 661 7177 www.ncca.ie

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National Youth Council Ireland

The National Youth Council of Ireland (NYCI) is the representative body for national voluntary youth work organisations in Ireland. It represents and supports the interests of voluntary youth organisations and uses its collective experience to act on issues that impact on young people. It seeks to ensure that all young people are empowered to develop the skills and confidence to fully participate as active citizens in an inclusive society.

NYCI’s role is recognised in legislation through the Youth Work Act 2001 and as a social partner in the community and voluntary pillar.

Vision NYCI’s vision is one where all young persons are empowered to develop the skills and confidence to fully participate as active citizens in an inclusive society.

Mission Statement NYCI is a membership–led umbrella organisation that represents and supports the interests of voluntary youth organisations and uses its collective experience to act on issues that impact on young people.

CONTACT: Tel: 01 478 4122 www.youth.ie

Teen-Line

Teen-Line Ireland primarily targets young people, acknowledging and valuing the diversity and similarities amongst young people of various religious beliefs, ethnic origin, sexuality and economic backgrounds. Teen-Line Ireland targets young people at risk, young people who feel alone, worried, depressed, troubled, lost or confused and those who just need to talk. We are committed in helping to improve the social and emotional health and well-being of all young people regardless of their race, colour, religion or sexuality by providing them with a friendly, caring, confidential, non-judgemental help line and support service.

Teen-Line Ireland’s volunteers are ordinary, everyday people who understand that young people need to be heard. They volunteer to listen because they value young people and care about how they are feeling, and they really want to listen.

CONTACT: Tel: 01 662 4018 www.startstrong.ie

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Contact Deirdre: Freephone 1800 400 900

From companionship to advanced nursing care in the home

Caring for those you care about Email: ddoyle@myhomecare.ie • Web: www.myhomecare.ie 244333_2L_Servisource_JM_ICHN_V2.indd 1

12/02/2018 10:40

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

The Department of Children and Youth Affairs The Department brings together a number of key areas of policy and provision for children and young people including the Office of the Minister for Children and Youth Affairs (OMCYA), the National Educational Welfare Board (NEWB), the Family Support Agency (FSA) and, from January 2012, the detention schools operated by the Irish Youth Justice Service (IYJS). Two important organisations are also included in the overall structure: the Adoption Authority of Ireland and Office of the Ombudsman for Children (OCO).

Responsibilities These encompass a wide range of policy and service activity, both direct and indirect, for children and young people in Ireland. We have a complex mandate:

Assist Ireland

This website is provided by the Citizens Information Board.

It contains information on assistive technology and a directory of products available from suppliers for people with disabilities and older people.

Examples of equipment and daily living aids listed on this website include stairlifts, pendants and personal alarms, wheelchairs, walking aids, ramps and showering and bathing products. However, Assist Ireland doesn’t stock, sell or supply any products.

Assist Ireland has a telephone support service (0761 07 9200) available from 9am to 1pm and from 2pm to 5pm, Monday to Friday.

• The direct provision of a range of universal and targeted services • Ensuring high-quality arrangements are in place for focused interventions dealing with child welfare and protection, family support, adoption, school attendance and reducing youth crime • The harmonisation of policy and provision across Government and stakeholders to improve outcomes for children, young people and families

CONTACT:

TEL: 01 462 2122 www.teenline.ie

Enable Ireland provides free services to children and adults with disabilities and their families from 40 locations in 14 counties. Covering childhood to adulthood, our expert teams work with the individual and their family on a plan for each life stage.

Our services for children and their families cover all aspects of a child’s physical, educational, and social development from early infancy through adolescence.

For adults we offer a range of services covering personal development, independent living, supported employment, social and leisure activities.

The demand for our services continues to increase throughout Ireland. We have set ourselves the challenging goal of meeting these needs by providing a full range of high quality services, and expanding into local communities.

Our Mission Enable Ireland’s mission is to work in partnership with those who use our services to achieve maximum independence, choice and inclusion in their communities.

CONTACT: Tel: 0761 079200 www.assistireland.ie

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Enable Ireland

CONTACT: Tel: 01 872 7155 www.enableireland.ie

National Disabilty Authority

The National Disability Authority is the independent state body providing expert advice on disability policy and practice to the Minister, and promoting universal design in Ireland. The National Disability Authority’s mandate is set out in the National Disability Authority Act 1999 and the Disability Act 2005, and in summary is: • To provide policy advice • To undertake, commission and collaborate in disability research • To advise on standards and guidelines • To develop standards, education and promote awareness of universal design.

Our vision Our vision is of an inclusive Irish society in which people with disabilities enjoy equal rights and opportunities to participate in the economic, social and cultural life of the nation and of an environment which is accessible to all.

CONTACT: Tel: 01 608 0400 www.nda.ie

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SUPPORT ORGANISATIONS Breastfeeding

Tots & Teens

Disability Services

Older Groups

DISABILITY SERVICES

PEOPLE WITH DISABILITIES IN IRELAND > ACCESS National Disability Authority– information on wheelchair and general access in Ireland w: www.nda.ie Institute for Design and Disability w: www.idd.ie

> ARTS/DESIGN Draíocht – Arts Centre w: www.draiocht.ie The Arts Council w: www.artscouncil.ie Arts and Disability Forum (Belfast, Northern Ireland) w: www.adf.ie

> COMMUNITY/VOLUNTARY Family Carers Ireland w: www.familycarers.ie Community Exchange communication channel for those involved or interested in the work of community and voluntary organisations w: www.activelink.ie Volunteer Ireland w: www.volunteer.ie The Wheel – resources for community and voluntary sector w: www.wheel.ie

> BENEFITS AND ALLOWANCES Carer’s Allowance w: www.citizensinformation.ie/ en/social_welfare/social_ welfare_payments/carers/ carers_allowance.html Carer’s Benefit w: www.citizensinformation.ie/ en/social_welfare/social_welfare_ payments/carers/carers_benefit.html

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Department of Health and Children – Ill and disabled w: www.citizensinformation.ie/ en/social_welfare/social_welfare_ payments/disability_and_illness/ benefits_to_people_who_are_ sick_or_have_a_disability.html Disability Allowance w: www.citizensinformation.ie /en/social_welfare/social_welfare_ payments/disability_and_illness/ disability_allowance.html Disablement Benefit w: www.citizensinformation.ie/ en/social_welfare/social_welfare_ payments/disability_and_illness/ disablement_benefit.html Housing – Disabled person’s Housing Grant w: www.citizensinformation.ie/ en/housing/housing_grants_and_ schemes/housing_adaptation_grant_ for_people_with_disability.html

Disability Organisations > GENERAL Disability Action – Disability Action works to ensure that people with disabilities attain their full rights as citizens, by supporting inclusion, influencing Government policy and changing attitudes in partnership with disabled people (Northern Ireland) w: www.disabilityaction.org Disability Federation of Ireland (DFI) w: www.disability-federation.ie Centre for Independent Living w: www.dublincil.org Headway Ireland – Brain Injury Services and Support w: www.headway.ie

> DISABILITY ORGANISATIONS – SENSORY DISABILITIES Fighting Blindness w: www.fightingblindness.ie

Irish Deaf Society w: www.irishdeafsociety.ie

Irish Wheelchair Association w: www.iwa.ie

The Irish Deaf – online directory w: www.irishdeaf.com

MS Society Ireland – helping those affected with Multiple Sclerosis w: www.ms-society.ie

Hearing Loss Ireland w: www.hearinglossireland.ie Irish Guide Dogs for the Blind w: www.guidedogs.ie National Council for the Blind in Ireland w: www.ncbi.ie

> DISABILITY ORGANISATIONS – PHYSICAL DISABILITIES The Migraine Association of Ireland w: www.migraine.ie Neurological Alliance of Ireland w: www.nai.ie Epilepsy Ireland w: www.epilepsy.ie Irish Institute of Clinical Neuroscience - Dedicated to raising funds to support research and teaching of central nervous system disorders in the Republic of Ireland and Northern Ireland w: www.brainresearch.ie Central Remedial Clinic – national centre for the care, treatment and development of children and adults with physical and multiple disabilities w: www.crc.ie Cheshire Ireland– services for people with physical disabilities w: www.cheshire.ie Enable Ireland – support for the sufferers physical disabilities w: www.enableireland.ie Ataxia Ireland – information on Ataxia w: www.ataxia.ie Irish Kidney Association w: www.ika.ie

Muscular Dystrophy Ireland w: www.mdi.ie Post Polio Support Group w: www.polio.ie

> DISABILITY ORGANISATIONS – INTELLECTUAL AND LEARNING DISABILITIES Down Syndrome Ireland w: www.downsyndrome.ie Dyslexia Association of Ireland w: www.dyslexia.ie L’Arche Ireland – provides a service of support for people with intellectual disabilities w: www.larcheireland.org National Federation of Voluntary Bodies - voluntary association of organisations who provide services to persons with intellectual disability and their families w: www.fedvol.ie Acquired Brain Injury Ireland – brain injury services w: www.abiireland.ie St John of God Services for people with intellectual disabilities w: www.sjog.ie St Michael’s House – range of specialised day and residential services to people with learning disabilities throughout Dublin w: www.smh.ie Sunbeam House Services – provides training, employment and care services for adults with a learning disability w: www.sunbeam.ie Inclusion Europe w: www.inclusion-europe.eu

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

DISABILITY SERVICES

> DISABILITY ORGANISATIONS – MENTAL AND EMOTIONAL DISABILITIES Alzheimer Society of Ireland w: www.alzheimer.ie Aware – Helping Defeat Depression w: www.aware.ie Camphill Communities– Mental disability w: www.camphill.ie Mental Health Ireland w: www.mentalhealthireland.ie

Education > GENERAL AHEAD – Association for Higher Education Access and Disability w: www.ahead.ie NUI Galway Disability Law and Policy Research Unit w: www.nuigalway.ie/cdlp/

University College Dublin w: www.ucd.ie/all/supports/ disabilitysupport/ University of Limerick w: www.ulsites.ul.ie/ disabilityservices Waterford Institute of Technology w: www.wit.ie/current_students/ student_life_and_learning/ disability_service

Employment Irish Congress of Trade Unions Integrating people with disabilities into the workplace w: www.ictu.ie/equality/ disability.html

Equality and Human Rights Equality Authority w: www.ihrec.ie

> EDUCATION – UNIVERSITIES – DISABILITY SERVICES

Irish Council for Civil Liberties w: www.iccl.ie

Dublin City University w: www4.dcu.ie/ students/disability/index.shtml

Workplace Relations – Equality Tribunial w: www.equalitytribunal.ie

Dublin Institute of Technology w: www.dit.ie/campuslife/ disability

Events

NUI Galway w: www.nuigalway.ie/ disability/index.html NUI Maynooth w: www.maynoothuniversity.ie/ access-office Trinity College Dublin w: www.tcd.ie/disability

Special Olympics w: www.specialolympics.ie/

European Disability Forum w: www.edf-feph.org/ Institute of Independence Living – serve self-help organisations of disabled people who work for equal opportunities, selfdetermination and self-respect w: www.independentliving.org/

Irish Government Equal Status Amendement Act 2012 w: www.irishstatutebook.ie/ eli/2012/act/41/enacted/

Disability.ie – portal site for disability related information in Ireland w: www.disability.ie

Housing

Union of Students in Ireland w: usi.ie/usi-equality-campaign/ University College Cork w: www.ucc.ie/en/dss/

Irish Council for Social Housing w: www.icsh.ie

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Public information services w: www.citizensinformation.ie Ombudsman and Disability w: www.ombudsman.gov.ie/en/ about-us/legislation/the-disability-act/

Support Services National Adult Literacy Agency w: www.nala.ie Rehab Centre – training, employment, social care and commercial services w: www.rehab.ie Samaritans w: www.samaritans.org

Irish government w: www.gov.ie

Youthreach – Early school leavers w: www.youthreach.ie

Irish government departments w: www.gov.ie/tag/departments/

Travel and Transport

Department of Social & Family Affairs w: www.welfare.ie Department of Children Youth Affairs w: www.dcya.gov.ie Department of Justice and Equality w: www.justice.ie Members of the Government w: www.oireachtas.ie

> GENERAL

Housing Association for Integrated Living w: www.hail.ie

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International links

Public Services Citizens Information Board – The national support agency responsible for the provision of information, advice and advocacy to the public on social services w: www. citizensinformationboard.ie

Bus Éireann w: www.buseireann.ie Disabled Drivers Association w: www.ddai.ie Dublin Airport – Travellers with a disability w: www.dublinairport.com /gns/at-the-airport/ reduced-mobility.aspx Dublin Bus w: www.dublinbus.ie Irish Rail w: www.irishrail.ie

Training Disability Consultancy Services w: www.disabilityconsultancy.ie

Office of the Information Commissioner w: www.oic.gov.ie/en/

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SUPPORT ORGANISATIONS Breastfeeding

Active Retirement Ireland (ARI)

Active Retirement Ireland (ARI) offers the opportunity for retired people to socialise, learn new skills; try new experiences and make new friends at a point in life when they thought this may no longer be possible.

Together with people who have also retired, or are over 50 and semi–retired, ARI seeks to promote a positive image of ageing and offer opportunities for a healthier and more active older age and advocates for a fairer and friendlier place to grow old in.

Our philosophy is based on older people doing things for themselves.

Our purpose is to reduce isolation and keep older people independent, active and healthy. Our objectives to fulfill this purpose are: • To encourage men and women to maintain their independence • To promote a more positive attitude to ageing and retirement • To enable retired people enjoy a full and active life and advocate for them • To be a recognised voice for retired people.

CONTACT: Tel: 01 873 3836 www.activeirl.ie

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Age & Opportunity

Age & Opportunity is the national organisation that promotes opportunities for greater participation by older people in society through partnerships and collaborative programmes. We promote creativity, participation, confidence and engagement among older people. As a not-for-profit organisation, we work in a developmental way with public and private organisations to deliver practical programmes like the Bealtaine festival, Go for Life sports and physical activity programme, Ageing with Confidence, community and education programmes and the anti-ageism AgeWise workshop.

Age & Opportunity traces its origins to a survey carried out by the National Council on Ageing and Older People into the attitudes of younger people to ageing. The first National Day on Ageing, organised by the Council in 1988, provoked widespread interest and subsequently led to the establishment of Age & Opportunity as an independent national agency.

Age & Opportunity is distinct from other organisations in that its work is carried out through a series of targeted, practical programmes delivered in collaboration with a range of partners.

CONTACT: Tel: 01 805 7709 www.ageandopportunity.ie

Age Action

Age Action, the national charity for older people, provides services to older people as well as advocating on their behalf. Its aim is to make Ireland the best place in which to grow old. The services it provides are the Care & Repair (small job/ trades person referral and befriending service); The Getting Started (computer/ IT training courses) and the Information and Advocacy Service. We have over 3,000 members and 800 volunteers (all of our volunteers are Garda vetted). We campaign for better treatment of older people by the government through the media, meetings with public representatives and submissions to the government as well as public campaigns.

Age Action also has a number of programmes aimed at improving the lives of older people. We manage a number of resident committees in nursing homes on the northside of Dublin. We also have an intergenerational programme aimed at encouraging transgenerational activities.

Tots & Teens

Disability Services

Older Groups

ALONE…A Little Offering Never Ends

ALONE was founded in 1977 by a Dublin firefighter, Willie Birmingham. Helping older people in need is the founding principle of ALONE and has guided our work over the years. To the present day, our objectives remain exactly what they were when the organisation was founded.

Our objectives are to provide food, clothing, heating requirements and other comforts for people over 60 years of age who are unable to provide for themselves, to provide shelter or accommodation on a temporary or permanent basis for such people; to provide education and information services on the problems and needs of older people living on their own; to provide assistance in the refurbishing, renovations and re-decoration of accommodation of people described in this paragraph.

Finally, we have some fun fundraising events such as our series of afternoon tea dances around the country and our Big Knit drives that see people busily knitting little hats for Innocent smoothie bottles.

CONTACT: Tel: 01 475 6989 www.ageaction.ie

CONTACT: Tel: 01 679 1032 www.alone.ie

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Alzheimer Society of Ireland

The Alzheimer Society of Ireland is the leading dementia specific service provider in Ireland.

The Alzheimer Society of Ireland was founded in 1982 by a small group of people who were caring for a family member with Alzheimer’s or a related dementia.

Today, it is a national voluntary organisation with an extensive national network of branches, regional offices and services that aims to provide people with all forms of dementia, their families and carers with the necessary support to maximise their quality of life.

2012 marked The Alzheimer Society of Ireland’s 30th Anniversary. To celebrate this we designed a new logo, launched our new website and published a new newsletter called The Voice. A very special event was held in June that year when President of Ireland and patron to The Alzheimer Society of Ireland, Michael D. Higgins, officially opened Waterman’s Lodge Day and Respite Centre in Killaloe, Co Tipperary, which was named specialist care centre of the Year 2015.

CONTACT: Tel: 1800 341341 www.alzheimer.ie

Bethany

The name Bethany recalls the visit of Jesus to Mary and Martha on the death of their brother Lazarus.

Although grieving is a natural process which can be helped by the sympathy and understanding of friends, sometimes additional support is needed. Friends and family are often unsure about how to help; they can be confused about how to approach conversation, out of fear of causing further pain and distress.

Many Bethany members have themselves been bereaved.

They are trained to listen with understanding. They accept those suffering loss as they are, and support them through the grieving process.

Care Alliance Ireland is the National Network of Voluntary Organisations supporting family carers. Our vision is that the role of family carers is fully recognised and valued by society in Ireland.

We exist to enhance the quality of life for family carers.

We achieve this by supporting our member organisations in their direct work with family carers through the provision of information, developing research and policy in the field, sharing resources, and instigating opportunities for collaboration. There are approximately 274,000 family carers in the Republic of Ireland. Family carer support is provided by a number of organisations, including those dedicated solely to carer support and others who support carers as part of their response to individuals with specific conditions. We work with our 95 member organisations and other agencies to support them in their work with family carers.

Our legitimacy derives from our membership base which includes all the carer organisations and virtually all the disease/disability-specific organisations currently providing services to Ireland’s family carers. Our membership is comprised of both large and small, regional and national organisations.

CONTACT: Tel: 087 990 5299 www.bethany.ie

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Care Alliance Ireland

CONTACT: Tel: 01 874 7776 www.carealliance.ie

Department of Social Protection

The Department serves a wide and diverse group of clients including families, people in employment or unemployed, people with disabilities, carers and pensioners.

The Department also provides a range of services to employers who are an important client group both in their own right and as ‘partners’ in the provision of employment opportunities to unemployed people. In delivering services to these clients, the Department administers over 70 separate schemes and services which impact on the lives of almost every person in the State.

Each week, over 1.4 million people receive a social welfare payment and, when qualified adults and children are included, over 2.2 million people benefit from weekly payments. Some 600,000 families receive child benefit payments in respect of over 1.1 million children each month. The total expenditure by the Department in 2011 was 21 billion (prov).

CONTACT: www.welfare.ie

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SUPPORT ORGANISATIONS Breastfeeding

Extra Care

Extra Care is a not-for-profit organisation and is recognised as a charity by the Revenue Commission. Our mission is to provide ‘innovative, high quality, flexible services so that older people, dependent adults and children have the choice to remain living at home with dignity’.

Family Carers Ireland

Family Carers Ireland is a registered charity for family carers in the home. Carers provide high levels of support to a range of people including frail older people, people with severe disabilities, the terminally ill and children with special needs.

Extra Care employs more than 400 people across Northern Ireland with headquarters in Antrim. Extra Care care workers provide more than 11,000 hours of care services every week supporting more than 2,000 people, at any one time, to live independent lives in their own homes. Our services are provided 24 hours a day, every day of the year.

Extra Care has developed a range of care and support services, provided by trained and supervised staff, to promote independent living.

Family Carers Ireland is made up of two former carer support organisations, The Carers Association and Caring For Carers. While the government has begun to initiate some services for carers, we believe that the vast majority of Ireland’s family carers still remain without vital services.

These services, such as inhome respite, are essential to family carers. They allow us to continue in our roles as family carers, thus implementing government policy to care for people in their own homes for as long as possible.

CONTACT: Tel: 028 9448 2939 www.extra-care.org

CONTACT: Tel: 1800 240724 www.familycarers.ie

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Friends of the Elderly

Friends of the Elderly is a voluntary, non-denominational organisation that brings friendship and social opportunities to the elderly, especially those who live alone. We have over 175 elderly volunteers in the greater Dublin area who have made a commitment to visit elderly people in their homes and become their friend. Our core activity is the Friends of the Elderly Home Visitation Service which we constantly seek to expand. We also have a busy programme of evenings out, day trips and short holidays, plus community club activities and a series of campaigns to improve the quality of life of the elderly.

Friends of the Elderly Ireland aim through collective action to: • Alleviate loneliness amongst isolated elderly people • Promote respect for each person’s dignity • Foster independence • Liaise with statutory agencies and voluntary groups • Improve the services provided for the elderly by highlighting the difficulties they face • Increase awareness of the important contribution elderly people have to offer.

CONTACT: Tel: 01 8731855 www.friendsoftheelderly.ie

Tots & Teens

Disability Services

Older Groups

Home Instead Senior Care

Since 2005, the Home Instead Senior Care franchise network in Ireland has been devoted to providing the highestquality senior home care.

Compassionate Home Instead Senior Care are an invaluable resource in helping families eliminate worry, reduce stress and re-establish personal freedom. From Alzheimer’s and dementia care to respite care and companionship, our seventeen locally owned and operated offices are ready to help you through this difficult time.

Home Instead Senior Care has over two decades of experience caring for seniors and their families. In that time Home Instead Senior Care has developed extensive training programs, built on research and experience, so CAREGivers are prepared to provide the highest quality of care, the kind of care we would want for our own parents, spouse or grandparents. We understand that deciding to use outside help requires a lot of trust and humility, so Home Instead Senior Care is committed to not just capable care, but compassionate care.

CONTACT: Tel: 1890 930847 www.homeinstead.ie

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

ICTU Retired Workers’ Committee

The Retired Workers’ Committee of the Irish Congress of Trade Union is a representative group for over 33 Retired Workers’ Committees of unions affiliated to the ICTU.

CONTACT: www.ictu.ie/about/ committees/16/

Independent Age

Over 1,500 volunteers and a small number of paid staff help us offer a range of services across the UK and the Republic of Ireland: • Our advice and information service offers expert independent, personalised information and support by phone and email to around 4,000 older people and their families each year • A further 40,000 older people and their families receive information and support from the service via the website, email and phone • Our skilled, experienced benefits advisers, working with our trained local volunteers, provide detailed assessments and casework support • Our information book, Wise Guide, provides expert advice about claiming benefits and other services • One-to-one befriending provides regular face-to-face or telephone support to those in greatest isolation, helping sustain and build their social networks. Our befriending services rely on our network of volunteers. If we don’t have a volunteer available to help in your area, we will endeavour to find another organisation that can • TalkTime, our telephone

CONTACT: Tel: 0800 3196789 www.independentage.org

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Irish Association of Pension Funds

Established in 1973, the Irish Association of Pension Funds (IAPF) is the leading Irish body providing representation and other services for those involved in operating, investing and advising on all aspects of pensions and other retirement provision. Our members provide retirement security to over 200,000 employees, pay pensions to nearly 70,000 people who have already retired and are responsible for some 115.8 billion (end 2016 figure) in retirement savings.

Irish Association of Older People

The Irish Association of Older People was established in 1990 and is incorporated as a company limited by guarantee. Since its inception, the Association has forged links with a wide variety of agencies across member states of the European Union including The European Foundation for the Welfare of the Elderly, founded in 1946, and the more recently established AGE Platform Europe, a network of organisations of people aged 50 and over ‘promoting the interests of 150 million inhabitants within the European Union’.

Pensions Policy Area For its members, the IAPF seeks to influence the future direction of pensions in Ireland and to provide for financial security of all retired people. IAPF is well regarded as an authoritative voice in its dealings with legislators and regulators and has been very effective in raising awareness and leading debate on the trends and issues facing the pension community. We represent members’ interests at all levels by active lobbying of Government, the Pensions Authority, the Revenue Commissioners, the social partners and other relevant agencies. We actively publicise issues through the media.

We also act at European level though our membership of the European Federation of Retirement Provision.

Our directors, on a regular basis, participate in conferences within the European Union and from time to time provide an Irish perspective on needs, aspirations and examples of best practice. They join with other European agencies in comparative studies on health and social care provision; identifying strategies aimed at bridging the gap between science and society and overcoming the absence of co-ordination in the provision of age-related services.

CONTACT: Tel: 01 6612427 www.iapf.ie

CONTACT: www.olderpeople.ie

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SUPPORT ORGANISATIONS Breastfeeding

Irish Council for Civil Liberties

The Irish Council for Civil Liberties (ICCL) is Ireland’s leading independent human rights watchdog, which monitors, educates and campaigns in order to secure full enjoyment of human rights for everyone.

The ICCL is an entirely independent organisation and does not rely on government support or funding. Founded in 1976 by Mary Robinson and others, the ICCL has played a leading role in some of Ireland’s most successful human rights campaigns.

These have included campaigns to establish an independent Garda Ombudsman Commission, legalise the right to divorce, secure more effective protection of children’s rights, decriminalise homosexuality and introduce enhanced equality legislation.

Since 1976 the ICCL has tirelessly lobbied the state to ensure the full implementation in Ireland of international human rights standards.

Irish Hospice Foundation

The Irish Hospice Foundation is a not-for-profit organisation that promotes the hospice philosophy and supports the development of hospice/ palliative care. Our vision is that no-one should have to face death or bereavement without care and support.

Our aim is to facilitate the practice of hospice in all its aspects. We do this by working independently as well as in partnership with the statutory, voluntary and professional bodies concerned with hospice and palliative care in Ireland.

This is some of what we deliver: • Hospice home care for children • Education and research • Nurses for night care • Hospice friendly hospitals • Innovation in primary care and in people’s homes • Innovation in new areas • Supporting the hospice movement • Advocacy

Irish Motor Neurone Disease Association

Motor Neurone Disease (MND) is a neurological condition that leads to muscle weakening making it difficult for people with MND to do the everyday things the rest of us take for granted – walking, talking and swallowing can become virtually impossible.

In the majority of cases the mind remains intact. MND is progressive but the rate of progression varies greatly from one person to another.

The average life expectancy from diagnosis is two to five years. MND can strike people from teens to old age with the majority being in the middle to older age groups. A person dies every five days from MND in Ireland, with approximately 350 people living with the disease at any one time.

There is no known cause, treatment or cure for MND despite ongoing research. The Irish Motor Neurone Disease Association is a support group to people with MND. Services include the supply of specialised equipment to patients, financial assistance towards home help, counseling services etc. The IMNDA funds three specialist nurses who visit people with MND in their homes, give advice and help to educate other medical professionals on MND. The Association relies heavily on fundraising activities which bring in approximately 80 per cent of their income. It costs approx 1 million to run the

Tots & Teens

Disability Services

Older Groups

Irish Rural Doctor’s Group

The Irish Rural Doctor’s Group is in existence since 1984. An annual conference of rural doctors is held in Westport every year to discuss the problems of depopulation, youth and medical provision in rural areas for older people.

Some elderly who live alone also experience a sad silent emigration to faraway nursing homes and old folk’s institutions when they have no one to care for them and can no longer look after themselves. In our own area, and to a varying degree, in a great many rural areas, voluntary housing projects in association with the state are providing an alternative for elderly citizens to stay in their own area.

St Brendan’s Village strives to provide this opportunity for our elderly and handicapped to stay in their own area and some of our elderly emigrants have come back again from abroad and some have returned from their old folks homes too.

Association each year.

CONTACT: Tel: 01 912 1640 www.iccl.ie

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CONTACT: Tel: 01679 3188 www.hospicefoundation.ie

CONTACT: Tel: 01 8730422 www.imnda.ie

CONTACT: www.irishruralhealth.com

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Irish Rural Link

Irish Rural Link (IRL), formed in 1991, is a national network of organisations and individuals campaigning for sustainable rural development in Ireland and Europe. IRL, a non-profit organisation, now directly represents over 600 community groups with a combined membership of 25,000.

A member of the Community and Voluntary Pillar of Social Partnership, the network provides a structure through which rural groups and individuals, representing disadvantaged rural communities, can articulate their common needs and priorities, share their experiences and present their case to policy-makers at local, national and European Level.

Irish Senior Citizens Parliament

The Irish Senior Citizens Parliament is a representative organisation of older people in Ireland. The Parliament is a non-partisan political organisation working to promote the views of older people in policy development and decision-making.

The Parliament is run by older volunteers who are elected annually at the annual parliament meeting by delegates from affiliated organisations. The ISCP currently has 400 affiliated organisations whose memberships combine to a total of 100,000 individuals.

This membership means the ISCP has a genuine mandate to be the voice of older people in Ireland.

Irish Wheelchair Association

The Irish Wheelchair Association (IWA) was founded in 1960 by a small group of wheelchair users committed to improving the lives of people with physical disabilities in Ireland. Our Association is dedicated to the achievement of full social, economic and educational integration of people with disability as equal, independent and participative members of the community.

IWA is an important provider of quality services to people with limited mobility throughout the country. Today, our Association is made up of a vibrant network of 20,000 members and over 2,300 staff, as well as many dedicated volunteers.

Together we work to achieve greater independence, freedom and choice. IWA has a broad range of services for people with physical disabilities, these include:

Meals on Wheels

This service is available to people in the community who are unable to cook their own meals through reasons of disability, age or illness.

A meals on wheels service is quite widely available across Ireland and it is usually provided by voluntary organisations.

For example, Meals-on-Wheels volunteers in Douglas, Co Cork cook approx. 30 meals each day for clients, five days a week. On Friday an extra meal is delivered for Saturday, and there is a small charge collected by the driver.

• Assisted living services • Resource and outreach centres • Transport • Motoring • Parking permits • Housing support services • Independent living apartments • Youth services • Wheelchair services • Sport • Holiday services • Peer counselling • Information • Publications • Advocacy • Rehabilitative Training CONTACT: Tel: 090 648 2744 www.irishrurallink.ie

CONTACT: Tel: 01 856 1243 www.iscp.wordpress.com

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CONTACT: www.iwa.ie

CONTACT: Contact your local health office or public health nurse for more information.

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SUPPORT ORGANISATIONS Breastfeeding

Multiple Sclerosis Ireland

Mission, Vision & Aims To enable and empower people affected by Multiple Sclerosis to live the life of their choice to their fullest potential.

Vision MS Ireland has a vision of Irish society where all people affected by MS live positive and active lives in the community.

Aims The principal objectives for which MS Ireland exists are: • To facilitate people with MS to control their lives and environment, to live with dignity and participate in the community • To provide support for the families and carers of people with MS • To co-operate with the medical, scientific, social and caring professions to promote scientific research into the cause of, cure for and management of MS and the alleviation of medical and social symptoms • To exchange and disseminate information relating to MS • To provide an identifiable focal point by developing an efficient, effective and caring organisation to serve the needs of people with MS.

CONTACT: Tel: 01 678 1600 www.ms-society.ie

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National Adult Literary Agency

The National Adult Literacy Agency is a charity committed to making sure people with literacy difficulties can fully take part in society and have access to education. According to the last international survey, one in six Irish adults have problems reading and writing.

Literacy difficulties prevent people from carrying out everyday activities that many of us take for granted. In a health context, literacy means using the skills of reading, writing, listening, spelling and numeracy to understand health information and confidently ask questions in case of uncertainty. Many people who deal effectively with other aspects of their lives find health information difficult to obtain, understand, or use.

Patients are often faced with complex information and treatment decisions.

International research has shown that patients who are better informed about their health have more effective consultations with their health care provider, are better informed about the medicines they are prescribed, are more likely to comply with their medication and as a result have improved health outcomes.

CONTACT: Tel: 1800 202065 www.nala.ie

Nursing Homes Ireland

Nursing Homes Ireland (NHI) is committed to ensuring the lives of older persons in the 400 plus private and voluntary nursing homes across the country are enhanced and fulfilled. Our members are committed to ensuring persons who call nursing homes ‘home’ are provided with the highest quality care and services.

Private and voluntary nursing homes play a key role in healthcare delivery in Ireland.

The 400 plus homes provide expert care to almost 22,000 persons in specialist settings in local communities.

Private and voluntary nursing homes are meeting the growing care requirements of our ageing population.

NHI supports members by providing expert advice surrounding care delivery and representing their interests and those of their residents at local and national level.

NHI plays an influential and key role within the Irish healthcare sector. Its expertise, experience and unified voice for hundreds of care providers is of critical importance within the healthcare setting.

NHI engages with state bodies, health stakeholders, representative organisations for older persons and wider society to influence and shape policy and inform debate surrounding the care of older persons.

CONTACT: Tel: 01 469 9800 www.nhi.ie

Tots & Teens

Disability Services

Older Groups

Pensions Authority

The Pensions Authority is a statutory body set up under the Pensions Act, 1990.

The mission of the Pensions Authority is to regulate and influence the policy environment so that people working in Ireland are confident that they are making adequate provision for their old age and that their pensions expectations will be met.

The goals are: • Supporting the interests of members of occupational pension schemes and personal retirement savings account holders • Providing relevant information and guidance to the public • Supporting the Minister and the Department of Social Protection, and other Government departments, through high quality policy advice and technical support.

The Authority supervises compliance with the requirements of the Pensions Act, investigates suspected breaches of the Pension Act, conducts inspections and compliance audits, instigates prosecutions and other sanctions, provides policy advice and technical support, provides relevant information and guidance and deals with enquiries received from scheme members, trustees, employers, the pensions industry, the general public and the media.

CONTACT: Tel: 071 915 7100 www.pensionsauthority.ie

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Pensions Ombudsman

Retirement Planning Council

The Pensions Ombudsman investigates and decides complaints and disputes from individuals about their occupational pension schemes, Personal Retirement Savings Accounts (PRSAs) and Trust RACs where there is both maladministration and financial loss.

They are completely independent and impartial. Our aim is to resolve complaints impartially, informally and quickly. If they cannot assist with a particular complaint, they will explain why and may suggest other avenues for resolving the matter.

The Retirement Planning Council of Ireland (RPCI) is a not-for-profit organisation that has been providing knowledge, support and guidance to people retiring in Ireland for almost 40 years. By offering a range of practical courses, the Retirement Planning Council team of professional experts talk through the lifestyle and financial changes that retirement can bring.

Our information helps people understand what to expect from retirement and how to prepare for what’s ahead.

Two-day group courses run throughout the year in six locations nationwide – Dublin, Cork, Limerick, Galway, Waterford, Dundalk and Sligo. Other courses include a one-day executive course delivered on a one-to-one basis and in-house courses offered to corporate clients who might have a number of people approaching retirement at the same time.

All attendees receive lifetime access to the RPC resource and free advice centre to help with any questions that arise after retirement.

CONTACT: Tel: 01 676 6002 www.fspo.ie

CONTACT: Tel: 01 478 9471 www.rpc.ie

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Safe Home Ireland

As a rural GP and Chairman of a Housing Association based at St Brendan’s Village in Mulranny, County Mayo, Dr Jerry Cowley found that he was being approached on a regular basis by relatives of older Irish people living abroad asking that they be considered for housing in the scheme.

Senior Care

SeniorCare.ie is Ireland’s home for senior care information and services. Our directory lists hundreds of companies in 20 targeted categories while our blog hosts information articles on senior health and care related issues.

Publicity surrounding the housing project at St Brendan’s Village increased the level of enquiries from abroad. This in turn led to Dr Cowley setting up the Safe Home Programme as a pilot project in January 2000 to test the hypothesis that if they could be given minimal support, a small but significant number of older Irish emigrants would want to come home – in the space of a number of months in excess of 2000 responses were received.

Thus in July 2001 the Safe Home Programme became an organisation in its own right. Over the years, the Safe Home Programme has evolved from simply providing a housing option for older Irish born emigrants. Alongside this role, we now provide an information and advisory service for anyone considering the move to Ireland and support for those who have moved back and require assistance.

CONTACT: Tel: 098 36036 www.safehomeireland.com

CONTACT: www.seniorcare.ie

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SUPPORT ORGANISATIONS Breastfeeding

Seniorline

Senior Help Line is a confidential listening service for older people by trained older volunteers, for the price of a local call anywhere in Ireland. Senior Help Line’s vision and mission is that every older person in Ireland would know the LoCall number, call if they need us and receive an empathetic response.

Senior Help Line was established in 1998 by Mary Nally, then chairperson of Third Age and launched by its patron, then president, Mary McAleese. It is modelled on an Italian befriending project, Silver Thread (‘Filo D’Argento’) and began with 32 volunteers offering six hours of listening per week.

Today the national service is provided by over 250 volunteers in 13 centres, open every day, from 10am to 10pm including Christmas Day and New Year’s Day. Centres are located in Cavan, Drogheda, Dublin, Dundalk, Finglas, Kilkenny, Leopardstown, Limerick, Mullingar, Naas, Sligo, Waterford and Wexford.

The lines are open everyday from 10am to 10pm. Senior Help Line is supported by the Health Service Executive and The Atlantic Philanthropies.

CONTACT: Tel: 1800 804 591 www.thirdageireland.ie

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Society of St Vincent de Paul

The Society of St Vincent de Paul is an international voluntary Catholic Christian organisation. Membership of the society is open to anyone who can adopt our ethos.

We draw our inspiration and energy from the gospels and Catholic social teaching and attempt to live the core values (love of God and love of our neighbour) through an action oriented programme, working directly with people in need.

The Society has been in Ireland since 1844 and has extensive experience of working with a diverse range of people who experience poverty and exclusion. Through a network of over 9,500 volunteers, it is strongly committed to working for social justice and advocates the creation of a more just and caring society.

With an annual budget of over 74 million in 2010, funding is raised by corporate and public contributions, internal collections and government support for projects tackling social exclusion.

Members make a contribution towards our administration costs at each weekly meeting.

CONTACT: Tel: 01 838 6990 www.svp.ie

Sonas apc

It was 1990 when Sr Mary Threadgold developed the Sonas approach. Now, 21 years later, more than 6,200 care assistants, nurses, speech & language therapists, occupational therapists and many other healthcare workers have been trained in the use of her programmes.

Sonas apc is a QA Certified FETAC Centre and a member organisation of the Wheel.

In 1997 we received funding from the Department of Health and Children. This is now annual funding and it enables us to develop our programmes, subsidise our workshops and promote the needs of older people with dementia and intellectual disabilities.

As the organisation has grown, so too has the approach. In 2000, an adaptation of Sonas was introduced for older people with intellectual disabilities.

Several years later we created a further adaptation of the Sonas Group Session for use on an individual basis. This we called SIMS (the Sonas Individual Multi-sensory Session).

CONTACT: Tel: 01 260 8138 www.sonasapc.ie

Tots & Teens

Disability Services

Older Groups

The Institute of Public Health in Ireland (IPH) The Institute of Public Health in Ireland (IPH) promotes co-operation for public health between Northern Ireland and the Republic of Ireland by: • Strengthening public health intelligence • Building public health capacity • Policy and programme development and evaluation We work with a range of partners to bring people and organisations from across the island together to promote collective action for sustained improvements in health.

Tackling inequalities in health across the island of Ireland is a focus for all our work.

The Institute is also involved in a number of ventures including a new all-Ireland initiative to provide a mechanism for greater collaboration among researchers on ageing. The Centre for Ageing Research Development in Ireland (CARDI) is hosted by the Institute.

Funded by the Department of Health and Social Services and Public Safety (DHSSPS) in Northern Ireland and the Department of Health in Ireland, the Institute is led by Owen Metcalfe.

CONTACT: www.publichealth.ie

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Bodywhys â&#x20AC;&#x201C; The Eating Disorder Association of Ireland

Third Age

Third Age is a national voluntary organisation celebrating the third age in life when people may no longer be in paid employment but can remain healthy, fulfilled and continue to contribute to society. The longer that people are encouraged to remain in this life stage, the better for older people themselves, their families, communities and society as a whole.

Vision & Ethos Bodywhys is the national voluntary organisation supporting people affected by eating disorders. Our vision is that people affected by eating disorders will have their needs met through the provision of appropriate, integrated, quality services being delivered by a range of statutory, private and voluntary agencies.

Mission Third Age, through a variety of local and national programmes, demonstrates the value of older people remaining engaged and contributing in their own community for as long as possible. Third Age recognises and celebrates the fact that older people are a diverse group with different needs, abilities, backgrounds and experiences. Third Age responds dynamically, continually developing new responses as new needs emerge.

Programmes and services are designed so that members have a real say in their development, thus instilling a sense of ownership, responsibility and mutual support. Given that older people are often marginalised, a policy and philosophy of social inclusion underpins all programmes. This extends to older people living in long-stay residential care, Travellers, nonIrish nationals and through the generations.

CONTACT: Tel: 046 9557766 www.thirdageireland.ie

Our mission is to ensure support, awareness and understanding of eating disorders amongst the wider community as well as advocating for the rights and healthcare needs of people affected by eating disorders.

Ethos Bodywhys is committed to the belief that people with eating disorders can and do recover.

As such, the organisation strives to empower people affected by eating disorders to access information, support and treatment. Bodywhys also works with people affected by eating disorders to advocate for the provision of better treatment services for people with eating disorders in Ireland, using the international human right of everyone to the enjoyment of the highest attainable standard of physical and mental health as its basis for action.

CONTACT: Tel: 1890 200444 www.bodywhys.ie

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Bord Bia

Our mission is to drive through market insight and, in partnership with industry, the commercial success of a world class Irish food, drink and horticulture industry.

The role of Bord Bia, the Irish Food Board, is to act as a link between Irish food, drink and horticulture suppliers and existing and potential customers throughout the world. Our objective is to develop markets for Irish suppliers and to bring the taste of Irish food to more tables world-wide.

With its headquarters in Dublin, Bord Bia has a network of overseas offices in Amsterdam, Dusseldorf, London, Madrid, Milan, Moscow, New York, Paris, Shanghai and Stockholm.

Food Dudes

What is the Food Dudes Programme?

Food Dudes is a programme developed by the University of Wales, Bangor, to encourage children to eat more fruit and vegetables both in school and at home. It is based on positive role models (the Food Dudes characters), repeated tasting and rewards.

In large-scale studies in schools in England and Wales and pilot studies in schools in Ireland, the programme has been shown to be effective and results long-lasting across the primary age range, regardless of gender, school size, geographic and socio-economic factors. It is ultimately designed to enable children to enjoy eating healthy diets, and to create a healthy eating culture within schools.

Thanks to the provision of translation services by An Chomhairle um Oideachas Gaeltachta & GaelscolaĂ­ochta, the Food Dudes materials are also available in Irish.

CONTACT: Tel: 01 668 5155 www.bordbia.ie

CONTACT: Tel: 01 522 4855 www.fooddudes.ie

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SUPPORT ORGANISATIONS Breastfeeding

Food Safety Authority Of Ireland

The FSAI takes all reasonable steps to ensure food meets the highest standards of food safety.

Our Role – Your Resource The principal function of the Food Safety Authority of Ireland is to take all reasonable steps to ensure that food produced, distributed or marketed in the State meets the highest standards of food safety and hygiene reasonably available and to ensure that food complies with legal requirements, or where appropriate with recognised codes of good practice.

Key Functions of the Authority

Safefood

Safefood is an all-island implementation body set up under the British-Irish Agreement with a general remit to promote awareness and knowledge of food safety and nutrition issues on the island of Ireland.

An outline of our activities include: • Promotion of food safety • Research into food safety • Communication of nutritional advice • Promotion of scientific co-operation and laboratory linkages • Provide independent scientific advice • Deliver consumer focused review.

The FSAI is responsible for: • Putting consumer interests first and foremost • Providing advice to Ministers, regulators, the food industry and consumers on food safety issues • Ensuring the co-ordinated and seamless delivery of food safety services to an agreed high standard • Ensuring that food complies with legal requirements • Working with the food industry • Setting food standards based on sound science and risk assessment • Risk management in association with frontline agencies and the food sector.

CONTACT: Tel: 1890 336677 www.fsai.ie

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The Irish Nutrition & Dietetic Institute (INDI) The Irish Nutrition & Dietetic Institute (INDI) is the professional organisation for clinical nutritionists/dietitians in Ireland. Founded in 1968, the Institute has grown steadily and it now represents clinical nutritionists/dietitians throughout Ireland as well as having members worldwide.

INDI members have extensive scientific background.

Dietitians apply knowledge of food, nutrition and other related disciplines such as biochemistry, physiology and social science to promote health, prevent disease and aid in the management of illness.

We aim to keep all our members and the general public updated with the most accurate information in relation to nutrition and dietetics.

This is achieved in a number of ways: • Continuing professional development • Newsletter • Fact sheets • Annual general meeting and annual study day

CONTACT: Tel: 01 448 0600 www.safefood.eu

CONTACT: Tel: 01 280 4839 www.indi.ie

Tots & Teens

Disability Services

Older Groups

ASH Ireland

ASH Ireland is focused on reducing the impact of tobacco use in Irish society.

Approximately 5,500 Irish citizens die each year from the effects of tobacco related disease – and ASH Ireland is determined to: • Reduce this staggering statistic. The organisation uses its independence to focus on the issue and ensures it is never compromised.

• ASH Ireland will enter into partnership with other organisations when this supports its objectives. It will not hesitate to highlight, criticise and advocate on tobacco issues – when this is warranted. If tobacco products were introduced on the market today they would be banned by every country on the planet. This motivates ASH Ireland and similar organisations to strive towards a tobacco free society.

CONTACT: Tel: 0818 305 055 www.ash.ie

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

CROI

Cúl Camps

Kellogg’s GAA Cúl Camps provide boys and girls – between the ages of six and 13 – with an action-packed and fun-filled week of activity during the summer holidays which revolves around maximising enjoyment and sustaining participant involvement in Gaelic games.

Activities are game-based – a strong emphasis is placed on skill acquisition – and are organised in an age appropriate manner with a view to: • Optimising learning • Enhancing friendships • Improving physical and psychological well-being • Promoting school and club links.

Kellogg’s GAA Cúl Camps are run throughout the summer from Monday to Friday, 10.00am to 2.30pm, in all 32 counties and overseas.

Croí is a registered Irish heart and stroke charity committed to reducing the impact of cardiovascular disease (CVD) on families in the west of Ireland.

Our mission is to reduce the impact of heart disease and stroke on families living in the west of Ireland. Our aim is to play a leading role in ensuring that the people of the west of Ireland receive the highest attainable level of cardiovascular healthcare, to the best international standards. Croí pursues this aim by supporting and developing initiatives across all areas of cardiac care, including in-hospital patient care, interventional cardiology, heart failure and other subspecialities, cardiac surgery, patient care in the community, family support, disease prevention, cardiovascular research and community and professional education.

Attendance is open to primary school children aged six years to 13 years.

Our current focus is very much community-based, where we are contributing to the fight against heart disease through innovative approaches to education, heart health promotion, lifestyle and behaviour change, research and the development of cardiac services and facilities.

CONTACT: www.kelloggscul camps.gaa.ie

CONTACT: Tel: 091 544310 www.croi.ie

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Department of Health

Our mission is to improve the health and well-being of people in Ireland in a manner that promotes better health for everyone, fair access, responsive and appropriate care delivery and high performance. Our role is to support the Minister and the Government by:

HealthPromotion.ie

A huge HSE backed website answering your questions and offering advice on many aspects of health, including smoking, alcohol, breastfeeding, young people, mental health, drugs and sexual health.

• Advising on the strategic development of the health system including policy and legislation • Supporting their parliamentary, statutory and international functions • Evaluating the performance of the health and social services • Working with other sectors to enhance people’s health and well-being.

CONTACT: Tel: 01 635 4000 www.health.gov.ie

CONTACT: www.healthpromotion.ie

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SUPPORT ORGANISATIONS Breastfeeding

Irish Heart Foundation

What is the Irish Heart Foundation?

The Irish Heart Foundation is the national charity fighting stroke and heart disease, funded up to 90 per cent by public and corporate donations.

Our Vision Our vision is that every person living in Ireland will live a long, active and healthy life free from heart, stroke and blood vessel disease.

Our Mission Our mission is to lead in improving the cardiovascular health of people living in Ireland so they do not experience disability or die from preventable heart, stroke and other blood vessel diseases.

What does the Irish Heart Foundation Do? The Irish Heart Foundation: • Provides information on heart health to the public and media • Supports patients in managing heart disease and stroke • Provides heart health programmes in schools and workplaces • Co-ordinates the training of medics and the public in emergency lifesaving skills (CPR) • Supports research, education and development in the medical profession • Advocates better patient treatment and services.

CONTACT: Tel: 1800 252 550 www.irishheart.ie

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The American Heart Association

The American Heart Association is the nation’s oldest, largest voluntary organisation devoted to fighting cardiovascular diseases and stroke. Founded by six cardiologists in 1924, our organisation now includes more than 22.5 million volunteers and supporters working tirelessly to eliminate these diseases. We fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to save and improve lives. Our nationwide organisation includes 156 local offices and nearly 3,000 employees. We moved our national headquarters from New York to Dallas in 1975 to be more centrally located. The American Stroke Association was created as a division in 1997 to bring together the organisation’s stroke-related activities.

Our Mission • To build healthier lives, free of cardiovascular diseases and stroke • That single purpose drives all we do • The need for our work is beyond question

CONTACT: www.heart.org

The European Heart Network (EHN) The European Heart Network (EHN) is a Brussels-based alliance of heart foundations and like-minded nongovernmental organisations throughout Europe, with member organisations in 25 countries. The EHN plays a leading role in the prevention and reduction of cardiovascular diseases, in particular heart disease and stroke, through advocacy, networking, education and patient support, so that they are no longer a major cause of premature death and disability throughout Europe.

Tots & Teens

Disability Services

Older Groups

Askaboutmoney

Askaboutmoney has developed a reputation for civilised and informed discussion of financial topics in a sponsorship-free and advertising-fee environment.

Askaboutmoney is a discussion forum.

Before making a financial decision, you should independently verify any information you have got from the site. For complex financial or tax decisions you should consult a professional advisor who will take into account all the necessary personal circumstances of your case.

EHN works through expert groups on specific concerns, including: • Nutrition for a healthy heart • Tobacco policy and discouraging smoking • Occupational health and psycho-social factors • Physical activity as a natural part of daily life.

Through its membership of the World Heart Federation, EHN is also active in the creation of a wider international heart network whose aim is to advance the cause of cardiovascular health promotion worldwide.

CONTACT: www.ehnheart.org

CONTACT: www.askaboutmoney.com

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Consumer’s Association of Ireland Ltd (CAI) The aims of the association are to protect, promote and represent the interests of consumers. The association furthers these aim by: • Promoting action to safeguard the interests of consumers, ensuring that those who take decisions which will affect the consumer can have a balanced and authoritative view of their interests • Insisting that the interests of all consumers are taken into account at all times • Making representations of the views of consumers on all matters of concern to them to local and central, government agencies, industry and any other quarter where the company sees fit including representation on the existing law and on proposed legislation • Making representations on the adequacy and availability to consumers of consumer advice services and upon the needs of such services for supporting facilities • Representing the consumer on appropriate Government and other bodies or international organisations including those which exist within the framework of the European Communities e.g.

The European Consumers’ Organisation – BEUC and the European Consumer Voice in Standardisation – ANEC. CONTACT: Tel: 01 659 9430 www.thecai.ie

Central Bank of Ireland

The Central Bank Reform Act, 2010, created a new single unitary body – the Central Bank of Ireland – responsible for both central banking and financial regulation. The new structure replaced the previous related entities, the Central Bank and the Financial Services Authority of Ireland and the Financial Regulator.

The Act commenced on October 1st 2010.

The financial regulator is responsible for the regulation of all financial services firms in Ireland. It also has an important role in protection of the consumers of those firms.

As financial services regulator our main tasks are: • Help consumers make informed decisions on their financial affairs in a safe and fair market • Foster sound, growing and solvent financial institutions which give consumers confidence that their deposits and investments are secure.

Citizensinformation.ie was developed and is maintained by the Citizens Information Board (formerly Comhairle) to replace the Oasis website. citizensinformation.ie website is an Irish eGovernment initiative, and was originally established under the Government’s first action plan for the information society.

The citizens information website provides advice on social welfare, education and training, housing, health, money and tax.

We have also developed a website on mortgage and rent arrears in conjunction with the Money Advice and Budgeting Service (MABS) called keepingyourhome.ie

Our Mission Statement ‘Safeguarding Stability, Protecting Consumers’ is at the heart of all that we do and encapsulates the dual priorities for the Central Bank in delivering on its mandate.

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Competition and Consumer Protection Commission The Competition and Consumer Protection Commission was formed on October 31st 2014 following the amalgamation of the Competition Authority and the National Consumer Agency. The Commission has a new dual mandate to enforce competition and consumer protection law and we will build on the work of the legacy organisations to protect and strengthen competition, empower consumers to make informed decisions and protect them from harmful business practices.

We represent the voice of the consumer, defending consumer interests at the highest levels of national and local decision-making. We provide you with information about your consumer rights and personal finance. We help you to manage your money, with useful tools and information to help you get the most from your money and help you make smart decisions.

We also have responsibility for market surveillance in respect of the safety of a wide range of non-food consumer products, and for bringing anti-competitive behaviour and practices that are harmful to consumers to an end, where necessary via court actions.

Our Mission

CONTACT: Tel: 01 224 6000 www.centralbank.ie

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Citizens Information

CONTACT: Tel: 0761 074000 www.citizensinformation.ie

CONTACT: Tel: 01 402 5555 www.consumerhelp.ie

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SUPPORT ORGANISATIONS Breastfeeding

Money Advice Budgeting Service

The Money Advice and Budgeting Service (MABS) is a free, confidential, independent and non–judgemental service for people in debt or at risk of getting into debt. There are over 60 offices nationwide staffed by trained money advisers who: • Help people deal with their debts and make out a budget • Examine income and make sure people are not missing out on their entitlements • Contact creditors on a person’s behalf when necessary.

People often seek MABS’ help when: • There are extra bills to pay because something has happened, such as unemployment, illness in the family, separation, bereavement etc • There is no money left over to pay everyday bills • The money coming into the household is less than it used to be and loan repayments have fallen behind • They have been living on a low income for some time and are finding it increasingly difficult in making ends meet.

CONTACT: Tel: 0761 072000 www.mabs.ie

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Amnesty International

Amnesty International Ireland is the country’s largest human rights organisation with over 20,000 members and supporters. We are part of a global movement of more than 3.2 million people working in more than 150 countries around the world.

We are independent of any political ideology, economic interest or religion. We do not support or oppose any government or political system. Our sole concern is the protection of the fundamental human rights guaranteed to each one of us by the Universal Declaration of Human Rights.

Concern Worldwide

Concern Worldwide is a nongovernmental, international, humanitarian organisation dedicated to the reduction of suffering and working towards the ultimate elimination of extreme poverty in the world’s poorest countries.

Concern’s mission is to help people living in extreme poverty achieve major improvements in their lives.

Concern works with the poor themselves, and with local and international partners who share the organisation’s vision to create just and peaceful societies where the poor can exercise their fundamental human rights.

IRELAND In Ireland we campaign on the right to mental health, for the rights of the LGBT (Lesbian, Gay, Bisexual, Transgender) community, and to educate and involve young people in human rights campaigning.

We campaign for the right to mental health in Ireland, for a social approach in response to mental health that is focused on people’s rights, in particular the right to live a full life in the community and the right to choice in treatment. We have Amnesty International groups in hundreds of schools, colleges and universities across Ireland. School and youth groups organise their own campaigns on behalf of prisoners of conscience, and play their part in our global and domestic work.

Concern entered a strategic relationship with the Irish government for a four year period from 2012-15 through its programme grant scheme.

In 2012, Concern received 19.9 million as the first installment of significant multiyear programme support, which will have a great impact on Concern’s operations around the world. In 2016, the Irish government announced that over 60 billion will be sourced for NGO’s, including Concern Wordwide, who deliver sustainable development aid to poor countries worldwide.

CONTACT: Tel: 01 863 8300 www.amnesty.ie

CONTACT: Tel: 01 4177700 www.concern.net

Tots & Teens

Disability Services

Older Groups

Commissions for Energy Regulation

The Commissions for Energy Regulation (CER) was first set up in 1999 and our role and functions have been expanded over time. We work within the framework of national and EU energy policy which aim to create a single European electricity market that best meets the needs of Europe’s energy consumers.

On the island of Ireland, Government ministers in the north and south have committed to creating an all-island energy market.

On November 1st 2007, the new cross-border wholesale electricity market, the SEM (Single Electricity Market) went live.

We promote competition in the electricity and natural gas sectors so that customers can ultimately benefit from competitive pressures on prices and services. At the same time we protect the interests of final customers especially the disadvantaged and the elderly by ensuring that standards of services are set and codes of practices are in place to protect vulnerable users. A 2011 CER consumer survey revealed strong competition in the electricity market. CER published education campaigns and detailed consumption information to ensure that customers were getting the best deal.

CONTACT: Tel: 01 4000 800 www.cer.ie

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Crime Victims

We are here to listen. We will give you time and space to talk about your experience in confidence. We listen with empathy and without judgment. We can tell you about support services available in your local area for victims of crime. We can tell you about specialist services for victims of particular crimes such as domestic violence, sexual abuse and rape.

We can answer your questions about the criminal justice system. We can help in liaising with the Gardaí and other agencies and services.

We can give information on compensation, if applicable.

We are here to support everyone who is a victim of crime, regardless of when the crime happened or whether it has been reported to the Gardaí.

Energy Action Ltd

The SEAI Better Energy Warmer Homes Scheme, a free home insulation service to qualifying households, is delivered by Energy Action Ltd throughout the greater Dublin area. The services available under this scheme are: • Attic insulation • Cavity wall insulation • Draught proofing • HWC Lagging jacket • Low energy light bulbs • Energy advice • CFLs This scheme is available to homes which meet the following criteria:

We understand the issues and difficulties frequently encountered by victims of crime and we will help you not to feel alone at this time.

• Owner occupied non–Local Authority homes • Constructed before 2006 • The owner is in receipt of either one of the following: • Fuel allowance as part of the National Fuel Scheme • Job seekers allowance for over six months and with children under seven years of age • Family income support

CONTACT: Tel: Freephone 116 006 www.crimevictimshelpline.ie

CONTACT: Tel: 01 4545464 www.energyaction.ie

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European Anti Poverty Network

National Women’s Council

Established in 1990, the European Anti-Poverty Network Ireland (EAPN) is a network of groups and individuals working against poverty. It is the Irish national network of the European Anti Poverty Network (EAPN Europe), which has two decades of experience in lobbying for progressive social change across Europe. EAPN Ireland is made up of over 200 local, regional and national anti-poverty organisations and individuals.

The National Women’s Council of Ireland (founded in 1973) is the leading national women’s membership organisation. We represent our membership which includes 170 member groups from a diversity of backgrounds, sectors and locations. Our mission is to lead and to be a catalyst for change in the achievement of equality between women and men.

Our values and beliefs shape what we do and how we work, key among these are:

EAPN Ireland supports members to influence national and European policy through training, information, collective action and networking.

Campaigns that EAPN Ireland has worked on in the last number of years include the 2010 European Year for combating poverty and social exclusion, Ireland in social Europe: challenging perceptions and changing realities, the European minimum income campaign, European Parliament awareness project, the social aspects of the Lisbon Treaty, and campaign to include poverty targets in the European 2020 strategy. EAPN Ireland has also worked with members at local level to retain capacity and fight cutbacks to existing services, and with associates at national level through campaigns like the ‘Poor Can’t Pay’; the ‘Equality and Rights Alliance’; Is Féider Linn’ and the ‘Community Platform’.

• Feminism – We believe that feminism is about working to change society so that women and men have an equal say in the decisions that affect their lives • Solidarity between women in all their diversity, through empowerment, collaboration and participation of all women in Ireland and internationally • The recognition of care in our society and the redistribution of care work between women and men • The fundamental importance of human rights, global interdependence and sustainability in all its forms • The provision of protection and respect for the bodily integrity of women and girls • The leadership role of women in relation to the achievement of a more equal society.

CONTACT: Tel: 01 8745737 www.eapn.ie

CONTACT: Tel: 01 679 0100 www.nwci.ie

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SUPPORT ORGANISATIONS Breastfeeding

Office for Social Inclusion (OSI)

The Social Inclusion Division was established on July 1st 2009. The division became part of the Department of Community, Equality and Gaeltacht Affairs on May 1st 2010. The functions of the Social Inclusion Division are: • To co-ordinate implementation of government strategies for social inclusion through the monitoring and reporting mechanisms • To promote the incorporation of anti-poverty and social inclusion objectives in public policy development • To analyse the impact and effectiveness of public policy on poverty and social exclusion • To promote the development of data strategies and research • To monitor and report on poverty trends at national and European levels and participate in the social inclusion work of the EU, Council of Europe and OECD • To develop appropriate mechanisms to promote the participation of people experiencing poverty and social exclusion and those who work with them in policy development and its implementation • To promote cooperation on social inclusion issues between Ireland and other jurisdictions, in particular, Northern Ireland.

CONTACT: Tel: 01 704 3968 www.socialinclusion.ie

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Pavee Point

Pavee Point is a voluntary, or non-governmental, organisation committed to the attainment of human rights for Irish travellers. The group is comprised of travellers and members of the majority population working together in partnership to address the needs of travellers as a minority group experiencing exclusion and marginalisation.

The aim of Pavee Point is to contribute to improvement in the quality of life and living circumstances of Irish travellers, through working for social justice, solidarity, socio-economic development and human rights. The work of Pavee Point is based on two key premises: real improvement in travellers’ living circumstances and social situation requires the active involvement of travellers themselves.

Tots & Teens

Disability Services

Older Groups

Spiritan Asylum Services Initiative (SPIRASI) SPIRASI is a humanitarian, intercultural, non-governmental organisation that works with asylum seekers, refugees and other disadvantaged migrant groups, with special concern for survivors of torture. In partnership with others, SPIRASI enables access to specialist services to promote the well-being of the human person and encourages selfreliance and integration into Ireland.

What we do SPIRASI aims to protect, rehabilitate and integrate survivors of torture and other vulnerable people. Our team of medical doctors, psychologists, therapists and psycho-social workers aid survivors of torture in their rehabilitation.

SPIRASI works to integrate migrants into Irish society by providing English and IT classes and other activities.

Non-travellers have a responsibility to address the various processes which serve to exclude travellers from participating as equals in society.

Areas of work

CONTACT: Tel: 01 878 0255 www.paveepoint.ie

CONTACT: Tel: 01 838 9664 www.spirasi.ie

SPIRASI aims to protect, rehabilitate and integrate survivors of torture and other vulnerable people. Our team of medical doctors, psychologists, therapists and psycho-social workers aid survivors of torture in their rehabilitation.

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www.caremark.ie

We provide care and support to people of all ages and abilities.

Care and Support Workers

All Caremark Care and Support Workers are fully trained and Garda vetted.

Our care teams are supported by experienced Supervisors & Care Managers.

Our services include personal care, general domestic duties, shopping and companionship. Packages are tailored to the needs of our clients and range from as little as an hour per day to around the clock care.

Providing quality care and support at home and in the community ♦ ♦ ♦ ♦ ♦

Dublin Wicklow Kildare Meath Louth

♦ ♦ ♦ ♦

Galway Cork Laois Offaly

For further information, please contact us Tel: 1800 844414 Email: info@caremark.ie

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“For their experience and expertise” Thelma Mansfield

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