ICHN 2019

SUPPORT ORGANISATIONS

RESEARCH

PUBLIC HEALTH NURSING PRACTICE

CONFERENCE & AWARDS

2019

HEALTH NEWS

MEMBERSHIP

ICHN

YEARBOOK AND RESOURCE GUIDE PROMOTING NURSING IN THE COMMUNITY

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CONTENTS ICHN REGULARS

8 ICHN WEBSITE & HISTORY

9 ICHN MEMBERSHIP

10 ICHN FELLOWS

11 ICHN PATRONS & ADVISORS

CONTENTS

WELCOME

INTEREST GROUPS

2

Chief Nursing Officer, Siobhán O’Halloran

45

ICHN Health Informatics

46

Child Health Interest Groups

4

ICHN President, Anne Lynott

CHILD HEALTH 48

Child & Family Health Interest Group

52

Child Safety Programme

53

Nurture Programme – Infant Health & Wellbeing

55

Collaboration with Nurture Programme

HEALTH NEWS

56

First 5

16

National Service Plan

58

Addendum to Children First

17

HSE Wound Management Guidelines

59

Evidence-based resources for parents

18

National Quality Improvement Team Strategic Plan

62

Enuresis Clinic Cavan

64

Universal Child Health Services

19

My Options

66

20

Neuro Rehabilitation Services

Child, Maternal and Family Health Care Plans

22

CervicalCheck Inquiry

ICHN NEWS 13 14

ICHN Service Level Agreement ICHN Research Ethics Committee

PUBLIC HEALTH NURSING PRACTICE

ICHN CONFERENCES & AWARDS

71

ONMSD Update

75

Integrated Care Programme for Older Persons

23

ICHN Conference 2018

24

ICHN Community Nurse Awards 2018

RESEARCH

29

ICHN Conference 2019

79

Freedom of Information Act

32

Global Network 2019

80

GDPR

82

GENIO

ICHN CLOSE UP 34

ICHN Snapshot 2018

RELATED BODIES

35

34 Years in the ICHN

84

36

ICHN Council Interviews

Nursing & Midwifery Board of Ireland

85

All Ireland Institute for Hospice & Palliative Care

12

ICHN EDUCATION & TRAINING

ICHN STAFF & COUNCIL MEMBERS

40

Third Level Colleges

SUPPORT ORGANISATIONS

43

Solihull Approach

87

ICHN Yearbook 2019 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

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. ©2019

ICHN YEARBOOK & RESOURCE GUIDE 2019

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Support Orgnaisations

Editor: Sinéad Moore Design: Anna Wesolowska Design Assistant: James Moore Production Executive: Claire Kiernan Creative Director: Jane Matthews Sales Director: Diarmaid Lennon Managing Director: Gerry Tynan Photography & Illustrations: iStockphoto.com

1 17/04/2019 12:34

ICHN UPDATE

MESSAGE FROM

CHIEF NURSING OFFICER

I

am very pleased to have been asked to provide the foreword to the 2019 yearbook of the Institute of Community Health Nursing (ICHN). The ICHN has a long history of supporting community nursing services through education, developing research and collegial networks.

As you are aware, the vision of Sláintecare is to deliver a “decisive shift from acute to community-based care.

The implementation strategy to support this proposes a model of care that offers the individual, family and community a range of choices. Community health nurses and midwives are involved in the delivery of care to all service users. Our vision is to enhance and support community nursing and midwifery care to enable patients to access safe and clinically effective treatments early and as close to their home as possible. I would like to acknowledge the key role that nurses, and midwives play in meeting health care needs in the community for individuals, families and communities.

Supporting community nursing and midwifery is central to the implementation of Sláintecare. The Office of the Chief Nurse provides policy direction to the nursing and midwifery professions so that high quality, holistic care is delivered. Implementing these polices

allow us to embed the values of nursing and midwifery: compassion, care and commitment throughout our nursing and midwifery services. Ensuring that we have the correct skill mix and staffing to deliver integrated models of care is critical to the development of safe services. Pathways for development from graduate to specialist and advanced practice nursing and midwifery roles are also central to healthcare reform.

Community nursing and midwifery is integral to the health of society. Delivering care as close to home as possible for service users is essential in building relationships and ensuring people stay healthy for as long as possible.

I would like to thank Community nursing and midwifery for their contribution to health services and I look forward to collaborative working as we progress with the implementation of Sláintecare.

Thank you,

Siobhán O’Halloran Chief Nursing Officer

Community nursing and midwifery is integral to the health of society. Delivering care as close to home as possible for service users is essential in building relationships and ensuring people stay healthy for as long as possible.

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ICHN UPDATE

MESSAGE FROM

ICHN HON PRESIDENT

T

This is my final year working as Honorary President of the ICHN. There have been many developments in healthcare policy over the last three years, in particular the Sláintecare Report published in 2017. As you are aware, Sláintecare is being delivered in a wider environment of pre-existing policy including: • Healthy Ireland (DoH) • Better Outcomes Brighter Futures (DCYA) • National Maternity Strategy (DoH).

The timely publication of First 5: A Whole-ofGovernment Strategy for Babies, Young Children and their Families (November 2018), is a significant development for Irish children and families and for Irish society as a whole. It contains a substantial body of recommendations in relation to child health and well-being. There is an important opportunity to ensure that the current body of polices are implemented in an integrated and joined up way. In particular, the opportunity for synergy and shared wins between Sláintecare and First 5 is significant. Strengthening preventative and early intervention supports in pregnancy and early childhood will deliver positive and lifelong outcomes for children and families. It will also result in a reduction in the incidence of a range of health difficulties throughout the life course, reducing long term dependency on the health service.

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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 2018 in Limerick. The theme was New Horizons: Enhancing Clinical Practice in Community Nursing. 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 administrator who co-ordinated the programme.

Five community 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 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

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ICHN UPDATE

development ensuring that all practice delivered by them is evidence based and will enhance the quality of care of their patients and the community at large.

Ms Lisa Sweeney Public Health Nurse Longford/Westmeath, Ms Anne Marie Kelly CNS Continence Promotion Unit and Ms Sinead Lawlor Assistant Director 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 place 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 is 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 and Midwifery and Dr Sinéad Hanafin of Research Matters Ltd. Each facilitator has expertise in the specialist area of the programme. Each programme is formally evaluated on its completion and feedback will be provided to the programme commissioners and also utilised to influence future programme development. Further details including CEUs, programme facilitators, a short summary, the 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 ICHN established a Research Ethics Committee (REC) in 2016.

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Having a REC in place positions the ICHN as a research active organisation, it allows the Institute to respond to tenders for research findings and it ensures ethical approval can be achieved for the conduct of research studies. A standard operating procedure and application form is available on the ICHN website online and on request.

The ICHN Child and Family Health Interest Group undertook a project in the area of developing core child maternal and family health care plans in 2016. Following a successful procurement process, a project lead undertook a large scale pilot project in the implementation and evaluation of a suite of 36 core child maternal and family health care plans developed for PHN practice to safely support a safe, effective and quality child health core screening and surveillance service. By using core child maternal and family health care plans it is envisaged that the quality of care and evidence-based practice will be enhanced.

I would like to welcome new members to the ICHN council; Ms Gwen, Regan Practice Development Coordinator CHO 9 and Ms Sheila Geoghegan, Lecturer, UCD School of Nursing Midwifery and Health Systems, to the ICHN Executive Council. Our 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 Dolores Gallagher Ms Emer Shanley and Ms Denise Gallagher for their contribution 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 I wish to thank you sincerely for your ongoing support and commitment to the ICHN.

Anne Lynott

Anne Lynott Honorary President, ICHN

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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

7 15/04/2019 10:43

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. Currently, the ICHN has two interest groups: the Child and Family Health Interest Group and the ICHN Health Informatics Interest Group.

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.

What Does The Institute Do? • 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

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.

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

Partners: This section outlines some of the sponsors and the associates which are partnered with the ICHN. Resources: This section is divided into the ICHN resources (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 2019

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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.

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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

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.

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DR SINÉAD HANAFIN

MAURA CONNOLLY

Sinéad is a nurse, midwife and public health nurse and has worked as a practitioner, lecturer and researcher.

She is the Managing Director of Research Matters Ltd, a policy research company. She holds an MSc from Trinity College Dublin, a PhD from King’s College London and a fellowship (ad Edeundum) from the Royal College of Surgeons Ireland.

Sinéad worked on two research projects with the Institute of Community Health Nursing in 2018.

The first project, carried out on behalf of the HSE Nurture programme under the ICHN Collaboration, made recommendations for variables to be included in the Public Health Nursing Service and Community Medical Doctor Service Child Health Record.

The second research project conducted a social return on Investment on PHN-facilitated breastfeeding groups in Ireland (See http://ichn.ie/wpcontent/uploads/SROI-on-PHNled-breastfeeding-groups-mainreport.pdf).

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 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.

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 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 DES O’NEILL

PROF ROGER O’SULLIVAN

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.

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 DERVILLA DONNELLY

DR KEITH SWANICK

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-

General Practitioner, 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.

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ICHN REGULARS

COUNCIL MEMBERS

ANNE LYNOTT

(HONORARY PRESIDENT) DPHN Dublin West

GWEN REGAN

Practice Development Coordinator CHO 9

CORA WILLIAMS DPHN Cork North

AIDEEN HENEGHAN

(HONORARY TREASURER) IDPHN Kildare/West Wicklow

SINEAD GROGAN

(VICE PRESIDENT) CNM 11 Clinical Case Manager Integrated Care Team Older Persons CHO9

SHEILA GEOGHEGAN

Lecturer UCD School of Nursing Midwifery and Health Systems

MARGARET KEOHANE,

PHN Public Health Nurse Tusla Child And Family Agency

MARGARET COSTELLO

Integrated Care Programme Older Persons CHO 3

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 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 with safety, quality and excellence service level agreement in service delivery taking a central was signed between the role in each programme. The ICHN, the Faculty of Institute of Community Health Nursing and Midwifery Nursing Collaboration strongly at the Royal College of Surgeons believes that good patient and in Ireland (RCSI) and Research client care is underpinned by Matters Ltd. Present at the up-to-date, evidence informed formal signing were Dr SinĂŠad practice. Each programme is Hanafin; Marie Carney, Dean designed, facilitated and delivered Professor (RCSI); Johanna by nurses, midwives, and public Downey, Honorary President health nurses, or experts in the (ICHN); Thomas Kearns, specialist area, with support and Executive Director (RCSI) and guidance from both the Faculty of Virginia Pye (ICHN). The Nursing Midwifery and Dr purpose of this service level SinĂŠad Hanafin of Research agreement is to develop an Matters Ltd. The educational relationship Institute of whereby the faculty, in Community Health Professional beliefs and collaboration and Nursing values anchor these partnership with Collaboration programmes, with safety, Research Matters Ltd, strongly believes in quality and excellence in would meet some of participant service delivery taking the education, involvement, a central role in each training, professional interaction and programme. development and engagement with the professional competence programme, alongside needs of members of engagement with the the ICHN. facilitator and others undertaking the programme.

In August 2016, the ICHN, Participant interaction is achieved Research Matters Ltd and the through the use of teaching RCSI launched a suite of new, methodologies such as lectures, innovative and clinically focused discussions, self-evaluation, case programmes for registered public study reviews, group discussions, health nurses, midwives and feedback, hands-on workshops, nurses in community settings. questions and answer sessions The programmes are shaped by and reflection. Each programme an education and learning is formally evaluated on its philosophy underpinned by the completion and feedback is concepts of adult, studentprovided to the programme centred, lifelong learning. In commissioners and also utilised addition, professional beliefs and to influence future programme values anchor these programmes,

ICHN YEARBOOK & RESOURCE GUIDE 2019

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development. Each of the following programmes have been submitted to the Faculty of Nursing and Midwifery (FNM) for Accreditation and awarding of Continuing Education Units (CEU) and also to the Nursing and Midwifery Board of Ireland (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. Assessment and Management of Leg Ulcers in Community Settings.

2. Assessment and Management of Lymphoedema in the Community.

3. Care Planning and Documentation for Nurses and Midwives working in community.

4. Safeguarding Adults at risk of Abuse Self Neglect.

5. Hoarding Sleep Difficulties in Infants and Children.

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.

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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.

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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 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 three research projects have been approved.

Requests are welcome and the REC are happy to discuss your proposals with you.

ICHN YEARBOOK & RESOURCE GUIDE 2019

17/04/2019 12:47

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09/04/2019 07/01/2019 16:06 23/11/2016 15:00 09:35 21.11.16 16:48

HEALTH NEWS

ONGOING AND SIGNIFICANT MANAGEMENT CHALLENGE

NATIONAL SERVICE PLAN 2019

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he HSE National Service Plan 2019 was approved by the Minister for Health Simon Harris in December 2018. Required under legislation, the plan sets out the type and volume of services that will be provided across the HSE during 2019. The overall non-capital allocation to the HSE for 2019 is just over €16 billion; this represents a maximum amount of expenditure that may be incurred by the Executive during the forthcoming financial year. The services, levels of activity and performance detailed in the NSP2019 are consistent with this level of funding.

The funding of €16.05 billion made available to the HSE in 2019 represents an increase of €848 million (5.6%) over the final budget for 2018. This funding is required to meet the costs of new service developments set out by the DoH (€198m), the higher costs in 2019 of delivering 2018 levels of service activity as a result of centrally agreed pay rate and pension changes as well as other price increases, and the costs in 2019 of additional service activity to meet demographic changes and other service pressures.

Key

1 Service quality and improvement.

Key

2 Service redesign.

Key Reform Themes 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 2019 and beyond, namely: • Service quality and improvement • Service redesign • Service challenges • Performance and accountability.

The Service Plan will also aim for: • Delivering a volume of activity in 2019 in demand-led service areas (e.g. emergency hospital services, emergency placements for people with a disability) – which are not usually amenable to normal budgetary control measures – which exceeds budgeted levels of activity and available funding.

• Ensuring an adequate response to the additional service pressures which will arise during the winter period in relation to hospital, community and primary care services • Ensuring that service delivery entities – Community Healthcare Organisations (CHOs), Hospital Groups and the myriad associated delivery organisations – operate within notified financial and staffing budget levels for 2019, and also ensure appropriate balancing of quality and risk issues at local level during a period of potential structural change, with escalation regionally and nationally as appropriately.

• Effectively managing the HSE workforce, including recruitment and retention of a highly skilled and qualified workforce, delivering a reduction in overtime and the use of agency personnel and staying within our pay budget.

• It will comply with the General Data Protection Regulation requirements.

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Key

3 Service challenges.

Key

4 Performance and accountability.

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HEALTH NEWS

HSE WOUND MANAGEMENT GUIDELINES 2018 THE PURPOSE OF THE HSE NATIONAL WOUND MANAGEMENT GUIDELINES 2018 IS TO PROVIDE A STANDARDISED CONSISTENT APPROACH FOR WOUND CARE IN IRELAND. THE GUIDELINE WILL SUPPORT SAFE, QUALITY CARE FOR PATIENTS, WHO ACCESS HEALTHCARE ACROSS THE HSE AND HSE FUNDED AGENCIES.

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he Wound Management Guidelines will inform nurses, midwives and other healthcare professionals involved in the care of patients with acute or chronic wounds, of the most up-to-date evidence available to support the standardisation of care and encourage best clinical practice, and to contribute to improved patient outcomes.

This revised publication is informed by international guidelines and aims to support pathways of care for patients with a wound. It is expected that it will be accessible to all clinicians in wound care practice and offer recommendations for best practice.

The recommendations are divided into specific sections to enable the clinicians to directly seek the advice relating to a particular clinical practice situation which they need to address. The needs of special populations with wounds are addressed in the relevant sections.

• General wound care • Diabetic foot ulcers • Pressure ulcers • Leg ulcers • Palliative wound care • Education Wounds have a major personal, social, and economic impact.

Wounds not only impact on the

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individual and their quality of life, they also have a significant impact on our health service and our society as a whole. Studies in the UK indicate that up to 4% of total health care expenditure is spent on the provision of wound management while in Ireland it is estimated that two thirds of community nursing time is spent on the provision of wound management.

As part of the HSE efforts to improve healthcare, it is hoped that these national guidelines will assist all clinicians in the decision making process and help to standardise the management of wounds at primary, secondary and tertiary levels. The availability of national guidelines will also provide guidance to policy makers.

The guideline is available on the HSE website at: www.hse.ie

17 17/04/2019 12:59

HEALTH NEWS

NATIONAL QUALITY IMPROVEMENT TEAM DRAFT STRATEGIC PLAN 2019 – 2021

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The HSE National Quality Improvement Team (National QI Team) formerly known as the Quality Improvement Division (QID) are developing a draft Strategic Plan for 2019-2021 to support a coordinated and prioritised approach to quality improvement (QI) work within the office of the Chief Clinical Officer (CCO). I believe the key to the success and sustained improvement is through a partnering approach with organisations. Therefore this strategic plan is a work in progress and discussions with members of the HSE leadership team, the delivery system, staff and patients are continuing on how the National QI team can work with the system to build sustained quality improvement to drive efficiency and productivity for better safer care.

Informed by experience and international evidence, the National QI team have restructured into four principle programmes outlined in the table below:

To date the National QI team has worked with people and services across the healthcare system to improve flow, improve safety, increase productively and efficiency, and build capacity and capability which has demonstrated improvements in better safer care and cost reduction.

We will continue to do this but will narrow our focus to align support to the National Service Plan priorities and the National Patient Safety Strategy.

The 2019 National QI team priority projects are: • Reducing Falls & improving Bone health awareness • Pressure Ulcer Prevention • Quality improvement for Healthcare boards • Medication Safety

Principle Programmes

Programme Lead

Contact details

Partnering on Sustainable Improvement in Qua lity and Safety

Maria Lordan Dunphy

Maria.LordanDunphy@hse.ie

Building Capability for QI

Dr Mary Browne

Mary.Browne7@hse.ie

Communicating and Connecting for QI

Dr Maureen Flynn

Maureena.Flynn@hse.ie

Using and Generating Evidence for Learning and Improvement

Dr Jennifer Martin

Jennifer.Martin@hse.ie

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The team will continue to use the Framework for Improving Quality (HSE, 2017) to guide the approach, to build improvement knowledge and skills, to build networks and connections and to use evidence to inform and guide QI work. However it is critical that local sites develop improvement capacity in order to ensure sustained improvement.

The National QI team will seek opportunities to meet with staff in the coming weeks to discuss the aforementioned priority projects and ways that they can partner with staff to build sustainable improvements.

In the interim please review the National QI team’s Draft Strategic plan 2019 -2021 available at: https://www. hse.ie/eng/about/who/qid/aboutqid/ strategic-plan-2019-2021.pdf.

You can provide feedback via an online survey at: https://www. surveymonkey.com/r/3RBL7GH

ICHN YEARBOOK & RESOURCE GUIDE 2019

17/04/2019 13:01

HEALTH NEWS

MY OPTIONS

A NEW UNPLANNED PREGNANCY SUPPORT SERVICE FROM THE HSE MY OPTIONS IS A NEW HSE FREEPHONE SERVICE THAT PROVIDES FREE AND CONFIDENTIAL COUNSELLING TO PEOPLE EXPERIENCING AN UNPLANNED PREGNANCY. MY OPTIONS IS PROVIDED BY THE HSE’S SEXUAL HEALTH AND CRISIS PREGNANCY PROGRAMME (SHCPP).

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y Options will be the first point of contact for information and support in relation to an unplanned pregnancy. Professional and experienced counsellors will provide free, non-directive information and support on all options, including continued pregnancy supports and how to access abortion services in Ireland.

From the 1st January 2019, abortion services will begin to be provided in Ireland by the HSE, in the community by GPs or family planning services, and in maternity hospitals.

The My Options service will be free of charge for anyone who needs it. Counsellors are available Monday to Friday 9am to 9pm, and on Saturday from 10am to 2pm.

The nursing team is available 24 hours a day, 7 days a week.

The website myoptions.ie provides detailed information on unplanned pregnancy supports and abortion services.

Information and Awareness Campaign

surgeries and pharmacies, media interviews) media.

Target Audience The campaign is aimed at people who may be experiencing an unplanned pregnancy, and people who may be in need of postabortion supports. Secondary audiences include partners, friends and family. GPs and other healthcare professionals who support people who are experiencing an unplanned pregnancy are also an important secondary audience. The wider community will also be made aware of this service through the campaign.

A HSE advertising and information campaign commenced on 1st January 2019 to let people know about the new My Options service, and what it offers. This campaign will let What My Options GP Surgeries and people know where Provide – Community Pharmacies The My Options to go when they Information, Information leaflets will be service will be free of need support – now available in GP surgeries and Counselling and charge for anyone and in the future, for community pharmacies from early Medical Advice who needs it. themselves or someone January. Posters will also be on My Options will provide close to them. The display in GP surgeries from 2nd professional pregnancy campaign will use paid January. Leaflets will be available to counselling over the phone, (radio, out of home, social order on www.healthpromotion.ie, and can also arrange access media, search) and unpaid (GP as per other healthcare materials. to face-to-face counselling.

Information and support provided by counsellors will be nondirective and non-judgemental.

Post-abortion counselling can also be provided.

A new freephone line can help My Options will provide a 24 hour nursing team for someone who has had a recent abortion and needs medical advice. The nursing team can also provide information Monday to Friday 9am to 9pm on access to abortion services Saturday 10am to 2pm outside of the counselling phone line opening times.

Unplanned Pregnancy?

Call 1800 828 010

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19 17/04/2019 13:03

HEALTH NEWS

NATIONAL STRATEGY & POLICY

FOR THE PROVISION OF NEURO REHABILITATION SERVICES NATIONAL STRATEGY & POLICY FOR THE PROVISION OF NEURO REHABILITATION SERVICES IN IRELAND FROM THEORY TO ACTION IMPLEMENTATION FRAMEWORK 2019-2021

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he National Strategy & Policy for Neuro Rehabilitation Services was launched in 2011.

This strategy noted that neuro-rehabilitation services have been underdeveloped and where they exist, have been developed in an ad hoc manner, primarily by the voluntary sector.

Where services have been developed by the statutory health system, the focus of provision has been on medical rehabilitation, which, while most important, is not comprehensive. It is also a feature of current provision that many The focus of the neuro of the services and delayed rehabilitation strategy is service structures are discharges on achieving best outcomes condition-specific, and with many of the for people, by providing with access to some early advances negated safe, high quality, personalso determined by by the absence of centred care at the lowest reference to age downstream services. within the adult In 2017, a National appropriate level of cohort. The focus of Steering Group (NSG) was complexity. the neuro rehabilitation established to oversee the strategy is on achieving best writing and execution of a outcomes for people, by providing National Implementation safe, high quality, person-centred Framework (IF). This group has care at the lowest appropriate level representation from Disability of complexity. This must be Services Strategy and Planning, the integrated across the care pathway, National Clinical Programme for and provided as close to home as Rehabilitation Medicine, Acute possible or in specialist centres Hospital Service, Primary Care where necessary. At an individual Division, Mental Health Division, level, the impact of not receiving Neuro Psychiatry, Health & Social appropriate and timely services and Care Professionals, National supports can include deterioration Rehabilitation Hospital (NRH), in function and the associated Health & Wellbeing Division, physical and psychological Public Health and the sequelae. At a system level, Neurological Alliance of Ireland it can lead to increased hospital (NAI). Since the publication of the admissions, with consequential strategy in 2011, more robust

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17/04/2019 13:28

HEALTH NEWS

evidence is now available to support the benefits and cost effectiveness of rehabilitation, both in terms of personal outcomes for the individual and also the reduced costs to the system. The impact of appropriately resourced rehabilitation service on patient flow should not be underestimated.

Research undertaken by the NSG in Q3 2017 demonstrated the potential numbers of bed days which could be released back into the acute hospital system if neuro rehabilitation services were well established. For example when compared to Ireland as a whole the average length of stay (ALOS) of patients with diagnoses of acquired brain injury (ABI), spinal cord injury (SCI) or stroke in Community Healthcare Organisation (CHO) 6 & 7 are higher for all three categories. For instance, the national average length of stay (ALOS) for stroke is 13.28 days whereas the ALOS for feeder hospitals (St James, Tallaght and St Vincent’s Hospitals) in CHO 6 & 7 is 16.29 days. This equates to 9,600 extra bed days per year for this group in the hospitals serving CHO 6 & 7. With the average daily cost of an acute hospital bed at €850, this equates to a cost of providing care for these individuals of €8.2 million per year. There is an important

incentive to ensure that people who care; development of appropriately would benefit from care in a less resourced interdisciplinary inpatient; expensive setting are accommodated outpatient and community based when this Foreword 5 National specialist rehabilitation teams across Strategy & Policy for the Provision Ireland supported by education and of Neuro Rehabilitation Services in training; case management of Ireland Implementation Framework patients; Managed Clinical 2019-2021 aligns with their health Rehabilitation Networks (MCRN). needs. Importantly, in these times, The MCRN, while an effective where there is significant model in a number of European overcrowding in emergency countries, is a new concept within departments nationally, the the Irish healthcare system. To assess implementation of the strategy as the feasibility of such a model, the outlined provides the health service NSG made the decision to pursue a with a significant opportunity to demonstrator project so that the address this service issue. learning from introducing such a Development of specialist system could be applied nationally. rehabilitation services is The demonstrator project will see everybody’s business. the development of inpatient and Further supporting evidence is community based neuro presented in the recently published rehabilitation services across CHO 6 Model of Care of the National & 7. The additional resources Clinical Programme for required to fund the MCRN Rehabilitation Medicine 2018, where demonstration pilot project on a best practice with respect to phased basis will be highlighted in specialist rehabilitation services the estimates process for 2019. across the continuum of care is The breakdown of posts and clearly described. The costs to have a dedicated Model of Care is one of Community Neuro the key reference Rehabilitation Team documents informing (CNRT) in each CHO The MCRN, while this implementation will also be outlined an effective model in framework. The main through this process. a number of European premise underpinning Evidence-based and countries, is a new concept all rehabilitation informed by within the Irish service delivery in the population needs, this healthcare system.

Model of Care is: person National centred approach to patient Implementation Framework addresses the rehabilitation continuum of care.

It describes the requirement for a whole system approach and provides the blueprint for how we should deliver care and services for those who suffer from neurological conditions who require individualised, goal focused rehabilitation. It is recognised that continued investment in and development of neuro-rehabilitation services will need to be prioritised beyond the three year implementation period of this Implementation Framework in order to address the significant lack of capacity within existing services.

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21 17/04/2019 13:56

HEALTH NEWS

IMPLEMENTATION PLAN

FOR THE REPORT OF THE SCOPING ENQUIRY INTO CERVICAL CHECK ISSUES

Background The report from the Scoping Inquiry into Cervical Check by Dr Gabriel Scally was published in September 2018. In response, the HSE established an Implementation Oversight Group. Working with the Department of Health (DoH) and a number of relevant organisations, an implementation plan for the 50 recommendations and six interim recommendations has been developed. The plan was published on the 12th September 2018 on the Department of Health’s website: https://health.gov.ie/blog/ publications/implementationplan-for-report-of-the-scopinginquiry-into-cervicalcheck-issues/

Governance of Implementation Oversight Group Of the 56 recommendations including the six interim recommendations, the HSE has responsibility for implementing 31 of these recommendations. A further nine recommendations are jointly owned with the DoH. The Department of Health has had lead responsibility for drafting the Scally Report Implementation Plan as part of its remit in the work of the Cervical Check Steering Committee. The HSE and the National Cancer Registry of Ireland (NCRI) have actively worked in the development of the plan along with a number of patient representatives.

HSE Recommendations The HSE is working with the

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responsible action owners and their teams to devise detailed action plans for every recommendation assigned to them. Each set of actions has a detailed action plan inclusive of timelines for commencing/ completion. This plan is iterative and therefore the actions will change as the plan progresses with a likely increase in the number of actions.

Of the 86 actions which are within the remit of the HSE to implement, senior responsible owners have been assigned or jointly assigned for each recommendation.

A number of these actions are directly related to the National Screening Service, the Cervical Check programme and the wider Health Service. Implementation of over 70% of the actions will have commenced before the end of 2018.

Patients’ Voice The HSE is committed to keeping the voice of the patients and service users at the centre of this process and has been communicating with the patient representatives during its development. The HSE will further build on the engagement structures already established in the implementation of Dr Scally’s interim recommendations, such as the public patient involvement (PPI).

Progress to Date In total there are 86 actions assigned to the HSE, of which 73% have been commenced or will begin in Q4 2018. Of the 86 actions which are within the remit of the HSE, senior owners have been assigned or

jointly assigned for each recommendation.

The HSE has appointed an implementation lead for this project.

The approach to delivering the recommendations includes working to key milestones and deadlines.

Interim updates on status of actions within the HSE’s remit will be published on www.hse.ie

Staff Briefings Michele Tait, who is the HSE implementation lead for the plan, provided a number of staff briefings on the Dr Scally Implementation Plan with relevant staff. This provided staff with a clearer understanding of the plan and what the HSE will be working on to improve services over the duration of the plans implementation.

Staff can provide any feedback in relation to the Implementation Plan via PMO@screeningservice.ie

ICHN YEARBOOK & RESOURCE GUIDE 2019

17/04/2019 13:57

ICHN CONFERENCES & AWARDS

ICHN ANNUAL CONFERENCE 2018 THE ICHN CONFERENCE 2018 WAS A GREAT SUCCESS WITH A NUMBER OF STIMULATING TALKS, PRESENTATIONS AND DISCUSSIONS ON COMMUNITY HEALTH NURSING. THE THEME WAS “NEW HORIZONS: ENHANCING CLINICAL PRACTICE IN COMMUNITY NURSING”.

T

he Institute’s annual general conference was held in the Strand Hotel Limerick in May 2018. The theme was “ New Horizons: Enhancing Clinical Practice in Community Nursing”.

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 welcome and opening address was delivered by the President of the ICHN. Ms Catherine Whitty, National Practice Development Coordinator ONMSD, presented on Developments in Community Nursing and this presentation and Primary Care Participant involvement was followed by Division to improve contributed to the interactive Sandra Mc Carthy, Health and Welldiscussions relevant to every Care Alliance, who being Outcomes day community nursing. presented on Towards for Infants and their Resilience in Family Care Families. Ms Angela Giving for People with Dunne presented on Dementia. Sandra also invited The National Women’s a service user to give an account and Infant Health Programme of her experience navigating the and Ms Sharon Vard concluded the healthcare system following a family morning session with a presentation member’s dementia diagnosis with on Supporting Parents Through her testimony leading to a standing Bereavement. There were three ovation from delegates. Dr Fiona breakout sessions centred on the Mc Guire presented on behalf of themes of Child and Maternal Ms Anne Pardy who unfortunately Health, Clinical Practice and could not attend on the day. Dr Older Persons.

Mc Guire delivered a presentation The afternoon session was due on the Nurture Programme. The to commence with a presentation Nurture Programme is an integrated by the former HSE Director General programme of work primarily Mr Tony O Brien, however due to within the HSE’s Health and circumstances beyond his control Well-being Programme Division Mr O Brien could not attend. Dr

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David Hanlon from the Office of the National Director Clinical Strategy and Programmes Division commenced the afternoon session with a presentation on the National Clinical and Integrated Care Programmes.

He provided delegates with an insight into the aims and objectives of the NCICP’s and provided examples from practice. He was followed

by Dr Melissa Corbally who presented on Responding to the Problem of Domestic Violence and Abuse. Dr Corbally discussed possible practical ways in which our responses to this problem could be improved. Ms Maddie Bell, Children’s Domestic Violence Consultant NI, presented on the Use of Domestic Violence Risk Identification Matrix in Safeguarding Children and Young People who Live in Families where Domestic Violence is a Concern.

Ms Bell outlined a Risk Assessment Matrix which is used by HCPs including Health Visitors in NI. To conclude the session Dr Sinead Hanafin presented on a part funded part research study by the ICHN titled Social Return on Investment PHN-Facilitated Breastfeeding Groups in Ireland.

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

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ICHN CONFERENCES & AWARDS

COMMUNITY NURSE

AWARDS 2018

AT THE 2018 ICHN CONFERENCE, FIVE COMMUNITY 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.

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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 evidence 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. membership.

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Lifetime Achievement Award Winner: Mary McDermott

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ICHN CONFERENCES & AWARDS

IN PARTNERSHIP WITH

LIFETIME ACHIEVEMENT AWARD WINNER

MS MARY MC DERMOTT DIRECTOR OF PUBLIC HEALTH NURSING

MARY MCDERMOTT HAS HAD A DISTINGUISHED NURSING CAREER BOTH WITHIN THE COMMUNITY SETTING AND ABROAD. FROM HER EARLY STAGES AS AN RGN, A MIDWIFE, AND A YOUNG NURSE, SHE HAS BEEN DEDICATED TO LEARNING AND HONING HER CRAFT, HELPING PATIENTS THROUGH LIFE CHANGING MOMENTS.

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ary McDermott, the Director of Public Health Nursing in North Dublin has had a distinguished nursing career both within the community setting and abroad, spanning decades. From her early stages as an RGN, a midwife, and a young nurse who travelled abroad to work in Africa, she has been dedicated to learning and honing her craft, helping patients through life changing moments from giving birth and recovery from illness.

Mary started her nursing career in Galway, training in general nursing and then completing her midwifery training.

A complete change of environment occurred when Mary headed off to Kenya working with some of the world’s most vulnerable families The beginnings of her Community Nursing career saw Mary spend time working in Killbarrack Health Centre and within the District Care Unit (DCU). Mary was always at the forefront of change and innovation and the District Care Unit was the first incarnation of its kind at the time but not unlike the Integrated Care Teams and Virtual Ward model of today, services that Mary played a key role in developing in North Dublin.

There is no doubt that it was during these early career days that Mary

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began developing key leadership and managerial skills she would later require for her Assistant Director and subsequent Director role Throughout her career Mary has been a huge support and advocate for the ICHN and has been actively involved over the years. Education and career development is something Mary has proven is important to her, through her actions and her encouragement of staff to progress within their careers.

Not one to be afraid to push the boundaries that keep nurses within the confines of what they have always done, Mary has been instrumental in developing new services for nursing within the community, offering nurses a chance to expand their scope of practice, become leaders and change advocates within the community healthcare system. Over the years, and within the Dublin North area, Mary has pioneered nurse led developmental clinics for Child Health, nurse led hospital avoidance initiatives such as Diabetic Foot Clinics, Integrated Catheter Care Programmes, Specialist Nursing Services in Wound Care and Gerontological Nursing, to name but a few. She is a passionate advocate of breastfeeding and has driven breastfeeding support and promotion throughout her community area. Her passion for education extends to her unmitigated support of nurses within

her area of which she has several who have completed Masters level education and a few currently undertaking PHD/ Doc levels studies.

Her Role of DPHN sometimes requires tough decisions and she has worked through challenging economic times and times of great change within the Health Service. What many people may not know about Mary is that her passion for health and wellbeing and education extends beyond the scope of just clinical practice. Through the years, Mary has championed courses such as mindfulness courses for her nurses and has part-taken in some herself. It is this very essence of her understanding of the importance of ‘taking care of the carers’ that sets Mary apart as Director of Public Health Nursing and has no doubt helped her face whatever challenges her current director role deals her with as much ease and grace as she does.

Mary has been the driving force for education and research and she has been a valued advocate for professional, personal and practice development, values synonymous with those of the ICHN and as such a deserved winner of this prestigious Life Time Achievement Award. From each and every nurse in North Dublin, we wish her the very best for her future and thank her for all that she has done for our nursing community.

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COMMUNITY NURSE

AWARD WINNERS 2018

NURSE AWARD: EMER CASEY REGISTERED GENERAL NURSE, MAYNOOTH,CO KILDARE

JOINT AWARD WINNER: TERESA O’DOWD REGISTERED GENERAL NURSE, LUCAN HEALTH CENTRE, DUBLIN

Emer demonstrates her ability to work Teresa has been involved in establishing a nurse in partnership with the patient, led continence clinic in Lucan. She has worked families, healthcare disciplines collaboratively with her PHN colleagues and and voluntary agencies by the CNS CPU Dr Stevens. She has always been It was Emer’s persistence advocating tirelessly on interested in the area and is the lead clinician in the in requesting and behalf of the patient when PHN department in this practice area. Working coordinating the services managing complex cases closely with the DPHN, Teresa has developed a that allowed the patient and following up delays continence care model with supporting guidelines to successfully stay in his in receiving services. She to ensure that the service is quality assured. She own home with achieved an excellent outcome firmly believes that a patient centred approach supports. for a complex case and she has leads to quality. Early evidence emerging from the worked alongside the safeguarding continence clinic minimum data set is showing that vulnerable adult services, home care patients are being treated successfully with many package and home help service over a long now continent. An example is a 27 year old Mum period of time. It was Emer’s persistence who had a history of incontinence who is now in requesting and coordinating the services fully continent. Teresa, using her persuasive skills, that allowed the patient to successfully encouraged the mum to attend and maintained her stay in his own home with supports. Emer treatment plan through regular phone contact and demonstrates a continuing commitment to care plan reviews. When commencing the clinic, the principles of excellent nursing care. Emer Teresa visited the nurse led Continence Clinic in has completed a post graduate diploma in Castlebar and returned with information to wound management and tissue viability from improve the service in the PHN department. the Royal College of Surgeons Ireland. Emer She described her visit as “career runs a specialist wound management clinic changing” and this visit is often cited in which she acts in a capacity to review and by her as she described it as “being Working closely with the advise on wound care and accepts referrals gold standard” and this gave her the DPHN, Teresa has developed from the PHNs and RGNs in Kildare. Emer impetus to drive this initiative in the a continence care model is a role model for the patient, her junior department. She has a wonderful with supporting guidelines colleagues and her peers. She mentors ability and her “joie de vivre” to ensure that the service is and teaches the BSc student placements in attitude is a tonic both for managers, quality assured.

Maynooth Health Centre, assists the health patients and staff. Most importantly care assistants and is a reliable support to her she places the patient at the centre and nursing colleagues. works diligently in supporting them.

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IN PARTNERSHIP WITH

OVERALL WINNER AND JOINT AWARD WINNER: ANNE MARIE KELLY CNS, CONTINENCE PROMOTION UNIT, DR STEVENS HOSPITAL, DUBLIN Anne Marie works as a CNS in the CPU in Dr Stevens. Using her expertise as a CNS has been a wonderful support to Teresa and this is demonstrated by her attention to detail particularly in the care planning process. She and Teresa have created a continence model based on national and international evidence. Her advocacy for her clients is unquestioned and her resolve in developing individualised care plans is excellent. Testimonies received from patients clearly demonstrate the work both Anne Marie and Teresa are doing.

Anne Marie constantly strives to provide evidence based care. This is clearly demonstrated through the development of a Continence Care Model Paper to support the development of the nurse led clinic in Lucan PCT. Anne Marie was instrumental in finalising this document which she and her colleague Teresa are using in practice. Utilising HIQA and NMBI standards provides an overarching CQI and QA approach. This is now particularly relevant as the clinic is now being audited and evaluated. She has also developed a number of day courses in continence care for community nursing practitioners in CHO 7.

JOINT AWARD WINNER: SANDRA FLAHERTY PUBLIC HEALTH NURSE, LUCAN HEALTH CENTRE, DUBLIN

JOINT AWARD WINNER: AOIFE MC EVOY PUBLIC HEALTH NURSE, LUCAN HEALTH CENTRE, DUBLIN

Since qualifying in 2007 Sandra has participated in a number of initiatives developed in the PHN department, these include the development of the Incredible Years Programme, Infant Massage and the PHN led Ante Natal Programme delivered by PHNs in Dublin West in collaboration with the Coombe Women’s Hospital.

Sandra co-delivers an infant massage programme in Lucan PCT with her colleague Aoife Mc Evoy. She is an Incredible Years Facilitator of the Parent and Infant Incredible Years Programme and is currently working towards accreditation. Sandra has worked across Primary Care Teams providing outstanding care to clients and families in the area of child and maternal health, child protection and adult health. She has undertaken training in Suprapubic Catheter Care and provides SPC care to patients in DW. Her approach to care is exemplary and is always delivered with the patient and family at the centre. She is always willing to share her knowledge with her colleagues. She regularly preceptors std PHNs and testimony from std PHNs is always very positive with the central message being one of going the extra mile for her patients.

Aoife has worked across Primary Care Teams providing outstanding care to clients and families in the area of child and maternal health. She has embraced the whole concept and principles of partnership both with families and patients. An example of this is, since qualifying in 2015, she has led out on developing an infant massage programme working in partnership with her PHN colleague Sandra Flaherty, PHN, Lucan. She did this by undertaking post graduate training supported through the development of a departmental policy to support her in her practice.

She now co-delivers an infant massage programme in Lucan PCT. Aoife’s attitude is to “make every contact count”. Aoife constantly strives to provide evidence based care. She is now commencing a sleep training programme to further support her in practice. She applies the learning from her various nursing programmes in her role and through the development of the infant massage programme with her colleague Sandra is now developing excellent facilitation skills.

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27 17/04/2019 14:00

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ICHN CONFERENCES & AWARDS

ICHN ANNUAL CONFERENCE 2019 THE INSTITUTE OF COMMUNITY HEALTH NURSING IS HOSTING ITS ANNUAL CONFERENCE IN THE CLAYTON HOTEL LIFFEY VALLEY LUCAN ON THE 1ST MAY 2019. THE THEME FOR THE 2019 CONFERENCE IS COMMUNITY NURSING: RESILIENCE IN TIMES OF CHANGE.

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he programme for this year’s conference promises to be interesting and very informative, with a wide variety 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 Information and CONFERENCE 2019 Lynott. Chaired by Ms Standards, HIQA. The Cora Williams, session final presenter is Ms The Clayton Hotel one will open with a Catherine Daly, Project Liffey Valey Lucan presentation by Ms Lead for the Claire Lewis, Deputy Implementation and 1st May 2019 Chief Nursing Officer, Evaluation of Child Department of Health and Maternal and Family core Ms Berneen Laycock, care plans.

Nursing Project Officer, Office of Following a short break for tea, the Chief Nurse, Department of coffee and networking, attendees are Health. They will be followed by Ms invited to attend a breakout session Elizabeth OBE NHS MSCP, Clinical of their choosing. Breakout sessions Lead Health and Social Integration are 90 minutes long and participants Emergency Care Intensive Support can choose between three themes: Team Improvement Directorate and Child and Maternal Health, Clinical Ms Anne O’Connor, Interim Practice, and Research and Director General HSE, will be Innovation. Following the series of presenting on “A Year of Change for talks in each breakout session, the Irish Health Service”. The lunch will be served, and morning session will close with a participants are encouraged to take presentation by Ms Debra some time to view the exhibitor O’Neill, Doctoral Candidate stands and posters.

Trinity Centre for Practice and The Annual ICHN Community Healthcare Innovation.

Nurse Awards and the ICHN Poster Session three, chaired by Ms Awards will follow and the Margaret Costello will begin with a conference will conclude with an presentation by Ms Laura Magahy, address by ICHN Honorary Department of Health, Sláintecare President Anne Lynott. and Laura will be followed by Ms Rachel Flynn, Director of Health CEU Accreditation Points = 6

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COMMUNITY NURSING: RESILIENCE IN TIMES OF CHANGE SESSION 1 – CHAIR: MS CORA WILLIAMS 08.00

REGISTRATION/REFRESHMENTS

09.00

MS ANNE LYNOTT, PRESIDENT ICHN - PRESIDENT’S OPENING ADDRESS

09.05

09.35

10:05

MS LAURA MAGAHY, DEPARTMENT OF HEALTH, SLÁINTECARE ‘IMPLEMENTING SLÁINTECARE’ MS ELIZABETH SARGEANT, OBE, MCSP CLINICAL LEAD, HEALTH AND SOCIAL CARE INTEGRATION, EMERGENCY CARE INTENSIVE SUPPORT TEAM IMPROVEMENT DIRECTORATE, NHS ‘WHAT MATTERS TO THE PERSON - WHO KNOWS BEST?’ MS ANNE O CONNOR, INTERIM DIRECTOR GENERAL, HSE ‘A YEAR OF CHANGE FOR THE IRISH HEALTH SERVICE’

10.35

Q&A

10.45

TEA AND COFFEE BREAK AND NETWORKING - PLEASE TAKE TIME TO VIEW STANDS AND POSTERS

SESSION 2 – BREAKOUT SESSIONS

11.30

CHILD & MATERNAL HEALTH

SESSION 3 – CHAIR: MS MARGARET COSTELLO

14.00

‘SLÁINTECARE IMPLICATIONS FOR ADVANCING COMMUNITY NURSING SERVICES’

– PEGASUS SUITE

14.30 12.00

CLINICAL PRACTICE

RESEARCH AND INNOVATION - MIRA SUITE 2

13.00

MS RACHEL FLYNN, DIRECTOR OF HEALTH INFORMATION AND STANDARDS, HIQA ‘THE ROLE OF HIQA IN SUPPORTING COMMUNITY HEALTH NURSING’

– MIRA SUITE 1

15.00

12.30

DR CLAIRE LEWIS, DEPUTY CHIEF NURSING OFFICER, DEPARTMENT OF HEALTH & MS BERNEEN LAYCOCK, NURSING PROJECT OFFICER, OFFICE OF THE CHIEF NURSE, DEPARTMENT OF HEALTH

15.30

MS CATHERINE DALY, PROJECT LEAD, ICHN CORE CARE PLAN PROJECT ‘IMPLEMENTATION AND EVALUATION OF ICHN CORE CARE PLANS CHILD MATERNAL AND FAMILY HEALTH’ MS DEBRA O’NEILL, DOCTORAL CANDIDATE, TRINITY CENTRE FOR PRACTICE AND HEALTHCARE INNOVATION ‘EXPLORING ORGANIZATIONAL CULTURE IN THE HSE - COMMUNITY HEALTHCARE AT A TIME OF REFORM’

16.00

Q&A

LUNCH AND NETWORKING

16:10

ICHN POSTER AWARDS 2019

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

16:30

ICHN COMMUNITY NURSE AWARDS

16:50

ICHN HONORARY PRESIDENT’S CLOSING ADDRESS

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(IN ASSOCIATION WITH HOME INSTEAD SENIOR CARE)

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ICHN CONFERENCES & AWARDS

SESSION 2 – BREAKOUT SESSIONS: FULL PROGRAMME

Time

11:30

CHILD & MATERNAL HEALTH

CLINICAL PRACTICE

RESEARCH AND INNOVATION

PEGASUS SUITE

MIRA SUITE 1

MIRA SUITE 2

CHAIR: MS MARGARET KEOHANE

CHAIR: MS AIDEEN HENEGHAN

CHAIR: MS GWEN REGAN

‘ANXIETY IN PREGNANCY AND AT THREE MONTHS POSTPARTUM: PREVALENCE AND CO-MORBID DEPRESSION AND STRESS IN A COHORT OF NULLIPAROUS WOMEN’

‘PRESSURE ULCER PREVENTION – USING CARE BUNDLES TO ENHANCE OUTCOMES’

‘PERSONALISED PSYCHOSOCIAL SUPPORTS FOR PEOPLE WITH DEMENTIA IN THE COMMUNITY: LEARNINGS FROM IRELAND’

MS LOUISE RAFFERTY, CMMII, ROTUNDA HOSPITAL

12.00

‘BUILDING AND MAINTAINING A POSITIVE RELATIONSHIP FROM BABYHOOD: ESSENTIAL FOR THE HEALTHY PHYSICAL EMOTIONAL SOCIAL ACADEMIC AND SPIRITUAL DEVELOPMENT OF A CHILD’ MS PATRICIA FITZPATRICK, PSYCHOLOGIST

‘EARLY INTERVENTION MODELS OF PRACTICE FOR BETTER OUTCOMES FOR CHILDREN AND YOUNG PEOPLE PREVENTION PARTNERSHIP AND FAMILY SUPPORT AND ADVERSE CHILDHOOD EXPERIENCES’

12.30

PROF ZENA MOORE, PHD, MSC (LEADERSHIP IN HEALTH PROFESSIONALS EDUCATION), MSC (WOUND HEALING & TISSUE REPAIR), RCSI

‘RESPONDING TO SELFNEGLECT CONCERNS: WHAT IS THE EVIDENCE?’ DR MARY ROSE DAY, DN, MA, H.DIP PHN, BSC, DIP MANG (RCSI), RPHN, RM, RGN, NURSE CONSULTANT

DR FIONA KEOGH, PHD, SENIOR RESEARCH FELLOW, CENTRE FOR ECONOMIC & SOCIAL RESEARCH IN DEMENTIA, NATIONAL UNIVERSITY OF IRELAND GALWAY

‘PROFESSIONAL DEVELOPMENT FOR COMMUNITY NURSES – BRIDGING THE GAP BETWEEN ACUTE EXPERIENCE AND COMMUNITY CASELOADS. A QUALITY INITIATIVE DEVELOPED BETWEEN THE PHN SERVICE AND NMPDU CHO 9’ MS CLAIRE HICKEY, RGN CHO 9 & MS GILLIAN BYRNE, RGN CHO 9

‘FRAILTY AS A LONG-TERM CONDITION’ MS DEIRDRE LANG, DIRECTOR OF NURSING/NATIONAL LEAD, OLDER PERSONS SERVICES, CLINICAL & INTEGRATED PROGRAMMES OFFICE NURSING & MIDWIFERY SERVICES DIRECTOR

MS CAROLINE JORDAN, TUSLA REGIONAL IMPLEMENTATION MANAGER. PREVENTION, PARTNERSHIP AND FAMILY SUPPORT DUBLIN NORTH EAST

‘SMART PATIENTS – EMPOWERING CITIZENS AS EXPERTS IN THEIR OWN HEALTH’

DR MARTIN POWER, DIRECTOR SOCIAL CARE PROGRAMMES DISCIPLINE OF HEALTH PROMOTION, SCHOOL OF HEALTH SCIENCES, COLLEGE OF MEDICINE NURSING AND HEALTH SCIENCES, NATIONAL UNIVERSITY OF IRELAND GALWAY

MS CATHERINE O’DONOHOE, TUSLA REGIONAL IMPLEMENTATION MANAGER, PREVENTION, PARTNERSHIP & FAMILY SUPPORT SOUTH NATIONAL PARENTING LEAD

12.50

Q&A

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Q&A

Q&A

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GLOBAL NETWORK:

LOOKING FORWARD

B

N E T WO R L A

GLO

Objectives • 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.

• To develop public health nursing practice by sharing the experiences, research, and knowledge of public health nurses, health visitors and others practitioners, educators,

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• 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 Network four pillars will be formed: Research, Policy, Education and Practice.

NG

• 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 develop their own public health care service.

SI

leaders and researchers in this area from around the world.

·

ALTH NUR

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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.

Sharing of knowledge and public health nursing practice across the world has been the driving force of the Four International Public Health Nursing conferences which took place in 2009, 2011, 2013 and 2016.

At these conferences, the delegates identified the need for a forum to support the ongoing conversations and discussions between the conferences.

K

PUBLI F C O

HE

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 in Galway in 2013.

This year the Global Network of Public Health Nursing 5th International Conference will be held in Kenya by The University of Nairobi – School of Nursing Sciences in conjunction with The Ministry of Health-Kenya.

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Because of their global significance and relevance to Public Health Nursing, it was agreed to explore the contribution of Public Health Nursing to achieving Goal 3 of the UN Sustainable Development Goals, ‘Good Health & WellBeing’, as a working title for the conference.

The sub themes will focus on the role of Public Health Nursing in achieving the targets of Goal 3 at every aspect and every population group including the elderly, maternal and child groups, people with disabilities, health care systems and safe environments. The focus is on; HIV/AIDS testing, disclosure, access and adherence to care; adolescent reproductive health; public health leadership and governance; health systems integration; rural, county and national levels; infectious disease management; community health strategy; public health workforce, labour relations and mental health.

Membership The membership fee is €50 and there are three types of membership: Individual, Student and Associate membership. All members have voting rights. Associates will have one vote per Institution/ Organisation and the ICHN has associate membership with many of its members holding individual membership. a) Individual membership is open to any registered nurse/health visitor working or teaching in public health nursing.

Conference aims • To provide delegates with an opportunity to present and learn about new evidence-based knowledge concerning health systems/services/practice to enable public health nursing to contribute to the achievement of the targets of Goal 3 of the UN Goals.

• To allow delegates time to discuss and formulate plans to implement possible changes in their countries/local health systems.

• To enable networking opportunities for delegates with international colleagues.

• To participate and represent public health nursing on international health policy groups and forums.

• To promote the Global Network of Publi Health Nursing

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

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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.

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ICHN CLOSE UP

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SNAPSHOT ICHN MEMBERS IN ACTION

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34 YEARS IN THE ICHN 2019 MARKS 34 YEARS OF THE ICHN. WE LOOK FORWARD TO SEE WHAT THE FUTURE HOLDS FOR THIS DYNAMIC ORGANISATION, ITS MEMBERS, AND THE INDUSTRY OF COMMUNITY HEALTH NURSING.

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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 Health worked with Fr Burke to bring this Nursing Course run by An Bord idea to fruition. National meetings Altranais was held in Gort Mhuire of superintendents and public Conference Centre in Ballinteer, health nurses were organised in each County Dublin. It was during this Health Board region to inform all time that Rev Fr TP Burke, who PHNs of the proposed structure was resident in the centre, became with its aim and objectives. Rules acquainted with the Public and constitutions were Health Nursing course. written and all business A lecturer in physics procedures were put in in UCD at the time, place to establish the he was asked by Institute. Funded The ICHN will continue to the course leader by the existing Ms Ann Flynn Superintendents develop as a modern and dynamic to assist with Association, organisation that empowers the development the ICHN was community health nurses and upgrading incorporated in by providing a voice through of the course. A September 1985. leadership and advocacy for submission with The inauguration many years to come. proposals for the ceremony took place in course to be placed in UCD and was launched a third level setting was by the then Minister for prepared and submitted to the Health, Mr Barry Desmond. The CEO of An Bord Altranais, Mr Noel first ICHN President was Ms Mona Daly, together with a draft syllabus Sharkey (deceased), and Ms Eithne and recommendations. The course Mattimoe became the Hon. Secretary. was admitted to UCD in September Over the past 34 years the ICHN 1987. has had the privilege of working Rev Burke was then introduced to with a number of Honorary Ms Eithne Mattimoe, Superintendent Presidents; Ms Eithne Mattimoe, Ms Public Health Nurse, Eastern Health Mary McDermott, Ms Catherine Board. Following discussion and Curry, Ms Nora Cummins, Ms agreement with Eastern Branch of Regina Buckley, Ms Breda Cleary the Superintendent PHN Association, (deceased), Ms Kathleen Cusack, Ms Mattimoe invited Fr Burke Ms Catriona Duignan, Ms Anne to meet in March 1984. During a Corridan and Ms Johanna Downey.

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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 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 34 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.

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INTERVIEW

GWEN REGAN PRACTICE DEVELOPMENT COORDINATOR CHO 9 GWEN REGAN EXPLAINS HOW, AS THE PRACTICE DEVELOPMENT COORDINATOR REPRESENTATIVE ON THE ICHN COUNCIL, SHE HOPES TO ADVISE THE COUNCIL ON ALL MATTERS RELATING TO SERVICE INITIATIVES, POLICY DEVELOPMENT AND EDUCATION AND TRAINING PLANS. Education and Background Gwen qualified as an RGN in 1994, having completed her training in Beaumont Hospital. She then went on to spend some years working in the National Hospital for Neurology & Neurosurgery, Queen Square, London, where she completed a Diploma in Neuroscience Nursing. On returning to Dublin, Gwen spent a few months working in the Mater Private before transferring to St. James’s Hospital, where she completed a BSc. in Health Service Management. Gwen stepped away from the field of nursing for a few years, working as an IT System Project Manager, then as a Quality Assurance Auditor on Phase 4 clinical trials. Although she says it was good to try other things, Gwen explains that her heart was in nursing and so she returned to it in 2003 and moved into the community setting. Since commencing in North Dublin, Gwen has worked as a community RGN for six years, then a Clinical Nurse Specialist in Infection Control for almost seven years. Just over three years ago she became a Practice Development Coordinator for Public Health

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Nursing Services. Gwen holds an MSc in Organisational Change & Leadership (DCU/RCSI), and is currently completing a Doctorate in Governance with the UCD Graduate School of Law/IPA.

Current Role Practice Development is a supportive and developmental role.

Gwen works with the management team and staff to achieve service objectives and ensure clients receive a high quality, focused service. This includes ensuring training needs are met, evidence based guidelines are in place, service risks are identified and escalated, and learning from adverse events in addressed, with quality improvement plans put in place. “I have been privileged to work with many excellent staff since I started my nurse training in 1991. In everything I do I focus on client care, and hope I have

provided a high quality, kind service to patients and their families throughout my career,” says Gwen. One of Gwen’s greatest achievement has been establishing a home catheterisation service in community healthcare organisation 9. “Over the past five years many PHN and Community nurses have trained in male and supra pubic catheter re-insertion, and are now offering this service to clients in their own homes, avoiding the need for them to attend acute hospitals for changes,” she explains. “I am very proud of the service, and of my colleagues who took on this role. There has been overwhelming positive feedback from clients and their families.”

ICHN Council Although in her first year on the council, Gwen hopes to advise the council on all matters relating to service initiatives, policy development and education and training plans. Over the course of the next 12 months, she hopes to continue to promote the public health nursing service, raising the profile of the service at national level. “I am deeply rooted in the service, and believe that the safe provision of care in the community is founded on a highly trained, motivated workforce,” she explains.

“With my practice development colleagues we will continue to promote best practice in community nursing, expanding the roles of community nurses to meet the needs of the populations we serve.”

ICHN YEARBOOK & RESOURCE GUIDE 2019

17/04/2019 14:06

ICHN CLOSE UP

INTERVIEW

SHEILA GEOGHEGAN LECTURER, UCD SCHOOL OF NURSING MIDWIFERY AND HEALTH SYSTEMS

NEW TO THE ICHN COUNCIL, SHEILA ASSISTS WITH ANY QUERIES REGARDING PHN EDUCATION OR RGN EDUCATION. Education and Background With a range of qualifications including, RGN, SRM, RON, Dip. Community Nursing, RPHN, Bsc (Nursing), M.Ed and Leadership, Dip. Mediation, Professional Certificate University Teaching and Learning, Dip. Entrepreneur Education, and Dip. Adult Education, Sheila began her career as a general nurse in Dr Steevens Hospital. After On secondment at UCD, completing midwifery, Sheila works as a lecturer she went on to work on the Public Health in SCBU and then as a KWW in 2013. She Nursing course. young offenders nurse completed Leadership in St Teresa Gardens for Training courses a year before moving onto and in 2016 began her orthopaedics. During this time Doctorate studies. Sheila Sheila stayed in Cappagh as a is on secondment to UCD since junior sister and then a theatre Nov 2017, where she works as nurse for six years. Sheila’s career an Assistant Professor. She is later saw her enter Public Health currently undertaking her D.Ed. Nursing and she spent almost ten which she hopes to complete years from 1992-2001 as a PHN in 2020. in Wicklow. During this time, she completed a BSc. (Nursing).

Current Role In 2001 Sheila worked as an On secondment at UCD, Sheila ADPHN in DSW and during works as a lecturer on the Public this time completed a M.Ed and Health Nursing course. Here, Leadership. In 2006 she took she is Coordinator of both the up the position of DPHN for Community Module for Irish DSW and remained there until Registered General Nurses and the 2010. After taking some time Community Nursing Module on out (during which she completed the US Study Abroad Programme. a mediation course as well as She lectures on the school’s pre and adult education training), Sheila post-registration undergraduate returned to PHN as DPHN for and post graduate courses and

ICHN YEARBOOK & RESOURCE GUIDE 2019

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supervises two students’ thesis who are undertaking their MSc. (Nursing).

Awards and Accreditation Sheila is “very proud” of being a PHN and her hard work has been recognised through the prizes she has received down through the years: • 2012: Represented Ireland as International Speaker at European Enterprise Conference on introduction of Health Care Assistant training programme outside HSE settings.

• 2010: Obtained a €30,000 grant from Arts Council Ireland to introduce arts into health care. Art and movement were used with children to improve movement and sensory stimulation. Review of this programme led to its introduction into healthcare settings for children with special needs and autism.

• 2009: Jackie Austin (ADPHN) and Sheila (DPHN) were nominated for and received a Health Service Excellence & Innovation Award for a programme for travellers health • 2008: As National Lead in Public Health Nursing for Policy Development, produced a CD on policies which was circulated nationally • 2001: Won Smith & Nephew Recognition Award for a Wound Care Research Paper.

37 17/04/2019 14:07

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COMMERCIAL PROFILE

WILTSHIRE FARM FOODS EATING FOR GOOD HEALTH Wiltshire Farm Foods are aiming to support independent living by providing affordable and nutritious meals to our customers.

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ICHN YEARBOOK & RESOURCE GUIDE 2019

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39 15/04/2019 11:28

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 The School of Nursing and Midwifery at UCC, was ranked in the top 100 nursing schools in the world in the QS World University Rankings by Subject in 2017. The Postgraduate Diploma in Public Health Nursing is a level nine programme which aims to develop informed and skilled public health nurses. The programme helps students to develop self-directed learning skills and provides an opportunity for personal growth and development. On successful completion of the programme, participants can apply to the Nursing and Midwifery Board of Ireland (NMBI) 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 eight modules to the value of 60 credits. There are four blocks of placement with a registered public health nurse in the sponsoring Health Service Executive (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 programme. You will also undertake a maternity placement of five weeks as part of this module. Total clinical placement accounts for over 22 weeks during the year.

The recruitment and sponsorship of student public health nurses is a national joint application process between the Higher Education Institutions (HEI) and the HSE. Applicants must be registered general nurses and meet the clinical experience requirements set out by the HSE. 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 HSE/HEI application process.

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

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

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ICHN YEARBOOK & RESOURCE GUIDE 2019

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ICHN EDUCATION & TRAINING

Master/Postgraduate Diploma of Health Science (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% 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 Ms Mary Walsh, Programme Director.

Tel: 0 91 494129, email mary.b.walsh@nuigalway.ie; Dr. Marcella Kelly, Programme Director. Tel: 0 91 495 036, email marcella.kelly@nuigalway.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

ICHN YEARBOOK & RESOURCE GUIDE 2019

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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

Maynooth University www.maynooth university.ie

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

41 17/04/2019 14:07

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 247486_2L_UCD_JM_ICHN.indd 1

16/04/2019 15:07

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We are committed to the communities in which we work, and our services are tailored to suit each client’s needs and their local environment.

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Contact us on: Dublin North: (01) 495 4030 Dublin South / Wicklow: (01) 908 1919 Cork: (021) 234 7300 Kildare: (045) 254 244 Galway: (091) 376 536 enquiries@rightathome.ie www.rightathome.ie 2L_Right at Home_JM_ICHN 19.indd 1

Advert template.indd 1

17/04/2019 16:56

17/04/2019 16:58

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ICHN EDUCATION & TRAINING

RECIPROCITY

BEHAVIOUR MANAGEMENT

SOLIHULL APPROACH TRAINING OPTIONS FOR PROFESSIONALS

What is the Solihull Approach?

The Solihull Approach is a programme within the NHS. It is a highly practical way of working with families within a robust theoretical structure. It is an early intervention model and is also used in preventative and group work and online courses for parents. It has a major contribution to make to the ways in which practitioners in health, education, voluntary and social care can work with families to ensure that children have a good emotional start in life. We have worked with practitioners across the children’s workforce, including children’s centre workers, psychologists, midwives, teachers, social workers, family support workers, and especially health visitors, providing an integrated model of working, supported by a number of open learning resource packs and face-to-face training for professionals.

We have developed face-to-face groups for parents and online courses that include: antenatal, postnatal and 0-18 years.

Evidence based: Published quantitative and qualitative research from around the UK. Affordable: Competitively priced with a manualised, cascade system.

Effective: Increases emotional health and well-being in parents and children. Increases practitioners’ skills and confidence. Included in the Healthy Child Programme.

How does the Solihull Approach work?

The Solihull Approach model combines three theoretical concepts, containment (psychoanalytic theory), reciprocity (child development) and behaviour

ICHN YEARBOOK & RESOURCE GUIDE 2019

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management (behaviourism). It provides a framework for thinking for a wide range of professionals working with families with babies, children and young people. Containment and reciprocity underpin relationships and brain development as well as the quality of an attachment.

your baby’ group for group (0-12 months of age).

• Solihull Approach Postnatal Parenting Plus Group Facilitators’ manual and training - For professionals to facilitate the six-week ‘understanding your baby’ group for group (0-12 months).

• Solihull Approach Parenting Group Facilitator training & Facilitators’ What resources and training training and manual – are available to support the Understanding your child’s Solihull Approach? behaviour – For professionals who plan to run the 10-week Solihull Resource packs Approach Parenting Group for • The First Five Years resource pack parents and carers who want to • The School Years resource pack know more about sensitive and • Antenatal: Journey to Parenthood effective parenting Addenda to adapt resource pack the group for parents of children • Fostering & Adoption resource pack. with ASD, children with disabilities, children with learning difficulties Training & manuals and adoptive parents.

Training can be arranged in your • Solihull Approach Foster Carer local area for groups or in Solihull Course Facilitator training and for individuals. manual - To facilitate our 12-week ‘Understanding your foster child’s FOUNDATION TRAININGS behaviour’ group for foster carers.

• Two Day Foundation training – An introduction to the Solihull Approach • Solihull Approach Foster Carer Course Facilitator training and model and linking the model to manual - To facilitate our 12-week practice. The two training days are ‘Understanding your foster child’s separated by a fortnight to facilitate professionals to use the model in their behaviour’ group for foster carers. practice and feedback their experiences on day two.

TRAIN THE TRAINERS AND

GROUP FACILITATION TRAINING

MANUALS FOR CASCADE TRAINING

• Train the Trainers course and trainer’s manual – One-day training • Solihull Approach Antenatal for professionals who have been Parenting Group Facilitators’ manual integrating the Solihull Approach and training - For professionals to model into their practice and who facilitate the five-week ‘Pregnancy, labour, birth and your baby’ antenatal plan to cascade the Two Day Foundation training to other parenting group.

• Solihull Approach Postnatal Parenting professionals within their own area.

Universal Group Facilitators’ manual • Parenting and Postnatal Train the Trainers training and manual – For and training - For professionals to those who plan to cascade the facilitate the six-week ‘understanding

43 17/04/2019 14:11

ICHN EDUCATION & TRAINING

Parenting Group Facilitator training to other professionals in their area as part of their work.

SOLIHULL APPROACH PLUS • Brain Development Seminar trainer’s manual - To deliver a half-day seminar to practitioners on brain development from early childhood to teenage years.

• Attachment Seminar trainer’s manual – To deliver one day seminar covering the basics of attachment theory and how the quality of attachment can be explained using the Solihull Approach • Understanding Trauma trainer’s manual – To deliver one day seminar which covers recognising and understanding trauma in adults and children and effects on brain development and how to support traumatised children adult and communities. How the Solihull Approach underpins all of this.

OTHER MANUALS • Workshop for Parents of Young Children, Babies & Toddlers / Workshop for Parents of Teenagers Trainers’ Manuals - to deliver a two-hour workshop to parents on brain development and reciprocity.

• Peer Breastfeeding Supporter training Trainers’ Manual - to deliver a six-week course to partners, family members and friends on supporting breastfeeding mothers.

Online courses Courses are accessed via our parent website: www.inourplace.co.uk Information for professionals is available from www.solihullapproachparenting.com • Antenatal parenting course • Postnatal parenting course • Understanding your child (0-18yrs) Course for Parents.

Multi user licences for online course There are a range of multi user licences for Solihull Approach online courses that can be purchased by professionals.

For more information please contact the Solihull Approach office.

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Website for professionals www.solihullapproachparenting.com includes information about Solihull Approach, training and resources, research, online courses, data returns for groups, information for commissioners.

Website for parents Ourplace is a free service offering a secure online for parents, grandparents, friends and relatives to connect, learn, record and share information about their children as they grow and develop.

Research • Douglas, H. and Ginty, M. (2001) The Solihull Approach: changes in health visiting practice Community Practitioner, 74:6, 222-224 The results showed improved consistency and broader understanding of how difficulties develop • Douglas, H. and Brennan, A. (2004) Containment, Reciprocity and Behaviour management: Preliminary evaluation of a brief early intervention (the Solihull Approach) for families with infants and young children The International Journal of Infant Observation, 7:1, 89-107 Results showed overall decrease of parental anxiety of 66%. There was also a significant reduction in anxiety relating to the problem and problem severity decreased.

• Douglas, H. and Whitehead, R.E. (2005) Health Visitors experiences of using the Solihull Approach Community Practitioner, 78:1, 20-23 Evaluation outlined changes in practice, focusing more on emotions and trying to understand the story • Milford, R., Kleve, Lea, J. and Greenwood, R. (2006) A pilot evaluation study of the Solihull Approach Community Practitioner, 79:11, 358-362 Used experimental (Solihull Approach) and control group (Standard Health Visiting Practice). Results showed statistically a significant decrease in distress, parental perception of child difficulty in favour of experimental group. Also greater

reduction in overall stress levels in experimental group.

• Bateson, K., Delaney, J. and Pybus, R. (2008) Meeting expectations: the pilot evaluation of the Solihull Approach Parenting Group Community Practitioner, 81, 28-31 Conclusion both parental anxiety and child behavioural problems improved significantly over the course of the 10-week group. There is an interesting relationship between changes in the CBCL and changes in the BAI in that there is a significant positive correlation between some changes in CBCL and BAI. • Johnson, R. and Wilson, H. (2012) Parents’ Evaluation of ‘Understanding Your Child’s Behaviour’, a parenting group based on the Solihull Approach Community Practitioner 85 (5) 29-33 • Vella, L., Butterworth, R., Johnson, R. and Urquhart Law, G. (2015) Parents’ experiences of being in the Solihull Approach parenting group, ‘Understanding Your Child’s Behaviour’: an interpretative phenomenological analysis. Child: Care, Health and Development 41:6, 882–894.

• Appleton, R., Douglas, H. and Rheeston, M. (2016) Taking part in ‘Understanding Your Child’s Behaviour’ and positive changes for parents. Community Practitioner. 89 (2):42-48.

For further details from the Solihull Approach team: Tel: 0121 296 4448 Email: solihull. approach@heartofengland.nhs.uk Solihull Approach, Bishop Wilson Clinic, 8 Craig Croft, Chelmsley Wood, Solihull, B37 7TR For details of local Warwickshire training opportunities contact: Public Health Admin phadmin@ warwickshire.gov.uk for information on local training options.

Professionals’ website: www.solihullapproachparenting.com Parents’ website: www.inourplace.co.uk

ICHN YEARBOOK & RESOURCE GUIDE 2019

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INTEREST GROUPS

ICHN HEALTH INFORMATICS INTEREST GROUP:

ANNUAL REPORT TO ICHN 2018 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.

T

he purpose of the Health Informatics Interest Group (HIIG) is to identify, promote, and advocate for information and communication technologies relevant to the PHN service. The HIIG was formed in 2016 when a small group of ICHN members with a shared interest in health informatics agreed to meet to progress the integrated ehealth agenda.

A poster to outline the work of the group was developed and presented in 2017 at the ICHN and Health Informatics Society of Ireland (HISI) conferences.

An oral presentation was provided by Siobhán Stafford ADPHN and Mary O’Regan PHN at the HISI Nursing & Midwifery (HISINM) Conference in 2017.

HIIG Poster 2017 The 2018 goals of the HIIG included further engagement with relevant stakeholders and specifically with Dr. Pamela Hussey in Dublin City University (DCU) to enhance learning in health informatics and to understand the purpose of the national data dictionary and its relationship to interoperability.

In May 2018 Pamela kindly hosted six members of our group on the DCU campus in the newly opened CeIC centre of which she is CEO. Pamela provided an introduction to the work of the CeIC and an overview of health informatics in Ireland. The aim of the CeIC is to design information architecture in partnership with the HSE to support eHealth Ireland and advance the integrated care needs agenda in line with the Stay Left, Shift Left ehealth agenda as outlined in Sláintecare.

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Stay Left, Shift Left Model The HIIG members identified the absence of an ICHN Professional Development Officer as a loss to the effectiveness of the HIIG from the perspective of real time information exchange and support within the ICHN. However, ongoing links to eHealth Ireland and membership of the Council of Clinical Information Officers permit attendance and networking at national conferences and Ecosystem meetings. Influencing future Primary Care Management Systems and the Community Electronic Health Record are other benefits of membership.

Another productive alliance is with a group of nurses and midwives formed in 1996 under the umbrella of the HISI; the HISINM group. HISINM wishes to enable nurses and midwives to become e-capable by embracing new technologies and shaping technology to support nurses and midwives in delivering quality and safe care and their strategy outlines actions for doing this aligned to the eHealth Ireland Strategy.

HISINM Strategy Ms Loretto Grogan commenced as the HSE National Clinical Information Officer for Nursing & Midwifery in 2018. A face to face meeting to introduce the HIIG group and to progress the PHN service ehealth agenda was arranged for October 2018.

Two members of the HIIG (Dolores Gallagher DPHN and Anne McDonald PHN Researcher) met with Loretto in her office in Dr. Steevens Hospital.

Challenges to providing a standardised model of person-centred care in the community within the current paper based environment and the need to move to a national unified core nursing record before migration to electronic solutions were discussed. Significance of the implications these issues will have for change management were also outlined. Loretto agreed that there is a need for national discussions on issues such as standard nursing languages and integration across electronic systems. The electronic health record for the acute environment will be implemented in the Children’s Hospital in 2022 and the unified health record which will be developed for the community and financed by the European Investment Bank. Loretto subsequently presented an overview of the national health informatics agenda at the HISINM conference in November 2018 outlining the work of her office and plans for 2019 and onwards.

Despite the fact that health informatics is included in the undergraduate nursing curriculum and post graduate courses are offered by many of the third level colleges, the HIIG is concerned at the lack of interest in understanding and progressing the PHN service integrated ehealth agenda amongst community nurses. The 2019 goals for the HIIG will be agreed following review of Terms of Reference in the first quarter 2019.

If you would like more information on our group or on the HISINM group please contact anne.mcdonald@hse.ie.

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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 (NPMR) 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 NPMR, 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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CHILD HEALTH

CHILD AND FAMILY HEALTH INTEREST GROUP THE CHILD AND FAMILY HEALTH INTEREST GROUP (CFHIG) CONTINUES 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 IS AN EXCELLENT FORUM 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 & DEVELOPMENT, PHN LECTURERS AND PRACTICE DEVELOPMENT CO-ORDINATORS.

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T

his is an exciting time for PHNs with the implementation of Nurture and the launch of the First 5 Strategy.

First 5: A Whole-ofGovernment Strategy for Babies, Young Children and their Families 2019-2028 was launched in November 2018 by the Taoiseach Leo Varadkar, Minister for Children and Youth Affairs, Dr. Katherine Zappone TD, Minister for Health, Simon Harris TD and Minster of State at the Department of Education and Skills, Mary Mitchell O’Connor TD. The CFHIG supports and National and international endorses this First 5 including a dedicated evidence is unequivocal strategy as the first child health workforce. that the antenatal to age five five years of a child’s • Reform of the Early phase is the most critical life is an incredibly Learning and Care period in a child’s life and is important and (ELC) system. vital for development over influential time.

• A package of National and measures to tackle the life course. international evidence is early childhood unequivocal that the poverty. antenatal to age five phase is the most critical period in a child’s life First 5 sets out ambitions for an and is vital for development over the array of accessible, affordable and life course. The pace of growth and high-quality early childhood supports learning is unequalled at any other and services over the next decade. stage (Government of Ireland, 2018).

These supports and services – which The First 5 strategy sets out a form the early childhood system – vision for early childhood in the span a range of sectors (i.e. parenting first five big steps which will be and family support, physical and ttaken to make a positive impact on mental health, and ELC) and layers the first five years of a child’s life. (i.e. universal, targeted and intensive).

These include: There is a strong focus on strengthening families and • Access to a broader range of communities, on prevention and early options for parents to balance intervention, and on forging stronger working and caring. links within and across early • A new model of parenting support. childhood supports and services to • New developments in child health,

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CHILD HEALTH

The First 5 strategy

Access to a broader range of options for parents to balance working and caring.

A new model of parenting support.

achieve greater coordination, alignment and continuity. Most importantly, there is a focus on delivering better experiences and outcomes for all babies, young children and their families.

The public health nurse shares the objective that babies and young children will have access to safe, high quality; evidence based integrated primary, preventative and specialist health services. The PHN has a central role in the National Healthy Childhood Programme and will be a key player in the delivery of this strategy.

The CFHIG is represented on the National Healthy Childhood Programme and Nurture - Infant Health and Wellbeing Programme by Patricia McLoughlin and Dr Helen Mulcahy. Patricia has been a member of The National Healthy Childhood Programme since it was set up in 2015. The programme is a three year integrated programme of work (2016 – 2018) committed to supporting the strategic reform of universal health and wellbeing services for infants and their families. It has been a privilege to represent the views of The PHN at the coalface, identifying gaps in the service and how to ensure the child health service is delivered to the highest standard possible. This is

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New developments in child health, including a dedicated child health workforce.

Reform of the Early Learning and Care (ELC) system.

through ongoing education, creating posts ANPs and CNSps in Child Health and Development. This involves working on updating current resources and developing additional resources required by PHNs to deliver the relevant components of the National Healthy Childhood Programme at each contact point.

She is also a member of the Infant Mental Health and Supporting Parents Implementation Group, which is a subgroup of the Nurture Programme and it was one of the nine priority areas identified.

A blended learning programme has been designed to ensure that the service delivered is to the highest standard and is based on the most up-to-date evidence available. The interactive training has lots of scenarios and practical work-based learning activities that will help you apply the learning in practice. All modules are CPD accredited. To date the following eLearning training modules have been made available for Public Health Nurses and healthcare professionals working in child health: • Child Safety Programme (2 units) • ASQ - 3 • Breastfeeding (2 units) • Newborn Bloodspot Screening.

A package of measures to tackle early childhood poverty.

Through the Nurture programme the following skills based training have been rolled out to PHNs nationally: • Delivery of ASQ-3 Champions training) • Delivery of National Sleep Awareness Training Programme.

In addition to the training being delivered, the following resources have been made available to PHNs: • Developmental assessments packs • Child safety materials • Tip sheets in relation to managing sleep behaviours.

Resources for Parents The launch of the MyChild.ie website along with the My Child books took place on the 6th December 2018.

The My Child: 0 to 2 years books and the My Child: 2 to 5 years books will be available in September 2019.

The My Pregnancy book will be available to parents through the midwifery services from March 2019.

You can find further background information at www.hse.ie/nurtureprogramme

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CHILD HEALTH

Managing Sleep Difficulties The CFHIG is a forum for colleagues from around the country to share service developments and knowledge with colleagues. The area of sleep difficulties in children has frequently been discussed by the group and the ICHN has been instrumental in raising awareness of this issue at a national level.

Sleep problems have been identified as a problem by parents of Irish children (Hanafin, 2017). The Nurture Programme has responded to this identified need by providing a one day sleep training programme on behavioural sleep difficulties for all Public Health Nurses (PHNs). Denise Gillespie (RANP) and Sinead Lawlor (ADPHN) are members of the CFHIG and have a special interest in behavioural sleep difficulties in children. They are involved in the delivery of the sleep training being rolled out across the country, which explores the common types and causes of sleep difficulties in children as well as providing evidence based knowledge regarding normal sleep patterns/cycles and sleep needs of children. The PHNs are given information to provide anticipatory advice to families on establishing good sleep hygiene and bedtime routines, with the aim of preventing the development of sleep problems.

The day contains a mixture of theory lectures, workshops and case studies to aid learning. To date over 1000 PHNs have attended the training and the feedback has been positive.

Implementation and Evaluation of Child and Family Health CoreCare Plans 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. In 2018, the ICHN commissioned Researcher, Catherine Daly to

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undertake the implementation and evaluation of the Child, Maternal and Family Health Core Care Plans.

Anne Lynott, ICHN President forwarded an expression of interest to DPHNs seeking their participation and consent. Three DPHNs accepted the invitation to participate (Dublin West, Laois/ Offaly and Kildare/West Wicklow).

The overall aim of the pilot was to implement and evaluate a suite of 36 Core Child Maternal and Family Health Care Plans developed for PHN practice to safely support a safe, effective and quality child health core screening and surveillance service.

Project plan included: • Setting up a steering group and drawing up Terms of Reference.

• Developing an evaluation tool utilising the PARIHS Framework.

• Identifying lead person per site.

• Identifying PHN participants and obtaining their consent for participating.

• Meeting with the participants and providing education on use of the care plans.

• Provision of a folder of preprinted core care plans for implementation.

• Pilot phase for implementation:

October – 21st December 2018.

• Each PHN was requested to complete an evaluation form for each core care plan used.

The pilot was completed in February 2019 and evaluation forms have been returned. The data is currently being analysed and a report will be prepared by the end of April. A written report will be provided to the CFHIG and the ICHN Executive Council.

The ICHN would like to acknowledge and thank the DPHNS and PHNs for their participation and co-operation in supporting this initiative.

The CFHIG continue to meet / 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 • Nurture & National Healthy Childhood Programme • ANP development in Child and Maternal Health.

We would welcome new members joining and sharing their area of expertise.

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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

helpful both to professionals delivering child health services and to parents and carers who look after young children.

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:

Childhood unintentional injury remains a major public health challenge.

Developed in the Midlands in 2003, the Child Safety Awareness Programme (CSAP) has since been delivered in many counties across the country.

A framework document and other information materials including a public health nursing manual, and a wallchart for parents and carers were developed in line with best practice to support its delivery to parents and carers in the zero to five age group. A child safety section on the HSE website was also developed, in line with best practice, to support the programme. You can see more at www.hse.ie/childsafety.

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In 2017, the programme was renamed the Child Safety Programme (CSP).

As part of The Nurture Programme – Infant Health and Wellbeing, the CSP training for PHNs has been converted to online training and is available on HSELand.

Supporting Materials A CSP manual for PHNs and the wallchart (for parents and carers) have being revised and printed. A CSP checklist resource (for parents and carers) has also been developed and printed.

Information about unintentional childhood injury prevention can be found at www.hse.ie/childsafety.

These are updated constantly, in keeping with new developments and any changes in best practice and guidance. These pages are

• 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

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.

T

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

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53 17/04/2019 14:15

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CHILD HEALTH

REFLECTION ON COLLABORATION

WITH NURTURE NATIONAL HEALTHY CHILDHOOD PROGRAMME

BY DR HELEN MULCAHY, SCHOOL OF NURSING AND MIDWIFERY UCC.

I

have been involved in the HSE Nurture National Healthy Childhood Programme since July 2016. I was invited to contribute as part of the Training and Resources subgroup, mainly because of my research interests in child health and supporting parents.

My role with Nurture involves contributing strategically to the development of continuous professional development training for public health nurses, community medical doctors and been practice nurses. When I first a really heard about Nurture I was effective enthusiastic about its resource for me. potential because I There have been so I was enthusiastic about remembered the many achievements Nurture’s potential excitement there was with Nurture over the because I remembered the for its predecessor, past three years that it excitement there was for its Best Health for is even difficult for predecessor, Best Health Children, when I was a those of us involved to novice public health keep up to date. However, for Children. nurse in Waterford. online resources are As Programme invaluable, such as Coordinator of the Postgraduate https://www.hse.ie/eng/health/ Diploma in Public Health Nursing child/nurture/updates.html. in UCC for eight years (2008 -2016), There are so many new resources I was well aware from both PHN available for practitioners to students and preceptors, of the support their work with children need for child health and and families. These are modern, development training to be evidence-based and accessible but updated. My membership of the are also built on the best of what ICHN Child and Family Interest went before them. I am really Group meant I was able to share enjoying collaborating with such Nurture updates and receive knowledgeable, enthusiastic and feedback from PHN colleagues. committed people, who have as I know from experience the their goal supporting PHNs and challenges RPHNs face in keeping other practitioners to in turn up to date with national support the health and well-being developments and the ICHN has of families and children in Ireland.

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CHILD HEALTH

FIRST 5: A WHOLE-OF-GOVERNMENT STRATEGY

FOR BABIES & YOUNG CHILDREN FIRST 5: A WHOLE-OF-GOVERNMENT STRATEGY FOR BABIES, YOUNG CHILDREN AND THEIR FAMILIES WAS LAUNCHED ON 19TH NOVEMBER 2018 BY THE TAOISEACH, MINISTER FOR HEALTH SIMON HARRIS, MINISTER FOR CHILDREN KATHERINE ZAPPONE AND OTHER MEMBERS OF GOVERNMENT. THE PUBLICATION OF FIRST 5 MARKS A MAJOR MILESTONE IN POLICY DEVELOPMENT FOR THE YOUNGEST MEMBERS OF SOCIETY.

F

irst 5 is a ten-year plan to improve the lives of babies, young children and their families. The strategy has used evidence to identify goals, objectives and the specific actions required from across government departments, state agencies and wider partners to support these early years of life. The strategy adopts a truly holistic approach and affords attention to all domains of young children’s worlds, and the connections between them including families, communities, health services, and early learning and care among others. As well as identifying

enjoyed. Families will be assisted and enabled to nurture babies and young children and support their development, with additional support for those who need it.

Those providing services for babies, young children and their families will be equipped to contribute to their learning, development, health and wellbeing. Community contexts will help babies and young children make the most of their early years and fulfil their potential.”

A framework of four goals, nine objectives, five building blocks and 37 strategic actions outlines the route to make this vision a reality, with mutual reinforcement across these goals and objectives.

the initiatives and programmes that can enhance the experiences of young children, First 5 also aims to establish or strengthen the infrastructure of an early childhood system that is needed to embed and sustain these new developments.

There are major commitments on family leave, children’s health services, parenting supports, child-friendly communities and early learning and care among a broad range of actions.

Vision and Framework First 5 articulates a vision that “All babies’ and young children’s early years will be valued as a critical and distinct period which should be

A GO L

A GO L

A GO L

A GO L

Strong and supportive families and communities

Optimum physical and mental health

Positive play-based early learning

An effective early childhood system

4. Positive health behaviours 5. High-quality health services 6. Positive mental health

7. Positive home learning environment 8. Affordable, high-quality early learning and care 9. Supported transitions

1. Leadership, governance and collaboration 2. Regulation, inspection and quality assurance 3. Skilled and sustainable workforce 4. Research, data, monitoring and evaluation 5. Strategic investment

1. Balance working and caring 2. Information, services and supports for parents 3. Practical and material resources

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CHILD HEALTH

Strategic Actions Some actions that are likely to be of particular interest to Institute of Community Health Nursing members are identified in brief below.

HEALTH BEHAVIOURS The importance of positive health behaviours among pregnant women, babies, young children and their families is undisputed. The strategy recognises the essential work of the existing programmes and the need to build on them, in the context of wider health policy developments to promote and support health behaviours, integrate supports into services for children and promote child safety.

Some specific actions include:

• Develop guidelines on various types of health behaviours for babies, young children and their families • Pilot a meals programme for early learning and care settings • Implement a child injury prevention plan.

HEALTH SERVICES Primary, preventative and specialist healthcare are fundamental services for babies, young children and their families. Immunisation, screening and surveillance programmes are particularly important. First 5 sets out Government’s intention to resource and support the expansion and enhancement of the National Healthy Childhood Programme and to make therapeutic and medical provision available to children on a more consistent, equitable and timely basis. Some specific actions include:

• Mainstream and evaluate the Nurture Infant Health and Wellbeing Programme .

MENTAL HEALTH First 5 focuses particularly on social and emotional wellbeing of babies and young children and mental health of parents as a crucial element of positive early experiences. The strategy seeks to improve the early identification of mental health problems among babies, young children and families and improve access to mental health supports and services. Some specific actions include:

• Extend and standardise postnatal depression screening by PHNs for all mothers • Roll out a standardised screening tool of young children’s socialemotional development • Implement the national Model of Care for Specialist Perinatal Mental Health with continued resourcing.

PARENTING SUPPORTS The theme of guidance, supports and services for parents and families is strong throughout First 5 covering information campaigns on the importance of early childhood, specific supports for parents related to health, learning and development and the development of comprehensive, rigorous parenting services.

Through First 5, key actions will include:

• Develop a model of parenting

• Review the Maternity and Infant

support across a continuum of need • Pilot parenting supports through early learning and care services • Agree an approach to home visiting services.

Care Scheme and standardise six-week post-natal checks • Make PHN antenatal visits more widely available to expectant mothers in line with need and as resources allow

EARLY CHILDHOOD SYSTEMS DEVELOPMENTS The evidence is clear that, in order for initiatives and interventions to be effective and sustainable, the

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system that supports them must be developed. This means putting in place key investment, staffing and leadership infrastructure.

Some actions to support the above initiatives include:

• In line with the principles of Sláintecare, develop a dedicated child health workforce adopting a population-based approach focussed initially in areas of high population density and disadvantage, recognising that this will require additional resources • Strengthen leadership and cross-sectoral action for child health through the establishment of a new Healthy Ireland Office in the Department of Health, and expanding and enhancing the HSE National Healthy Childhood Programme as a policy priority programme.

NEXT STEPS Good physical and mental health in the early years is essential for children’s experiences and for their later outcomes. Positive experiences in early childhood mean reduced incidence of heart disease, cancer, chronic lung disease and depression. There is no doubt that investment in health promotion and health services in the early years pay dividends for children, families, and for the health service. This is a fundamental part of giving every child the best start in life.

The Implementation Plan for First 5 will be published in May, setting out annual milestones for the first phase of implementation between 2019 and 2021.

Government departments will be engaging with state agencies and wider partners to develop this Implementation Plan and to further progress the actions within in to deliver on these major developments for babies and young children in Ireland in the coming ten years.

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CHILD HEALTH

ADDENDUM TO CHILDREN FIRST:

NATIONAL GUIDANCE FOR THE PROTECTION AND WELFARE OF CHILDREN ACTION PLAN FOR ONLINE SAFETY.

T

his addendum is intended to supplement Children First: National Guidance for the Protection and Welfare of Children [DCYA, 2017] which are the national guidelines to assist professionals, organisations and individuals to recognise and report child abuse and neglect. It has been issued by the Minister for Children and Youth Affairs under section 6 of the Children First Act 2015 following a commitment made in the Government’s Action Plan for Online Safety 2018 – 2019, which states: “We will amend the Children First guidance to include a specific reference to the need to consider online safety in the context of completing the child safeguarding statement.”

Obligations on organisations to safeguard children and young people One of the main objectives of the Children First Act 2015 is to ensure that children and young people are kept safe from harm while using the services of relevant organisations.

The Act does this by placing the following specific statutory obligations on organisations: • To keep children safe from harm while they are using the service • To carry out a risk assessment to identify whether a child or young person could be harmed while using the service • To develop a Child Safeguarding Statement that outlines the policies and procedures which are in place to manage the risks which have been identified

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• To appoint a relevant person to be the first point of contact in respect of the organisation’s Child Safeguarding Statement.

This addendum does not alter or increase these obligations. It has been published to clarify that organisations providing relevant services to children should consider the specific issue of online safety when carrying out their risk assessment and preparing their Child Safeguarding Statement.

Keeping children and young people safe from harm online The Government’s Action Plan for Online Safety notes that “it is now almost impossible to imagine a world without the internet or to imagine a future where the internet has less of a role in our lives than it does today.”

It is important that we acknowledge the central role of the internet in all of our lives and that we support children and young people to take advantage of all of the unprecedented opportunities to learn, discover, create and communicate that new technologies provide.

However, while they are often confident and competent users of new technologies, children and young people may be less aware of the inherent risks involved. Children First operates on the premise that it is the responsibility of everyone in society to keep children and young people safe from harm. This responsibility includes keeping children safe from harm online.

Children should be supported and encouraged to develop safe and responsible online behaviours. If a relevant service is allowing children access to the internet where they could become exposed to harm, including

harm of assault or sexual abuse (as set out in Section 2 of the Act), there is an obligation on the service provider to ensure that the risk is identified and that the policies and procedures that are in place to manage the risk are set out in the Child Safeguarding Statement.

Further detailed information on undertaking a risk assessment is set out in the Children First: National Guidance for the Protection and Welfare of Children [DCYA, 2017] and Guidance on Developing a Child Safeguarding Statement [Tusla, 2017].

Further Resources • Children First: National Guidance for the Protection and Welfare of Children [DCYA 2017] • Guidance on Developing a Child Safeguarding Statement [Tusla 2017] • Child Safeguarding: A Guide for Policy, Procedure and Practice [Tusla 2017] • Be Safe Online: Ireland’s Official Online Safety Hub [Government of Ireland] • www.webwise.ie • www.hotline.ie • www.watchyourspace.ie

You should always contact Tusla if you have reasonable grounds for concern that a child may have been, is being, or is at risk of being harmed.

Guidance on what constitutes a reasonable concern is set out in chapter 2 of the Children First: National Guidance.

Concerns can be reported to Tusla using its web portal: https://www.tusla.ie/children-first/web-portal/.

If you think that a child is in immediate danger and you cannot contact Tusla you should contact the Gardaí without delay.

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EVIDENCE-BASED RESOURCES FOR PARENTS NEW WEBSITE AND BOOKS ARE THE GO-TO FOR PARENTS.

H

ealthcare professionals now have new evidencebased HSE resources to share with parents during pregnancy and the first five years of a child’s life.

These are:

• mychild.ie website (currently has 165 articles with more being added) • My Pregnancy book • My Child: 0 to 2 years book • My Child: 2 to 5 years book.

The content was written by healthcare professionals across the HSE and partners.

They are designed to: • meet the needs of users – parents and parents-to-be • provide evidence-based information from experts • make it easy for users to find relevant information.

Minister for Health Simon Harris launched the resources in December 2018. The event at the Department of Health in Dublin was attended by pregnancy and child health professionals from across HSE divisions, programmes, CHO areas and hospital groups. He spoke of the importance of evidence based information for parents, referencing the misinformation spread by those opposed to the HPV vaccine in recent years. “Supporting parents helps to give children the best start in life, and investment in early years pays a lifetime’s dividend, in health and in all areas of their development,” said Minister Harris.

The event was chaired by Dr Phil Jennings, Director Public Health and HSE Lead for National Healthy Childhood Programme, and the keynote speaker was Prof Kevin Nugent, an expert in infant mental health.

Prof Nugent is Director, Brazelton Institute, the Division of Developmental Medicine, Boston Children’s Hospital and Professor Emeritus, University of Massachusetts and The programme has Lecturer, Harvard enabled the development Medical School. He of new resources, tools, spoke about the systems, training and other evolution of the supports for parents and discipline and praised years of the integration of a child’s life. healthcare professionals infant mental health in Research with across a range of the work of the Nurture parents-to-be and parents subject areas.

Programme: Infant Health showed that they wanted a and Wellbeing. The programme reliable and evidence-based has enabled the development of new resource. They often have to sift resources, tools, systems, training through large amounts of and other supports for parents and information online, sometimes healthcare professionals across a misleading and contradictory. range of subject areas.

Parents said they wanted the HSE Other speakers included Dr Colm to provide a solution. But previous Henry, HSE Chief Clinical Officer, child health and development Jane Forman from the Atlantic content on HSE.ie had poor online Philanthropies and Dr Stephanie visibility and limited content. “It O’Keeffe, HSE National Director never comes up in searches,” said for Strategic Planning and a parent.

Transformation.

The mychild.ie site is usercentred. It allows people to find the information they need quickly.

Easy-to-use website Information is in plain English and mychild.ie is a new website for easy to scan through accessible font, parents. It contains information and headings and short bullets. advice on pregnancy and the early

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New pregnancy book and updated child health editions The My Pregnancy book is the first national HSE resource for pregnant women and their partners, while the My Child books are updated versions of the Caring for your Baby/Child series.

Parents were asked to review a draft version of the My Pregnancy book and the previous Caring for Your Baby/Child books. They requested additional topics and more information on certain subjects. Asked if they still wanted a book alongside a new website, they said they wanted both.

The My Pregnancy book will be given to pregnant women at maternity units and hospitals during their first appointment (booking visit). Parents will receive the two My Child books from their public health nurse. The books are available for download at www.mychild.ie/books

and can be ordered from www.healthpromotion.ie.

The site is designed to be easy to use particularly for mobile phones, which 60pc to 65pc of people use to read HSE content. The words used in titles and within articles have been chosen to reflect common search terms. There are no unnecessary images that get in a user’s way as they are scrolling down a page. It is one of the first projects to be delivered under the HSE’s Digital Roadmap.

More content will be added to mychild.ie over the coming months.

Each article will be reviewed at least once every two years. If you have a suggestion or feedback, you can click the button at the bottom of each page or email digital@hse.ie

pregnant women, mothers and fathers from different socioeconomic backgrounds. These took place in Dublin, Cork, Mullingar and Mitchelstown.

Similar research was carried out in collaboration with the Centre for Effective Services (CES).

Participants included parents who are teenagers, transitioning from homelessness, seeking asylum in Ireland, from the Traveller community and in an area of disadvantage. Over 4,000 parents took part in an online public survey by CES in December and January 2018, 20pc of whom were expecting a baby. Other research included analysis of Breastfeeding.ie and a survey of its users and usability testing of the new site. Parents told us what they wanted from the website and books, the topics and how the information should be structured.

Listening to parents The views of parents were key to the development of the resources. This included face-to-face research with

The ‘user need’ approach The mychild.ie website is one of the first projects applying the evidencebased ‘user need’ approach in the HSE’s Content The site is designed to be Guide. This puts easy to use particularly for the parent at the mobile phones, which 60pc centre and includes: to 65pc of people use to read

HSE content

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•designing the content for mobile phones •using the words and terms that people use when searching on Google • putting the most important information at the top • writing in plain English, including short sentences, headings to break up text and short bulleted lists • using instructional images only such as skin conditions and breastfeeding positions, rather than unnecessary stock pictures which must to be scrolled past to get to relevant information.

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How parents wanted to be described There was a preference for ‘mother’ to be used where required, instead of terms like ‘mum’, ‘mam’ or ‘mom’. The resources address the users directly – ‘you’, ‘your baby’ and so on. Parents said they found ‘he’ or ‘she’ references could be distracting. The majority preferred for ‘your baby’ or ‘your child’ instead.

Demand for books alongside a website Parents said they wanted to have books alongside a website. They reviewed a draft version of the My Pregnancy book and the existing Caring for your Baby/Child series.

There was a universally positive reaction to the pregnancy book and the detail it contained. The Caring for your Baby/Child series was praised for being easy to read and to navigate.

They asked for the content in some areas such as weaning and parental mental health to be expanded, and for new topics to be added like screen time. Other suggestions included content specifically for fathers and partners on topics including postnatal depression.

Who was involved in creating the resources?

The new resources are part of the public information component of the HSE’s National Healthy Childhood Programme and developed through the Nurture Programme: Infant Health and Wellbeing. Nurture is a partnership between the HSE, the Atlantic Philanthropies, the Katherine Howard Foundation (KHF) and the Centre for Effective Services (CES).

Nurture brings together representatives from primary care, maternity services and a range of child health professionals. Leadership on the development and governance of the online resources was through Nurture’s Knowledge and

Communications Team, chaired by Ann O’Shea, Chief Officer, CHO 7.

The Antenatal to Postnatal Team and the Health and Wellbeing Promotion and Improvement Team respectively developed the new My Pregnancy and My Child books.

The creation of the books alongside the mychild.ie website meant many of the same experts were involved, with content tailored for both mediums.

Healthcare professionals from around Ireland, across divisions, programmes, CHO areas and hospital groups wrote the content.

They include midwives, doctors, nurses, psychologists, parenting experts, dietitians, lactation consultants and many more. The content was edited by the Communications Division, led by Sorcha Nic Mhathuna, using the HSE Content Guide for online and the Communicating Clearly Plain English guidelines for publications.

The resources are designed to be easy to read and navigate.

Cathy O’Sullivan is a member of the Antenatal to Postnatal team and Interim Director, Centre for Midwifery Education, CUMH. She said, “What’s wonderful about the Nurture Programme is that it goes from pregnancy to the child’s early years as a continuum. It’s not two separate entities.”

The Antenatal to Postnatal team includes representatives from midwifery, antenatal education, public health and the community voluntary sector. It is chaired by Dr Caroline MasonMohan, Director of Public Health.

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“There was a rigorous process behind the development of the My Pregnancy book,” she said.

“Those sitting around the table included frontline staff who support parents at various stages of the journey from pregnancy to a child’s early years. They know the common concerns of parents, as well as the issues where there is a gap in awareness or understanding.”

Dr Fiona McGuire, Senior Medical Officer in the Department of Public Health in Tullamore, is lead author of the My Pregnancy book and among those who wrote for mychild.ie.

“The collaboration with Communications really helped to maximise the impact of this work,” she explained. “It was key in making evidence-based advice both easy to understand and easy for people to find online. This is now being borne out by the user feedback on mychild.ie so far.”

More content will be added to mychild.ie over the coming months.

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CHILD AND PARENT SATISFACTION

WITH PUBLIC HEALTH NURSE LED ENURESIS CLINIC IN CAVAN A REPORT ON CHILD AND PARENT SATISFACTION WITH THE ENURESIS CLINIC IN CAVAN, CO MONAGHAN BY PAMELA AUSTIN, PUBLIC HEALTH NURSE.

B

edwetting occurs when there is accidental loss of urine during sleep in a child aged five or over. The medical name for this is enuresis (HSE, www.hse.ie).

Bedwetting is a common and distressing condition that can have a deep impact on a child or young person’s behaviour, emotional wellbeing and social life. It is also very stressful for the parents or carers. The prevalence of bedwetting decreases with age.

Bedwe ing can be Bedwetting less than considered to be a symptom two nights a week that may result from a has a prevalence of combination of different 21% at about four disturbances of physiology and a half years and including sleep arousal 8% at nine and a difficulties, polyuria and half years. More bladder dysfunction. frequent bedwetting is less common and has a prevalence of 8% at four six consecutive months and a half years and 1.5% at (primary enuresis) and those nine and a half years (Butler & who have been dry but started to Heron, 2008). wet again (secondary enuresis).

Bedwetting can be considered From a treatment point of view to be a symptom that may result we prefer differentiating the from a combination of different bedwetting children between monodisturbances of physiology symptomatic enuresis (those who including sleep arousal difficulties, only have night time symptoms) polyuria and bladder dysfunction. and non-mono-symptomatic Bedwetting also often runs in enuresis (those who wet the bed families (NICE, 2010). There are and also have variable degrees of different types of bedwetting. daytime symptoms). The latter One way of categorizing is to often need more complex treatment. differentiate between a child who To establish the correct treatment has never been dry by night for for enuresis, a full assessment is

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recommended and the child is referred to an enuresis clinic, if available in the area. Treatment usually includes general advice and use of alarms or medication.

The enuresis service was established in Co Cavan in 2002 by two Public Health Nurses. In 2003 a needs assessment was carried out amongst 1100 school children in Co Monaghan, which recognised the need for more services. Prof. Van der Spek, Consultant Paediatrician in Cavan General Hospital, provided training for Public Health Nurses and funding was received

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for alarms and other necessary equipment. In 2004 the service was extended to Co Monaghan.

The enuresis clinic now operates in Darley Health Centre, Cootehill, Co Cavan covering both counties. This public central service is available to all children aged 7-16 years of age living in Cavan and Monaghan who have enuresis. The service, including the equipment, is provide free of charge to all children. The clinics are run by Public Health Nurses who provide expert advice and treatment to both clients and their parents/ guardians. The clinics are overseen

by Prof. Van der Spek who supports the PHNs clinical assessments and he will see complex bedwetting children where necessary, as part of a seamless service, by using a specially designed paperless electronic health record. In September 2018 our service was nominated for best collaboration between primary and secondary health care in the National GP Buddy awards.

A client satisfaction survey was undertaken in 2017 to ascertain whether the service is meeting the needs of service users and to highlight if and where improvements are required to ensure a safe and quality service. In total 31 (parents of children attending

ENURESIS TEAM: • Prof. Van der Spek • Consultant Paediatrician, • Pamela Austin RPHN, • Audrey Lynch RPHN, • Geraldine O’Riordan • RPHN, Cait Gormely • RPHN, Theresa Morris Clerical Support

All the parents felt their children’s needs and wishes were listened to and 96% of the children’s parents felt their child was involved in decision making in relation to their treatment. All parents felt staff were very courteous, provided privacy and answered any queries.

Homework was seen to be easily understood and user friendly.

Equipment was reported by 81% of parents to be user friendly and helped their children get dry. There was a small number reported equipment breakdown but this was replaced when required.

Parents with concerns Overall the 31 about their children (7-16 parents felt they had the years) having bedwe ing adequate support clinic) and information to responded to the problems can be referred manage their survey. Overall very by their GP, Public Health children’s bedwetting positive results Nurse or paediatrician problem and were very were obtained. to this clinic. satisfied with their Most of the children children’s progress.

(81%) surveyed were seen in Parents with concerns about less than three months; 94% of their children (7-16 years) having responders reported that the referrer bedwetting problems can be explained the reason why their referred by their GP, Public children were being referred to the Health Nurse or paediatrician to enuresis clinic; and all of the this clinic. responders understood why they had been referred.

Three quarters of the parents References expected to be seen in a primary Butler RJ, Heron J (2008) care setting; 20% thought they The prevalence of infrequent would be seen in the hospital; while bedwetting and nocturnal the remainder thought they would enuresis be seen elsewhere. Everyone was in childhood: A large British seen at their scheduled time; 50% of cohort. Scandinavian Journal the responders attended less than of Urology and Nephrology 42: five times. The reminder 257–64 appointment letter generated with the help of the electronic health National Institute for Health record system was seen to be very and Care Excellence (2010) helpful and half of the responders Bedwetting in under 19’s. CG111 availed of the facility to change https://www.nice.org.uk/ clinic appointments if needed. guidance/cg111 Almost everyone felt the clinic in Cootehill was easily accessible and Health Service Executive met their needs. www.hse.ie

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DEVELOPMENTS IN UNIVERSAL CHILD HEALTH SERVICES IN JUNE 2014 THE HSE’S HEALTH & WELLBEING DIVISION COMMENCED A PROGRAMME OF WORK TO REVIEW AND UPDATE THE CHILD HEALTH PROGRAMME - BEST HEALTH FOR CHILDREN REVISED (2005).

THE PROGRAMME OF WORK SAW THE DEVELOPMENT OF THE FRAMEWORK FOR THE NATIONAL HEALTHY CHILDHOOD PROGRAMME, WHICH WAS SIGNED OFF FOR IMPLEMENTATION IN 2018.

T

he National Healthy Childhood Programme model aims to improve child health outcomes by improving processes and structures for governance, delivery, and advocacy for child health services.

The delivery of the programme is based on a model of progressive or proportionate universalism - help for all and extra help for those who need it most.

The child health service is similar to international models and includes The National Healthy screening, vaccinations currently Childhood Programme model and child health being funded by aims to improve child health assessments. the programme to outcomes by improving During the support the provision processes and structures for development of the of the universal child governance, delivery, and National Healthy health service. These advocacy for child health Childhood Programme, include the development services. the HSE was successful in of new information sources a grant application to The for parents and families, both Atlantic Philanthropies. This online www.mychild.ie and in resulted in the development of the print (My Child: 0 to 2 years; My Nurture Programme: Infant Health Child: 2 to 5 years), and a new suite and Wellbeing. This is a quality of training resources for PHNs improvement programme and a key based on a blended-learning model. enabler of the National Healthy The online modules are available at Childhood Programme focusing on www.hseland.ie. It has presented children from 0-3 years. The the opportunity to progress many of programme is a partnership the key actions from the framework between Atlantic Philanthropies, in line with international evidence Katherine Howard Foundation, based research, national strategies, Health Service Executive and Centre expert review as well as partnership for Effective Services. A range of and participation with key quality improvement initiatives are stakeholders including families.

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Child Health Programme Development Officers In 2018, the HSE recruited nine Child Health Programme Development Officers, one in each Community Healthcare Organisation (CHO) (Table 1).

The overall aim of these posts is to improve the quality of the National Healthy Childhood Programme, with the initial focus on supporting the implementation of the Nurture Programme deliverables at CHO level.

The Child Health Programme Development Officer’s role includes:

• Supporting the review, planning, design, implementation and communication of quality improvement projects within child health.

• Working primarily within Primary Care to lead the development of

child health service improvements while engaging with other internal and external partners, including families, to ensure collaboration, service integration and positive outcomes for children and their families.

• Supporting health professionals by including them in the change. Ensuring there is a shared understanding regarding the evidence behind the changes and the benefits for health professionals, children and families.

• Promoting an evidence based standardise approach to reduce inequalities and risk factors for poor health and so decreasing the burden of chronic disease.

CHO Area

Name

Email

CHO 1 Community Health Organisation

Celine Croarkin

celine.croarkin@hse.ie

CHO 2 Community Healthcare West

Libby Lambe

elizabeth.lambe@hse.ie

CHO 3 Mid-West Community Healthcare

Brenda Mellett

brenda.mellett@hse.ie

CHO 4 Cork Kerry Community Healthcare

Martina Giltenane

martina.giltenane@hse.ie

CHO 5 South East Community Healthcare

Siobhán Sinnott

siobhan.sinnott@hse.ie (currently on leave)

CHO 6 Community Health East

Emma Hanway

emma.hanway@hse.ie

CHO 7 Community Health Dublin South, Kildare and West Wicklow

Valerie Cooke

valerie.cooke@hse.ie

CHO 8 Midlands Louth Meath Healthcare

Marianne Tierney

marianne.tierney1@hse.ie

CHO 9 Community Healthcare Dublin North City & County

Maria Flaherty

maria.flaherty1@hse.ie

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Table 1 Child Health Programme Development Officers Contact Details

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CHILD, MATERNAL AND FAMILY HEALTH CARE PLANS

ARE

THE IMPLEMENTATION AND EVALUATION OF A SUITE OF CORE CHILD, MATERNAL AND FAMILY HEALTH CARE PLANS DEVELOPED FOR THE PHN PRACTICE.

BY CATHERINE DALY, PROJECT LEAD.

C

onceptualising the delivery of effective clinical care for a specific condition through the utilisation of a core ‘care plan’ facilitates a clear exhibition of clinical requirements for both the clinician and patient. The process of care planning itself has been deemed a method capable of improving care for the patient in different clinical settings (Resnick et al 2018). The existence of care plans denotes a bench mark for service delivery, which is evidence based and reflects best practice.

Developing core care plans for Public Health Nurses to utilise in

practice permits the discipline to adapt and focus the content on the delivery of care for specific conditions, thus allowing treatment to be of an agreed standard and achieve optimum clinical outcomes. Care plans are designed in a written manner to delineate factors that positively impact on a condition and in turn on the quality of patient care and patient safety. Following an assessment of need, a clear documented plan of care for patients in the format of a care plan has been associated with benefits which include clarity of treatment plans, ease of prioritisation of goals and involvement of clients in the overall management plan of their care (Ademola & Sheerin 2012).

Care planning is considered a prerequisite for quality and effective care (Jansson et al. 2010). For care plans to exist, they need to be planned

for, designed, formulated implemented, evaluated and modified to ensure that they are fit for the intended purpose. In 2012, the Child and Family Health Needs Assessment project revealed the need for ‘care plans specific to children and families’ (O’Dwyer 2012). It reported variances in the method of care planning across different geographical areas in the Health Service Executive (HSE). The Institute of Community Health Nursing Child and Family Health Interest Group (CFHIG) undertook a project to develop a set of core care plans for public health nursing (Griffin et al, 2016). 36 core care plans relating to conditions experienced referred to as ‘nursing problems’ were specifically developed for public health nurses in the community.

Please find below Core Care Plan 1 – Jaundice at 1st visit.

CHILD AND FAMILY HEATH CARE PLAN/ PUBLIC HEALTH NURSING SERVICE ICHN Core Care Paln Project Child and Maternal Health (Pilot October 2018-December 2018 Child’s Name Date Problem and time No.

Date of Birth Nursing Problem Nursing Diagnosis

Expexcted goals

Action Plan/Intervention

Jaundice at the 1st postnatal visit

Jaundice will subside within 2-3 weeks of birth (Nice 2016)

a) Reassure parents b) Assess level of Jaundice use Kramer’s rule as required* c) Observe for signs of alertness d) Obtain weight e) Discuss feeding f) Discuss/wet nappies/ colour of stools g) Provide parental information on Jaundice h) Refer for medical assessment as required

Evaluation Outcome Time Frame

Signature

This Care Plan has been discussed and agreed in partnership with the parent/guardian The PHN must use this template with judgement and adjust the care plan to the individualised needs of each child and parent

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In 2018, the 36 core care plans were implemented, utilised and evaluated in the community setting. PHNs in three sites Dublin West, Kildare West Wicklow and Laois Offaly used the core care plans and evaluated there content in terms of being fit for purpose (Daly 2019). Please see below the list of the 36 core care plans.

CHILD HEALTH CARE PLANS 1. Jaundice at first postnatal visit 2. Cleft lip and or Cleft palate 3. Nappy rash 4. Infant or child with dry skin 5. Infantile colic 6. Tongue tie 7. Posseting in infants 8. Head lag 9. Sticky eye 10. Positional plagiocephaly 11. Umbilical cord moist 12. Weight dropped 2 or more centiles 13. Undescended testis 14. Family history of DDH/ Asymmetrical hip creases 15. Infant with delayed development (9 months)

16. Infant with delayed fine motor skills 17. Infant weaning - fear of choking 18. Unsafe sleeping environment for infant 19. Constipation in infant 20. Encopresis 21. Temper tantrums 22. Sleep problems in older infant 23. Toilet training in preschool child MATERNAL HEALTH CARE PLANS 24. Caesarean section wound 25. Painful perineum 26. Breast engorgement 27. Cracked nipples 28. Breast pain when latching on 29. Mastitis 30. Maternal constipation in postnatal period 31. Mother is tearful and not sleeping well (PHN who has not undertaken PND training) 32. Mother with PND symptoms 33. Parent experiencing difficulty with parenting skills 34. Parent experiencing difficulty in creating a nurturing environment

35. Social isolation 36. Unsafe home environment.

An overarching methodology was scoped to support the project and the Promoting Action on Research Implementation in Health Services (PARIHS) framework was chosen as a tool to evaluate the implementation of the 36 core care plans into practice (Stetler et al. 2011). According to PARIHS, successful change is based on the interaction between evidence, context and facilitation. The process involves using a planned, structured process to organise and synthesis critiques, discussions and recommendations for refinement arising from a systematic review of detail, in this case a set of core care plans.

Based upon this methodology, the below evaluation sheet was constructed and disseminated to PHNs in the three community sites to elicit information in using the core care plans in their practice.

Pilot – Evaluation Form ICHN Core Care Plans Child Maternal and Family Health (October –December 2018) Pilot Site

Insert the pilot site name

Core Care Plan

Insert the name of the core care plan

Evidence Q1 Did you consider the care plan to be evidence based Q2 Did this care plan support the delivery of safe care Q3 Did the content comprehensively address the ‘Nursing Problem’ If no, please explain Context Q4 Did the care plan assist in the delivery of effective practice Q5 Did the care plan support the achievement of nursing objectives Q6 Do you envisage any risk in the implementation of this care plan Facilitation Q7 Did you have the knowledge and skills to implement this care plan Q8 Did the care plan support engagement with the child/mother/ family Q9 Do you envisage any consequences in implementing this care plan If yes, please explain Q10 In your opinion is this care plan fit for purpose Modification of the care plan – please comment

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Evaluation forms returned per site

264 Number returned

A selection of the 36 core care plans were utilised by 22 Public Health Nurses in Dublin West = DW, Kildare/ West Wicklow = KWW and Laois/ Offaly = LO. A total of 264 evaluation forms were completed and returned following the use of the core care plan in the community setting for a sixweek period. Please see the opposite chart for a breakdown received from each site.

91

87

KWW

LO

86 DW

TOTAL

Sites

21 out of 36 Core Care Plans had ≥5 evaluation forms returned that were deemed fit for purpose (with modifications). The breakdown of returns received is presented opposite.

Returned Evaluation forms ≥ 5

Number returned

40

21 16

14 8 1

3

12

8 4

5

5

6

5

6

7

12

11

8

5 8

10 11

14 15

8

8

12

8

5 17 22 23 24 25 26 27

7

5

28 33

35

Core Care Plan number

A total of 15 Core Care Plans had ≤ 4 evaluation forms were returned. The breakdown of returns received is presented opposite.

Returned Evaluation forms ≤ 5

Number returned

4

4

3

4

3

3

3

4

3

2

2

2

1 2

9

12

13

16

18

19

20

21

29

30

31

32

1

1

34

36

Core Care Plan number

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Three key areas emerged that require further exploration namely, the core care plans deemed fit for purpose (with modifications), those considered not fit for purpose and the additional development of new core care plans. The findings from this project suggest that further exploration and modification is required with the core care plans deemed ‘fit for purpose’. The existence of core care plans for Public Health Nurses provides a platform for future development and innovation in this area of practice. Collaboration between the patient and clinician in the care planning process supports an active partnership, eliciting engagement and support in individualised care. The existence of care plans provides a mechanism that allows different professionals to work across service boundaries in the delivery of care and treatment plan to their patients.

is imperative that practitioners use their clinical skills in assessing and delivering care, to ensure that no oversight occurs in meeting the ‘nursing problems’.

In summary, the future of care plans and care planning in the community setting is complex. The existence of care plans supports the delivery of standardised care, which can be tailored to individual situations by the clinician delivering the service. The care planning process contributes to the achievement of key goals in health care and supports a collaborative approach to care delivery by involving the patient and professionals which supports eliminating system barriers. It is important to determine the scope of care plans and acknowledge that clinicians are fundamental in the delivery of care and are required to use their skills and knowledge to comprehensively assess the needs of the patient when planning care.

The following recommendations are being advised; 1. The findings to be returned to the Child & Family Health Interest Group to review the 21 Core Care Plans (≥ 5 evaluation forms returned, deemed fit for purpose) in terms of modification commentary.

2. Each Core Care Plan adopted to be viewed as a live document with regular review and updates undertaken to incorporate new evidence and research into the detail to reflect best practice.

3. Consultation to be undertaken with interested stakeholders to elicit their perspective and input into the findings.

4. Due consideration to be given to the suggested development of additional Core Care Plans.

5. In utilising Core Care Plans, it

References • Ademola F.T. Sheerin D. (2012).

Pilhammar-Andersson E. Forsberg A. (2010) Factors and Conditions that Influence the Implementation of Standardized Nursing Care Plans. The Open Nursing Journal 4:25-34 · October 2010.

• O’Dwyer P. (2012) A report on the child and family health needs assessment framework project in the HSE Dublin Mid-Leinster Public Health Nursing service Areas of Laois, Offaly, Longford and Westmeath. Dublin: Health Services Executive.

• Resnick B. Galik E. Kolanowski A. Van Haitsma K. Ellis J. Behrens L. Flanagan N.M. McDermott C (2018) Reliability and Validity of the Care Plan Checklist for Evidence of Person-Centered Approaches for Behavioural and Psychological Symptoms Associated with Dementia.

JAMDA 19 (2018) 613-618.

• Stetler CB Damschrode LJ Helfric CD Hagedorn HJ (2011) A Guide for applying a revised version of the PARISH framework for implementation. Implementation Science 20116:99 BioMed Central Ltd.

Developing a structured approach to individual care and treatment planning. 20th World Congress of the International Association for Child and Adolescent Psychiatry and Allied Professions, IACAPAP 2012. Paris France.

Conference Publication: 60 (5 SUPPL. 1) (pp S292), 2012.

• Daly C (2019). The implementation and evaluation of a suite of core child, maternal and family health care plans developed for the PHN practice. ICHN April 2019.

• Griffin K (2016) Child and Family Health Core Care Plans for Public Health Nursing Practice. ICHN October 2016.

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• Jansson I. Bahtsevani C.

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PUBLIC HEALTH NURSING POLICY

NATIONAL DEVELOPMENTS IN THE PHN SERVICE 2018/19 VIRGINIA PYE NATIONAL LEAD, CATHERINE WHITTY NATIONAL PRACTICE DEVELOPMENT CO-ORDINATOR AND INA CROWLEY NATIONAL PROJECT OFFICER FOR THE PUBLIC HEALTH NURSING SERVICE BASED IN THE OFFICE FOR THE NURSING AND MIDWIFERY SERVICES DIRECTOR (ONMSD) WORK TOGETHER AS A TEAM TO PROVIDE A STRATEGIC NATIONAL APPROACH TO THE DEVELOPMENT OF A HIGH QUALITY, SAFE AND EFFECTIVE PHN SERVICE. THE FOLLOWING IS AN OUTLINE OF PROJECTS RECENTLY COMPLETED OR CURRENTLY UNDERWAY. National Primary Care Metrics Sub Group • Primary Care Activity Metrics

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Py

e

This project involved the development of systems to record and produce monthly clinical activity data for the service that contributes to effective caseload management. In November 2018 an evaluation of this implemented collection system was completed through individual The total number of questionnaires and patients seen each month focus groups. by the community nursing Following this service between June and evaluation minor August 2018 ranged changes were made from 53, 725 to 55,692 to the 2019 excel patients. collection sheet and definitions workbook.

These included changes to excel to make it more user friendly and a revision of definitions to provide further • Development of clarification. Nationally 90% of National Policies, all PHN service metrics are now Procedures, Protocols returned electronically. The most and Guidelines (PPPG) recent HSE performance report National PPPGs are required available indicates that 100% of to support the implementation patients accepted onto the of primary care activity nursing caseload were seen metrics collection and provide within 12 weeks. The total national standardised guidance number of patients seen each on caseload management. A month by the community nursing number of members of the service between June and August National Primary Care Metrics 2018 ranged from 53, 725 to PHN Sub Group volunteered 55,692 patients. to be members of the National

ia gin r i V

PPPG Development Group.

The approved first national procedure for the service Discharge of a Patient from the Public Health Nursing Caseload is being finalised and will be circulated to services in the coming weeks. The first draft of our second national procedure Management of Referrals Accepted to the Public Health Nursing Service was prepared and consultation with frontline services occurred in February/

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March this year. This feedback is currently under review.

• Electronic Caseload Register The development of an electronic caseload register will accurately record service activity, promote greater service efficiencies and provide a robust caseload management system.

Nominations were sought via DPHNs to form a national working group for this project.

The development of the register has been finalised and it is currently under pilot in CHO 8 for six months. This pilot is a national test of the electronic register and it is supported by national HSE ICT. A written evaluation will conclude the pilot with recommendations for national implementation expected later in 2019.

• Child Health Activity Metrics The development of a child health activity collection system was requested by PHNs during the evaluation process of the primary care activity metrics.

This system will record and produce monthly child health activity data for the service that will contribute to effective caseload management and service planning. To date a child health metrics collection template and a definitions workbook have been developed. This work was completed by the National Primary Care Metrics PHN Sub Group. Consultation has occurred with the INMO on the draft project plan. It is hoped that implementation of this system will commence in Autumn with the launch of the new national child health record.

National Quality Improvement Governance Group (QIGG) The main aim of this group

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established in 2018 is to provide a support framework for practice development within the service nationally. The establishment of this group involved a consultation process with the DPHNs and other key stakeholders on the design of this quality improvement framework. All nursing grades and geographic regions are represented on the membership of the group. This Governance Group for the Public Health Nursing service is now established and meets every quarter.

Work completed to date The main aim of the QIGG includes group established in 2018 the following:

• KPI Chronic Lower Leg Wounds

is to provide a support framework for practice development within the service nationally.

The development of a chronic lower leg wound KPI has been finalised.

Champions have been identified for each DPHN area. Three national workshops were delivered in February 2019. A support resource pack is available for the implementation of this KPI. The plan is to collect this data in shadow format on the PC metrics sheet from April 2019. Following evaluation at the end of the year formal collection will commence in 2020.

• ADPHN Professional Development, Training and Supports A collective index of all national professional development training suitable to newly appointed and interim ADPHNs has been prepared and will be circulated in the coming weeks. An induction checklist for new ADPHNs is also in development. To promote the sharing of resources on good practice and to support mentoring an ADPHN virtual network is being established. One ADPHN identified in each CHO will act as

a link for electronic communicating systems.

• Annual Caseload Audit Template A working group has been established to develop and agree a standardised national caseload audit template and a supporting PPPG. The first meeting was held at the end of February. Existing templates in use nationally are being reviewed prior to the design of a new national template.

• Acute Hospital Discharge Summary Letter The objective of this project is to agree a standardised national discharge summary to the PHN service to be used by all acute hospitals. A collaborative Advisory Group has been established and the first meeting was held in March. Collaborative working groups will be formed and key stakeholder representation sought in the coming weeks.

• HIQA SBHC for PHN Service Workshop This workshop aims to provide guidance on the governance,

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PUBLIC HEALTH NURSING POLICY

leadership and management of the service in preparation for future HIQA inspections. It will facilitate in identifying quality improvement and patient safety initiatives for implementation at national and local level that are aligned to Safer Better Health recommendations. The first workshop is planned for June 2019.

• ONMSD Website Development The ONMSD website is currently under re-development with the support of the HSE Communications Department.

The aim of this project is to provide a central point for community nurses and others to easily access current information on and relating to the PHN service on the ONMSD website.

The first meeting of the project team and all key stakeholder representatives was held recently.

• Safe Administration of Medication

Student PHN Sponsorship and Recruitment Programme 2019/2020

ONMSD for 160 places for the 2019/2020 education programme.

An Implementation Committee convened to progress the requirements of the student PHN sponsorship and recruitment programme and enable filling of all sponsorship places for the 2019/2020 programme. Work successfully completed by this committee included; a revision of the eligibility criteria for the 2019/2020 programme, extensive marketing of the programme on social media sites, HSE, national newspapers and radio programmes, interview training provision to DPHNs and ADPHNs and funding was secured for the Nursing and Midwifery Jobs Fair in RDS on March 30th 2019.

Representatives of the service will target RGNs for the student PHN programme at this fair. An up to date information leaflet was designed on all aspects of the programme.

Capacity in the five maternity units (who do not take student PHNs) to facilitate those who will require midwifery placements was also addressed. Funding has been approved from the

PHN Practice Development Co-ordinators

The SAM project team developed a national prescriber request form with supporting The SAM project team resources for the safe developed a national prescriber and quality assured request form with supporting administration of resources for the safe and medication by quality assured administration community nurses. of medication by community This new form will be nurses. available in hard and soft copy formats. A six month pilot of the new national request form commenced in December 2018 and is underway in Community Healthcare West.

A Local Implementation Group was set up for the pilot to address issues arising, identify possible solutions and make recommendations prior tonational roll out later in 2019.

A national SAM Advisory Group with key stakeholder representation is overseeing the project.

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There are currently eight nurses working regionally in practice development roles. Support is provided by the National Practice Development Co-ordinator and all meet as a national group each quarter. The purpose of this group is to share knowledge and work collaboratively in the promotion of standardised evidence based practice and continuous improvement towards increased effectiveness in person centred care. In addition to individual contribution on the projects outlined above this group are currently working on a national procedure for the safe transfer of child health records within and between service areas.

There have been significant national developments in the PHN service in 2018 and early 2019. This work would not have been possible without the contribution, commitment and professionalism of nurses across all grades and regions within the service. May this collaboration and progress continue to flourish in the year ahead.

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PUBLIC HEALTH NURSING PRACTICE

MID-WEST COMMUNITY HEALTHCARE INTEGRATED CARE PROGRAMME FOR OLDER PERSONS MARGARET COSTELLO, DIRECTOR OF PUBLIC HEALTH NURSING AND PROJECT LEAD, INTEGRATED CARE PROGRAMME OLDER PERSONS, MID WEST COMMUNITY HEALTHCARE, DETAILS THE VISION AND ROLE OF THE PROGRAMME.

I

n Ireland the life of which is a case management expectancy for women approach to integrated care. The aged 75 has increased CLICOP proposes to by 29% (1993 – implement, test and 2013) and for monitor integrated men by service developments 39% in the same for older people in The aim of the ICP OP is period (Eurostat, the identified to develop and implement 2016). Within the geographical integrated services and next 12 years, area of Ennis pathways for older people who the >65 and surrounds population in and to evaluate have been identified Ireland is this as living with frailty, shi ing anticipated to implementation the delivery of care away from grow by 60% and so that lessons acute hospitals towards the >85 learned may be community based, planned and population by 95%. extended across the coordinated care This means that by Mid-West Community 2031, there will be one Healthcare and million people over the age University Hospital Group as of 65 in Ireland. well as nationally.

Increasing age brings an increasing chance of long term Aims and Objectives of the medical conditions, frailty, Integrated Care Programme dementia, disability, dependence for Older Persons or social isolation.

The aim of the ICP OP is to develop and implement integrated services and pathways for older people who Vision Underpinning have been identified as living with Integrated Care frailty, shifting the delivery of care The vision that underpins the away from acute hospitals towards Integrated Care Programme, community based, planned and Older Persons (ICP OP) seeks to coordinated care. support older persons to live in The objective of the programme their own community by is to improve the quality of life providing timely access to health for older people by providing and social care that allows older access to integrated care and persons to receive the right level support that is planned around their of care, in an appropriate needs and choices, supporting them location, ideally at primary to live well in their own homes and care level. communities.

The Mid West Community In addition to these objectives, Healthcare Integrated Care the ICP OP also seeks to generate Programme is working to a insights into the process of 10-Step Framework that implementation in shifting the fundamentally adopts a model of care away from an population based approach with acute centric model. new ways of working, at the core

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PUBLIC HEALTH NURSING PRACTICE

National Clinical & Integrated Care Programmes Person-centred, co-ordinated care

Older persons by numbers

NEED

ACCESS

2011-2026

RESOURCE

ADMISSION RATE

>65 yrs population

+60%

>75 yrs 48%

>85 yrs population

+100%

>95 yrs 64%

(Source: CSO)

>75 female

+39% >75 male

>75 yrs will increase

• CANP/Consultant/Case Manager • Diagnostics AccessAgreement • Diagnostic Tools & Training

(BIU 2014).

50k with dementia 4k new cases € 1.69 billion every year per year

+28%

100k cases by 2026 (Source: ICGP 2014)

Service Changes Specialist Geriatric Roles Access to diagnostics in the community

• Hub & Spoke Infrastructure & ICT

Access to ambulatory Day care services

• Frailty Screening Tool • Frailty Education Programme

Early identificaion of fraility

• CGA Tool • CGA Training Programme

Comprehensive Geriatric Assessment

• Operational Policy for ICPOP Team • Team Working Training • Management Matrix • ICPOP Performance Framework

Geriatric Interdisciplinary approach

• Referral & Discharge Pathwyas • Falls, Cognition & Fraility Pathways

Population needs approach to service planning

• Population Profile • Map of Existing Resources

Increase partnership with service users and other serice providers

• Carer Needs Assessment

accessed by

17 acute hospitals

DEMENTIA IN IRELAND

(Source: HIPE)

Deliverables

€ 20 million

TRANSITIONAL CARE BEDS

PET times increase with age 30-50% of all 24hr breaches are >75 yrs

INPATIENT DISCHARGES 2015-2021

• Case Management Protocool

15,000 HCP 130 iHCP

PET TIMES

(Source: Eurostart 2014)

• Shared Care Protocols • Dervice User Engagement • Community Initatives

Home Care and Transitional Care

(Source: SDU 2016)

LIFE EXPECTANCY 1993-2013

+29%

NHSS - €940

Care Pathways

Case management with service user & carer involvement Carer burden tracked & addressed

LONG STAY PUBLIC BEDS

5,255 beds (Source: SCD Operational Plan 2016)

Interim Benefits Decreased impact of polypharmacy

End Benefits

Objective

Decreased admissions to Residential care

Decreased falls Increased independence in ADLS Decreased fraility

Increased function & quality of lie in older people living at home

Decrease time spent in hospital/ED Increased MDT & interagency working

Increased value for money/ optimised resources

Increased staff satisfaction Increased service user satisfaction

Develop a specialist geriatric service to support older people to live well at home

Increased healthcare responsiceness

Increased participation in decision making Decreased carer burden

Improved carer outcomes

Increased carer satisfaction A Ryan, Mid-West PMO, Benefit Map ICPOP 0.045 05/02.19

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PUBLIC HEALTH NURSING PRACTICE

Strategic Alignment Strategic Goal:

How will the project contribute to this strategic priority

Goal 1: Provision of patient centred care

This will be achieved through:

• Working with older persons focus groups to hear their views.

• Development of care pathways which are evidence based and patient centred.

• Adopting a case management approach for older people who present with complex medical needs.

Goal 2: Provision of integrated care

This will be achieved through: • Adopting a population health based approach.

• Working with existing services to maximise the potential for an integrated end to end patient journey.

• Development of a frailty pathway for older adults who are referred to the integrated care programme.

• Development of the ambulatory care hub will promote integration between acute hospital and primary care.

Goal 3: Deliver better health outcomes by providing fair, equitable and timely access.

We will achieve this through: • Identification of older persons living with frailty.

• Timely identification will allow for timely interventions thus improving health outcomes.

• Older persons referred to the integrated care team will have assessment and treatment plan developed by specialist geriatric team • Services will be delivered primarily in the ambulatory care hub. as close to the older persons home as possible.

Goal 4: Engage/develop workforce

• Increase in specialist geriatric roles in Nursing i.e. CNS and cANP. • Increased co-location of staff.

• Introduce new concept clinical governance / shared care arrangements in the Hub.

• Interdisciplinary team working.

• Increased staff satisfaction.

• Reporting on structure and process metrics.

• Work with national integrated care programme working group re

Goal 5: Manage resources /outcomes

measurement of patient related outcomes.

• Collate team activity.

Integrated Care is the way forward for promoting new ways of working together to improve the quality of care delivered by those of us who work in our health care system.

This undoubtedly presents some unique challenges when applied

to delivering this care across the continuum of care. What matters to an older person when they have contact with the health and social care system is that their care is better planned, better coordinated, better delivered and easier to access.

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For more information on the HSE’s Integrated Care Programme for Older Persons visit www.hse.ie/eng/about/ who/cspd/

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From companionship to advanced nursing care in the home

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Help at the touch of a button, 24/7 365 days a year Independence & peace of mind You are eligible to apply for a monitored alarm through the Seniors Alert Scheme if you are: • Aged 65 years or over • Living alone or living with another person who meets the eligibility criteria How much does it cost? It’s free. The equipment is funded by the Department of Housing, Planning, Community & Local Government and administered by Pobal. However there is a fee for monitoring the alarm which you may be asked to pay – your local group can advise you.

Each person in the household who is eligible will receive their own pendant and only one monitoring fee will apply.

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RESEARCH

FREEDOM OF INFORMATION

ACT 2014

THE FREEDOM OF INFORMATION ACT 2014 GIVES EACH INDIVIDUAL LEGAL RIGHTS TO ACCESS BOTH PERSONAL AND NON-PERSONAL (CORPORATE) RECORDS, TO HAVE PERSONAL RECORDS AMENDED OR DELETED WHERE THE INFORMATION IS INCORRECT OR MISLEADING AND THE RIGHT TO SEEK REASONS FOR DECISIONS THAT AFFECT HIM/HER.

T

hese rights extend to your own personal records and in specific circumstances, to those of your children and deceased relatives. There are exemptions provided for in the Acts, this means that there are specific circumstances when the requested information will not be released, e.g. to protect confidentiality. If any of these exemptions are used to withhold information, the reasons will be clearly explained to you.

• Details of your entitlements to

When to use the Freedom of Information Acts:

• Permit people access to their

Internal Review and appeal will be included in the decision letter.

Why was the Freedom of Information Act introduced?

The Freedom of Information Act was introduced to:

• Increase openness • Improve accountability • Increase public appreciation of issues involved in policy decisions

• Give stronger public ownership and acceptance of decisions made

It is recommended that applications for sensitive health records should be made under the FOI Acts (e.g. psychiatric records, and in circumstances where the records requested relate to a child or deceased person). You must apply in writing and simply refer to the Freedom of Information Acts. There is no fee when you request access to personal information.

Entitlements under the FOI Acts: • Receipt of your request must be acknowledged within 10 working days.

• A response will, in normal circumstances, be issued within 20 working days of receipt of the request.

• All decisions must be clearly explained, setting out the sections of the Act used in reaching these decisions.

records and allow them to amend records if incorrect.

understand later records which are accessed.

A person may make a request for access to records. This request must be in writing stating that the request is made under the Act and containing sufficient particulars in relation to the information concerned to enable the record to be identified.

A member of the public has the right to request information regarding acts of public bodies affecting them.

A Freedom of Information request is a very formal procedure and the public body is required to respond within four weeks. The request will be considered in accordance with the Act having regard to the exemptions provided for which include:

The Act sets out three new legal rights: • A legal right for each person to access A Freedom of Information information held by • Personal information request is a very formal public bodies (other than information procedure and the public relating to the person • A legal right to have body is required to respond making the request) official information within four weeks. relating to him/herself • Information supplied to amended where it its the HSE in confidence incomplete, incorrect or • Law enforcement and public misleading safety • A legal right to be given reasons for • Commercially sensitive information decisions affecting them.

• Deliberations of public bodies • Functions and negotiations of public bodies.

What records can be

accessed under FOI? • All records created after the Act commenced • All personal records of clients, whenever created • All records of staff created after 21st October 1995

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• Earlier records if needed to

While the HSE will seek to protect the privacy of individuals and information supplied in confidence, in certain circumstances it may be in the public interest to release such information.

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RESEARCH

GENERAL DATA PROTECTION REGULATION A NEW EUROPEAN UNION-WIDE FRAMEWORK KNOWN AS THE GENERAL DATA PROTECTION REGULATION (GDPR) CAME INTO FORCE ACROSS THE EU ON 25 MAY 2018. AN ACCOMPANYING DIRECTIVE ESTABLISHES DATA PROTECTION STANDARDS IN THE AREA OF CRIMINAL OFFENCES AND PENALTIES. THIS IS KNOWN AS THE LAW ENFORCEMENT DIRECTIVE.

T

he GDPR and the Law Enforcement Directive provide for significant reforms to current data protection rules.

They provide for higher standards of data protection for individuals and impose increased obligations on organisations that process personal data. They also increase the range of possible sanctions for infringements of these rules.

This document outlines the main elements of the GDPR and points to further information about it.

The GDPR and Ireland As an EU regulation, the GDPR did not generally require transposition into Irish law (EU regulations have direct effect), so organisations involved in data processing of any sort need to be aware that the GDPR addresses them directly in terms of the obligations that it imposes.

The Data Protection Act 2018 was signed into law on 24 May 2018. The Act changes the previous data protection framework, which was established under the Data Protection Acts 1988 and 2003.

Among its provisions, the Act has:

• Established a new Data Protection Commission as the State’s data protection authority • Transposed the law enforcement Directive into national law • Given further effect to the GDPR in areas where member states have flexibility (for example, the digital age of consent).

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Types of Data There are two main types of data under the GDPR: personal data and special category personal data.

PERSONAL DATA Under the GDPR, personal data is data that relates to or can identify a living person, either by itself or together with other available information. Examples of personal data include a person’s name, phone number, bank details and medical history.

A data subject is the individual to whom the personal data relates.

Organisations that collect or use personal data are known as data controllers and data processors.

Under the GDPR, organisations in breach of the Regulation can be fined up to 2% of their annual global turnover or €10 million, whichever is greater, for lesser breaches.

SPECIAL CATEGORY PERSONAL DATA Special category personal data (known as sensitive personal data under previous Irish legislation) means personal data relating to any of the following:

• The data subject’s physical or mental health or condition or sexual life • Whether the data subject has committed or allegedly committed any offence • Any proceedings for an offence committed or alleged to have been committed by the data subject, the disposal of such proceedings or the sentence of any court in such proceedings.

• The data subject’s racial or ethnic origin, their political opinions or their religious or philosophical beliefs • Whether the data subject is a member of a trade union

The processing of special category data is prohibited unless the data subject has given their explicit consent before processing begins or the processing is authorised

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RESEARCH

by law, for example, to protect the interests of a data subject, to comply with employment legislation or for reasons of public interest.

Personal data relating to criminal convictions and offences may only be processed under the control of an official authority.

• Promote awareness among

Where the GDPR Applies

The Data Protection Commission has the power to order any controller or processor to provide information that the authority requires to assess compliance with the Regulation. It may carry out investigations of controllers and processors in the form of data audits, including accessing the premises of a controller or processor. It can order a controller or processor to change their processes, comply with data subject requests. The Data Protection Commission can also issue warnings to controllers and processors and can ban processing as well as commence legal proceedings against a controller or processor.

The GDPR applies to the processing of personal data by controllers and processors in the EU, regardless of whether the processing takes place in the EU or not. The GDPR also applies to the processing of personal data of individuals in the EU by a controller or processor established outside the EU, where those processing activities relate to offering goods or services to EU citizens or the monitoring of their behaviour.

Non-EU organisations processing the personal data of EU citizens must appoint a representative located in the EU.

controllers and processors of their obligations • Provide information to individuals about their data protection rights • Maintain a list of processing operations requiring data protection impact assessment.

Supervision and Enforcement INDEPENDENT SUPERVISORY AUTHORITIES Under previous Irish legislation, the Data Protection Commissioner was responsible for supervising data protection in Ireland. Under the GDPR, each EU member state must have one or more independent public authorities responsible for monitoring the application of the Regulation. In Ireland, this supervisory authority is the Data Protection Commission.

(Under the Data Protection Act 2018, the Data Protection Commission has replaced the Data Protection Commissioner.)

The Data Protection Commission will:

application of the GDPR of the rules and rights around data processing • Advise the Government on data protection issues

Penalties Penalties apply to both controllers and processors found to be in breach of the GDPR. There are different penalties, depending on the importance of the breach.

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LESSER BREACHES Under the GDPR, organisations in breach of the Regulation can be fined up to 2% of their annual global turnover or €10 million, whichever is greater, for lesser breaches. Some examples of lesser breaches include: not having records in order; not notifying the supervisory authority and data subject about a breach; or not conducting impact assessment.

Further Information EUROPEAN DATA PROTECTION BOARD (EDPB) The GDPR has introduced a new European data protection supervisory authority, the European Data Protection Board (EDPB).

The EDPB is responsible for ensuring that the GDPR is applied consistently across the European Union. It will issue guidelines and recommendations on the application of the Regulation.

It will also advise the EU Commission on the application of the Regulation and any updates that may be required.

The EDPB is made up of the head of one supervisory authority of each member state and a European Data Protection supervisor.

• Monitor and enforce the • Promote public awareness

SERIOUS INFRINGEMENTS For the most serious infringements (for example, not having sufficient customer consent to process data or violating the core of privacy by design concepts), organisations can be fined up to 4% of their annual global turnover or €20 million, whichever is greater.

Each member state may introduce further fines legislation, which will be enforceable within that state only.

There is further detailed information about the GDPR on dataprotection.ie and on the dedicated website gdprandyou.ie.

RELATED DOCUMENTS • Controlling and processing data under the GDPR - concepts and principles .This document outlines the key concepts and principles around controlling and processing data under the General Data Protection Regulation.

• Legislation relating to the General Data Protection Regulation (GDPR. This document outlines the legislation relating to the GDPR. • Obligations of data controllers and processors under the GDPR. This document outlines the obligations of data controllers and processors under the General Data Protection Regulation.

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RESEARCH

GENIO: TRANSFORMING SOCIAL SERVICES GENIO IS AN INDEPENDENT NON-PROFIT ORGANISATION SPECIALISING IN SOCIAL SERVICE TRANSFORMATION.

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C

omplex systems, with ingrained practices and vested interests, face major challenges in reforming themselves. Philanthropic funding can be a catalyst in creating systemic change if targeted strategically.

Effective system change strategies need to take account of all of the key stakeholders. This includes addressing policy-makers, politicians, funders (philanthropic and public), public service commissioners, service providers and people who rely on services (and their families/carers), and identifying what each needs to do in order to The organisation has spent bring about the by the last ten years developing required changes.

Madeleine and implementing system Scaling for systemic Clarke, Founding change strategies in the change may involve Executive Director. areas of disability, mental growing Genio works closely health and dementia and is organisations but is with the government currently moving into the more focused on and philanthropy to area of homelessness. changing mind-sets transform social services across multiple to support people in leading stakeholders and scaling self-determined lives in the practice across a range of community. Internationally, organisations and agencies. Funding philanthropy and governments invest alone is rarely enough to bring significant resources every year to about change. Building capacity to provide support to those in need, yet implement change and measuring there is increasing demand for services impact is also important. Systemic and costs are rising. Citizens’ change occurs over a trajectory that expectations are also shifting towards moves from identifying early services that are flexible and adopters to supporting scaling, personalised. Personalised services through to creating the conditions address the unique needs of the for system-wide implementation. individual and are delivered in the Genio is an independent community, fostering inclusion and non-profit organisation specialising participation. International evidence in social service transformation. It demonstrates that this can achieve was established in Ireland in 2008 better outcomes and cost savings.

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RESEARCH

However, existing complex systems are difficult to reform. Philanthropy often tries to innovate in parallel to government services, resulting in limited reach or long-term impact.

Conversely, stretched government resources are often locked into older services, leaving limited opportunity to innovate. By working in partnership, philanthropy can invest in innovation that is sustainable, scalable and ultimately has potential to impact whole populations of need. Genio has developed a model for cross-sector collaboration that allows for innovation.

Genio takes a phased approach across three stages: early innovation; scaling innovation; and system-wide change. The organisation has spent the last ten years developing and implementing system change strategies in the areas of disability, mental health and dementia and is currently moving into the area of homelessness. This has involved facilitating an alliance between philanthropy and government using private funding as a catalyst to refocus public spending to produce better outcomes, cost effectively.

Genio’s approach to catalyse change in social service provision revolves around three activities:

Innovation Funding: Genio awards innovation funding, the majority of which is government funding combined with philanthropic support, to help bring about social service transformation. Funding to service providers is allocated on a competitive, performance-managed basis to service providers. Funding covers additional costs of moving from older models of service delivery to new models which are more cost-effective and produce better outcomes.

Capacity Building: Genio provides training, information and expertise to individuals, families, service providers and others who have

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a role to play in supporting people who are disadvantaged to live full lives in their communities.

Impact Measurement: Genio places a high priority on being accountable and on providing independently measured impact.

Since 2008, the organisation spent over €2m on research and evaluation, much of which has been undertaken by researchers at universities and research institutes.

In addition, Genio has developed a comprehensive monitoring and evaluation system to extract and collate the learning from all projects funded through Genio. Genio is currently co-managing a Service Reform Fund of €45m (€15m philanthropy, €30m government) to reform services in a cost-effective and beneficiary-centred direction.

Hence, Genio collaborates with the Government of Ireland and with additional philanthropic resources to build and invest in innovative social services, and rigorously measure outcomes in order to transform social service provision on a strong evidence base. At the moment, Genio works in Ireland in the fields of dementia, disability and mental health and are in the process of engaging with the Health Service Executive and the Department of Housing, Planning, Community and Local Government in order to apply the model to the area of homelessness.

€24m, numerous information and training events and 66 researchers and research assistants in eight universities and research institutes to provide clear evidence that this is the case. Between 2010 and 2015, the Genio Trust awarded funding to 226 initiatives, supporting over 8,000 people with personalised services. Over 19,000 people, including family members and staff working in services, have received information and training to support the implementation of personalised supports throughout the country.

Results Achieved Since 2015, Genio has moved into the ‘Scaling Innovation’ phase of its current programmes. Genio has continued to work with its government and philanthropic partners to increase the availability of opportunities for people to live the lives they choose through its dementia programme and through its partnership with the government on a Service Reform Fund. Genio is now moving to apply the expertise they have developed, to new areas of need starting with homelessness in Ireland. Genio is also exploring the application of their model both within broader national as well as international contexts.

Partnership Implementation In the early innovation stage of the current programme areas, Genio had the opportunity to help demonstrate that supporting people in personalised ways produces better outcomes and is more cost-effective than traditional, standardised services. It took five years, almost

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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 Minister 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 is 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 Practice Department processes allegations of impairment of fitness to practice 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

IRISH CANCER SOCIETY THE IRISH CANCER SOCIETY PROVIDES SUPPORT, ADVICE, AND INFORMATION TO CANCER PATIENTS AT HOME AND IN HOSPITAL - AND THEIR FAMILIES THROUGHOUT IRELAND.

T

he support services include the Cancer Nurseline, a freephone 1800 200 700 helpline service operated by the Irish Cancer Society, which offers information, support 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 supported by trained volunteers provide the same cancer information and support through face-toface interaction.

A survivor support programme is in place which allows cancer patients the opportunity to speak to someone who has also been through a cancer diagnosis.

Trained volunteers provide practical

and emotional support to anyone going through or finishing cancer treatment.

Local support is available in communities across the country. The Irish Cancer Society works with local cancer support centres to ensure that cancer patients have access to counselling and it also runs a programme called the Volunteer Driver Service, which is for chemotherapy patients who might have difficulty getting to and from appointments. There is also financial support available in the form of travel grants and financial support for children and their families.

Night-Nursing is end of life care for cancer patients in their own home. The Irish Cancer Society offers up to 10 nights of care for each patient and the service allows patients to remain at home for the

last days of their lives, surrounded by their families and loved ones.

Finally, the Society provides reliable and accurate information on a range of topics including cancer types, treatments and side effects, coping with cancer and children and cancer. All publications are available free of charge on the Society’s website.

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

For further information on any of the above services, call the Cancer Nurseline on freephone 1800 200 700, visit www.cancer.ie or drop into one of the 13 Daffodil Centres nationwide.

Want to talk Call the Cancer Nurseline on

Freefone 1800 200 700

Visit our Daffodil Centres nationwide

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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.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: 01 457 4306 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

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/en

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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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SUPPORT ORGANISATIONS Breastfeeding

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

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Enable Ireland

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: www.assistireland.ie

CONTACT: Tel: 01 872 7155 www.enableireland.ie

Tots & Teens

Disability Services

Older Groups

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 Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

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

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

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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.chime.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.iicn.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 t: (01) 2999 633 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 Breastfeeding

Tots & Teens

Disability Services

Older Groups

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/

> EDUCATION – UNIVERSITIES – DISABILITY SERVICES Dublin City University w: www.dcu.ie/ students/disability/index.shtml Dublin Institute of Technology w: www.dit.ie/campuslife/disability 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 Union of Students in Ireland w: usi.ie/usi-equality-campaign/ University College Cork w: www.ucc.ie/en/dss/

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University College Dublin w: www.ucd.ie/equality/ support/disability University of Limerick w: www.ulsites.ul.ie/ disabilityservices

International links European Disability Forum w: www.edf-feph.org/

Waterford Institute of Technology w: www.wit.ie/current_ students/ study-supports

Institute of Independence Living – serve self-help organisations of disabled people who work for equal opportunities, selfdetermination and self-respect w: www.independentliving.org/ Indexen.html

Employment

Irish Government

Irish Congress of Trade Unions Integrating people with disabilities into the workplace w: www.ictu.ie/equality/ disability.html

Equal Status Amendement Act 2012 w: www.irishstatutebook.ie/ eli/2012/act/41/enacted/

w: www.oic.ie/guidance-andresources/foi-legislation/ Public information services w: www.citizensinformation.ie Ombudsman and Disability w: www.ombudsman.ie/ publications/information-leaflets/ the-ombudsman-and-the-dis/

Support Services National Adult Literacy Agency w: www.nala.ie Rehab Centre – training, employment, social care and commercial services w: www.rehab.ie

Equality and Human Rights

Irish government w: www.gov.ie

Samaritans w: www.samaritans.org

Equality Authority w: www.ihrec.ie

Irish government departments w: www.gov.ie/en/organizations

Youthreach – Early school leavers w: www.youthreach.ie

Irish Council for Civil Liberties w: www.iccl.ie

Department of Social & Family Affairs w: www.welfare.ie

Travel and Transport

Workplace Relations – Equality Tribunial w: www.workplacerelations.ie

Department of Children Youth Affairs w: www.dcya.gov.ie

Events Special Olympics w: www.specialolympics.ie

> GENERAL Disability.ie – portal site for disability related information in Ireland w: www.disability.ie

Housing Housing Association for Integrated Living w: www.hail.ie Irish Council for Social Housing w: www.icsh.ie

Department of Justice and Equality w: www.justice.ie Members of the Government w: www.oireachtas.ie

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/en

Bus Éireann w: www.buseireann.ie Disabled Drivers Association w: www.ddai.ie Dublin Airport – Travellers with a disability w: www.dublinairport.com/ at-the-airport/passengerinformation/special-assistance 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

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

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

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

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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.

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 Breastfeeding

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

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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

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

CONTACT: Tel: 01 874 7776 www.carealliance.ie

Tots & Teens

Disability Services

Older Groups

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 Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Family Carers Ireland

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 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

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 Breastfeeding

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 with the ICTU.

CONTACT: www.ictu.ie

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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.

• Call our free helpline on 0800 319 6789 if you want to order a guide or leaflet, need information or advice or want to arrange a regular call or visit.

CONTACT: Tel: 0800 3196789 www.independentage.org

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.

Tots & Teens

Disability Services

Older Groups

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 Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

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

Irish Rural Doctor’s Group

The Irish Rural Doctor’s Group has been 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 the 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

CONTACT: Tel: 01679 3188 www.hospicefoundation.ie

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CONTACT: Tel: 01 8730422 www.imnda.ie

CONTACT: www.irishruralhealth.com

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SUPPORT ORGANISATIONS Breastfeeding

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:

Tots & Teens

Disability Services

Older Groups

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

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CONTACT: Tel: 01 856 1243 www.iscp.wordpress.com

CONTACT: www.iwa.ie

CONTACT: Contact your local health office or public health nurse for more information.

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

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

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

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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

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 pension 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 Breastfeeding

Pensions Ombudsman

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.

Retirement Planning Council

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

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CONTACT: Tel: 01 478 9471 www.rpc.ie

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.

Tots & Teens

Disability Services

Older Groups

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 Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Society of St Vincent de Paul

Seniorline

Seniorline is a confidential listening service for older people by trained older volunteers, for the price of a local call anywhere in Ireland.

Seniorline’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.

Seniorline 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. Seniorline is supported by the Health Service Executive and The Atlantic Philanthropies.

CONTACT: Tel: 1800 804 591 www.thirdageireland.ie

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

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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.engagingdementia.ie

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 Breastfeeding

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.

Bodywhys – The Eating Disorder Association of Ireland 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

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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

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.

Tots & Teens

Disability Services

Older Groups

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 Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

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

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

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The Irish Nutrition & Dietetic Institute (INDI)

CONTACT: Tel: 01 280 4839 www.indi.ie

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 Breastfeeding

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

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:

Tots & Teens

Disability Services

Older Groups

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 Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

Irish Heart Foundation

The American Heart Association

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

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

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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.

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 Breastfeeding

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 aims 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

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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.

Citizens Information

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

Disability Services

Older Groups

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 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.

CONTACT: Tel: 01 224 5800 www.centralbank.ie

Tots & Teens

CONTACT: Tel: 0761 074000 www.citizensinformation.ie

CONTACT: Tel: 01 402 5555 www.consumerhelp.ie

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SUPPORT ORGANISATIONS Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

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

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 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

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Concern Worldwide

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: 1890 404 404 www.cru.ie

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SUPPORT ORGANISATIONS Breastfeeding

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 AntiPoverty Network

Tots & Teens

Disability Services

Older Groups

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 Food & Nutrition

Health Promotion

Financial

Social & Intercultural Health

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 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

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.

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

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Spiritan Asylum Services Initiative (SPIRASI)

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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COMMERCIAL PROFILE

CARING FOR YOU A Plus Community Care is comprised of six community healthcare providers who have come together to combine resources and offer personal, quality home support services across Dublin.

W

e know the importance of peace of mind when it comes to the care and comfort of your loved ones.

A Plus Community Care puts this at the heart of the services we provide and with over 240 years’ combined experience in the industry, you can always expect a quality and professional service.

Crumlin Home Care Service A premier home support services provider providing a range of tailor-made services to match individual needs and improve the quality of life for the elderly and disabled in the community. All our home carers are fully qualified, experienced and dedicated to achieving the highest level of customer care.

Liberties & Rialto Home Help Service Liberties & Rialto Home Help Services is a voluntary organisation funded by the HSE. We provide the highest quality of home support in our local community for people of all ages with varying degrees of ability thereby promoting their independence and helping them live longer in their own home.

We engage in a wide range of activities including incontinence care, personal care, palliative care meal preparation, prompting medication, shopping and general home management. We always match clients to one of our qualified carers who are all Gardavetted and work closely with all other professional bodies within the community. Our ethos is all about care in the community.

through illness or bereavement and to family members caring for older/infirm relatives in their own home. The aim of our service is to enhance the quality of life to our clients by assisting them to maintain independence and dignity in their activities of daily living.

Trustus We Care Trustus works to improve the lives of local people, as an agent of change involving voluntary and community action, through direct and supported service provision. Based in Tallaght and working in the community since 1969, we offer a range of services including home care, meals on wheels, day care centre, pendant alarms, active labour marketing and a community employment programme.

Dublin West Home Help Dublin West Home Help clg is a community based, not for profit, health and social care organisation. We aim to provide quality, person-centred, flexible services to support individuals in their choice of living independently within their own homes and communities, in line with our mission. Our core values are: quality services, community engagement, financial sustainability, accountability, partnerships and value for money.

Our services include home support for the older person and people with disabilities etc., assisting and supporting clients with all activities of daily living; delivery of meals on wheels and the provision of a lunch/social facility for older persons.

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St. Andrew’s Resource Centre St. Andrew’s Resource Centre provides a range of services to the seniors of our community. We also provide a home support service to those seniors who may be ill, struggling with mobility issues, disabled and vulnerable. Services are provided in a professional caring manner ensuring our seniors live an independent life amongst their own surroundings.

Terenure Home Care Service Terenure Home Care Service is a community support service which provides care in the home to older people (especially those living alone), to people with learning/ physical/sensory disability, to families experiencing stress

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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.

WHY US: •

Over 240+ years experience providing care services at home in your community.

•

Established reputation as premier home care providers.

•

Not-for-profit professional community care providers with charitable status.

• •

HSE preferred supplier of care.

Local long term relationship with HSE Multidisciplinary Teams.

•

Cared for by Carers living in your own community.

•

Wide range of customised services

•

Trained qualified trustworthy experienced Carers fully Garda vetted.

•

Fully supervised Carers on duty out of hours and weekends.

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Crumlin Home Care Service Unit 2, Bridgecourt Office Park, Walkinstown Avenue, Dublin 12.

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

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