IHCA Yearbook and Diary 2022 by Ashville Media Group

Inventing for Life At MSD we have and always will be...Inventing for Life. These three powerful words reflect our commitment to inventing new medicines and vaccines that help save lives by preventing and fighting disease. MSD Ireland is one of the country’s leading healthcare companies, having first established here over 50 years ago. We currently employ approximately 2,700 employees across six sites in Ballydine, Co Tipperary, Brinny, Co Cork, Carlow, Dublin and Meath. We believe the most important thing we make is a difference - to patients, to our employees, to our communities and to the Irish healthcare landscape generally. We are proud that our Irish sites manufacture approximately half of MSD’s top twenty products, helping save and enhance lives in over sixty countries around the world. Visit msd-ireland.com to find out more about our work.

250575_1C_MSD_JM_IHCA 22.indd 1 IHCA 2022 Endpapers 1+4.indd 1 Ad template.indd 1

14/05/2021 13:10 11:57 17/09/2021

IHCA Ad template.indd 1

22/09/2021 10:2013:11 17/09/2021

INDICATED FOR THE PREVENTION OF PNEUMOCOCCAL PNEUMONIA IN ADULTS

Our members are accessing a range of healthcare services every day

IN ADULTS AGED ≥ 65 YEARS

With each additional comorbid condition, the risk for pneumococcal pneumonia multiplies compared to healthy adults of the same age2 These underlying conditions included2: Alcoholism Asthma

1 underlying condition

2 underlying conditions

>3 underlying conditions

Chronic cardivascular disease Chronic liver disease

2.1x increased risk

4.2x increased risk

9.2x

Chronic pulmonary disease

increased risk

Current smokers Diabetes

1,3

Help prevent pneumococcal pneumonia with the proven protection of Prevenar 13

Proven to reduce the risk of community-acquired pneumonia: Results from the Community-Acquired Pneumonia Immunisation Trial in Adults (CAPiTA) – one of the largest vaccine efficacy trials ever conducted in older adults.3,4

ABBREVIATED PRESCRIBING INFORMATION Prevenar 13* Suspension for Injection Pneumococcal polysaccharide conjugate vaccine (13-valent, adsorbed) Presentation: Each 0.5ml dose of Prevenar 13 contains 2.2 micrograms of each of the following pneumococcal polysaccharide serotypes: 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F and 4.4 micrograms of pneumococcal polysaccharide serotype 6B. Each pneumococcal polysaccharide is conjugated to CRM197 carrier protein and adsorbed on aluminium phosphate. 1 dose (0.5 ml) contains approximately 32 µg CRM197carrier protein and 0.125 mg aluminium. Indications: Active immunisation for the prevention of invasive disease, pneumonia and acute otitis media caused by Streptococcus pneumoniae in infants, children and adolescents from 6 weeks to 17 years of age. Active immunisation for the prevention of invasive disease and pneumonia caused by Streptococcus pneumoniae in adults ≥18 years of age and the elderly. Dosage and Administration: The immunisation schedules for Prevenar 13 should be based on official recommendations. It is recommended that infants who receive a first dose of Prevenar 13 complete the vaccination course with Prevenar 13. For intramuscular injection. Infants aged 6 weeks-6 months: Three dose primary series: The recommended immunisation series consists of four doses, each of 0.5ml. The primary infant series consists of three doses, with the first dose usually given at 2 months of age and with an interval of at least 1 month between doses. The first dose may be given as early as six weeks of age. The fourth (booster) dose is recommended between 11 and 15 months of age. Two dose primary series: Alternatively, when Prevenar 13 is given as part of a routine infant immunisation programme, a series consisting of three doses, each of 0.5ml, may be given. The first dose may be administered from the age of 2 months, with a second dose 2 months later. The third (booster) dose is recommended between 11 and 15 months of age. Preterm infants (< 37 weeks gestation): In preterm infants, the recommended immunisation series consists of four doses, each of 0.5 ml. The primary infant series consists of three doses, with the first dose given at 2 months of age and with an interval of at least 1 month between doses. The first dose may be given as early as six weeks of age. The fourth (booster) dose is recommended between 11 and 15 months of age. Unvaccinated infants and children ≥ 7 months of age: Infants 7-11 months: Two doses, each of 0.5 ml, with at least a 1 month interval between doses. A third dose is recommended in the second year of life. Children aged 12-23 months: Two doses, each of 0.5 ml, with at least a 2 month interval between doses. Children and adolescents aged 2-17 years: one single dose of 0.5 ml. Prevenar 13 vaccine schedule for infants and children previously vaccinated with Prevenar (7-valent) (Streptococcus pneumoniae serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F): Infants and children who have begun immunisation with Prevenar may switch to Prevenar 13 at any point in the schedule. Children aged 12-59 months: Children who are considered completely immunised with Prevenar (7-valent) should receive one dose of 0.5 ml of Prevenar 13 to elicit immune responses to the 6 additional serotypes. This dose of Prevenar 13 should be administered at least 8 weeks after the final dose of Prevenar (7-valent). Children and adolescents aged 5-17 years: One single dose of Prevenar 13 if they have been previously vaccinated with one or more doses of Prevenar. This dose of Prevenar 13 should be administered at least 8 weeks after the final dose of Prevenar (7-valent). Adults ≥18 years of age and the elderly: One single dose. The need for revaccination with a subsequent dose of Prevenar 13 has not been established. Regardless of prior pneumococcal vaccination status, if the use of 23 valent polysaccharide vaccine is considered appropriate, Prevenar 13 should be given first. Special Populations: Individuals who have underlying conditions predisposing them to invasive pneumococcal disease (such as sickle cell disease or HIV infection) including those previously vaccinated with one or more doses of 23-valent pneumococcal polysaccharide vaccine may receive at least one dose of Prevenar 13. In individuals with an haematopoietic stem cell transplant (HSCT), the recommended immunisation series consists of four doses of Prevenar 13, each of 0.5 ml. The primary series consists of three doses, with the first dose given at 3 to 6 months after HSCT and with an interval of at least 1 month

between doses. A fourth (booster) dose is recommended 6 months after the third dose. Contra-indications: Hypersensitivity to any component of the vaccine or to diphtheria toxoid. As with other vaccines, the administration of Prevenar 13 should be postponed in subjects suffering from acute, severe febrile illness. However, the presence of a minor infection, such as a cold, should not result in the deferral of vaccination. Warnings and Precautions: Do not administer intravascularly. Appropriate medical treatment and supervision must be readily available in case of a rare anaphylactic event. This vaccine should not be given as an intramuscular injection to individuals with thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injection, but may be given subcutaneously if the potential benefit clearly outweighs the risks of administration. Prevenar 13 will only protect against Streptococcus pneumoniae serotypes included in the vaccine, and will not protect against other microorganisms that cause invasive disease, pneumonia, or otitis media. As with any vaccine, Prevenar 13 may not protect all individuals receiving the vaccine from pneumococcal disease. Individuals with impaired immune responsiveness, whether due to the use of immuno-suppressive therapy, a genetic defect, human immunodeficiency virus (HIV) infection, or other causes, may have reduced antibody response to active immunization. Safety and immunogenicity data are available for a limited number of individuals with sickle cell disease, HIV infection, or with an HSCT. Safety and immunogenicity data for Prevenar 13 are not available for individuals in other specific immuno-compromised groups (e.g., malignancy or nephrotic syndrome) and vaccination should be considered on an individual basis. Infants and children aged 6 weeks to 5 years: Prevenar 13 does not replace the use of 23-valent pneumococcal polysaccharide vaccine in at risk children ≥ 24 months of age. Children ≥ 24 months of age at high risk, previously immunised with Prevenar 13 should receive 23-valent pneumococcal polysaccharide vaccine whenever recommended. The potential risk of apnoea and the need for respiratory monitoring for 48-72 hours should be considered when administering the primary immunisation series to very premature infants (born ≥ 28 weeks of gestation) and particularly for those with a previous history of respiratory immaturity. When Prevenar 13 is administered concomitantly with Infanrix hexa (DTPa-HBV-IPV/Hib), the rates of febrile reactions are similar to those seen with concomitant administration of Prevenar (7-valent) and Infanrix hexa. Increased reporting rates of convulsions (with or without fever) and hypotonic hyporesponsive episode (HHE) were observed with concomitant administration of Prevenar 13 and Infanrixhexa. Antipyretic treatment should be initiated according to local guidelines for children with seizure disorders or with a history of febrile seizures and for all children receiving Prevenar 13 simultaneously with vaccines containing whole cell pertussis. Adults aged 50 years and older: When Prevenar 13 was given concomitantly with trivalent inactivated influenza vaccine (TIV), the immune responses to Prevenar 13 were lower compared to when Prevenar 13 was given alone, however, there was no long-term impact on circulating antibody levels. The immune responses to Prevenar 13 were noninferior when Prevenar 13 was given concomitantly with quadrivalent inactivated influenza vaccine (QIV) compared to when Prevenar 13 was given alone. As with concomitant administration with trivalent vaccines, immune responses to some pneumococcal serotypes were lower when both vaccines were given concomitantly. Fertility, Pregnancy & Lactation: There are no data from the use of pneumococcal 13-valent conjugate in pregnant women. It is unknown whether pneumococcal 13-valent conjugate is excreted in human milk. Animal studies do not indicate direct or indirect harmful effects with respect to reproductive toxicity. Side Effects: Analysis of postmarketing reporting rates suggests a potential increased risk ofconvulsions, with or without fever, and HHE when comparing groups which reported use of Prevenar 13 with Infanrix hexa to those which reported use of Prevenar 13 alone. Adverse reactions reported in clinical studies or from the post-marketing experience for all age groups are listed in this section per system organ class,in decreasing order of frequency and seriousness. The frequency is defined as follows: very common (≥ 1/10), common (≥ 1/100 to < 1/10), uncommon (≥ 1/1,000 to < 1/100), rare (≥ 1/10,000 to < 1/1,000), very rare (≤ 1/10,000), not

known (cannot be estimated from available data). Infants and children aged 6 weeks to 5 years: Very common (≥ 1/10): Decreased appetite, fever, pyrexia, irritability, any vaccination-site erythema, induration/swelling or pain/tenderness, somnolence, poor quality sleep. Vaccination-site erythema or induration/swelling 2.5cm – 7.0 cm (after the booster dose and in older children [age 2-5 years]. Common (≥ 1/100 to < 1/10): Vomiting, diarrhoea, rash, pyrexia >39 °C, vaccination-site movement impairment (due to pain), vaccination-site erythema or induration/swelling 2.5cm – 7.0cm (after infant series). Uncommon (≥ 1/1,000 to < 1/100): Convulsions (including febrile convulsions), urticaria or urticaria-like rash, vaccination-site erythema, induration/swelling >7.0cm, crying. Rare: Hypersensitivity reaction including face oedema, dyspnoea, bronchospasm, hypotonic-hyporesponsive episode. Not known: Lymphadenopathy (localised to the region of the vaccination site), anaphylactic/anaphylactoid reaction including shock, angioedema, erythema multiforme, vaccination site urticaria, vaccination-site dermatitis, vaccination-site pruritus, flushing. In clinical studies infants vaccinated at 2, 3 and 4 months of age, fever ≥ 38°C was reported at higher rates among infants who received Prevenar (7-valent) concomitantly with Infanrix hexa than in infants receiving Infanrix hexa alone. After a booster dose at 12 and 15 months of age, the rate of fever ≥ 38°C was greater in infants who received Prevenar (7 valent) and Infanrix hexa at the same time compared to infants receiving Infanrix hexa alone. These reactions were mostly moderate (less than or equal to 39°C) and transient. Additional information in special populations: Apnoea in very premature infants (≤ 28 weeks of gestation). Children and adolescents aged 6 to 17 years of age: Very common (≥ 1/10): Decreased appetite, irritability, any vaccination-site erythema, induration/swelling or pain/ tenderness, somnolence, poor quality sleep, vaccination-site tenderness (including impaired movement). Common (≥ 1/100 to < 1/10): Headaches, vomiting, diarrhoea, rash, urticaria or urticaria-like rash, pyrexia. Additional information in special populations: Children and adolescents with sickle cell disease, HIV infection or an HSCT transplant have similar frequencies of adverse reactions, except that headaches, vomiting, diarrhoea, pyrexia, fatigue, arthralgia, and myalgia were very common. Adults ≥18 years of age, and the elderly: Very common (≥ 1/10): Decreased appetite, headaches, diarrhoea, vomiting,(in adults aged 18 to 49 years), rash, chills; fatigue; vaccination-site erythema; vaccination-site induration/swelling; vaccination-site pain/tenderness (severe vaccination-site pain/ tenderness very common in adults aged 18 to 39 years); limitation of arm movement (severe limitation of arm movements very common in adults aged 18 to 39 years), arthralgia; myalgia. Common (≥ 1/100 to < 1/10): Vomiting (in adults aged 50 years and over), pyrexia(very common in adults aged 18 to 29 years). Uncommon (≥ 1/1,000 to < 1/100): Nausea, hypersensitivity reaction including face oedema, dyspnoea, bronchospasm, lymphadenopathy localized to the region of the vaccination site. Additional information in special populations: Adults with HIV infection have similar frequencies of adverse reactions, except that pyrexia and vomiting were very common and nausea common. Adults with an HSCT have similar frequencies of adverse reactions, except that pyrexia and vomiting were very common. For full prescribing information see the Summary of Product Characteristics. Legal Category: S1A. Package Quantities: Pack of 1 single-dose prefilled syringe (with separate needle) or pack of 10 single- dose pre-filled syringes. Marketing Authorisation Numbers: Single-dose pre-filled syringe (with separate needle) pack of 1: EU/1/09/590/002, single-dose pre-filled syringe pack of 10: EU/1/09/590/003. Marketing Authorisation Holder: Pfizer Europe MA EEIG, Boulevard de la Plaine 17, 1050 Bruxelles, Belgium. For further information on this medicine please contact: Pfizer Medical Information on 1800 633 363 or at EUMEDINFO@pfizer.com. For queries regarding product availability please contact: Pfizer Healthcare Ireland, Pfizer Building 9, Riverwalk, National Digital Park, Citywest Business Campus, Dublin 24 + 353 1 4676500. Date of preparation: 11/2018. *Trade mark. Ref: PN 11_0 IE.

Call 1890 44 44 44 or search Vhi

References: 1. Prevenar 13 Suspension for Injection. Summary of Product Characteristics. 2. Shea K, Edelsberg J, Weycker D, et al. Rates of Pneumococcal Disease in Adults with Chronic Medical Conditions. Open Forum Infectious Disease. 2014;1-9. 3. Bonten M.J.M., Huijts S.M, Bolkenbaas M, et al. Polysaccharide Conjugate Vaccine Against Pneumococcal Pneumonia in Adults. The New England Journal of Medicine. 2015;372:1114-25. 4. Pfizer Inc. Press Release Mar 18, 2015.

Terms and conditions apply. Vhi Healthcare DAC trading as Vhi Healthcare is regulated by the Central Bank of Ireland and is tied to Vhi Insurance DAC for health insurance in Ireland. Ad 1052

Date of Preparation: February 2021 | PP-PNA-IRL-0006

250644_1C_Pfizer_JM_IHCA 22.indd 1 IHCA 2022 Endpapers 1+4.indd 2 IHCA Ad template.indd 1

30/04/2021 13:10 11:12 17/09/2021

250493_1C_VHI_JM_IHCA IHCA Ad template.indd 1 22.indd 1 1018864 Vhi ProofPoints A4 IHCA Yearbook.indd 1

04/05/2021 13:10 13:02 17/09/2021 21/09/2021 14:41 28/04/2021 12:06

INDICATED FOR THE PREVENTION OF PNEUMOCOCCAL PNEUMONIA IN ADULTS

Our members are accessing a range of healthcare services every day

IN ADULTS AGED ≥ 65 YEARS

With each additional comorbid condition, the risk for pneumococcal pneumonia multiplies compared to healthy adults of the same age2 These underlying conditions included2: Alcoholism Asthma

1 underlying condition

2 underlying conditions

>3 underlying conditions

Chronic cardivascular disease Chronic liver disease

2.1x increased risk

4.2x increased risk

9.2x

Chronic pulmonary disease

increased risk

Current smokers Diabetes

1,3

Help prevent pneumococcal pneumonia with the proven protection of Prevenar 13

Call 1890 44 44 44 or search Vhi

Terms and conditions apply. Vhi Healthcare DAC trading as Vhi Healthcare is regulated by the Central Bank of Ireland and is tied to Vhi Insurance DAC for health insurance in Ireland. Ad 1052

Date of Preparation: February 2021 | PP-PNA-IRL-0006

250644_1C_Pfizer_JM_IHCA 22.indd 1 IHCA 2022 Endpapers 1+4.indd 2 IHCA Ad template.indd 1

30/04/2021 13:10 11:12 17/09/2021

250493_1C_VHI_JM_IHCA IHCA Ad template.indd 1 22.indd 1 1018864 Vhi ProofPoints A4 IHCA Yearbook.indd 1

04/05/2021 13:10 13:02 17/09/2021 21/09/2021 14:41 28/04/2021 12:06

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 1

17/09/2021 10:10

Maven Financial Planning Maven Financial Planning is one of Ireland’s leading financial planning and advisory firms. Maven provides impartial financial advice on pensions, savings, investments and protection including estate planning for clients. The team at Maven Financial planning are both professional and experienced who are committed to gathering relevant information and recommending the most suitable products to clients.

Your Financial Life Journey

Getting Started

The Prime of Life

Changing Priorities

Living the Dream

Our Solutions

Financial Protection

Lifelong Financial Planning

Investment Planning

Retirement Planning

Key Contact; Padraig Kelly, Director of Maven Financial Planning Padraig is a Chartered Accountant with over 20 years’ experience working in the professional services area. Areas of expertise include Financial Planning, Wealth creation, Wealth preservation, Public sector pensions, Group pensions. Padraig is a fellow of the Institute of Chartered Accountants and a Qualified Financial Advisor. He also holds the internationally recognised CFP® accreditation which is the highest qualification an individual working in this area can attain.

MAVEN FINANCIAL PLANNING LTD T/A MAVEN FINANCIAL PLANNING IS REGULATED BY THE CENTRAL BANK OF IRELAND

IHCA Ad template.indd 1 250300_1C_Maven Financial_JM_IHCA 1 249443_1C_Maven_JM_Cons Q3.indd 22.indd 1

091 769566 087 2030913 Block 3 Galway Financial Services Centre, Moneenageisha Road, Galway

17/09/2021 10/08/2021 14:20 26/08/2020 13:05 09:46

2022 Yearbook & Diary

Heritage House, Dundrum Office Park, Main Street, Dundrum, D14 C2R2 Telephone: +353 1 298 9123 Fax: +353 1 298 9395 Email: info@ihca.ie Web: www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 3

17/09/2021 10:10

Mater Private Network

Consultant Clinics Cardiac Testing Diagnostic Imaging Treatment Planning

in two new locations Northern Cross | Cherrywood Mater Private Northern Cross Newenham House Northern Cross, Dublin 17 D17 AY61

Referrals

Mater Private Cherrywood Building 11, Cherrywood Business Park, Loughlinstown Dublin 18, D18 DH50

- eReferrals | HealthLink - dayhospital@materprivate.ie 1800 12 48 16

www.dayhospital.ie 11567Ad MPN One visit A41advert update.indd IHCA template.indd 250533_1C_Mater Private_JM_IHCA 22.indd 11

25/03/2021 13:06 14:25 17/09/2021 11/06/2021 12:14

PERSONAL DETAILS Name: Hospital: Address:

Tel: Fax: Email: Medical Council Reg. No.: MPS/Challenge/MDU/Medisec-MedPro Reg. No.: Vhi Dr No.: Laya Healthcare Dr No.: Irish Life Health Dr No.:

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 5

17/09/2021 10:11

Contents 9

End of Year Checklist

President’s Address

Minister for Health Foreword

Members’ Handbook Contents

Consultants’ Common Contract 2008 – Enabling Circular

Consultants’ Common Contract 2008

Professional Directory

Medical Indemnity Organisations Health Insurers & Medical Council

72 IHCA National Council 2021-2022 73

IHCA Officer Board 2021-2022

74 Voluntary & Support Organisations

Charts & Tables

Errors and Omissions Disclaimer: While every effort has been made to ensure that all information contained in this yearbook is accurate and correct at time of publication, errors, omissions, or discrepancies may have occurred in preparation of the manuscript. Ashville Media Group and the Irish Hospital Consultants Association cannot accept any liability for loss, distress or damage resulting from errors or omissions. © 2020/2021

Published on behalf of The Irish Hospital Consultants Association by Ashville Media Group • Tel: (01) 432 2200 • www.ashville.com

001-073_IHCA Client Section 2022_V2.indd 6

www.ihca.ie

17/09/2021 16:04

Advertorial Feature Looking after ourselves By Dr Ian Lavelle, Medicolegal Consultant at Medical Protection

The COVID-19 pandemic has altered the working environment and the treatment and care of patients for both publicly employed and private practitioners, whether it is continuing to provide care in an overwhelmed system, adapting to the challenges of teleconsulting, or loss of private income with subsequent financial hardship. Despite the light and hope at the end of the tunnel, the situation remains serious. Both clinicians and healthcare systems remain stretched to capacity due to tackling the referral backlog, and the potential for further COVID-19 viral mutations are a source of ongoing concern. We know the cyberattack on the HSE computer systems in May also undoubtedly placed further strain on doctors. It is for these reasons that Medical Protection is continuing to support members when it comes to wellbeing and psychological health. It is not always easy to notice when your mental wellbeing may be suffering, or know what to do to improve it. It’s not always easy to notice when your mental wellbeing may be suffering or to know what to do to improve it. So, we’re making it easier for you to assess your own wellbeing and get support if you need it.It’s not always easy to notice when your mental wellbeing may be suffering or to know what to do to improve it. So, we’re making it easier for you to assess your own wellbeing and get support if you need it.It’s not always easy to notice when your mental wellbeing may be suffering or to know what to do to improve it. So, we’re making it easier for you to assess your own wellbeing and get support if you need it.Our wellbeing hub helps you to assess your own wellbeing and get support if you need it, through a range of resources such as podcasts, webinars and our e-care app. We’ve partnered with ICAS International to give you access to immediate practical support. You can download the ECare app for a personalised wellness service and talk one-on-one to a licensed counsellor through a free and confidential service.We also continue to offer a free, confidential counselling service for members experiencing work-related stress. This service, in partnership with ICAS International, gives you immediate access to support from a licensed counsellor. As the healthcare profession and the public continue to grapple with the pandemic and its consequences, the ongoing concerns regarding the wellbeing of doctors are unlikely to abate. COVID-19 has unfortunately exacerbated an issue that has been with us for a long time, yet is seldom spoken about due to the associated perceived stigma. The Practitioner Health Matters Programme – a confidential service to doctors, dentists and pharmacists who may be experiencing stress, burnout, mental health or substance abuse issues – found that the demand for

IHCA Ad template.indd 1 1C_MPS_IHCA_2022_V1.indd 12

support has increased by 50%.i In May, the Medical Council also launched a doctor wellbeing campaign highlighting how important it is for doctors to care for themselves in the midst of the pandemic. The campaign focuses on the importance of doctors having a GP and seeking support when needed, in order to continue to care for and treat their patients safely.ii All in all, there are a range of support services, resources and helplines offering support to healthcare professionals. The real challenge is to recognise that despite the workload and pressure, our mental wellbeing should take priority. Just as we currently prioritise the work that we do in providing healthcare, so should we prioritise the activities that improve our overall wellbeing and contentment. Without timely support with the array of mental wellbeing concerns, sadly doctors may be at risk of becoming disillusioned or will suffer in silence - both of which put the safety of themselves and their patients at risk. Find out more about Medical Protection’s wellbeing resources and counselling service at: www.medicalprotection.org/ireland/wellbeing

17/09/2021 11/08/2021 13:06 11:39

C O R K

D U B L I N

280k Patients

bonsecours.ie

Organization Accredited by Joint Commission International

IHCA Ad template.indd 1 250535_1C_Bons Secours_JM_IHCA 22.indd 1

G A LWA Y

JCI Accreditations

L I M E R I C K

410

Consultants

T R A L E E

3000 Employees

Advanced Medicine Exceptional Care

17/09/2021 01/06/2021 13:07 15:41

End of Year Checklist

Item

Check

Medical Council Requirements

Ensure you adhere to all Medical Council registration requirements.

Medical Indemnity & Direct Debit Payments

Ensure that any payment made by Direct Debit is actually processed by your bank. This is particularly important in the case of medical indemnity and Medical Council registration fees.

Basic Salary

Check that your annualised salary corresponds with the latest Salary Scale for your contract type.

B Factor

Check that you are receiving the appropriate B Factor for your on-call rota and rate of call out. Note for those on 1:1, 1:2 and 1:3 rotas, higher allowances are payable.

Structured Weekend Attendance and C Factor

Check that all structured weekend attendance and C Factor claims have been submitted and paid. Where claims have not been paid send a reminder to your employer.

Rest Days

Check that you have claimed and have been paid for your rest day entitlements where not taken as leave.

Annual Leave

Notify your employer of any untaken annual leave for current year. Payment should be sought for any untaken leave not rolled over.

Travel & Subsistence

Ensure all outstanding claims for travel and subsistence have been submitted and paid. Note: travel expense is claimable for C Factor calls in the hospital.

CME Allowance

Members are advised to claim their CME Allowance before the end of the year. Your College and CPD fees are eligible costs. Those who have accrued unutilised CME funding should write to their employer to carry it over to 2022.

Phone

Ensure that rental on mobile or landline is claimed and paid by employer when due.

Flat-Rate Expense Allowance

Check that you are benefiting from the 695 flat-rate expense allowance in your tax credits each year. You can claim a tax rebate for the previous four years.

Statement of Interest under the Ethics Act

Interests that could materially influence you in the performance of your contract must be declared under Ethics in Public Office Legislation.

Tax Clearance Cert

All Consultants must within nine months of their date of appointment provide a Tax Clearance Certificate and Statutory Declaration to the Standards in Public Office Commission.

Health Insurers’ Schedules

Review the three main insurers’ schedules and the procedures codes that you claim regularly.

Health Insurers Payments

Reconcile all outstanding claims and payments with private health insurers, paying particular attention to pended claims. Check F45 forms supplied by health insurers to ensure that the Professional Services Withholding Tax amounts are consistent with own accounts.

Medico Legal Fees

Review medico-legal fees and notify requesting solicitors accordingly – see Pro Forma letter on page 23.

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 9

17/09/2021 10:13

President’s Address Dear Colleagues, It gives me great pleasure to introduce the 25th edition of the IHCA Yearbook and Diary. As Consultants reflect on another year of being front and centre providing care to patients in an extremely challenging environment, the hoped-for silver lining for 2022 is that their hard work and dedication, together with the resilience of the public and the ongoing roll-out of the vaccine, will mean that the darkest days of the pandemic are behind us. But there are still many challenges ahead. My hope for 2022 is that the State will take the right decisions to enable the country to recover from Covid and the cyberattack in a stronger position. This will require practical solutions to address the acute hospital capacity deficits that have existed for over a decade in beds, staffing, facilities and ICT. These deficits have been exposed in stark terms over the past two years. The Association is engaging with the government, Minister for Health and the health service management on those issues. Addressing these crucial deficits is of paramount importance for the country in so many respects, including the provision of timely care to patients. We have been very vocal on the tsunami of missed care faced by Consultants and their patients due to Covid. Added to this, the cyberattack on the HSE and public hospitals had a devastating impact on the health service’s ability to treat and manage patients. There is a high risk, in the aftermath of the extraordinary challenges we have all experienced since March 2020, that accumulated stress, health and wellbeing problems will adversely impact on healthcare staff. Returning to the stressful overstretched ‘business as usual’ model is not an option if we are to avoid an even worse workforce crisis than was the case pre-Covid. At the time of writing in July, the Association had held initial meetings with Department of Health and HSE officials concerning the scheduling of negotiations on ending the 2012 pay inequity and proposed terms for a new consultant contract. The timing of the meetings, after such an unprecedented period in the health service, could not have been more crucial. There were almost one million people on waiting lists and around one in five permanent consultant posts remain unfilled. Promised additional beds and essential increases in hospital capacity have been slow to materialise. It is critically important to ensure a successful outcome in those negotiations to fill the vacant consultant posts and expand the capacity to reduce waiting list and provide timely high-quality care to patients. The Association will continue to strongly advocate for you and the patients under your care. At the IHCA Annual Conference in October 2020, the Association welcomed the ‘unambiguous commitment’ by Minister for Health Stephen Donnelly to address the root causes of Ireland’s chronic consultant recruitment and retention crisis, including the restoration of full pay parity. Several Cabinet members have made the same commitment. It is a major concern that these commitments had not been honoured when writing this message. The failure to end the pay inequity imposed on consultants contracted since 2012 has significantly undermined trust. It is driving our highly trained specialists away from our public hospitals. We need to attract and recruit these specialists to fill the high proportion of vacant consultant positions. They are choosing to pursue their hospital careers in other countries that do not discriminate against them and provide them with the resources to treat patients on time. The solutions are ‘’hiding in plain sight.’’ The government must embrace them and implement them, so that our public health service becomes a more attractive place to work. If the government does not honour its commitments to end the inequity and address the deficits, Sláintecare will amount to little more than business as usual. The Covid pandemic has clearly demonstrated that inflexible policies and ideologies will impede, not enable, solutions. This is equally true in contract negotiations and the delivery of acute hospital care. On behalf of my National Council colleagues and the staff of the Association, I would like to take this opportunity to thank you for your continued support. We look forward to successfully addressing the concerns of our members in the year ahead. Finally, I wish you and your families a happy and successful 2022. Alan Irvine, President

001-077_IHCA Client Section 2022_V1 REV4.indd 10

www.ihca.ie

17/09/2021 10:13

IHCA Ad template.indd 1 250514_1C_Beacon Hospital_JM_IHCA 22.indd 1

17/09/2021 30/06/2021 13:07 15:57

Minister for Health Foreword The past two years have placed unprecedented demands and challenges on the medical profession. The year 2020, marked by the onset of the Covid-19 crisis, put our health system under enormous pressure. Those challenges continued into 2021. Throughout it all you demonstrated commitment, resilience and dedication. You continued to show these qualities in meeting the very significant challenges that followed the May 2021 cyber-attack. Consultants and other staff have gone to extraordinary lengths to continue providing essential and indeed life-saving care to those who needed it. The response of IHCA members and all our healthcare workers to Covid-19 has been vital. The government is hugely grateful for your commitment to our health service and the people of Ireland during this challenging period. The recent shocks we have experienced have shown just how dedicated Ireland’s health and social care workforce is to providing excellent frontline care. They have highlighted the energy and appetite for change that exists, particularly where we have seen the use of virtual clinics and telehealth, as well as the continued development of alternative care pathways to ensure that patients received their care in a safe and fitting manner. Our waiting lists present us with another very significant challenge. They have worsened during the pandemic and were also negatively impacted by the cyber-attack. Addressing the backlogs caused by the pandemic are an absolute priority for Government.The HSE continues to embrace practices such as telemedicine, use of private hospitals, an increased focus on community and alternative outpatient settings in order to limit the damage done and ensure that care is maintained for those that need it. Many of the changes we have seen throughout the pandemic have embodied the core Sláintecare principle of delivering the right care, in the right place, at the right time. The new Sláintecare Implementation Strategy and Action Plan 2021-2023 sets out the priorities and actions for the next phase of the reform programme. The aim is to deliver a universal health service that offers the right care, in the right place, at the right time, at low or no cost to the patient at the point of delivery. Notwithstanding the significant difficulties we have faced, our response to the Covid-19 pandemic has also highlighted the many strengths of the health system. As part of Budget 2021, some €1.235 billion was allocated for specific Sláintecare initiatives. These include increasing acute and community bed capacity, providing enhanced care in the community, enabling better access to diagnostics, providing additional home supports, streamlining care pathways, and developing a multi-annual waiting list plan. Real progress is being made. We have added significant acute bed and critical care capacity. We have 6,000 more staff than we had in Summer 2020. We have and are continuing to strengthen our public health function, including the appointment of consultants in public health medicine. We are investing heavily in our clinical strategies and we will continue to do so. We funded an additional 5 million additional home support hours this year to help support people in their own homes and keep them out of hospital. There has been a dramatic reduction in waiting times for access to homecare. We are now providing a structured pathway for GPs to directly access diagnostic tests. While Covid-19 continues to be a cause of concern, the huge success of the vaccination programme, and our collective efforts to contain the spread of the virus, means that we are in a much more positive and hopeful place than this time last year. The resilience and agility shown by staff, in adapting to master once-in-a-lifetime challenges, has been truly remarkable. I would like to again acknowledge the enormous efforts and commitment shown by IHCA members, who continue to demonstrate their dedication, compassion and courage every day, for which I sincerely thank you.

Stephen Donnelly, TD, Minister for Health

001-073_IHCA Client Section 2022_V2.indd 12

www.ihca.ie

07/10/2021 10:40

Members’ Handbook Contents PAGE NO. 14

INTRODUCTION IHCA - Brief History - Basic Rules

15 16

- Retired Consultants - Services Offered - Public Appointments - Consultants’ Common Contract - Probation - Joint Appointments - Pension Arrangements - Existing Superannuation Scheme Members - Single Public Service Pension Scheme Members - Standard Fund & Personal Fund Thresholds - Early Retirement - Travel & Subsistence Expenses - Continuing Medical Education (CME) - Out of Hours Service - Rest Days

PRIVATE PRACTICE

MEDICAL INDEMNITY

MEDICO-LEGAL MATTERS

RESOURCE LIMITATIONS

DATA PROTECTION & PATIENT CONFIDENTIALITY

POST-MORTEMS & INQUESTS

REPRESENTATIONAL ASSISTANCE

HEALTHY IRELAND FRAMEWORK

GOVERNMENT HEALTH POLICY

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 13

FOR

CONSULTANTS

17/09/2021 10:16

Members’ Handbook

INTRODUCTION The Members’ Handbook is provided to all members of the Irish Hospital Consultants Association. It is a useful resource which will assist members to quickly identify key features and entitlements arising from their appointments, whether public or private. It also provides an outline of the services that the Association offers to its members. Members are encouraged to avail of these services by contacting the Secretariat as and when necessary.

IRISH HOSPITAL CONSULTANTS ASSOCIATION Brief History Initial steps to establish the Irish Hospital Consultants Association were taken in 1988. Hospital Consultants at that time felt that their needs were not being adequately represented by existing representative bodies and so formed their own Association. Since then the organisation has thrived, representing members’ interests in contractual and broader medico-political matters. It is also steadfast in its advocacy of patients’ interests. The Association currently represents 3,200 Hospital Consultants, around 95% of the total in the Irish health service. It is the only representative body in Ireland that speaks solely for hospital consultants.

Basic Rules There are different classes of membership with varying rights and entitlements. Membership of the Association is open to the following: (a) The members of the Association shall either: (aa) Hold a current enrolment on the Irish Medical Register or Irish Dental Register and be: (i) Hospital Consultants who have subscribed to and paid in full the annual membership fee to the Association at the date of adoption of these Rules; or (ii) Consultants who are holders of the Common Contract; or (iii) Medically qualified Consultants in hospital practice who though not holding the Common Contract, are eligible to hold a Comhairle na n-Ospidéal/Health Service Executive structured public appointment; or (iv) Academic Dental Consultants referred to in Paragraph 8.8 of Report Number 36 of the Review Body on Higher Remuneration in the Public Sector; or (v) Consultant Orthodontists and Consultant Oral Surgeons in public hospital practice; or

001-077_IHCA Client Section 2022_V1 REV4.indd 14

(ab) be Top-Grade Bio-Chemists of Consultant status as defined in correspondence from the Department of Health of January 17 1972 (reference A155-42) and who hold posts structured by Comhairle na n-Ospidéal/the Health Service Executive. or (ac) be life members appointed by the National Council pursuant to Rule 3(e). (b) In addition to the above, no person shall be eligible for membership of the Association unless they are either registered on, or eligible to be registered on, the Specialist Division of the Register of Medical Practitioners or the Register of Medical Specialists as maintained by the Irish Medical Council, save for the following groups of persons who are exempt from this requirement: (i) Top-Grade Bio-Chemists of Consultant status as defined in correspondence from the Department of Health of January 17 1972 (reference A155-42) and who hold posts structured by Comhairle na n-Ospidéal/the Health Services Executive; (ii) Academic Dental Consultants referred to in Paragraph 8.8 of Report Number 36 of the Review Body on Higher Remuneration in the Public Sector; (iii) Consultant Orthodontists and Consultant Oral Surgeons in public hospital practice; and (iv) Existing fully paid up members of the Association who were accepted as members by the Association prior to Oct 4 2008.

(c) Associate Members (ca) Doctors who have not yet been appointed to a Consultant post and who meet the requirements outlined in this subsection will be eligible to apply for Associate Membership of the Association in which case none of the requirements outlined above in Sections (a) or (b) will apply. An Associate Member is required to: (i) Hold or have previously held enrolment on the Irish Medical Register or Irish Dental Register; and (ii) Have commenced in or completed the final year of his or her specialist training; or (iii) Have received a Certificate of Satisfactory Completion of Specialist Training from an Irish Postgraduate Training Body. (cb) An Associate Member will be eligible to receive such advice, representation and other services from the Association as may be determined by the National Council at its absolute and sole discretion from time to time. The National Council will determine the annual membership fee, if any, to be charged for Associate Membership and the nature of voting rights, if any, attached to such membership.

www.ihca.ie

17/09/2021 10:16

Members’ Handbook

(cc) A person shall ipso facto cease to be an Associate Member of the Association with immediate effect upon the happening of any of the following: (a) upon resignation in writing; or (b) upon death; or (c) upon failure to pay the annual membership fee, if any, for the time being in force to the Association in the manner prescribed by the National Council; or (d) upon expulsion pursuant to Rule 5 hereof; or (e) upon a decision by the National Council to cease his or her Associate Membership for such reason or reasons as it may at its absolute and sole discretion consider appropriate. (cd) The procedure for the expulsion of an Associate Member will operate in accordance with Rule 5 save that an Associate Member will not have any voting rights. (ce) For the avoidance of doubt, with the exception of Rule 5 as referenced in subparagraph (cd) above and Rule 12(a), all other references in these Rules to a member will be read and construed as a reference to a member who satisfies the requirements outlined in Section (a) and (b). (d) No person shall, for the purposes of these Rules, be deemed to be a member of the Association or be entitled to exercise or receive any of the benefits or privileges of membership (including the right to be present and vote at any general meeting of the Association) unless and until he has paid in full the annual membership fee as determined from time to time by the National Council in such manner as is determined by the National Council. (e) The amount of annual membership fee and the manner of payment thereof for Hospital Consultants who have reached retirement age under the Common Contract or who had they held such Contract would be deemed to have reached retirement age thereunder or academic Dental Consultants referred to in Rule 3(a) (aa)(iv) who have either reached or deemed to have reached retirement age shall be determined from time to time by the National Council. The National Council shall have power to grant such members who have reached retirement age as outlined in this Rule and who have been members of the Association for each of the five years immediately prior to reaching such retirement age life membership upon payment of a lump sum and upon satisfying such conditions as the National Council may in its discretion impose and such life members shall not be liable for annual membership fee of whatever nature thereafter.

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 15

RETIRED CONSULTANTS Members who reach retirement age under the Common Contract or who, had they held such a Contract, would be deemed to have reached retirement age thereunder, may become life members of the Association on payment of a once-off fee, provided they were fully paid up members during the preceding five years. Life members are entitled to the same rights and privileges of membership as full members, including the right to vote at general meetings and in elections to National Council. The National Council is obliged to co-opt a life member to membership of the National Council with effect from June 2000. Termination of Membership A person shall ipso facto cease to be a member of the Association with immediate effect upon the happening of any of the following events: (a) upon resignation in writing; or (b) upon death; or (c) upon failure to pay the annual membership fee for the time being in force to the Association in the manner prescribed by the National Council; or (d) upon removal for whatever reason from the Irish Medical Register (other than pursuant to an order granted under the Medical Practitioners Act, 1978, or the Medical Practitioners Act, 2007); or the Irish Dental Register (other than pursuant to an application pursuant to Section 44 of the Dentist’s Act, 1985) where the decision of the Medical Council or the Dental Board (as appropriate) to remove the member from such register is not the subject of an appeal by such member to the High Court, prosecuted with due diligence; or (e) upon expulsion pursuant to Rule 5 hereof; or (f) upon ceasing to qualify for membership of the Association pursuant to Rule 3(a) or life membership referred to in Rule 3(d) of these Rules.

17/09/2021 10:16

Members’ Handbook National Council The National Council manages the affairs of the Association. The Council consists of 30 members; 25 members are directly elected and the remaining five are co-opted. Members of Council hold office for a period of four years. They may be re-elected for a further period of four years after which they must resign. The members of Council are representative of eight regions whose functional areas coincide with the corresponding former Health Board functional areas.

PUBLIC APPOINTMENTS Health Service Executive

The co-opted members are appointed so that there is representation on Council from the following specialties: • Anaesthesiology • Surgery • Obstetrics/Gynaecology • Paediatrics • Psychiatry • Medicine • Radiology • Pathology One of the co-opted members must be a life member of the Association.

Consultants’ Common Contract

In addition to the Council, a full-time Secretariat is employed. The Secretary General, Assistant Secretary General, Senior Executive Officer and Senior Policy & Research Executive are supported by an administrator and secretaries.

Services Offered The Association provides a broad range of services to members, including: • Contract negotiations with health service employers and other bodies; • High level representation and advice to members on contract, employment and industrial relations issues; • Local negotiations with health service employers in the context of resourcing issues, workplace disputes and grievances; • Representation of members’ views through the Association’s advocacy and communications function including publication of policy submissions, national circulars, press statements and member surveys; • Detailed guidance for members on a range of issues including private practice, health insurance, superannuation, taxation, GDPR and medico-legal concerns; • A range of financial risk products through the Association’s group scheme. The Association represents the views of Consultants through the formulation of policy documents and position papers on a wide range of issues affecting acute hospital services, mental health services, and patient care.

001-073_IHCA Client Section 2022_V2.indd 16

The number and range of Consultant appointments in the public sector in Ireland are regulated by the Health Service Executive. As of April 2021 there were 3,495 WTE approved Consultant posts in the public health system under public contract. There are an estimated 550 Consultants in full-time private practice in Ireland. The granting of admitting rights and/or practice privileges to Consultants in private hospitals is a matter for each individual hospital.

Each Consultant with a public appointment works under the Consultants’ Common Contract. The terms of the 2008 Consultant Contract were agreed between the Health Service Executive, on behalf of all employers, and the Irish Hospital Consultants Association on behalf of Consultants. The terms and conditions of this contract apply to all new appointees with effect from 1 June 2008. Each Consultant and his/her employer sign a copy of the contract. Sections 2(a), 5 and 8(a) along with the HSE letter of approval (Appendix I) are unique to each individual Consultant. These should be carefully checked prior to signing to ensure accuracy. The Association will assist in this process. Section 2 identifies the employer’s name and address, the Consultant’s name and address, the title of the post and the agreed start date. Section 5 identifies the type of contract being offered. Section 8(a) identifies the employer and the location(s) in which the Consultant will work. The location(s) should be a physical location and not the name of a service.

Probation Public sector appointments are permanent and pensionable. Appointees are, however, subject to a 12-month probationary period. This may be extended at the employer’s discretion. At the end of your probationary period the employer shall certify that your service has been satisfactory and confirm your appointment or give stated reasons why it has not and you will cease to hold the appointment. In the event of a Consultant moving from one public appointment to another, he or she will not be required to serve more than 12 months’ probation in the aggregate.

Joint Appointments A number of posts in Ireland are structured as joint appointments. Consultants holding such posts have two employers with the commitment to be devolved to each employer being decided by the HSE. This will be indicated by way of sessional split in the letter structuring the post. If you hold a joint appointment, e.g. with a University and a hospital, your holding of one part of the post is contingent on you holding the other part also.

www.ihca.ie

07/10/2021 10:42

It’s time to move to Medisec Contractual occurrence insurance

Outstanding competitive cover

Unsurpassed financial strength

Thanks to our new business relationship with MedPro, we can now offer contractual occurrence professional indemnity insurance to consultant doctors. It has never been easier to switch so to find out more, call us today and we will be happy to talk you through all the benefits of membership.

Consent to settle

24/7 Local expert advice

Call Ruth Shipsey 087 264 8245 or Niall Rooney 086 781 5615 or visit medisec.ie

Insurance products are underwritten by Berkshire Hathaway European Insurance DAC trading as MedPro. Berkshire Hathaway European Insurance DAC is a non-life insurance company based in Dublin and regulated by the Central Bank of Ireland. Company Registration No. 636883. All coverage subject to business approval. Medisec Ireland CLG is an intermediary with registered office 7 Hatch Street Lower, Dublin 2. Company Registration No. 216570. Medisec Ireland CLG is regulated by the Central Bank of Ireland.

IHCA Ad template.indd 1 249650_1C_Medisec_JM_IHCA.indd 1

17/09/2021 13:08 04/09/2020 09:36

Members’ Handbook

Pension Arrangements All Consultant posts in the Public Health Sector are pensionable.

Existing Superannuation Scheme Members Consultants who are not new entrants, e.g. Consultants who took up their public appointments before 1 January 2013, are deemed to be superannuated under the pre-existing schemes. There are three main schemes in place, namely: • The Voluntary Hospitals Superannuation Scheme; • The HSE/Local Government Superannuation Scheme; and • The Nominated Health Agency Superannuation Scheme.

A lump sum is payable on retirement. It is calculated at the rate of 3/80th of the final pensionable remuneration for each year of reckonable service up to a maximum of 120/80th. This may be subject to abatement in respect of any period during which the Consultant was not contributing to the Spouse and Child element of the scheme. The first e200,000 of pension lump sum payable on retirement is tax-free. This is a total lifetime limit even if lump sums are taken at different times and from different pension arrangements. Lump sums between e200,001 and e500,000 are taxed at 20%, with any balance over this amount taxed at the marginal rate of income tax and subject to the Universal Social Charge.

Single Public Service Pension Scheme Members There is interchangeability between each scheme. The scheme under which a member is superannuated is contingent on the employer’s status. Consultants who were recruited before 1 April 2004 who previously had a mandatory retirement age of 65 can now remain in employment up to age 70 if they wish. The pension payable on retirement is based on years of reckonable service. 1/80th of the final pensionable remuneration is payable for every completed year of reckonable service up to a maximum of 40/80th. A pro rata adjustment is made for parts of years. The schemes make allowance for the late entry age of consultants into public sector employment by the discretionary award of ‘Professional Added Years’, which can result in an award of additional service calculated as 1/3 of actual service up to a maximum of 10 years at no cost to the member. For new entrants recruited on or after 1 April 2005 an award of up to five years may be granted. Members must purchase all reckonable service e.g. temporary service, for which refunds/gratuity was authorised before granting an award for professional added years. Following the death of a retired Consultant, a pension of 50% of the member’s pension is payable to the spouse. One third of the member’s pension is payable to each dependent child up to a maximum of three children. All service in a pensionable position, including that served during training, counts in arriving at the length of service. NCHDs who leave with less than five years’ service after completion of training may be given a refund of their superannuation contributions if they do not avail of the career break scheme to pursue their training. It is possible to “buy back” this service at a later stage. The Department of Finance issues tables under which credits for these years and appropriate contributions are calculated.

001-073_IHCA Client Section 2022_V2.indd 18

Consultants deemed to be new entrants taking up public appointments after 1 January 2013 are superannuated under the Single Public Service Pension Scheme. Those who are not deemed new entrants continue to be superannuated under their pre-existing scheme (see above). Main features of the Single Public Service Pension Scheme: • career average earnings are used to calculate benefits (a pension and lump sum amount accrue each year and are up-rated each year by reference to CPI) • minimum pension age for most members is linked to the State Pension age (66 years currently; an increase to 67 in 2021 and to 68 in 2028 had been planned, but this is currently under review) • compulsory retirement age of 70 applies for most members • post retirement pension increases are linked to CPI • there is no provision for the award of professional added years. Pension and lump sum are separately accrued each year using the following formulae: Pension: Accruing rate of 0.58% pensionable remuneration up to a ceiling of 3.74 x State Pension Contributory (SPC) (currently e48,457) plus (where applicable) 1.25% of pensionable remuneration above that level. Lump Sum: 3.75% of pensionable remuneration. Contributions to the scheme are deducted at 3.5% of net pensionable remuneration i.e. pensionable remuneration less twice the rate of the State Pension, plus 3% of pensionable remuneration. During the scheme membership, the amounts accrued each year will be increased to reflect the CPI increase between that year and retirement. The annual pension and lump sum payable at retirement will equal the total of these

www.ihca.ie

07/10/2021 10:44

Members’ Handbook

CPI adjusted amounts. The minimum retirement age under this scheme is currently 66 years and retirement becomes compulsory at 70. Members required to retire on medical grounds with less than two years' service will receive a gratuity of 8.5% of pensionable remuneration per year of service. Those with more than 2 years' service will receive an immediate payment of retirement benefits accrued to the point of retirement (with no actuarial reduction). Where a member superannuated under the Scheme dies in service, a lump sum becomes payable to the estate of the deceased member equal to twice the annual pensionable remuneration in the 12 months prior to the date of death. In those circumstances the spouse/civil partner will receive a pension equal to 50% of the member's pension that would have been awarded had the Single Scheme member retired on medical grounds on the date of death. Also, children's benefits is calculated at the rate of one sixth (1/6th) of the member’s pension per eligible surviving child up to three children; and where there are four or more eligible children, a child’s pension, calculated at the rate of one half (1/2) of the member’s pension divided by the number of eligible children, is payable per child. Following retirement, pension increases will be based on increases in the CPI.

Standard Fund Thresholds & Personal Fund Thresholds In 2014, budgetary measures were introduced to reduce the Standard Fund Threshold (SFT) for the capital value of pension funds from e2.3m to e2.0m with effect from 1 January 2014. The reduction in the SFT means that an increased number of hospital consultants could potentially incur a tax liability in respect of the capital value of their superannuation and other pension entitlements at point of retirement. Up until July 2015, a mechanism existed whereby members affected by the SFT reduction could apply for a Personal Fund Threshold (PFT) to protect superannuation entitlements in excess of the SFT, up to a maximum of e2.3m as at 1 January 2014. While the deadline to apply for a PFT has now passed, members may still be eligible to apply for a PFT at point of retirement on a ‘look back’ basis. The ‘look back’ arrangements are relevant for Consultants who receive Professional Added Years as part of their reckonable service at point of retirement. Consultants who have already been issued with a PFT as at either 7 December 2010 or 1 January 2014 may be eligible on foot of the High Court Settlement Agreement (HC-SA) to apply on a ‘look back’ basis for a revised PFT. Those who were not previously eligible to apply for a PFT in either 2010 or 2014 may now be eligible on foot of the HC-SA to apply on a ‘look back’ basis. Members are advised to contact the Secretariat for further information in this regard.

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 19

Early Retirement A Consultant, who commenced employment in the public health service prior to April 2004, may take retirement from age 60 onwards when in normal health. Retirement benefits are based on the salary at retirement and the length of completed service plus added years. There are provisions in all superannuation schemes, including the Single Public Service Scheme, for Consultants to retire on an actuarially reduced pension from age 50 or 55 depending on date of entry. Where a Consultant retires on grounds of ill health and has more than five years’ service, his pension and gratuity is based on completed reckonable service. Further years may be added to reckonable service as follows: • A Consultant with between 5 and 10 years of service may add the equivalent amount of service actually served to a limit of his potential service at age 65. • A Consultant with between 10 and 20 years of reckonable service may add the more favourable of: (a) The difference between actual service and 20 years subject to a limit of potential service at age 65; or (b) 6.67 years subject to a limit of potential service at age 60. • A Consultant with more than 20 years’ service may add 6.67 years to a limit of his/her potential service at age 65. A Consultant with less than five years’ service retiring on ill health grounds will receive a gratuity of 1/12th of salary for each year of service. In addition, if he/she completed service of more than two years, a further 3/80th of salary for every year of service is paid. No pension is payable in these circumstances. Note: There are slightly different arrangements applying in respect of Consultant Psychiatrists working in certain registered mental hospitals. Reckonable service in excess of 20 years may be counted as double and they may retire from age 55 onwards.

Travel & Subsistence Expenses Travelling and subsistence expenses necessarily incurred in the course of a Consultant’s work are paid according to the public sector rates for senior staff. Travel expenses are payable in respect of each emergency call-out and in respect of travel between locations when a Consultant is scheduled to work away from his or her base. Details of the most recent motor travel rates applying domestically are available in DPER Circular 05/2017 which is available on request from the Assocciation, on the IHCA website or from your Human Resources department.

17/09/2021 10:17

Members’ Handbook

Subsistence Allowance (Domestic) Members should note that claims may be made for periods in excess of five hours when a Consultant is absent from his/ her base as part of his/her contractual obligation or when representing his/her employing authority hospital (day allowance). HSE HR Circular 016/2019 outlines revised arrangements for overnight allowances in Dublin. Full details can be found on the IHCA website or from your Human Resources department.

wider range of CME activities, the extension of coverage of course types and the funding of a more extensive range of software and hardware.

Subsistence Allowance (Overseas) Members should be aware of the specific rates of subsistence which are payable for international travel. Details applicable since April 2017 are available in the members section of the website - www.ihca.ie.

The Association’s advice to its members is that the CME entitlements contained in their contracts cannot be diminished or restricted by unilateral communications from the HSE HR office. Members are advised to claim their CME Allowance before the end of the year.

Continuing Medical Education

Out of Hours Service

In April 2014, the HSE issued a revised CME Guidance document with the following proposals: • Continuation of the existing e3,000 CME annual allowance, with provision for the relevant Clinical Director to apply for funding in excess of that amount on an exceptional basis. • Eligible costs would include registration fees for courses/conferences, associated travel, e-learning courses, certain medical journals and text books, computer software that has a CME/CPD component, annual registration fees for enrolment on a recognised Professional Competence Scheme in Ireland or outside Ireland where it is not possible for the Consultant to register on a professional competence scheme in Ireland for their specialty or subspecialty and the annual registration fee for professional memberships. • In relation to computer hardware such as laptops, tablets and iPads, the Guidance provides that “HSE MET reserves the right to directly fund site purchase of computer hardware for CME/CPD purposes. Such funding will be in line with national medical education and training policy and final decision on allocation rests with MET.” • “In very exceptional circumstances” a Clinical Director may apply prospectively for funding in excess of the e3,000 per annum figure or may apply for approval for an individual Consultant’s fund to roll over for a maximum period of three years. • Refusals to provide funding may be appealed initially to hospital management and subsequently under the Grievance and Dispute procedure provided for in Consultant Contracts. The Association subsequently wrote to the HSE highlighting that the contract CME entitlements must be honoured. This includes the provision for the carryover of unused CME for up to five years, indexation of the e3,000 annual CME allowance, recognition of a

Employers are responsible for arranging clinical cover for emergencies that arise within the hospital or for patients brought to the hospital for emergency treatment. The employers are responsible for arranging suitable rosters to provide this cover.

001-073_IHCA Client Section 2022_V2.indd 20

The Association has secured agreement from the HSE that the CME allowance may be utilised to purchase IT equipment for CME purposes. It is envisaged this will run for a trial period of two years. As of 26th July 2021 the Association is awaiting further details from the HSE on the arrangement.

An allowance is payable in respect of this availability for duty. This Allowance (B Factor) is part of the pensionable remuneration. The rotas used for this are those that have been formally ratified by the hospital management. Consultants who wish to operate a sub roster within a general specialty, e.g. vascular surgery within general surgery, need to have management approval in order to attract the additional allowance. Consultants are paid an additional allowance (C Factor) in respect of instances where they are called to the hospital for emergencies. To qualify for these additional payments, a Consultant must be: • Rostered for on-call duty and contacted by another hospital doctor, by a senior nurse or other member of the hospital staff specifically designated for the purpose and attends at the hospital; or • Rostered for on-call duty and in the exercise of his professional judgement (EPJ) attends at the hospital and performs clinical work of an urgent nature or carries out urgent diagnostic or therapeutic procedures. Details of the relevant B Factor, C Factor and other allowances are outlined in the Consolidated Salary Scales, which are available on request from the Association. B Factor allowance should be paid together with salary payments.

www.ihca.ie

07/10/2021 11:00

Members’ Handbook

Members are reminded of the HSE circular to hospitals requiring that claims for emergency call outs (C Factor claims) must be made no later than three months from the earliest date of the on-call liability to which they relate in default of which they will be forfeited. While this is not a contract requirement, members are advised to submit their claims for emergency call outs (C Factor claims) without delay to ensure that claims are not deemed ineligible. If necessary, please contact the Secretariat for advice on the issue. In addition, travelling expenses to and from the hospital are payable. Income tax should not be levied on emergency call-out (C Factor) travel when claimed in respect of a named patient (See Revenue Statement of Practice - SP - IT/2/07 - Tax treatment of the reimbursement of Expenses of Travel and Subsistence to Office Holders and Employees (Revised July 2015)).

Rest Days In April 2014, the HSE unilaterally circulated proposals for Consultants on 1:3 and 1:4 on-call rotas which can be summarised as follows: • Under the proposed arrangements, regardless of the rest assigned for each category of on-call incident, there will be a minimum of 15 rest days for Consultants on a 1:3 on-call rota and a minimum of 10 days for those on a 1:4. • For attendance on site on weekdays, the amount of rest assigned with each on-call incident will be two hours where the callout occurs before midnight and three hours after midnight, or the actual time if exceeded. In addition, travel time will be allowed to and from the location. • For telephone consultations, the amount of rest assigned with each call will be 30 minutes before midnight and 60 minutes after midnight, or the actual time if exceeded. • The amounts of rest assigned above will be doubled in circumstances where the on-call incident occurs on a Saturday, Sunday or bank holiday. • Each Consultant will be responsible for recording each incidence of call-out and submitting the claim to the Clinical Director by a defined date. • Rest will be taken where possible by the end of the next following month or, at the latest, within eight weeks. • When for operational reasons, a Consultant cannot take all or any of their compensatory rest within eight weeks, the hours outstanding will be paid at the relevant hourly rate. • Clinical Directors will have authority to assign additional rest to Consultants, where time spent providing on-call services consistently

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 21

exceeds three call-outs per month. In such circumstances, the Clinical Director will assign up to 150% additional rest. • Payment of B Factor and C Factor will continue as per existing contracts. The Association’s advice to its members is that the rest day entitlements provided in their contracts cannot be diminished or restricted by unilateral communications from the HSE HR office. Accordingly, members should continue to claim their rest day entitlements without any of the restrictions or reductions proposed by the HSE which have not been agreed.

Roster Rest Day Entitlement* 1:1 5 1:2 3 1:3 2 1:4 1 * Days in lieu per four-week period

PRIVATE PRACTICE It is estimated that there are around 550 Consultants in full-time private practice. Consultants wishing to establish admitting rights to a private hospital should apply, in the first instance, to the hospital management. The medical board normally considers the application and a recommendation is put forward for consideration by the hospital directors. The terms and conditions under which Consultants work in private hospitals vary from institution to institution. Consultants considering such a move should satisfy themselves in relation to these matters with the hospital directly. Consultants who propose treating patients privately should register with the health insurers at an early date. Insurers will recognise Consultants who hold posts approved by the HSE. They will also recognise Consultants in private practice who are eligible to hold permanent posts. Each health insurer publishes a schedule of benefits for professional fees in respect of procedures and treatments provided by Consultants.

17/09/2021 10:18

Members’ Handbook

There are three main health insurers operating in the Irish market: VHI Healthcare, Laya Healthcare, and Irish Life Health. In August 2016, Irish Life Group completed its acquisition of Aviva and GloHealth.

indemnity provider. Under the caps on professional indemnity for Consultants in private practice, the CIS covers claims in excess of minimum levels provided that such Consultants purchase indemnity up to the relevant cap applying to his or her specialty.

Other private health insurance schemes operating in Ireland include: • ESB Staff Medical Provident Fund • Irish Life Assurance Plc Outdoor Staff Benevolent Fund • Irish Life Medical Aid Society • New Ireland/Irish National Staff Benevolent Fund • Prison Officers Medical Aid Society • St Paul’s Garda Medical Aid Society • The Goulding Voluntary Medical Scheme

It is the unequivocal advice of the Association that Consultants maintain membership of a medical defence body, such as the Medical Protection Society, Medisec/MedPro or other provider, for those aspects of practice not covered by the CIS.

Membership of these schemes is restricted to employees of the relevant organisations only and their families. In addition, serving Officers of the Permanent Defence Forces are covered for private health insurance by the military authorities. Those of the rank of Lieutenant and Captain, or equivalent, are entitled to semi-private cover whilst officers of higher ranks are entitled to private cover. Non-commissioned officers of the Permanent Defence Forces are not covered for private health care by the military authorities.

MEDICAL INDEMNITY All Consultants are obliged to indemnify themselves against claims arising from malpractice and negligence. The Clinical Indemnity Scheme (CIS) provides cover in respect of practice in public hospitals. The Medical Practitioners (Amendment) Act 2017 introduced a mandatory legal requirement for all medical practitioners currently registered or applying to register with the Irish Medical Council (IMC) to have the required level of professional medical indemnity. If evidence of adequate indemnity is not provided to the IMC on registration or renewal, via a Professional Indemnity Declaration Form, the doctor will not be placed on the medical register. The CIS covers all Consultants working in public hospitals and mental health services and is deemed to be sufficient for the purpose of the Act. For those working in private hospitals, evidence of the relevant minimum level of indemnity will have to be provided by way of a certificate from your insurer/broker or

001-077_IHCA Client Section 2022_V1 REV4.indd 22

As a Consultant undertakes full clinical responsibility for his or her patients, he or she could be held personally liable in the event of an adverse event occurring. Indemnity may provide cover against such an eventuality, details of which may not materialise until many years after the incident that gave rise to the injury.

MEDICO-LEGAL MATTERS Consultants are regularly called upon to provide opinions in medico-legal matters. This can vary from providing an examination and report in respect of an insurance policy application, to acting as an expert witness in a court action arising from an accident. The Medical Council, in agreement with the Law Society, states that a doctor has a moral and professional responsibility to supply a medico-legal report on request from a patient’s solicitor as failure to comply may lead to a patient being deprived of benefits to which he/she may be entitled. The Medical Council has also indicated that, under ordinary circumstances, medico-legal reports should be provided within two months after the examination or receipt of the request, whichever occurred last. Consultants are entitled to charge fees in respect of this work. The fee charged by a Consultant in this regard is a matter entirely at his or her own discretion. As a result of competition law provisions, the Association does not provide a scale of medico-legal fees. In 2012, the Revenue Commissioners issued guidance to the effect that medico-legal work may be liable for VAT. Members are advised to contact the Association and to consult with their financial advisors with regard to the appropriate treatment of such income and whether they are required to register with Revenue for VAT purposes. You are strongly advised to respond to requests for medico-legal opinions using the pro-forma letter on the following page. By so doing you will avoid any confusion or disagreement later in the matter of fees.

www.ihca.ie

17/09/2021 10:18

Members’ Handbook

PRO FORMA LETTER Re: Medico-Legal Fees: Terms & Conditions Dear Sir/Madam I write to you in response to your request to examine and prepare a medical report on behalf of your client, …………………….. I detail hereunder my fees for the following items for medico-legal work. • Examination and First Report e • Follow up Report e Note: Reports will be dispatched on receipt of the appropriate fee Attendance at Court • Half Day e • Full Day e • Travelling expenses at public service rate of e • Consultation with Solicitor or Counsel (other than at Court Hearing) e Consultation with other party’s medical advisor • By telephone e • By correspondence e • By attendance at examination e Cancellations - Courts • Standby for any reason, with less than 1 working day e • Standby for any reason, with less than 3 working days e • Attendance for any reason, with less than 1 working day e • Attendance for any reason, with less than 3 working days e I would be grateful if you would provide me with your written undertaking that your firm will be responsible for the above fees, irrespective of the outcome of the Court case or the decision of any third party. Yours faithfully,

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 23

17/09/2021 10:18

Members’ Handbook

RESOURCE LIMITATIONS It is acknowledged that Consultants are currently working in underresourced hospitals and attending to increased demand for patient care. Recognising your professional, ethical and contractual obligation to advocate on behalf of the patient and the services you provide, see below and right a draft wording that may be used in these circumstances and addressed to Management. Please contact the Secretariat for further advice as it relates to the specific circumstances.

relationship between the patient and the Consultant in which the patient places trust in the Consultant personally involved in his/her care to make clinical decisions and to take continuing responsibility for their consequences.” 4 (c) “Services not provided as a consequence of a resource limit are the responsibility of the Employer and not the Consultant.” 4 (d) “The Employer recognises the Consultant’s obligations regarding the application of the Medical Council’s (or Dental Council, as appropriate) ethical and professional conduct guidance to the clinical and professional situations in which (s)he works.”

Private & Confidential PRO FORMA LETTER Re: Early Discharge/Bed Shortages/Resource Restrictions Dear, I wish to advise you that I had to discharge _______________ at ___________ to provide a bed for _______________ who required emergency/urgent admission on _________. I am not satisfied that ______________ was sufficiently well to be discharged and I would not have discharged him/her at this time except, as I have stated, the demand for beds from patients requiring emergency/urgent admission had to take precedence. I do not regard this practice as in the interest of patients and I am not satisfied that best standards are being observed as I am not allowed to exercise my clinical judgement in an independent manner and in the best interest of my patients. I am obliged to inform you that should anything untoward devolve on (name) due to lack of resources or should anything untoward devolve on any patient who is discharged prematurely due to a shortage of beds, responsibility for same will rest with (name of board/hospital). Note: You should quote the relevant extracts below from the Contract that you personally hold in the above letter.

2008 Consultant Contracts 10 (b) “The Consultant is clinically independent in relation to decisions on the diagnosis, treatment and care of individual patients. This clinical independence derives from the specific

001-077_IHCA Client Section 2022_V1 REV4.indd 24

1997 ‘Buckley’ Consultant Contract 6.3.2 “Being a consultant involves taking responsibility in his own name for the diagnosis and treatment of his patients, or that aspect of care appropriate to him when consulted, without supervision of his clinical judgement. This is the essence of clinical independence.” 6.3.3 “Clinical independence derives from the concept of the specific relationship between the patient and the doctor in which the patient authorises and trusts the doctor(s) personally involved in his care to make clinical decisions in the patient’s best interest and to take continuing responsibility for their consequences.” 6.3.5 “The contract must, therefore, recognise and expressly protect the right of the patient to the independent judgement of his personal consultant except where appropriately transferred by that consultant.” 6.5.4 “Services not provided as a consequence of a resource limit are the responsibility of the Employing Authority and not the consultant”. Medical Council, Guide to Professional Conduct and Ethics, 8th Edition 2019, Section 24* Healthcare Resources 24.1 “Your duty is to act in the best interests of patients and you have a responsibility to engage and advocate with the relevant authorities to promote the provision of suitable healthcare resources and facilities. If you work in a facility that is not suitable for patients or for the treatment provided, you have a responsibility to advocate on behalf of your patients for better facilities.”

Yours sincerely,

* Please note, the Medical Council had commenced a review at time of publication, in preparation for a new 9th Edition of the Guide to Professional Conduct and Ethics.

www.ihca.ie

17/09/2021 10:18

Members’ Handbook

DATA PROTECTION AND PATIENT CONFIDENTIALITY Consultants and their colleagues are subject to Irish Data Protection legislation and the EU General Data Protection Regulation (GDPR) along with the obligations required of them in respect of patient data. The Association has prepared a Guideline document, with expert input from Ward Solutions Ltd, to ensure that affected Consultants are aware of the actions they need to take to meet their obligations under the new GDPR data protection regime. The Guideline is available in the Members’ section of the Association’s website. It is strongly recommended that you read the Guideline and ensure that appropriate actions are taken, as may be required depending on your specific circumstances, to adhere to GDPR requirements. Consultants who satisfy the GDPR definition of a ‘Data Controller’ or ‘Data Processor’ should note that GDPR compliance is not discretionary. Enforcement actions for non-compliance include the imposition of significant fines. The Guideline document will help you to determine your status and whether you are affected. The Guideline is comprised of: • • • •

An overview of the legal basis for processing by Consultants A series of practical action points Frequently asked questions A suite of template policies and procedures (available in MS Word Format for adaptation).

The above suite of policy documents can be downloaded in MS Word Format from the Association’s website. The integrity of the health system relies upon defined and adhered rules regarding patient confidentiality. Depending on the circumstances, the following draft letter may be relied upon in corresponding with Management on issues of patient data and confidentiality. Please contact the Secretariat for further advice as it relates to the specific circumstances.

Private & Confidential PRO FORMA LETTER Copying of Charts/Medical Notes Dear, It has come to my attention that the charts/medical notes belonging to (patient’s name) have been photocopied without my prior knowledge and I having had an opportunity to express an opinion. You will be aware that all patients are entitled to the maximum possible confidentiality in all matters concerning their medical management. This requirement applies particularly to patients who attend the psychiatric services. Consultants are obliged by their contract, the Medical Council’s Ethical Guidelines and their binding contract with their patients to observe the strictest confidence regarding their treatment. (1) I am extremely concerned that patients’ charts/notes are not always securely deposited so as to eliminate the possibility of their being perused by unauthorised personnel. (2) I have equal concerns that patients’ charts/notes have been copied by personnel who may not be fully briefed on the need for adherence to strict confidentiality. (3) I also wish to place on record my concerns that copying of charts/ notes of patients under my care has taken place without any reference to me. I acknowledge that these charts/notes are the property of the patient and I am aware that the final decision on the release of information under, for example the Freedom of Information Act, is a matter for the CEO and not the managing consultant. However, I wish to emphasise that it is prudent that the managing consultant should be advised that charts are to be copied and the consultant should be allowed the opportunity to study the chart/notes in order to advise on whether or not it is appropriate to provide copies of any or all documents in a chart, depending on the nature of the request. I wish to advise that I cannot be held responsible for any action that may be taken by a patient/next of kin in the event of sensitive patient information falling into the possession of any inappropriate or unauthorised persons. This responsibility must lie with (name of employer). Yours sincerely,

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 25

17/09/2021 10:19

Members’ Handbook

POST-MORTEMS & INQUESTS Consultants are, on occasion, asked to perform post-mortems or to appear as witnesses at inquests. The revised scale of fees (SI 155 of 2009) has been published by the Department of Justice. Consultants wishing to acquaint themselves with the current scale may contact the Association.

action following the provision of such advice, the action will be taken by the Consultant in his or her own right and he or she will assume responsibility for the associated legal costs. Finally, members may be assured that any request for assistance is treated in the utmost confidence.

REPRESENTATIONAL ASSISTANCE FOR CONSULTANTS

HEALTHY IRELAND — A FRAMEWORK FOR IMPROVED HEALTH AND WELLBEING

The Association is always available to provide representational assistance to Consultants in their dealings with employers and other service providers.

The Government published Healthy Ireland – A Framework for Improved Health and Wellbeing 2013-2025 in March 2013. It described four high level goals and 64 actions that were to work together to help achieve these goals. The four high level goals are: 1. Increase the proportion of people who are healthy at all stages of life 2. Reduce health inequalities 3. Protect the public from threats to health and wellbeing 4. Create an environment where every individual and sector of society can play their part in achieving a healthy Ireland.

If you require such assistance please contact a member of the Secretariat in writing, by email or by telephone. Please provide as much information as possible about the issue concerned together with any relevant documentation. The provision of legal advice may be facilitated for members on request. In general, if a Consultant decides to pursue legal

001-077_IHCA Client Section 2022_V1 REV4.indd 26

www.ihca.ie

17/09/2021 10:19

Members’ Handbook

These goals were to be delivered through a series of 64 separate actions grouped into six themes. The themes cover the following broad areas. Theme 1 – Governance and Policy The Cabinet Subcommittee on Social Policy was to oversee the implementation of the plan and oversee, monitor and address common Government policy, agenda, targets and action plans to improve health and wellbeing. All public sector organisations were to be required to promote and protect the health and wellbeing of their workforce, their clients and the community they serve. Theme 2 – Partnerships and Cross Sectoral Work This set out a series of fourteen actions designed to ensure that health and wellbeing be devolved to local areas for implementation. Theme 3 – Empowering People and Communities Action points within this theme were directed at supporting, linking and improving existing partnerships so that various sectors of society could improve their health and wellbeing. Theme 4 – Health and Health Reform The most concrete action within this theme was one to establish multi-disciplinary national teams that will lead and take responsibility for policy areas. There was to be the development of a health and wellbeing human resource plan with a view to building capacity for health and wellbeing activities. Theme 5 – Research and Evidence The development of a Healthy Ireland research plan was at the core of this theme. It was also planned to work with the Health Research Board to implement a plan to build research capacity. Theme 6 – Monitoring Reporting and Evaluating A series of nine actions were set out to ensure that the capacity and systems were in place to report and evaluate the success of Healthy Ireland. The Healthy Ireland Strategic Action Plan 2021-2025, published in May 2021, focuses on the remaining years of the Healthy Ireland Framework. Building on the first seven to eight years of the Framework, the Action Plan will provide a roadmap for the remaining four years and build

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 27

on the cross-society approach that is central to Healthy Ireland by involving Government Departments, local authorities, public bodies, schools and education institutions, businesses and employers, sports, cultural, creative and voluntary groups, communities, families and individuals. The ongoing implementation of Healthy Ireland is a key action under the Sláintecare Report and the Sláintecare Implementation Strategy and Action Plan 2021-23.

GOVERNMENT HEALTH POLICY Patient Safety Bill The Patient Safety (Notifiable Patient Safety Incidents) Bill 2019 is a draft piece of legislation which was approved by Government on 3 December 2019. When enacted, it will establish a framework for mandatory open disclosure. The legislation will require notification of serious patient safety incidents externally to the Health Information and Quality Authority (HIQA), the Chief Inspector of Social Services (CISS) and the Mental Health Commission (MHC) to contribute to national patient safety learning and improvement. Mandatory open disclosure and the notification system for these serious patient safety incidents will apply to both public and private health services. Regional Health Areas The Government announced on 17 July 2019 plans to establish six new regional health areas (RHA). A Business Plan and change management programme to implement the new RHAs was due to be developed during 2021. Area A takes in the northeast of the country, including Dublin North, Meath, Louth, Cavan and Monaghan. Area B takes in Longford, Westmeath, Offaly, Laois, Kildare and parts of Dublin and Wicklow. Area C focuses on the south and southeast, including Tipperary South, Waterford, Kilkenny, Carlow, Wexford, Wicklow and part of South Dublin. Counties Kerry and Cork account for Area D, while Area E is made up of Limerick, Clare and Tipperary North. Area F includes Donegal, Sligo, Leitrim, Roscommon, Mayo and Galway. The regional bodies will have clearly defined populations and will plan, resource and deliver health and social care services for the needs of its population. The restructuring is in line with the Sláintecare Report, which recommended that regional bodies should be responsible for the planning and delivery of integrated health and social care services. The HSE will continue to be the central executive with responsibility for planning and strategy.

17/09/2021 10:19

Members’ Handbook HSE Board The Health Service Executive (Governance) Act 2019 was signed into law on 5 June 2019 and the newly established Board of the HSE, under the Chairmanship of Ciarán Devane, met for the first time on 28 June 2019. The legislation provides for an independent Board for the HSE, as opposed to a directorate, aimed at strengthening the management, governance and accountability of the organisation. The Board is accountable to the Minister for the performance of its functions and is responsible for the appointment of a CEO. The CEO is responsible to the Board and the Board takes responsibility for assessing the CEO’s performance. The Act provides for a 10 person non-executive board together with the Chairperson and the Deputy Chairperson.

outlines projections of demand and capacity requirements for a range of health services to 2031. If key reforms and productivity measures are implemented, the following additional capacity will be required by 2031: • nearly 2,600 extra acute hospital beds • 48% increase in primary care workforce • 13,000 extra residential care beds (older persons services) and; • 120% increase in homecare. Without reform, the Capacity Review estimates that more than 7,000 extra acute hospital beds will be required to meet projected demand.

National Development Plan The Government was reviewing the National Development Plan (NDP) at time of publication, which will set out a new capital framework until 2030. In a submission to the Department of Public Expenditure and Reform in February 2021, the Association recommended that a minimum of 6,000 additional public hospital beds must be funded in a revised NDP to reduce bed occupancy rates, operate within appropriate infection control measures including single occupancy rooms and deliver more timely, safe care. This is in contrast with the increase of 2,600 acute beds included in the 2018 NDP. The Association also indicated that dedicated theatre and bed capacity to deliver elective scheduled care must be expanded across our acute hospital base, as opposed to in just three locations. Overall, the pace of implementing the recommendations in the 2018 Capacity Review and the provisions in the 2018 NDP has been far too slow. This reality became shockingly apparent during the Covid-19 pandemic, which exposed the existing acute hospital capacity deficits. The Government’s NDP 2018-2027 published in February 2018 pledged e10.9 billion in capital funding for the health services, to include the planned addition of a minimum of 2,600 acute hospital beds and new dedicated elective-only hospitals in Dublin, Cork and Galway to tackle waiting lists and provide access to diagnostic services. An additional 4,500 long term and short term residential beds in Community Nursing Homes in the public system were also proposed in the 2018 NDP. Between 2017 and 2020 public hospital inpatient and day case bed capacity increased by only 430 beds, significantly less than the additional 780 beds provided for on average in the 2018 NDP. The increase in bed capacity in the three-year period has been more than offset by the population and demographic changes and therefore public hospital capacity deficits continue to increase as do the number of patients on waiting lists. Furthermore, there is an urgently need to double the ICU capacity to 579 beds as recommended in an HSE commissioned report a decade ago, because the existing public hospital capacity is far too low and has over the years created significant problems in providing timely care. This must be addressed on a sustainable basis.

Sláintecare The Oireachtas Committee on the Future of Healthcare published the Sláintecare Report in May 2017 – its proposals for a 10 year strategy for healthcare and health policy in Ireland. The proposed new model envisages a universal single-tier health and social care system, the shifting of care out of hospitals and into the primary and community setting, waiting time guarantees for hospital care, expanded hospital capacity and the phased elimination of private care in public hospitals. A separate independent group chaired by Donal de Búitléir was set up to examine the impact of removing private practice from public hospitals and reported on 26 August 2019. The IHCA welcomed the fact that the Review Group acknowledged the current consultant recruitment and retention crisis and the need to end the existing pay inequity for consultants appointed after 2012. However, the proposal to remove private practice from public hospitals will have the effect of removing 6.5bn in private health insurance income over a 10-year period, from already severely underfunded acute public hospitals. Adjusted for inflation, the estimated loss will be closer to 8bn or 800m per year. The IHCA has no confidence that the loss in private health insurance income to public hospitals will be replaced by the Exchequer. The proposal to remove private practice from what is perceived as an inequitable system will perpetuate the delays in accessing care because public hospitals will be even more under-resourced. It will result in an extreme two-tier system with functioning and adequately resourced private hospitals operating separately in parallel with an under-resourced and overcrowded public hospital system. The cost of implementing the proposals in the Sláintecare Report has been understated and will actually cost the taxpayer e30bn, based on Irish Fiscal Advisory Council (IFAC) estimates, if implemented over 10 years, compared with e2.8bn stated in the Report. The IFAC in a recent Fiscal Assessment Report (May 2021) noted that the only mention of Sláintecare in the Revised Estimates for 2021 came under the heading of ‘health care reform’ and showed an associated amount of just €45m for 2021. It was not until the publication of the Sláintecare Implementation Strategy & Action Plan 2021–2023 in May that the actual costs associated with the reforms in 2021 were clarified as being some €1.2bn of 2021 health spending allocation. The Council said Sláintecare represents a significant spending risk, given the scale of its ambition and the lack of detail on costings.

Health Service Capacity Review 2018 The NDP followed the publication in January 2018 of the Health Service Capacity Review 2018 by the Department of Health, which

A draft proposal for a new Sláintecare consultants’ contract was issued on 31 May 2021, and discussion with the Department of Health and the HSE were ongoing at time of publication.

001-077_IHCA Client Section 2022_V1 REV4.indd 28

www.ihca.ie

17/09/2021 10:20

The Association had significant concerns with much of the content of the draft proposed Contract. The Association was clear in making known to the Department of Health officials its dissatisfaction with the approach initially taken, and outlined the requirement for a more meaningful and constructive approach to the required negotiations, which needed to be solution orientated and take account of reality of the impact of Covid-19 and the HSE cyber-attack. It should be noted that a similar Type A contract was offered with very limited success to consultants in 2008 and again in March 2011, when the then HSE Director for Human Resources issued a circular stating that all future hospital consultant contracts would be Type A except in exceptional circumstances. The consequences of the circular were that it led to a failure to recruit consultants for most of 2011 until the circular ceased to apply. Countries such as the UK, Australia, New Zealand and Canada, do not impose such prohibitions on hospital consultants providing specialist consultant care to people off-site. On the contrary, they take the view that such restrictions are retrograde steps for the public given the need for Consultants to maintain a skill set, and to provide a specialist service that is clearly a scarce and valuable resource. Provision of such services should be optimised in the public’s best interests. The recruitment and retention of hospital consultants remains the overwhelming blockage to the provision of timely patient care. The disastrous consequences of the 2012 decision to impose inequity on consultants taking up contracts since then remain. Growing pressures day-after-day are pushing consultants and public hospitals to breaking point. Global advancements in medical and surgical treatment cannot be matched here at home, meaning patients and those that care from them lose out. The Contract negotiations, if properly structured, provide an opportunity to tackle these long-standing challenges. If all the parties do not grasp this opportunity at this crucial juncture, the experiences, sacrifices, and learnings during the pandemic will have been squandered. Future Health Future Health: A Strategic Framework for Reform of the Health Service 2012-2015 set out the Government’s intention to deliver major reshaping of the health system by restructuring service delivery and improving organisational, financial, governance and accountability systems across the primary, community and hospital sectors. 1. The Approach to Reform – Four Pillars 1.1 Health and Wellbeing There was to be a new focus on the need to move away from simply treating ill people to a new concentration on keeping people healthy. Future Health committed to the development of a comprehensive Health and Wellbeing Policy Framework and the establishment of a Health and Wellbeing Agency. 1.2 Service Reform Future Health supported a move away from hospital centric care to

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 29

a new model of integrated care. It was the intention of Future Health that people be treated at the lowest level of complexity that was safe, timely, efficient and as close to home as possible. This was to support the reduction of costs, improve access and move towards a model of preventative and planned care. 1.3 Structural Reform Future Health committed to the structural reform of the health service and indicated that this would be critical in the journey towards Universal Health Insurance. The key concerns of structural reform included good governance, avoiding duplication and ensuring a strong regional focus in managing performance and delivering value for money. This reform included the abolition of the HSE board, the establishment of a Directorate and a new management structure in the HSE. This included the establishment of Hospital Groups, with Group CEOs having budgetary responsibility for both the HSE and voluntary hospitals within their group. 1.4 Financial Reform Future Health committed to introducing measures aimed at addressing the financial control issues within the HSE which included the return of the Vote to the Department of Health from the HSE; the introduction of programme based budgeting; implementation of the recommendations of the 2012 Review of Financial Management Systems in the Irish Health Service; and the development and roll-out of a comprehensive financial management system as a matter of priority. A new ‘Money Follows the Patient’ (MFTP) funding model was to be introduced in order to create incentives that encourage treatment at the lowest level of complexity. This was in order to reduce costs and achieve key quality and safety objectives. 2016 was the year in which hospitals began migrating from the historic block budget approach to a model of ‘Activity Based Funding’ (ABF) for public hospital care covering inpatients and day-cases. ABF involves a ‘revenue’ stream being given to each group/hospital for specified inpatient and day-case activity, together with a block grant for other work. The combined total can be referred to as the budget, but with a very different underlying construction — if the specified work is not delivered, the ABF revenue will not be paid. The HSE National Service Plan 2021 committed to the further development of activity based funding for hospitals and community. Service Planning in a Covid-19 Environment Service planning for 2022 is again likely to be undertaken in a context which includes the need to resume health services, prepare for the expected pressures associated with winter and deliver services in the context of the continuing prevalence of Covid-19. Planning in 2021 attempted to address the backlog of care following the unprecedented interruption of routine services during the pandemic.

17/09/2021 10:20

Consultants’ Common Contract 2008 Enabling Circular - 25th July 2008

To: Hospital Network Managers, Assistant National Directors (PCCC), Health Agencies Please forward this circular and attached document to all HSE agencies, voluntary hospitals, relevant corporate bodies and other non-HSE agencies under your remit. Please ensure the required form is completed in respect of each Consultant in your employment (i.e. hospital/agency). 1) General a) The purpose of this circular is to convey approval to the introduction with effect from 1 June 2008, of a revised contract for Consultant medical staff providing services under the Health Acts and to notify arrangements for the implementation of the provisions of the revised contract. A copy of the new contract is enclosed. The contract is hereafter referred to as ‘Consultant Contract 2008’. b) The terms of Consultant Contract 2008 follow negotiations with the representative bodies of the medical profession. c) Agencies should ensure that the name of the employer is inserted in the locations indicated in the document and that

e) Consultants holding the Academic Consultant Contract 1998 on a Category 1 basis may opt for a Type A or Type B Contract. Section 15 of Consultant Contract 2008 will apply to such individuals. f) Consultants holding the Academic Consultant Contract 1998 on a Category 2 basis may opt for a Type A, Type B or Type B* Contract. Section 15 of Consultant Contract 2008 will apply to such individuals. g) Regional Consultant Orthodontists may opt for a Type A, Type B or Type B* Contract on a pro-rata basis. Should such Consultants opt for a Type B or Type B* their entitlement to retained private practice is as described at Section 21 of the Consultant Contract 2008. h) Consultants (including Regional Consultant Orthodontists) holding Temporary or Locum appointments may opt for a Type A, Type B or Type B* Contract on a Temporary or Locum basis commensurate with their current Temporary or Locum post. i) Consultants who are not encompassed by the above should apply to the HSE Consultant Appointments Unit via the relevant Hospital Network Manager/Assistant National Director PCCC to be offered Consultant Contract 2008.

the appropriate deletions are made where indicated. 2) Consultants to be offered the Contract The Contract consists of the documentation specified in the preamble to the Consultant Contract 2008 document. The terms and conditions of Consultant Contract 2008 shall be offered to the following: a) Consultants currently in your employment holding permanent posts. b) Consultants currently in your employment holding fixed term (temporary) posts. The expiry date of their existing fixed-term (temporary) contract and/or its specified purpose must be incorporated into their new contract. c) Consultants currently in your employment holding locum posts. The structure, time and attendance arrangements of

4) Atypical Work Arrangements a) Consultants who are currently engaged in atypical working (e.g. flexible working, job sharing, etc.) will be offered Consultant Contract 2008 on a pro-rata basis to their current working arrangements. Should such Consultants wish to restructure their commitments such restructuring shall be subject to approval from the HSE Consultant Appointments Unit in line with the provisions of the Consultant Contract. b) Consultants who opt for Consultant Contract 2008 and who wish to avail of atypical work arrangements (e.g. flexible working, job sharing, etc.) may do so with the prior agreement of the employer.

their contract must be incorporated into their new contract. 3) Options for Existing Consultants Subject to Section 2 above: a) Category I Consultants may opt for a Type A or Type B contract. b) Category I Consultants in Emergency Medicine may also opt for a Type B* contract. c) Category II Consultants may opt for a Type A, Type B or Type B* contract. d) Geographical wholetime without fees Consultants may opt for a Type A or Type B contract.

001-077_IHCA Client Section 2022_V1 REV4.indd 30

5) Joint Appointments a) The following wording should be used where the Consultant has a joint appointment at Section 2 of Consultant Contract: i) “This Contract is a contract of employment between (name(s) and address(es) of employer(s) for __ hours per week) and (name and address of employee)” or ii) “This Contract is a contract of employment between (name and address of employer) for __ hours per week and for __ hours per week with (name and address of other agency/agencies) and (name and address of employee)”

www.ihca.ie

17/09/2021 10:32

Consultants’ Common Contract 2008 Enabling Circular - 25th July 2008

b) Employers who are the contract holders for joint appointments should ensure at all times, and in respect of all aspects of the appointment, that they keep each other fully informed of any matter likely to affect the appointment. Particular attention should be paid to matters affecting probation and the confirmation or termination of appointments. 6) Making the Offer a) Employers should take great care in drawing up and issuing the contract documents. All of the bracketed spaces in the contract documentation should be filled by the employer before a contract is offered. b) Signed acceptances of the offer of Consultant Contract 2008 must be received by the employer on or before 31 August 2008. Only Consultants who accept the offer before 1 September 2008 will benefit from retrospective salary arrangements. c) Should the Consultant accept the offer of the Contract, the employer and the Consultant must sign the contract simultaneously. Under no circumstances should an employer issue signed blank forms of contract to Consultants. Where it is not possible to have the

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 31

contract signed simultaneously, the Consultant must sign the Contract prior to the employer. The returned signed contract should be checked carefully to ensure that it is identical to that issued for signature. Any corrections, alterations, etc., should be made by the employer and fresh documents issued for signature. 7) Working Hours Consultant Contract 2008 provides – inter alia – for the following: a) The Consultant is required to undertake such duties/ provide such services as are set out in the contract in the manner specified for 37 hours per week. This 37 hour commitment will normally be delivered across a span of 12 hours between the hours of 8am and 8pm Monday to Friday. The Consultant will not be obliged to work more than eight hours in any one day. b) The Consultant may be required to participate in the on-call roster as determined by the Employer. c) The Consultant rostered on-call may be required to provide an additional structured commitment on-site of up to five hours on a Saturday and/or five hours on a Sunday and/or five hours on a public holiday.

17/09/2021 10:32

Consultants’ Common Contract 2008 Enabling Circular - 25th July 2008

8) Private Practice The private practice arrangements (where applicable) for the different contract types are set out in Sections 20 and 21 of Consultant Contract 2008. A joint management/ union committee is currently devising a measurement system to support the new private practice arrangements. 9) Salary and Other Payments a) The remuneration provisions of Consultant Contract 2008 are outlined in Section 23 of the contract document. b) A schedule setting out the updated salaries and other payments (i.e. current) for the various contract types is attached to this circular. c) Serving Consultants who opt for Consultant Contract 2008 by 31 August 2008 shall be paid the applicable revised rate at the maximum point with effect from 1st June 2008 and 1 June 2009, as set out in the attached schedule. d) Serving Consultants who exercise their option to take the revised contract between 1 September 2008 and 31 December 2008 will be assimilated onto the applicable new salary scale, at the maximum point, from the date of their signing of Consultant Contract 2008. e) Applications for the offer of the Consultant Contract 2008 after 31 December 2008 should be made to the HSE Consultant Appointments Unit. 10) Superannuation a) The Consultant will be covered by the terms of the HSE/VHSS/NHSS (as appropriate) Superannuation Scheme and the contributory associated spouses and children superannuation schemes. Appropriate deductions will be made from his/her salary in respect of his/her contributions to the scheme. In general, 65 is the minimum age at which pension is payable; however, for appointees who are deemed not to be ‘new entrants’ as defined in the Public Service Superannuation Miscellaneous Provisions Act 2004 an earlier minimum pension age may apply. b) Should: i) the Consultant be deemed to be a new entrant (as defined in the Public Service Superannuation [Miscellaneous Provisions] Act 2004), there is no specified retirement age in respect of his/her appointment to this position.

001-077_IHCA Client Section 2022_V1 REV4.indd 32

or ii) the Consultant be deemed not to be a new entrant (as defined in the Public Service Superannuation [Miscellaneous Provisions] Act 2004), retirement is compulsory on reaching 65 years of age. 11) Clinical Directors Consultant Contract 2008 provides at Appendix IV for the appointment and selection of Clinical Directors. Information on how these appointments and selections will be made will issue separately. 12) Rest Days a) Consultants with an on-call liability shall have an entitlement to avail of rest days on the following basis: i) 1 : 1 on-call roster entitles the Consultant to five days in lieu per four week period; ii) 1 : 2 on-call roster entitles the Consultant to three days in lieu per four week period; iii) 1 : 3 on-call roster entitles the Consultant to two days in lieu per four week period; iv) 1 : 4 on-call roster entitles the Consultant to one day in lieu per four week period. b) Rest days should be taken as soon as possible following the on-call liability to which they relate. Where service demands do not permit them to be taken immediately, rest days may be accumulated: i) for a maximum of six months from the earliest date of the on-call liability to which they relate and at that point they must be availed of or forfeited. or ii) for a maximum of three months from the earliest date of the on-call liability to which they relate. If it is not possible to avail of them at the end of the three month period the Consultant may seek to be compensated for them at a rate equivalent to the daily rate for the type of post which (s)he occupies. c) A Consultant who established an entitlement to historic rest days which was recognised under the 1997 Consultant Contract retains such entitlement. 13) Record of Transition to Consultant Contract 2008 The HSE Consultant Appointments Unit will forward letters to the Employer for issue to each Consultant who opts for the Consultant Contract 2008 noting his/ her move to this contract and relevant terms.

www.ihca.ie

17/09/2021 10:32

Consultants’ Common Contract 2008 Page No. Preamble

Section A – Terms and Conditions 1) Core Principles 2) Appointment and Tenure 3) Probation 4) Mutual Obligations 5) Contract Designation 6) Reporting Relationship 7) Hours of Work 8) Location and Residence 9) Scope of Post 10) Role of Consultant 11) Professional Competence 12) Standard Duties and Responsibilities 13) Intellectual Property 14) Medical Education, Training and Research 15) Provisions Specific to Academic Consultants 16) Advocacy 17) Consultative Structures 18) Leave, Holidays and Rest Days 19) Locum Cover 20) Regulation of Private Practice 21) Contract Type 22) Change in Contract Type 23) Salary and Other Payments 24) Superannuation 25) Confidentiality 26) Records/Property 27) Clinical Indemnity 28) Grievance and Disputes Procedure 29) Role of Review Body on Higher Remuneration 30) Conflict of Interest/Ethics in Public Office 31) Review by Employers and Medical Organisations 32) Acceptance of Contract

34 35 36 36 36 36 37 37 37 39 39 39 40 40 41 41 42 42 43 43 43 47 47 48 48 48 48 49 50 50 50 50

Section B – Appendices Appendix I – HSE Letter of Approval Appendix II – Disciplinary Procedure Appendix III – Clinical Directorate Service Plan Appendix IV – Clinical Director Appointment and Profile Appendix V – Extracts from Consultants Contract 1997 Appendix VI – Granting of Sick Leave Appendix VII – Correspondence Between the Parties Appendix VIII – Special Leave Provisions for Consultants in Non-HSE Employment Appendix IX – Committees to Advise HSE on Consultant Applications

51 51 56 58 62 63 64 65 66

www.ihca.ie

001-073_IHCA Client Section 2022_V2.indd 33

17/09/2021 16:07

Consultants’ Common Contract 2008

PREAMBLE

SECTION A - TERMS AND CONDITIONS

This document is comprised of the following:

1) Core Principles The core principles of this Contract are: a) That both the Consultant and the Employer recognise that the relationship must be founded upon mutual trust and respect for each other and that any differences under the agreement should be processed expeditiously through the grievance and disputes procedure or such other procedures provided for herein; b) Recognition of the importance of the role of Clinical Director, which places Consultants within the leadership structure in the management of the health service; c) Recognition of clinical independence and the unique nature of the relationship between each Consultant and his/her patients; d) Recognition by the Consultant that (s)he must operate within a system in which policy and procedures are determined through the corporate entity in which staff at all levels must be accountable; e) Recognition of the Consultant’s role as an advocate and the concomitant responsibility, in the first instance, to express any concerns within the employment context;

a) Terms and Conditions; b) Appendices; c) Correspondence exchanged between the parties as set out at Appendix VII; d) Terms expressly incorporated. The foregoing, constituting the contract documents, shall be read together and embody the entire understanding of the parties in respect of the matters contained therein. Note 1: Throughout this document the use of the masculine pronoun is intended to also denote the feminine gender, save where the context does not admit of such meaning. Note 2: Job descriptions for new appointees will form part of the Consultants’ Contract.

001-077_IHCA Client Section 2022_V1 REV4.indd 34

www.ihca.ie

17/09/2021 10:33

Consultants’ Common Contract 2008

f) Recognition of the Consultant’s role in the delivery of education and training and research. 2) Appointment and Tenure a) This Contract is a contract of employment between (name and address of Employer) and (name and address of employee). (name of appointee)* is appointed to a post of ___________ and accepts the appointment from (insert date). The Contract is: i) permanent, subject to the completion of probation (as set out in Section 2); or ii) for a fixed term/purpose; or iii) a locum appointment. In the case of Consultants appointed on a fixed term / locum basis in accordance with Sections 2 a) ii) or 2 a) iii) above, Section 3 of this Contract (entitled ‘Probation’), other than paragraph 3 (f) thereof, does not apply. *Hereafter referred to as ‘The Consultant’

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 35

b) A candidate for and any person holding the office must be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service. c) The qualifications required for this post are set out in the Health Service Executive’s Letter of Approval as attached at Appendix I. d) Should the Consultant be required by the terms of the offer of appointment to comply with specified requirements or conditions (including a requirement or condition that (s)he shall acquire a specified qualification) before the expiration of a specified period the employment shall be terminated unless within that period the Consultant has complied with such requirements or conditions. e) With regard to resignation or retirement, the holder of a joint appointment* must act similarly in relation to each of his/her component commitments, e.g. (s)he cannot retire or resign from one participating Employer and not from the other(s). *A joint appointment is one which involves a commitment by the Consultant to two or more employing authorities. Consultants appointed on such a basis are entitled to a single contract or interdependent contracts (with reciprocal clauses).

17/09/2021 10:33

Consultants’ Common Contract 2008

The Consultant’s total commitments should not exceed that which is expected from Consultants in the same specialty who have a full-time commitment to one employer. f) If the Consultant wishes to terminate this employment (s)he shall provide the Employer(s) with three months notice of his/her proposed termination date. g) Except in cases of serious misconduct, the Employer will provide the Consultant with three months notice of the intention to terminate his or her employment. 3) Probation a) Appointment to a Consultant post (under Section 2 a) i) above) is dependent upon the satisfactory completion of a probationary period of 12 months. The probationary period may be extended at the discretion of the Employer for a period of not more than 6 months. In such event the specific reasons for the extension shall be furnished in writing to the probationary Consultant. b) At the end of the probationary period, the Employer shall either: i) certify that the Consultant’s service has been satisfactory and confirm the appointment on a permanent basis; or ii) certify, with stated specified reasons, that the Consultant’s service has not been satisfactory, in which case the Consultant will cease to hold his/her appointment. c) If the Employer should fail to certify in accordance with (b) above, the Consultant shall be deemed to have been appointed on a permanent basis. d) The Employer undertakes to advise the probationary Consultant on a timely basis of issues likely to result in the termination or extension of the probationary period. e) A Consultant who currently holds a permanent Consultant appointment in the Irish public health service will not be required to complete a probationary period should (s)he have done so already. f) A Consultant will not be required to complete the probationary period where (s)he has for a period of not less than 12 months acted in the post pending its filling on a permanent basis. g) During the probationary period, the probationary Consultant will be subject to ongoing review and a formal review will take place not more than six months after the date of first appointment on a probationary basis. h) In cases where an allegation of serious misconduct is made against a probationary Consultant, the matter will be dealt with in accordance with Stage 4 of the Disciplinary Procedure (attached at Appendix II). This does not affect

001-077_IHCA Client Section 2022_V1 REV4.indd 36

the Consultant’s statutory rights under the Industrial Relations Acts, 1946-2004 or any other statute. i) In the case of joint appointments, the holding of any one part of the post is contingent on continuing to hold the other part or parts of the post. j) Employment may be terminated by either party during the probationary period. Should employment be terminated by the Employer, the Employer shall set out in writing the specific reasons for such termination. 4) Mutual Obligations a) Both the Consultant and the Employer recognise the need for mutual trust, confidence and respect in giving effect to the terms of this contract. b) Both the Consultant and the Employer shall co-operate in giving effect to such arrangements as are put into place to verify the delivery of the Consultant’s contractual commitments. c) The determination of the range, volume and type of services to be provided and responsibility for the provision of same within available resources rests with the Employer. Services not provided as a consequence of a resource limit are the responsibility of the Employer and not the Consultant. d) The Employer recognises the Consultant’s obligations regarding the application of the Medical Council's (or Dental Council, as appropriate) ethical and professional conduct guidance to the clinical and professional situations in which (s)he works. 5) Contract Designation This contract is designated as a Type ___ (insert in line with HSE Letter of Approval) Contract as set out in the HSE Letter of Approval for this post attached at Appendix I. Details regarding Type of Contract and change of Type of Contract are set out at Sections 21 and 22. 6) Reporting Relationship The Consultant’s reporting relationship and accountability for the discharge of his/her contract is: i) t o the Chief Executive Officer/General Manager/Master of the hospital (or other employing institution) through his/her Clinical Director* (where such is in place). The Hospital Network Manager or Assistant National Director HSE PCCC Directorate may require the Consultant to report to him/her from time to time. or ii) in the case of Consultant Psychiatrists, to the Clinical Director and the Local Health Office Manager PCCC Directorate

www.ihca.ie

17/09/2021 10:35

Consultants’ Common Contract 2008

(where the Consultant is employed by the HSE)/Chief Executive Officer (where the Consultant is not employed by the HSE). *Details of the Appointment and Profile of the Clinical Director are contained in Appendix IV 7) Hours of Work a) The Consultant is contracted to undertake such duties/ provide such services as are set out in this Contract in the manner specified for 37 hours per week. This 37 hour commitment will normally be delivered across a span of 12 hours between the hours of 8am and 8pm Monday to Friday. The Consultant will not be obliged to work more than eight hours in any one day. This will be structured as a single continuous episode. Scheduling arrangements may be changed from time to time within the 8am to 8pm period in line with clinical and/or service need as determined by the Clinical Director/Employer in consultation with the Consultant. b) The aggregation of the Consultant’s commitments in a given time period shall be on a cumulative basis of 37 hours per week. This does not imply that the Consultant’s work is organised in equal periods of time. If the time worked consistently and significantly varies from the scheduled commitment, there will be a review of the commitment to ensure that the Consultant is not working regularly in excess of or less than the 37 hour weekly commitment. Where the commitment is being unavoidably exceeded for reasons of a temporary nature, local arrangements will be made to compensate the Consultant concerned. c) In addition to the contracted commitment per week specified at Section 7 (a) above: i) the Consultant may be required to participate in the on-call roster as determined by the Clinical Director/Employer. Payment arrangements for on-call liability are set out at Section 23 (i) and for the provision of call-out services when on-call outside scheduled commitments at Section 23 (j). ii) the Consultant rostered on-call may be required to provide a structured commitment on-site of up to five hours on a Saturday and/or five hours overtime on a Sunday and/or five hours on a public holiday. Consultants on onerous on-call rosters* shall not be expected to deliver the upper end of this requirement as determined by the Clinical Director. The Consultant’s liability for on-call outside such structured or other scheduled overtime hours will continue to apply. *Only on-call rosters of 1:4, 1:3, 1:2 or 1:1 are regarded as onerous

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 37

d) As a senior professional employee, the Consultant may be required, from time to time, to work beyond his/her rostered period in line with the exigencies of the service. The Employer will endeavour to ensure that this will be an exceptional rather than a standard requirement. e) Where there is local agreement to implement different work patterns, (including any arrangements providing for up to 24/7 hour working) the involvement of any individual Consultant in any such arrangement(s) shall be subject to his/her agreement. 8) Location and Residence a) The Consultant’s appointment shall be to ___________________ (name HSE area/HSE-funded Hospital/Agency as set out in the HSE Letter of Approval). The Consultant’s employment location(s) is ____________ (as per HSE Letter of Approval for the post if relevant). b) The Consultant’s employment location may be changed within the functional area and service range applicable to his/her Employer. In the first instance, this will be within the Hospital Network area/remit of the HSE-funded Hospital/ Agency. The Consultant shall be consulted should (s)he be required to change to an employment location outside the (Hospital Network Area/ HSE-funded Hospital/ Agency). In circumstances where a change of location is required, (e.g. hospital closures or major changes taking place in the character of the work being carried out there) the Consultant will be offered an appropriate alternative appointment without competition and consideration will be given to any request from the Consultant to change Contract Type or title of post. Subject to the provisions of the removal expenses scheme for the Health Service Executive, removal expenses shall be payable, if claimed. c) The Consultant shall be available to respond readily to clinical or service needs at the location(s) specified above. This will require the Consultant to reside convenient to the hospital/agency in which (s)he holds his/her appointment. 9) Scope of Post a) The scope of this post is as set out in the HSE letter of approval for this position at Appendix I and the Job Description as issued by the Employer. These describe the Consultant’s service commitments, accountabilities and specific duties. b) The Consultant’s annual Clinical Directorate Service Plan will detail how these are to be implemented and will be validated by a series of performance monitoring arrangements.

17/09/2021 10:35

A SPECIALIST IN PSYCHIATRIC AND NEUROLOGICAL DISORDERS

THE PATIENT IS AT THE HEART OF EVERYTHING WE DO

Lundbeck Ireland Ltd 4045 Kingswood Road Citywest Business Park Co. Dublin Ireland Tel: +353 1 4689800 Date of preparation: April 2020 Job Code: IE-NOTPR-0013

11721_Lundbeck_CorporateAd_APR21_01.indd 1 250546_1C_Lundbeck_JM_IHCA 22.indd 1 IHCA Ad template.indd 1

Focused • Passionate • Responsible

29/04/2021 12:34 04/05/2021 13:09 12:54 17/09/2021

Consultants’ Common Contract 2008

c) Certain decision-making functions and commensurate responsibilities may be delegated to the Consultant by the Employer. These will be documented in the Clinical Directorate Service Plan. d) The Consultant may apply through the Employer to the Health Service Executive to change the structure of this post as set out in the HSE Letter of Approval. Any change in the structure of the post is subject to the determination of the HSE. e) The Consultant may apply for atypical working arrangements under the relevant health service scheme. 10) Role of Consultant a) For the purposes of this contract, a Consultant is defined as a registered medical or dental practitioner who by reason of his/her training, skill and expertise in a designated specialty, is consulted by other registered medical practitioners and who has a continuing clinical and professional responsibility for patients under his/her care, or that aspect of care on which (s)he has been consulted. b) The Consultant is clinically independent in relation to decisions on the diagnosis, treatment and care of individual patients. This clinical independence derives from the specific relationship between the patient and the Consultant in which the patient places trust in the Consultant personally involved in his/her care to make clinical decisions in the patient’s best interests and to take continuing responsibility for their consequences. c) The Consultant acknowledges that (s)he is subject to statutory and regulatory requirements and corporate policies and procedures. d) The Consultant has a substantial and direct involvement in the medical diagnosis, treatment and delivery of care to patients. Each patient will have a named Consultant who has continuing responsibility for his/her diagnosis, treatment and care. e) The Consultant may discharge his/her responsibilities through: i) a direct personal relationship with the patient; ii) shared responsibility with other Consultants who contribute significantly to patient management; iii) delegation of aspects of the patient’s care to another appropriate staff member. Delegation of responsibility to other doctors or staff by a Consultant is subject to: (1) t he Consultant being satisfied that the relevant staff member has the necessary professional capability and (2) t he continued provision of a commensurate level of diagnosis, treatment and care to the patient. The Consultant shall retain a continuing overall responsibility for the care of the patient.

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 39

f) The Consultant will generally work as part of a Consultant team. The primary purpose of Consultant teams is to ensure Consultant provided services to patients on a frequent and continuing basis. In effect this requires that the Consultant provides diagnosis, treatment and care to patients under the care of other Consultants on his/her Consultant team and vice versa. This may include discharge and further treatment arrangements, as appropriate. g) The membership of the Consultant team will be determined in the context of the local working environment. The team may be defined at specialty/ sub-speciality level or under a more broadly based categorisation, e.g. general medicine, general surgery. 11) Professional Competence The Consultant shall maintain his/her professional competence on an ongoing basis pursuant to any Medical Council/Dental Council professional competence scheme applicable to the Consultant as a medical/dental practitioner. The Employer shall facilitate the maintenance of the Consultant’s professional competence pursuant to any Medical Council/Dental Council professional competence scheme applicable to the Consultant as a registered medical practitioner. Commitments in this regard will be reflected in the Clinical Directorate Service Plan. 12) Standard Duties and Responsibilities a) T o participate in development of and undertake all duties and functions pertinent to the Consultant’s area of competence, as set out within the Clinical Directorate Service Plan*and in line with policies as specified by the Employer. *A sample Clinical Directorate Service Plan is attached at Appendix III. Appendix VII also refers. b) To ensure that duties and functions are undertaken in a manner that minimises delays for patients and possible disruption of services. c) To work within the framework of the hospital/agency’s service plan and/or levels of service (volume, types etc.) as determined by the Employer. Service planning for individual clinical services will be progressed through the Clinical Directorate structure or other arrangements as apply. d) To co-operate with the expeditious implementation of the Disciplinary Procedure (attached at Appendix II).

17/09/2021 10:35

Consultants’ Common Contract 2008

e) T o formally review the execution of the Clinical Directorate Service Plan with the Clinical Director/ Employer periodically. The Clinical Directorate Service Plan shall be reviewed periodically at the request of the Consultant or Clinical Director/Employer. The Consultant may initially seek internal review of the determinations of the Clinical Director regarding the Service Plan. f) To participate in the development and operation of the Clinical Directorate structure and in such management or representative structures as are in place or being developed. The Consultant shall receive training and support to enable him/her to participate fully in such structures. g) To provide, as appropriate, consultation in the Consultant’s area of designated expertise in respect of patients of other Consultants at their request. h) To ensure in consultation with the Clinical Director that appropriate medical cover is available at all times having due regard to the implementation of the European Working Time Directive as it relates to doctors in training. i) T o supervise and be responsible for diagnosis, treatment and care provided by non-Consultant Hospital Doctors (NCHDs) treating patients under the Consultant’s care. j) T o participate as a right and obligation in selection processes for non-Consultant Hospital Doctors and other staff as appropriate. The Employer will provide training as required. The Employer shall ensure that a Consultant representative of the relevant specialty/sub-specialty is involved in the selection process. k) To participate in clinical audit and proactive risk management and facilitate production of all data/ information required for same in accordance with regulatory, statutory and corporate policies and procedures. l) T o participate in and facilitate production of all data/information required to validate delivery of duties and functions and inform planning and management of service delivery. 13) Intellectual Property Intellectual property generated by the Consultant in the course of his/her employment shall be in the ownership of the relevant health sector/academic Employer(s). Due regard shall be given to national policy and national codes of practice*. *e.g. the National Code of Practice for Managing Intellectual Property from Publicly Funded Research (ICSTI, April 2004) and National Code of Practice for Managing and Commercialising Intellectual Property from Public-Private Collaborative Research (ASC, November 2005).

001-073_IHCA Client Section 2022_V2.indd 40

14) Medical Education, Training and Research a) The Consultant shall, as part of his/her standard contractual commitment, contribute to the education, training and supervision of students, non-Consultant Hospital Doctors and trainee professionals including members of the multi-disciplinary team. b) The Consultant shall, as part of his/her standard contractual commitment, contribute to the advancement of knowledge by facilitating and supporting research. c) Where the Consultant is employed by an Academic Teaching Hospital/Agency, the Employer(s) shall, through the Clinical Director, ensure that the Clinical Directorate Service Plan takes account of the academic schedule and related delivery of academic commitments. d) The Employer shall liaise with: i) The relevant University/Universities regarding local arrangements for the provision of undergraduate medical education and training, and research; and ii) The relevant University/Universities and the relevant recognised Postgraduate Training Body(ies) regarding local arrangements for the provision of postgraduate medical education and training e) The Consultant may, with the agreement of the Employer, within the 37 hour commitment, make an explicit further structured and scheduled commitment to educational activities commensurate with his/her role in conjunction with (i) the relevant affiliated Medical/Dental School(s) and (ii) training bodies for postgraduate medical education and training. Such structured and scheduled commitment, responsibility and accountability for same will be agreed with the relevant Medical/Dental School or training body and will be consistent with the agreed training principles for postgraduate medical education and training*. These structured commitments shall be set out in the Clinical Directorate Service Plan. *‘Training Principles to be incorporated into new working arrangements for doctors in training’, published by the Medical Education and Training Group, July 2004. f) The Consultant may, in line with Section 9, have the opportunity to restructure his/her commitments to facilitate structured research or educational programme development for a defined period, subject to the agreement of the relevant Employer; funding being identified to support such activity for that period and such research being subject to appropriate research governance and ethics.

www.ihca.ie

07/10/2021 10:47

Consultants’ Common Contract 2008

15) Provisions Specific to Academic Consultants a) All terms of this contract are applicable to the holders of Academic Consultant posts which have been approved through the established HSE/HEA process in response to agreed submissions from the relevant University(ies) and clinical Employer(s). The provisions set out in this section are confined to holders of Academic Consultant posts approved by the HSE/HEA* and are additional and particular to Academic Consultants. *And previously Comhairle na nOspidéal. b) Academic Consultant posts are joint appointments between Universities* and the HSE or its funded agencies. They are structured to ensure a minimum 50 per cent commitment to the academic institution. *For the purposes of this document the term ‘University’ shall include the Royal College of Surgeons in Ireland. c) The HSE (or HEA, as appropriate), may, following consultation and agreement with the Employer(s), structure Academic Consultant posts at Senior Lecturer and Associate Professor level to reflect a lower commitment*, where: i) the nature of the clinical sub-specialty associated with the Academic Consultant post is such that a commitment to clinical duties in excess of 50 per cent is required for the appointee to maintain the required skills and competencies and/or ii) the academic department does not require an individual structured commitment of 50 per cent to deliver its teaching and research programmes. *Structured Academic Consultant posts will have a minimum 30 per cent commitment to the Academic Institution. d) Academic Consultants are graded as follows: i) Professor/Consultant; ii) Associate Professor/Consultant; iii) Senior Lecturer/Consultant. The Professor/Consultant, where appointed pursuant to the relevant statutes and regulations of the University, will act as head of the Academic Department or other relevant academic unit, with responsibility for the academic curriculum and administration of the Academic Department or unit*. *The academic governance and management structures in universities are subject to ongoing reform and change and the Academic Departments may no longer be the fundamental organisational unit within these structures.

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 41

e) The Academic Consultant is accountable for the delivery of the clinical component of the post as provided for in the body of this Contract. f) The Academic Consultant is accountable via the management and governance structures in place in the University in relation to the delivery of their academic commitment. g) The Academic Consultant’s role in teaching and training on the University campus extends to the relevant clinical site(s) for both undergraduates and postgraduates and shall, where required, include responsibility for relevant University students, teaching, training, assessment, modules and courses. h) Management and governance structures in respect of academic activities will be described in a framework developed by the Employer(s) which shall, inter alia, set out the relationship between academic and clinical activities; roles and responsibilities within these structures, including the respective roles of the Clinical Director and the Academic Head of Department(s) and/or other relevant academic unit; have regard to national policy on medical education and training, and standards of medical education and training for basic and specialist medical qualifications set and published by the Medical Council. i) The Academic Consultant will fully commit to and play a key role in the development and reform of medical education and training and research in alignment with Government policy. This may include a requirement to participate in and collaborate across University and clinical sites and with postgraduate bodies and the Medical Council on international, national and regional initiatives in academic and related activities. j) The rights and obligations implied in the exercise of academic independence are recognised. 16) Advocacy a) The Consultant may advocate on behalf of patients/ service users or persons awaiting access to service. b) In the first instance such advocacy should take place within the employment context through the relevant Clinical Director or other line manager. c) Information given to the public should be expressed in clear and factual terms. It must never cause unnecessary public concern or personal distress nor should it raise unrealistic expectations.

17/09/2021 10:36

Consultants’ Common Contract 2008

17) Consultative Structures It is recognised that Consultants organise themselves in groupings within hospitals/health agencies in order to deal with collegiate or non-executive matters. This representative system provides a mechanism to complement and inform the work of corporate management structures including Clinical Directorates. Where these representative structures do not exist, Employers will encourage and support their establishment, provide appropriate administrative support and encourage the fullest participation by all Consultants in the arrangements. The appropriate representative head (Chairperson or Secretary) of such a structure, e.g. Medical Board, Medical Advisory Board, Medical Committee will be accorded a consultative status regarding issues which have a significant effect on the delivery of clinical services within the hospital/health agency commensurate with their important representative function. 18) Leave, Holidays and Rest Days a) All leave or planned absences, other than those described under (e) and (f), must have prior approval from the Clinical Director/Employer. b) Leave and absences from work will normally be planned and scheduled in advance in conjunction with the Clinical Director/Employer. Leave will be approved by the Clinical Director/line manager in line with agreed rota and service requirements and notice is required in accordance with the Employer’s policy. c) Annual Leave: The Consultant’s annual leave entitlement is 31 working days per annum and as determined by the Organisation of Working Time Act 1997. d) Public Holidays Entitlement: Public holidays shall be granted in accordance with the Organisation of Working Time Act 1997 as follows: (i) In respect of each public holiday, an employee’s entitlement is as follows: (1) a paid day off on the public holiday; or (2) a paid day off within the month; or (3) an extra day’s annual leave; or (4) an extra day’s pay as the Employer may decide. e) Sick Leave: The Consultant may be paid under the Sick Pay Scheme for absences due to illness or injury. Granting of sick pay is subject to a requirement to comply with the Employer’s sick leave policy. Details of the scheme are set out at Appendix VI.

001-077_IHCA Client Section 2022_V1 REV4.indd 42

f) Other Leave: Details regarding Maternity, Adoptive, Paternity, Parental, Force Majeure, Compassionate and other leave in accordance with procedures can be obtained from the Employer. g) Sabbatical Leave/Career Breaks: The Consultant may apply for Sabbatical Leave or Career breaks in accordance with the terms of the relevant circulars. The Employer has the right to approve or refuse such leave. h) Leave to provide services abroad: The Consultant may apply for special leave to provide services in countries where health services are underdeveloped in accordance with the relevant circular. The Employer may grant or refuse such leave. i) Special Leave: (i) Leave for special circumstances shall be available to the Consultant in accordance with the relevant circulars and subject to the agreement of the Employer. (ii) In addition and unless otherwise addressed by circular, for Consultants employed by the HSE, the provisions below and those set out in the HSE Employee Handbook apply. For Consultants employed by non-HSE agencies, the provisions below and those set out at Appendix VIII apply. The Employer may grant leave with pay for: (1) continuing education or attendance at clinical meetings of societies appropriate to the Consultant’s specialty of not more than seven days in any one year excluding travel time. (2) attendance at courses, conferences, etc. approved by the Minister for Health and Children and which the Employer is satisfied are relevant to the work on which the Consultant is engaged. (3) World Health Organisation or Council of Europe Fellowships. j) Rest Days: Consultants with an on-call liability shall have an entitlement to avail of rest days on the following basis: (1) 1 : 1 on-call roster entitles the Consultant to five days in lieu per four week period; (2) 1 : 2 on-call roster entitles the Consultant to three days in lieu per four week period; (3) 1 : 3 on-call roster entitles the Consultant to two days in lieu per four week period; (4) 1 : 4 on-call roster entitles the Consultant to one day in lieu per four week period. Rest days should be taken as soon as possible following the

www.ihca.ie

17/09/2021 10:36

Consultants’ Common Contract 2008

on-call liability to which they relate. Where service demands do not permit them to be taken immediately, rest days may be accumulated: • For a maximum of six months from the earliest date of the on-call liability to which they relate and at that point they must be availed of or forfeited; or • For a maximum of three months from the earliest date of the on-call liability to which they relate. If it is not possible to avail of them at the end of the three-month period the Consultant may seek to be compensated for them at a rate equivalent to the daily rate for the type of post which (s)he occupies. k) Historic Rest Days: A Consultant who established an entitlement to historic rest days under the Consultant Contract 1997 (i.e. by 30th June 1998) retains such entitlement. l) Other HR Policies: All other generally applicable human resource policies, e.g. Flexible Working, Trust in Care, Dignity at Work, etc. shall apply to the Consultant. m) Travel and Subsistence: Travelling and subsistence expenses necessarily incurred in the course of a Consultant’s duties shall be met on the basis applicable to persons of appropriate senior status in the public sector. Consultants holding joint appointments or appointments involving a commitment at more than one location will be reimbursed expenses in respect of travel between locations specified in the Clinical Directorate Service Plan and agreed with the Employer(s). 19) Locum Cover a) In the event of the Consultant being absent on a scheduled or unscheduled basis, the Clinical Director/ Employer will determine the requirement for locum cover and make necessary arrangements. b) The Clinical Director/Employer will work with the Consultant in the development and execution of such arrangements as required. c) In exceptional circumstances where either sufficient cover cannot be provided or appropriate locum cover obtained, the Clinical Director/Employer may request the existing Consultants to undertake the routine work of an absent colleague in addition to their scheduled commitment. In such circumstances, appropriate compensation will be agreed with the Clinical Director.

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 43

20) Regulation of Private Practice a) Subject to the provisions of this section, the Consultant may engage in privately remunerated professional medical/dental practice as determined by his or her Contract Type as described at Section 21 below. b) The volume of private practice may not exceed 20 per cent of the Consultant’s workload in any of his or her clinical activities, including in-patient, day-patient and out-patient. c) The volume of practice shall refer to patient throughput adjusted for complexity through the medium of the Casemix system. d) The 80:20 ratio of public to private practice will be implemented through the Clinical Directorate structure. The Employer has full authority to take all necessary steps to ensure that for each element of a Consultant’s practice, s(he) shall not exceed the agreed ratio. e) The Consultant will be advised on a timely basis if his or her practice is in excess of the 80:20 ratio of public to private practice in any of his or her clinical activities. An initial period of six months will be allowed to bring practice back into line but, if within a further period of three months the appropriate ratio is not established, (s)he will be required to remit private practice fees in excess of this ratio to the research and study fund under the control of the Clinical Director. f) The Clinical Director may exercise some discretion in dealing with the implementation of the ratio either for an individual or a group of Consultants once the overall ratio in relation to the particular clinical activity is satisfied. g) The implementation of the 80:20 ratio of public to private practice shall be the subject of an audit, including an audit by the Department of Health and Children. 21) Contract Type Consultant Contract Type A a) A Consultant holding Contract Type A may engage in professional medical/dental practice exclusively for the public Employer(s) or as provided for at (c) below. b) A Consultant holding Contract Type A shall not engage in privately remunerated professional medical/dental practice. (S)he can only be remunerated for professional medical practice by way of salary as an employee under this contract or as provided for in (c) below. c) Professional medical/dental practice carried out for or on behalf of the Mental Health Commission, the Coroner, other Irish statutory bodies*, medical/dental education and training

17/09/2021 10:37

Consultants’ Common Contract 2008

bodies shall not be regarded as private practice. In addition, the provision of expert medical/dental opinion relating to insurance claims, preparation of reports for the Courts and Court attendance shall not be regarded as private practice. The HSE may specify additional bodies* dealing with public patients or aspects of the public health system to which this provision will also apply. The use of public facilities for all such activities is subject to the prior agreement of the Employer. *An indicative list of such bodies is available from the HSE Employers Agency, 63-64 Adelaide Road, Dublin 2, Tel: 01 6626966, Web: www.hseea.ie. Consultant Contract Type B a) A Consultant holding Contract Type B may engage in privately remunerated professional medical/dental practice only in hospitals or facilities operated by the Employer, as part of such activities that arise as part of the employment contract (e.g. home visits), colocated private hospitals on public hospital campuses and as described at (b) below. b) A Consultant holding Contract Type B who previously held a Category I or Category II Contract under the Consultants Contract 1997 may continue to hold the right to engage in privately remunerated professional medical/dental practice in locations outside the public hospital campus, subject to the Consultant fully discharging his/her aggregate 37-hour weekly standard commitment as required by the Employer and such private practice being commensurate with the entitlement to off-site private practice held by a Category I Consultant under the Consultants Contract 1997*; *Sections 2.9.4 to 2.9.7 inclusive of the Memorandum of Agreement attached to the Consultants Contract 1997 refer. These are attached at Appendix V. c) Where a Consultant holding Contract Type B cannot be provided with facilities on the hospital campus for outpatient private practice the Employer shall make provision for such facilities off-campus, on an interim basis, pending provision of on-campus facilities. d) The volume of private practice as described at (a) and (c) may not exceed 20 per cent of the Consultant’s clinical workload in any of his or her clinical activities, including in-patient, day-patient and out-patient. e) With respect to Emergency and Outpatient Departments specifically, the Consultant shall not charge private fees in respect of: i) patients attending Emergency Departments in public hospitals;

001-077_IHCA Client Section 2022_V1 REV4.indd 44

or ii) patients attending Public Outpatient Services in public hospitals. f) A common waiting list operated by the public hospital will apply to both public and private patients undergoing diagnostic investigations, tests and procedures (including radiology and laboratory procedures) on an out-patient basis in public hospitals (including referrals from General Practitioners). Status on the common waiting list will be determined by clinical need only. The list will be subject to clinical validation by the relevant Clinical Director. The Consultant may charge private fees in relation to private patients undergoing diagnostic investigations, tests and procedures on an outpatient basis subject to: i) the common waiting list provisions described above; ii) all billing being processed by the Consultant in a manner that is satisfactory to the hospital and in the event that insufficient information is available for verification purposes recourse may be had to the measures provided for at Section 20 (d) and (e); iii) the volume of such private practice not exceeding 20 per cent. g) The Consultant may charge private fees in relation to diagnostic investigations, tests and procedures (including radiology and laboratory procedures) referred to the public hospital by private hospitals, private clinics or other sources outside of the public health system but only where all arrangements for such referrals are effected through the Employer. h) Professional medical/dental practice carried out for or on behalf of the Mental Health Commission, the Coroner, other Irish statutory bodies or medical education and training bodies shall not be regarded as private practice. In addition, the provision of expert medical opinion relating to insurance claims, preparation of reports for the Courts and Court attendance shall not be regarded as private practice. The HSE may specify additional bodies dealing with public patients or aspects of the public health system to which this provision will also apply. The use of public facilities for all such activities is subject to the prior agreement of the Employer. Consultant Contract Type B* a) Contract Type B* is immediately available to: i) A Consultant who held a Category II Contract under the Consultants Contract 1997; subject to the Consultant fully discharging his/her aggregate 37-hour weekly standard commitment as required by the Employer.

www.ihca.ie

17/09/2021 10:37

Consultants’ Common Contract 2008

ii) A Consultant who held a Category I or II Contract as a Consultant in Emergency Medicine under the Consultants Contract 1997, subject to the Consultant fully discharging his/her aggregate 37-hour weekly standard commitment as required by the Employer. b) A Consultant who held a Category I Contract under the Consultants Contract 1997 may apply to change Contract Type to Contract Type B* two years after taking up Contract Type A or B. c) A Consultant holding Contract Type B* may engage in privately remunerated professional medical/dental practice in: i) hospitals or facilities operated by the Employer; ii) as part of such activities that arise as part of the employment contract (e.g. home visits), and/or in colocated private hospitals on public hospital campuses; iii) in locations outside the public hospital campus, subject to such private practice being: (1) commensurate with the entitlement to off-site private practice of a Category II Consultant under the Consultants Contract 1997; and (2) confined to periods outside the aggregate 37 hour weekly commitment and other scheduled commitments to the public service. d) The volume of private practice as described at (c) (i) and (ii) may not exceed 20 per cent of the Consultant’s clinical workload in any of his or her clinical activities, including in-patient, day-patient and out-patient. e) With respect to Emergency and Out-patient Departments specifically, the Consultant shall not charge private fees in respect of: i) patients attending Emergency Departments in public hospitals, or i i) patients attending Public Out-patient Services in public hospitals. f) A common waiting list operated by the public hospital will apply to both public and private patients undergoing diagnostic investigations, tests and procedures (including radiology and laboratory procedures) on an out-patient basis in public hospitals (including referrals from General Practitioners). Status on the common waiting list will be determined by clinical need only. The list will be subject to clinical validation by the relevant Clinical Director. The Consultant may charge private fees in relation to private patients undergoing diagnostic investigations, tests and procedures on an out-patient basis subject to: i) the common waiting list provisions described above;

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 45

ii) all billing being processed by the Consultant in a manner that is satisfactory to the hospital and in the event that insufficient information is available for verification purposes recourse may be had to the measures provided for at Section 20 (d) and (e); iii) the volume of such private practice not exceeding 20 per cent. g) The Consultant may charge private fees in relation to diagnostic investigations, tests and procedures (including radiology and laboratory procedures) referred to the public hospital by private hospitals, private clinics or other sources outside of the public health system but only where all arrangements for such referrals are effected through the Employer. h) Professional medical/dental practice carried out for or on behalf of the Mental Health Commission, the Coroner, other Irish statutory bodies or medical education and training bodies shall not be regarded as private practice. In addition, the provision of expert medical opinion relating to insurance claims, preparation of reports for the Courts and Court attendance shall not be regarded as private practice. The HSE may specify additional bodies dealing with public patients or aspects of the public health system to which this provision will also apply. The use of public facilities for all such activities is subject to the prior agreement of the Employer. Consultant Contract Type C a) A Consultant holding Contract Type C may engage in privately remunerated professional medical/dental practice in: (i) hospitals or facilities operated by the Employer; (ii) as part of such activities that arise as part of the employment contract (e.g. home visits), in colocated private hospitals on public hospital campuses; (iii) in locations outside the public hospital campus, subject to the Consultant fully discharging his/her aggregate 37-hour weekly standard commitment as required by the Employer. b) The volume of private practice as described at (a) (i) and (ii) may not exceed 20 per cent of the Consultant’s clinical workload in any of his or her clinical activities, including in-patient, day-patient and out-patient. c) With respect to Emergency and Outpatient Departments specifically, the Consultant shall not charge private fees in respect of: (i) patients attending Emergency Departments in public hospitals;

17/09/2021 10:37

Consultants’ Common Contract 2008

or (ii) patients attending Public Outpatient Services in public hospitals. d) A common waiting list operated by the public hospital will apply to both public and private patients undergoing diagnostic investigations, tests and procedures (including radiology and laboratory procedures) on an out-patient basis in public hospitals (including referrals from General Practitioners). Status on the common waiting list will be determined by clinical need only. The list will be subject to clinical validation by the relevant Clinical Director. The Consultant may charge private fees in relation to private patients undergoing diagnostic investigations, tests and procedures on an outpatient basis subject to: i) the common waiting list provisions described above; ii) all billing being processed by the Consultant in a manner that is satisfactory to the hospital and in the event that insufficient information is available for verification purposes recourse may be had to the measures provided for at Section 20 (d) and (e); iii) the volume of such private practice not exceeding 20 per cent.

001-073_IHCA Client Section 2022_V2.indd 46

e) The Consultant may charge private fees in relation to diagnostic investigations, tests and procedures (including radiology and laboratory procedures) referred to the public hospital by private hospitals, private clinics or other sources outside of the public health system but only where all arrangements for such referrals are effected through the Employer. f) P rofessional medical/dental practice carried out for or on behalf of the Mental Health Commission, the Coroner, other Irish statutory bodies or medical education and training bodies shall not be regarded as private practice. In addition, the provision of expert medical opinion relating to insurance claims, preparation of reports for the Courts and Court attendance shall not be regarded as private practice. The HSE may specify additional bodies dealing with public patients or aspects of the public health system to which this provision will also apply. The use of public facilities for all such activities is subject to the prior agreement of the Employer.

www.ihca.ie

07/10/2021 10:48

Consultants’ Common Contract 2008

22) Change in Contract Type a) Consultants may apply to change Contract Type to Type A, B or C at five-yearly intervals. An appeals process is set out at Section 22 (d) below. b) Those Consultants who previously held a Category I or Category II Contract under the Consultants Contract 1997 may, two years after accepting the Consultant Contract 2008 and thereafter at five yearly intervals, make application to the Health Service Executive Consultant Applications Advisory Committee* to transfer to Contract Type B*. A decision on such application will be made by the HSE following the advice of the Committee. Applicants must demonstrate that the change in Contract Type is consistent with the public interest and that there is a demonstrable benefit to the public health system. *Please refer to Appendix IX. c) Where significant changes occur in a particular area in the delivery of acute hospital care (e.g. hospital closures or major changes taking place in the character of the work being carried out there*) or where the volume of private practice is significantly below 20 per cent of total clinical workload, the Consultant shall be entitled to have his/her Contract Type reviewed by the Health Service Executive Consultant Applications Advisory Committee/ Type C Committee within the five year period. *Please refer to Section 8. d) Applications for change of Contract Type A, B or B* will be considered by the Health Service Executive Consultant Applications Advisory Committee together with the Employer’s views on the application. A decision on such application will be made by the HSE following the advice of the Committee. Applications for change of Contract Type to Contract Type B* will be considered subject to the condition that the total number of Consultants holding B*, Type C and Category 2 Contracts will be subject to an upper limit of such posts within the system. In the event that the HSE does not accede to the request, the Consultant may refer the matter to the Independent Appeals Panel for a recommendation. The Independent Appeals Panel shall be composed of: i) an Independent Chairperson, ii) a representative of the Consultant (e.g. from the relevant medical organisation), and iii) a n Employer representative. e) Appointments for reclassification to a Type C post will be considered by the Health Service Executive Type C Committee*. A decision on such application will be made by the HSE following the advice of the Committee. Applications

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 47

for change of Contract Type to Type C will be considered with reference to the total number of Consultants holding Type B*, Type C and Category II Contracts not exceeding the specified limit. In the event that the Type C Committee does not accede to the request, the matter will be referred to Chief Executive Officer of the Health Service Executive for a final decision. *Please refer to Appendix IX. 23) Salary and Other Payments a) The Consultant’s annual salary shall be as follows (in June 2007 terms) and shall be implemented on a phased basis as set out at d) below: i) for Type a Contracts a salary scale in four points as follows will apply: e222,000, e228,000, e234,000, e240,000; ii) for Type B Contracts a salary scale in four points as follows will apply: e205,000, e210,000, e215,000, e220,000; iii) for Type B* Contracts a salary rate of e190,000 will apply. iv) for Type C Contracts a salary scale in four points as follows will apply: e160,000, e165,000, e170,000, e175,000. b) The annual salary for Consultant Academics shall be as follows: i) For a Professor (Type A Contract) a salary scale in four points as follows will apply: e272,860, e280,240, e287,620, e295,000. ii) For a Professor (Type B Contract) a salary scale in four points as follows will apply: e265,650, e272,100, e278,550, e285,000 iii) For a Professor (Type B* Contract) a salary of e255,000 will apply. iv) For a Professor (Type C Contract) a salary scale in four points as follows will apply: e219,450, e226,300, e233,150, e240,000 c) All serving Consultants who take up the offer of the Consultant Contract 2008 by 31 August 2008 will be assimilated to the maximum point of the applicable new salary scale. d) The salary scales at a) and b) above will be phased on the following basis: i) a five per cent increase on the Consultant’s existing (June 2007) rate from 14 September 2007; ii) h alf the balance* from 1 June 2008; iii) t he remaining balance from 1 June 2009. *The term ‘half the balance’ refers to the difference between the 14 September 2007 rate and the fully implemented salary scale. These rates will attract a 2.5 per cent Towards 2016 general round increase from the 1st March 2008 and a further 2.5 per cent Towards 2016 general round increase from 1 September 2008.

17/09/2021 10:38

Consultants’ Common Contract 2008

e) An allowance of e50,000 per annum will be paid to those Consultants appointed as Clinical Directors. f) Saturday, Sunday and Public Holidays: Structured on-site attendance at weekends and on public holidays will be subject to the following premium payments: i) Time + ½ on Saturdays. ii) Double time on Sundays and Public Holidays. g) Continuing Medical Education: The CME allowance will be increased to e3,000 with effect from the 1 June 2008. Payment will continue to be on a vouched basis, to be adjusted in line with the Consumer Price Index (CPI). This allowance may be carried over annually for a maximum of five years. h) Telecommunications: The Consultant shall be reimbursed either the cost of home or mobile phone rental. i) B Factor (On-Call) Payments: An increase in the flat annual payment to e6,000 will take effect from 1 June 2008. The payments for more onerous rosters will increase by five per cent from the same date. j) C Factor (Call-Out) Payments: The Consultant will be eligible for payment on a per call-out basis for the provision of on-site services when: i) rostered for on-call duty and is contacted by another medical practitioner in the hospital, by a senior nurse or other member of staff specifically designated for that purpose and attends on-site to provide emergency services; ii) rostered for on-call duty and who, in the exercise of his/her professional judgment, attends on-site and performs clinical work of an urgent nature or carries out urgent diagnostic or therapeutic procedures; iii) requested by another Consultant to provide on-site services in public hospital/agency to which the Consultant does not have a scheduled commitment and where such services cannot be provided within the Consultant’s scheduled commitment as adjusted by the Clinical Director/Employer. This payment shall be on the basis of the equivalent payment per call-out. 24) Superannuation a) The Consultant will be covered by the terms of the HSE/VHSS/ NHSS Superannuation Scheme and the contributory associated spouses and children superannuation schemes. Appropriate deductions will be made from his/her salary in respect of his/ her contributions to the scheme. In general, 65 is the minimum age at which pension is payable. However, for appointees

001-077_IHCA Client Section 2022_V1 REV4.indd 48

who are deemed not to be ‘new entrants,’ as defined in the Public Service Superannuation Miscellaneous Provisions Act 2004, an earlier minimum pension age may apply. b) Should: i) the Consultant be deemed to be a new entrant (as defined in the Public Service Superannuation (Miscellaneous Provisions) Act 2004), there is no specified retirement age in respect of his/her appointment to this position. or ii) the Consultant be deemed not to be a new entrant (as defined in the Public Service Superannuation (Miscellaneous Provisions) Act 2004), retirement is compulsory on reaching 65 years of age. 25) Confidentiality a) In the course of the Consultant’s employment (s)he may have access to, or hear information concerning the medical or personal affairs of patients and/or staff. Such records and information are strictly confidential and in whatever format and wherever kept, must be safeguarded. 26) Records/Property a) The Consultant should take all reasonable measures to ensure that records are stored in such a manner that ensures confidentiality, security and ready accessibility for clinical staff when required for patient management. b) The Consultant shall not remove from the employment location any records in any format, electronic or otherwise, belonging to the Employer/Health Service Executive at any time without having authorisation. Such authorisation will be issued in advance of the first instance and apply thereafter. c) The Consultant will return to the Employer/Health Service Executive upon request, and, in any event, upon the termination of his/her employment, all records and property and equipment belonging to the Employer/Health Service Executive which are in his/her possession or control. 27) Clinical Indemnity a) The Consultant will be provided with an indemnity against the cost of meeting claims for personal injury arising out of bona fide actions taken in the course of his/her employment. b) This indemnity is in addition to the Employer’s(s’) Public Liability/Professional Indemnity/Employer’s(s’) Liability in respect of the Consultant’s nonclinical duties arising under this contract. c) Notwithstanding (a) above, the Consultant is strongly advised and encouraged to take out supplementary membership

www.ihca.ie

17/09/2021 10:38

Consultants’ Common Contract 2008

with a defence organisation or insurer of his/her choice, so that (s)he has adequate cover for matters not covered by this indemnity such as representation at disciplinary and fitness to practise hearings or Good Samaritan acts outside of the jurisdiction of the Republic of Ireland. d) Under the terms of this indemnity the Consultant is required to report to an officer designated by the Employer in such form which may be prescribed, all adverse incidents which might give rise to a claim and to otherwise participate in the Employer’s risk management programme as may be required from time to time. In the event that an adverse incident is first reported by a third party, the Consultant/ Head of Department should be notified as soon as practicable. 28) Grievance and Disputes Procedure a) In the case of a dispute arising regarding these terms and conditions, the Employer and Consultant will have recourse to and, as necessary, complete the Grievance and Disputes Procedure below. b) The purpose of this procedure is to deal with problems arising under the Contract. To the greatest extent possible, such problems should be addressed and resolved within the normal structures of the employing authority and at the earliest possible point. The parties recognize the finite nature of resources and agree that issues involving the resourcing of services, roles of hospitals and other general service issues are not amenable to the Grievance and Disputes Procedure. However, the parties further agree that disputes may arise, which although touching on or concerning such issues, are essentially concerned with the operation of the individual contract and are therefore amenable to the procedure. c) Stage 1: Local level discussions must be undertaken and completed within three months from the date on which each party to a dispute indicates in writing that it wishes to avail of this procedure. Where individual issues of an urgent nature arise, such as difficulties in obtaining locum cover, the Consultant shall have the right to process the matter up to the level of the Chief Executive or his nominated representative/deputy. d) Stage 2 – Mediation/Adjudication: In exceptional cases where resolution at local level does not prove possible, the matter may be referred by way of written submission to the Mediator/Adjudicator by either party. The said submission shall be transmitted in the first instance to the Secretariat who shall immediately forward the

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 49

complaint to the Mediator/Adjudicator. It is prerequisite to the invocation of this procedure that local discussions have taken place prior to referral to the Mediator/Adjudicator. The Mediator/Adjudicator shall decide whether all avenues at local level have been adequately explored and exhausted and further whether the matter is appropriate for his/ her consideration. The respondent will have a period of six weeks within which to prepare and lodge a counter statement with the Secretariat and shall forward a copy of same immediately to the complainant. Mediation/ Adjudication shall commence within two weeks of the expiry of the aforesaid time limit. Should the dispute not be resolved by mediation the Mediator/Adjudicator shall proceed to issue a recommendation within four weeks of the completion of the adjudication hearing or such further time as might be agreed between parties. i) disputes about the admissibility of particular cases shall be decided by the mediator/adjudicator; ii) hearings before the Mediators/ Adjudicators shall be held in private; iii) both parties shall be entitled to representation at their own expense; iv) decisions of the Mediator/Adjudicator shall be non-binding but the parties agree that such decisions shall be afforded the status of a Labour Court Recommendation; v) the costs of the mediator/adjudicator process shall be borne by the employing authority; vi) the HSE Employers Agency shall provide the Secretariat; e) List of Mediators/Adjudicators: A list of Mediators/Adjudicators have been agreed between the parties as suitable nominees for appointment in any individual case*. It shall be for the Secretariat, in conjunction with the parties, to determine the precise Mediator/ Adjudicator to be employed in any given case. The Secretariat will have due regard in the appointment of Mediators/ Adjudicators from the panel to any possible conflict that might arise. * These are available from the HSE Employers Agency at 63-64, Adelaide Road, Dublin 2, Tel: (01) 662 696, Web: www.hseea.ie. f) Review: The parties agree that the Grievance and Disputes procedure shall be reviewed within two years of date of implementation i.e. not later than 2010. However, in the event that difficulties arise concerning individual

17/09/2021 10:38

Consultants’ Common Contract 2008

e) Under the Standards in Public Office Act 2001, you must within nine months of the date of your appointment provide the following documents to the Standards in Public Office Commission at 18 Lower Lesson Street, Dublin 2: i) A Statutory Declaration, which has been made by you not more than one month before or after the date of your appointment, attesting to compliance with the tax obligations set out in section 25(1) of the Standards in Public Office Act and declaring that nothing in section 25(2) prevents the issue to you of a tax clearance certificate and either: i) a Tax Clearance Certificate issued by the CollectorGeneral not more than nine months before or after the date of your appointment;

issues of an urgent nature, then an earlier review may take place in respect of such matters at the election of any of the parties hereto not earlier than the end of June 2009. 29) Role of Review Body on Higher Remuneration The parties to this agreement accept that Consultants' remuneration and terms and conditions of employment should be reviewed on a regular basis. Accordingly, the Review Body on Higher Remuneration in the Public Sector should undertake such reviews as part of the general reviews undertaken by the Review Body from time to time. 30) Conflict of Interest/Ethics in Public Office a) Each Consultant should refrain from knowingly engaging in any outside matter that might give rise to a conflict of interest. b) If in doubt (s)he should consult the relevant Clinical Director/ Employer and, subject to a right of appeal, any direction given must be followed. The term ‘you’ is used in the remainder of this section to refer to the Consultant. c) Should you occupy a designated position of employment* under the Ethics in Public Office Acts 1995 and 2001, you are required, in accordance with Section 18 of the Ethics in Public Office Act 1995, to prepare and furnish an annual statement of any interests which could materially influence you in the performance of your official functions: • by Consultants employed by the Health Service Executive to the Chief Executive Officer Health Service Executive; • by Consultants employed by HSE funded agencies to the Chief Executive of the agency; not later than 31 January in the following year. * Applicable to those employees in public service whose remuneration is not less than the lowest remuneration for a Deputy Secretary in the Civil Service, i.e. e168,992 as at 14 September 2007. d) In addition to the annual statement, you must whenever you are performing a function as an employee and you have actual knowledge that you, or a connected person, has a material interest in a matter to which the function relates, provide at the time a statement of the facts of that interest. You should provide such statement to the Chief Executive Officer. The function in question cannot be performed unless there are compelling reasons to do so and, if this is the case, those compelling reasons must be stated in writing and must be provided to the Chief Executive Officer.

001-077_IHCA Client Section 2022_V1 REV4.indd 50

or ii) an Application Statement issued by the CollectorGeneral not more than nine months before or after the date of your appointment. f) You are required under the Ethics in Public Office Acts 1995 and 2001 to act in accordance with any guidelines or advice published or given by the Standards in Public Office Commission. Guidelines for public servants on compliance with the provisions of the Ethics in Public Office Acts 1995 and 2001 are available on the Standards Commission’s website www.sipo.gov.ie. 31) Review by Employers and Medical Organisations The terms and conditions of employment as set out in this contract will be reviewed in 2013 by the representatives of the Employers and the medical organisations. 32 A cceptance of Contract a) This Contract, the associated Terms and Conditions and Appendices and terms expressly incorporated by reference or by statute contain the terms of the Consultant’s employment with _____ (insert name of Employer). b) The Consultant confirms his/her agreement to the following declaration by signing below: i) I declare that I am not the subject of any investigation by a medical registration or licensing body or authority in any jurisdiction with regard to my medical practice or conduct as a practitioner. I have not been suspended from registration nor had my registration or licence cancelled or revoked by any medical registration or licensing body or authority in any jurisdiction in the last ten years nor am I the subject of any current suspension

www.ihca.ie

17/09/2021 10:39

Consultants’ Common Contract 2008

Name (Block Capitals): or any restrictions on practise. Also, I confirm that I am not aware that I am the subject of any criminal investigation by the police in any jurisdiction. ii) I am aware of the qualifications and particulars of this position and I hereby declare that all the particulars furnished by me are true. I hereby declare that to the best of my knowledge there is nothing that would adversely affect the position of trust in which I would be placed by virtue of this appointment. iii) I understand that any false or misleading information submitted by me will render me liable to automatic disqualification or termination of employment if already employed. I understand that this appointment is subject to the receipt of appropriate registration with the Medical Council/ Dental Council, satisfactory references, Garda/Police Clearance and Occupational Health clearance. Name (Block Capitals): Signature of Consultant: Date: iv) I have read and understood the Medical Council's 'Guide to Ethical Conduct and Behaviour'/Dental Council guidance on ethical conduct and behaviour and any other relevant guidance provided by the relevant Council in relation to ethical or professional conduct. I undertake to apply the relevant Council's ethical and professional conduct guidance to the clinical and professional situations in which I may work. v) I have read this document and I hereby accept the post of in accordance with the terms and conditions specified and I undertake to commence duty on:

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 51

Signature of Consultant: Date: Employer (Block Capitals): Signature on behalf of Employer: Date:

SECTION B – APPENDICES APPENDIX I – HSE LETTER OF APPROVAL The HSE Letter of Approval is individual to each post and will be inserted at this section of each contract.

APPENDIX II – DISCIPLINARY PROCEDURE Guidance Notes Guidance notes on the practical operation of this disciplinary procedure are set out below. These guidelines form part of the Disciplinary Procedure: i) Where it is proposed to bypass Stages 1 or 2 of the Procedure in any case not involving an allegation of serious misconduct, the Consultant shall be advised why it is so proposed. ii) With respect to the right to confront one’s accuser and to introduce witnesses, dealt with more particularly under Stage 4 and the Appendix to the Procedure, there should be consideration in each case of the most effective manner in which disputed facts might be determined, respecting principles of natural and constitutional justice, the right of a Consultant to his/ her good name and the relevant provisions of any Code of Practice issued by the Labour Relations Commission. iii) Review of a decision to continue a Consultant on administrative leave, dealt with more particularly under the heading Protective Measures, should refer specifically to the reason(s) why continuation of the administrative leave is proposed. iv) In any investigation conducted under Stage 4 of the Procedure there should be close scrutiny of all of the evidence in arriving at any decision, having regard to the potentially serious consequences for the Consultant of a finding of misconduct. v) Disciplinary Proceedings should be confidential save where disclosure is required by law. All parties to such proceedings shall be advised that breach of such duty could itself give rise to disciplinary proceedings.

17/09/2021 10:39

Consultants’ Common Contract 2008

1. Purpose The delivery of a high quality health service is dependent on all staff meeting the highest standards of performance and conduct. Where possible, and as appropriate, the Clinical Director/Line Manager or such person(s) as is/are determined by the Employer will deal with individual shortcomings through discussion, counselling and appropriate assistance. The key objective is to assist the Consultant to meet the required standards. If, however, the Consultant continues to fail to meet the required standards then the disciplinary procedure will be invoked. The principles of natural and constitutional justice apply and the Consultant will be afforded the right of representation at all stages of the disciplinary process. Where the issue(s) of concern are of a clinical nature, appropriate clinical input will be obtained by the Employer in advance of any steps of the Procedure being undertaken. Where it is alleged that a Consultant’s capability, competence or conduct does not meet the required standards, the matter will be dealt with under the following procedure. 2. Scope This procedure covers all Consultants. 3. Procedure in Operation While the disciplinary procedure will normally be operated on a progressive basis, in cases of apparent serious misconducts Stages 1, 2 and 3 of the procedure may be bypassed and in other cases Stage 1 and/or Stage 2 may be bypassed if appropriate. In each instance where it is intended to invoke the Disciplinary Procedure, the Consultant shall be advised in writing of the specific grounds of the complaint(s) made against him/her and afforded an adequate opportunity to respond before any disciplinary action is imposed. Stage 1: Oral Warning The Consultant will normally be issued with a formal oral warning by the Clinical Director/Line Manager. This shall follow prior notification of the purpose of the meeting at which the Oral Warning may be delivered. The Oral Warning will give details of the precise nature of the matter, the improvements required and the timescale for improvement. S/he will be advised that the Oral Warning constitutes the first stage of the disciplinary procedure and failure to improve within the agreed timescale may result in further disciplinary action under Stage 2 of the disciplinary procedure. A record of the warning will be kept on the Consultant’s personnel file and will be removed after six months, subject to satisfactory improvement during this period.

001-077_IHCA Client Section 2022_V1 REV4.indd 52

The Consultant will have a right to appeal the Oral Warning to a more senior level of management*. Appeals must be made in writing setting out the grounds for appeal within 14 working days of the Consultant being notified of the decision. *Appeals will be to the Assistant National Director, NHO/National Director PCCC/CEO of the HSE-funded Agency, as appropriate. Stage 2: Written Warning If the Consultant fails to make the necessary improvements, s/he will normally be issued with a formal written warning by the Clinical Director/Line Manager. The written warning will give details of the matter, the improvements required and the timescale for improvement. The Consultant will also be advised that failure to improve within the agreed timescale may result in the issuing of a final written warning under Stage 3 of the disciplinary procedure. The warning will be removed after 9 months, subject to satisfactory improvement during the specified period. The Consultant will have a right to appeal the written warning to a more senior level of management*. Appeals must be made in writing setting out the grounds for appeal within 14 days of the Consultant being informed of the decision. *Appeals will be to the Assistant National Director, NHO/National Director PCCC/CEO of the HSE-funded Agency, as appropriate. Stage 3: Final Written Warning If the Consultant fails to make the necessary improvements, s/ he will normally be issued with a final written warning by the Clinical Director/appropriate Line Manager. The warning will give details of the matter, the improvements required and the timescale for improvement. The Consultant will be advised that failure to improve within the agreed timescale may lead to dismissal or some other sanction short of dismissal under Stage 4 of the disciplinary procedure. The warning will be removed after a specified period, usually 12 months, subject to satisfactory improvement during this period. Where the warning relates to clinical practice there will be a peer review. The Consultant will have a right to appeal the written warning to a more senior level of management*. Appeals must be made in writing setting out the grounds for appeal within 14 days of the Consultant being notified of the decision. *Appeals will be to the Assistant National Director, NHO/National Director PCCC/CEO of the HSE-funded Agency, as appropriate.

www.ihca.ie

17/09/2021 10:39

Consultants’ Common Contract 2008

Stage 4: Dismissal or Action Short of Dismissal Failure to meet the required standards of performance/ conduct following the issuing of a final written warning will lead to a disciplinary hearing under Stage 4. The decisionmaker will be the relevant National Director, HSE or CEO/ General Manager in other health agencies. The outcome of the disciplinary hearing may be dismissal or action short of dismissal. The delegation of such a decision should take place only in the most exceptional circumstances. i) Serious Misconduct: The following are some examples of serious misconduct which will be dealt with from the outset under Stage 4: • Serious negligence/serious dereliction of duties; • Incapacity to perform duties due to being under the influence of alcohol, prescribed drugs or unprescribed medication; • Serious breach of the Employer’s policy(ies) on electronic equipment; • Serious bullying, sexual harassment or harassment (This would only arise where a complaint has been upheld following an investigation under the Dignity at Work policy); • Abuse of patients or clients (intellectual disability service users, relatives, etc.)*. Note: The above list is not exhaustive. *This would only arise where a complaint has been upheld following an investigation under the Trust in Care policy. ii) Capability and Competence: Where possible, as made clear at ‘Purpose’ above and subject to the relevant provisions of the Medical Practitioners Act 2007, issues of capability and competence (including clinical competence and health) will be resolved through ongoing review and support and, where necessary, through the progressive stages of the Disciplinary Procedure. However, it is acknowledged that there may be exceptional cases where there has been an apparent serious failure on the part of a Consultant to deliver the required standard of care due to some lack of capability on his/her part. In such cases of apparent serious failure, the matter will be investigated and dealt with under this stage. The investigation will include appropriate clinical input. iii) Mechanism for dealing with complaints under (i) and (ii) above: Complaints under (i) and (ii) above will be dealt with as follows: a) Notifying the Consultant of the allegation: Upon being made aware of any instance of apparent serious misconduct, senior management/the Clinical Director/Line Manager will arrange for the gathering of preliminary facts relating to the issue in order for the precise allegation to be formulated. The Consultant

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 53

against whom the allegation is made will be advised in writing of the precise details of the allegation and invited to make an initial response. When dealing with the allegation, management will ensure, insofar as possible, that confidentiality is maintained and the Consultant against whom the allegation is made is fully protected throughout the process. b) Protective Measures: Where it appears to the Hospital General Manager/Chief Executive, HSE Network Manager, Assistant National Director PCCC that by reason of the conduct of a Consultant there may be an immediate and serious risk to the safety, health or welfare of patients or staff the Consultant may apply for or may be required to and shall, if so required, take immediate administrative leave with pay for such time as may reasonably be necessary for the completion of any investigation into the conduct of the Consultant in accordance with this procedure. This investigation should take place with all practicable speed. Placing the Consultant on paid administrative leave pending the outcome of the investigation will be reserved for only the most exceptional of circumstances. The Chair of the Medical Board or his/her deputy shall be consulted and his or her opinion considered before a decision is taken to place the Consultant on administrative leave. A review of the decision to place the Consultant on administrative leave shall be taken within two weeks of the decision and fortnightly thereafter until the matter is concluded. Where a review is sought by or on behalf of the Consultant, and the grounds for the review are stated, the review should take place immediately (the above two week limit is therefore an outer limit). The Consultant will be advised that the decision to place him/her on administrative leave is a precautionary measure designed to ensure his or her personal safety and well-being/the safety and well-being of patients and staff and not as a disciplinary sanction nor an indication of guilt. Alternative protective measures may include: • Providing an appropriate level of additional supervision. • Amendment or restriction of certain clinical duties. • Other appropriate action. The views of the Consultant and his or her response will be taken into consideration when determining the appropriate protective measures to take in the circumstances but the final decision rests with the Hospital General Manager/Chief Executive, HSE Network Manager, Assistant National Director PCCC or another equivalent person. This would also include the Masters of Maternity Hospitals, Chief Executives/General Managers of Intellectual Disability Agencies and Chief Executives of specific agencies.

17/09/2021 10:40

IKA GENERIC ADVERT A4_Layout 1 08/06/2015 14:49 Page 1

IHCA Ad template.indd 1 Untitled-2 1

17/09/2021 09:32 13:12 10/10/2016

Consultants’ Common Contract 2008

c) Investigation: An investigation will be conducted by person(s) who is/are acceptable to both parties. The principles governing the conduct of the investigation and the steps in conducting the investigation are set out in Appendix 1. If the findings of the investigation uphold the allegation of serious misconduct, a disciplinary hearing will be held as at Stage 4. Both the Consultant and the employing authority shall co-operate with the investigation team to ensure that any investigation is conducted as expeditiously as possible. Investigations should normally be completed within one month of the commencement date. Both parties agree to full co-operation with the investigation process in order to ensure that it can be conducted expeditiously. The timescale may be extended in exceptional circumstances and the Consultant will be advised of the reasons for the proposed extension and given the opportunity to comment. Where an allegation is not upheld the Consultant is considered to be exonerated. d) Disciplinary Hearing: The decision maker will be the relevant National Director, HSE or the Hospital Chief Executive/General Manager as appropriate. The Consultant will be provided with a copy of the investigation report and all relevant documentation and will be informed of the following in writing in advance of the disciplinary hearing: • The status of the hearing, i.e. that it is a formal disciplinary hearing under Stage 4 (Dismissal or Action Short of Dismissal) of the Disciplinary Procedure; • The purpose of the hearing, i.e. to consider representations on the Consultant’s behalf and to decide if disciplinary action is appropriate and the nature of the sanction if any; • The possible outcome of the hearing, i.e. it may result in a decision to terminate his or her employment; and • The right to be accompanied by a representative or work colleague. The disciplinary hearing will be conducted as follows: • The Consultant will be informed of the purpose of the disciplinary hearing, the nature of the allegation and the findings of the investigation. • The Consultant and his/her representative will have the opportunity to present his/her case in response to the findings of the investigation. • The disciplinary hearing will allow the Consultant to raise any concerns regarding the investigation process if s/he feels that these

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 55

concerns were not given due consideration by the investigation team. • The hearing will be adjourned to allow the decision maker to carefully consider the representations made on the Consultant's behalf. • The hearing will be reconvened and the Consultant will be advised of the outcome. The outcome of the disciplinary hearing will be confirmed to the Consultant in writing and copied to his/her representative. The decision may be that the allegation was not upheld, to take no further action, to dismiss the Consultant or to take disciplinary action short of dismissal which may include final written warning, suspension without pay or such other lesser sanction as is deemed appropriate. The Consultant will be advised of his/ her right to appeal the decision. iv) Appeals under Stage 4: a) Appeals against Disciplinary Sanctions Short of Dismissal: Appeals against Stage 4 disciplinary sanctions short of dismissal will be heard by an independent adjudicator who is acceptable to the Consultant. The Consultant will be required to submit the grounds for the appeal in writing within 14 days of being notified of the original decision. b) Appeal against Dismissal Decisions: If the outcome of the disciplinary hearing is a decision to dismiss, the Consultant may appeal the decision to a committee of three persons. The Consultant will be required to submit the grounds for the appeal in writing within 14 days of being notified of the original dismissal decision. An appeal against dismissal decisions will be heard by a committee comprising persons selected from a nominated panel which has been agreed between the HSE and the Consultant’s representative body. Membership of the panel will consist of: • An Independent Chairperson; • An Employee representative; and • An Employer representative. Membership of the panel will be reviewed every three years. The Chair will be selected from an agreed panel of appropriately qualified legal practitioners or other appropriate persons that may be agreed between the parties. The Committee will adopt its own procedures and may conduct such enquiries as it deems appropriate. The Committee will decide whether to confirm or vary the original dismissal decision. If the original decision is confirmed, the Consultant will be removed from the payroll.

17/09/2021 10:40

Consultants’ Common Contract 2008

c) Ad Misericordium Appeal: In the event of an appeal against the decision to dismiss being unsuccessful, the Consultant may make a final “mercy appeal” to the Hospital Chief Executive Officer, HSE, or other appropriate persons in the case of non-HSE agencies. The grounds for this appeal must be submitted in writing within 21 days of the employee being notified of the Committee’s decision. Nothing in this Procedure affects the Consultant’s legal rights. Appendix to Disciplinary Procedure – Investigation The investigation into allegations of serious misconduct will be carried out in accordance with the following principles: • The investigation will be conducted as expeditiously as possible and without inordinate delay; • The investigation will be carried out in strict accordance with the terms of reference and with due respect for the right of the Consultant who is the subject of the allegation to be treated in accordance with the principles of natural justice, including a presumption of innocence; • Allegations of serious misconduct or allegations that there has been a breach of discipline sufficient to invoke Stage 4 of the Disciplinary Procedure should be made in writing so that there is clarity as to the allegation(s) faced by the Consultant; • Where an allegation of serious misconduct is denied the facts supporting an allegation must be proved and an opportunity afforded to the Consultant to confront any accuser(s); • The investigation team will have the necessary expertise to conduct an investigation impartially and expeditiously; • Confidentiality will be maintained throughout the investigation to the greatest extent possible, consistent with the requirements of a fair investigation. It is not possible, however, to guarantee the anonymity of the complainant or any person who participates in the investigation; • A written record will be kept of all meetings and treated in the strictest confidence; • The investigation team may interview any person who they feel can assist with the investigation. All employees are obliged to co-operate fully with the investigation process; • Employees who participate in the investigation process will be required to respect the privacy of the parties involved by refraining from inappropriately discussing the matter with other work colleagues or persons outside the organisation; and • It will be considered a disciplinary offence to intimidate or exert pressure, directly or indirectly, on any person who may be required to attend as a witness or to attempt to obstruct the investigation process in any way.

001-077_IHCA Client Section 2022_V1 REV4.indd 56

Steps in conducting the Investigation: • The investigation will be conducted by person(s) nominated by senior management and acceptable to both parties. • The investigation will be governed by predetermined terms of reference based on the alleged misconduct (which will be set out in writing) and any other matters relevant to the allegation. The terms of reference shall specify the following:  The timescale within which the investigation will be completed; and  The scope of the investigation.  The Consultant against whom the allegation is made will be advised of the right to representation and given copies of all documentation prior to and during the investigation process, e.g:  Details of alleged misconduct.  Witness statements (if any).  Minutes of any interviews held with witnesses.  Any other evidence of relevance. • The investigation team will interview any witnesses and other relevant persons. Confidentiality will be maintained as far as practicable. • Persons may be required to attend further meetings to respond to new evidence or provide clarification on any of the issues raised. • The investigation team will form preliminary conclusions based on the evidence gathered in the course of the investigation and invite the Consultant concerned to provide additional information or challenge any aspect of the evidence. • On completion of the investigation, the investigation team will form its final conclusions and submit a written report of its findings to the Hospital General Manager/Chief Executive/HSE Network Manager/Director PCCC/ Assistant Director PCCC, as appropriate. • The Consultant against whom the allegation is made will be given a copy of the investigation report. • On completion of the investigation, the investigation team will submit a written report in accordance with its terms of reference. However, no decision regarding disciplinary sanction should be decided upon until the decision maker has held a disciplinary hearing with the Consultant.

APPENDIX III – CLINICAL DIRECTORATE SERVICE PLAN Clinical Directorate Service Plans – Consultant Assignment/Work Schedules 1. Introduction • Provisions for organisation and delivery of services at the front-line at operational level are set out primarily in Directorate Service Plans.

www.ihca.ie

17/09/2021 10:40

Consultants’ Common Contract 2008

• The Plan is concerned, inter alia, with specifying resources/ funding available (including workforce, facilities, etc.) and how these are deployed in delivering services. The plan specifies quantity of services to be delivered and quality/outcomes parameters to apply thereto. • The Consultant is simultaneously the key directorate resource with respect to service delivery and the core decision-maker regarding utilisation of resources of the Directorate and the organisation generally. • It is accordingly centrally important that the Consultant’s contribution at individual level is scheduled into the Directorate Service Plan over designated parameters (i.e. assignments, services, etc.)

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 57

• This paper sets out high level provisions to apply in this regard. These provisions are likely to develop considerably over time. Further development of these issues will also be required at local level. 2. Directorate Service Plan • The Directorate Service Plan is developed and executed at two levels as follows:  Corporate level: As part of the overall Service Plan of the organisation. Set at high level. Progressed and reported on quarterly.  Directorate level: As part of the operations provisions of the Directorate. Set at directorate level. Developed, progressed and reported on monthly.

17/09/2021 10:41

Consultants’ Common Contract 2008

• Individual Consultant assignment/work schedules are incorporated as part of the latter. • Responsibility for development and execution of the Directorate Service Plan lies with the Clinical Director. This is effected with the full participation of Directorate personnel. • In developing the Directorate Service Plan the Clinical Director, inter alia,  Quantifies the total resources available to the Directorate for the forthcoming year/month;  Specifies services to be delivered through these resources in quantity and qualitative terms by the Directorate on an annual/ monthly basis;  Explores and determines with key Directorate personnel (including Consultants) how to deploy resources in a manner which optimises service delivery, quantity and quality in the context of requirements set out in the Corporate Service Plan;  Determines the monthly assignment/work schedule for Consultants and how each Consultant’s commitment will be discharged in achievement of the planned level of service determined for the Directorate. 3. Consultant Assignment/Work Schedules The Directorate Service Plan incorporates, inter alia, Consultant assignment and work schedules set at both Directorate and personal levels monthly. Sample assignment/work schedule documentation is found on the following pages. 4. Reporting on Directorate/Consultant Performance against Service Plans Reports on Directorate/Consultant performance against targets set in the Service Plan are produced on a monthly basis. Typically, these are provided at the following levels: • Directorate; • Specialty; and • Consultant. A sample outline of a performance report can be found on page 61. 5. General This document addresses Directorate Service Plans at a high framework level. Detailed provisions in this respect will be developed at local level within the parameters set out herein.

001-073_IHCA Client Section 2022_V2.indd 58

APPENDIX IV – CLINICAL DIRECTOR APPOINTMENT AND PROFILE Appointment of Clinical Directors 1) The post of Clinical Director is an Executive position, appointed by the Employer. 2) It is recognised that for an appointee to function effectively as a Clinical Director (s)he would require the general confidence and support of Consultant colleagues and management. 3) The normal appointment process for a Clinical Director is a follows: a) Applications are invited in a formal manner from all Consultants in the eligible Consultant grouping b) All applicants are interviewed c) Interview panel to comprise: i) Chair ii) Two management/board representatives iii) Two Consultant representatives of whom one will be a member of the directorate grouping and the other, a non-directorate grouping member. In the case of academic appointments the interview board will include a Consultant Academic attached to the relevant Academic School. 4) In recognition of the importance of securing confidence of all parties in these new provisions, appointment in the first instance will be for two years, made on the following basis: a) Applications are invited in a formal manner from all Consultants in the eligible Consultant grouping. b) The body of Consultants within the Directorate may nominate a candidate agreed by all members of the group for the post to the Employer. In the event of an agreed nomination being secured and submitted in writing, signed by all members of the grouping, the nominee, if acceptable to the Employer, will be appointed to the post. c) In the event that no such agreed candidate emerges, the normal process will apply. Clinical Director Profile 1) A Clinical Director may cover one speciality area or a range of specialities. Each Directorate is headed by a Clinical Director, generally supported by a Nurse Manager and a Business Manager. 2) A Clinical Director will be a Medical/Dental Consultant Contract holder of the relevant Clinical Directorate, appointed by the employing authority.

www.ihca.ie

17/09/2021 13:42

Consultants’ Common Contract 2008 Clinical Directorate Plan Consultant Assignment Schedule: Month:

Clinical Directorate Work Schedule - Location and Activity Service Commitment

Absence/ leave

OPD

Ward Rounds / Inpatient care

Theatre / Day Theatre

On-call

Quality & Risk (incl. Audit)

Medical Education Training and Research

Statutory Commitment

CME / CPD (protected time)

Day of month 1st

Am Pm

2nd

Am Pm

3rd

Am Pm

4th

Am Pm

5th

Am Pm

6th

Am Pm

7th

Am Pm

8th

Am Pm

9th

Am Pm

10th

Am Pm

11th

Am Pm

Etc

Am Pm

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 59

17/09/2021 10:41

Consultants’ Common Contract 2008

Consultant Work Schedule - Month Service Commitment

Absence/ leave

OPD

Ward Rounds / Inpatient care

Theatre / Day Theatre

On-call

Quality & Risk (incl. Audit)

Medical Education Training and Research

Statutory Commitment

CME / CPD (protected time)

Day of month 1st

Am Pm

2nd

Am Pm

3rd

Am Pm

4th

Am Pm

5th

Am Pm

6th

Am Pm

7th

Am Pm

8th

Am Pm

9th

Am Pm

10th

Am Pm

11th

Am Pm

Etc

Am Pm

001-077_IHCA Client Section 2022_V1 REV4.indd 60

www.ihca.ie

17/09/2021 10:41

Consultants’ Common Contract 2008

Performance Report - at Directorate, speciality / sub-speciality and Consultant level Planned vs. Actual (month) Planned

Actual

Areas of Focus Public

Private

Total

Public

Private

Total

In-patient Measures ............... ............... Day Patient Measures ............... ............... Out Patient Measures ............... ............... Ed Measures ............... ............... Other Measures ............... ............... Quality Performance Indicators • Corporate ............... ............... • Management ............... ............... • Operational ............... ............... • Clinical (including outcomes) ............... ...............

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 61

17/09/2021 10:42

Consultants’ Common Contract 2008

3) The primary role of a Clinical Director is to deploy and manage Consultants and other resources, plan how services are delivered, contribute to the process of strategic planning and influence and respond to organisational priorities. This will involve responsibility for agreeing an annual Directorate Service Plan, identifying service development priorities and aligning Directorate Service Plans with Hospital or Network Plans. 4) Executive power, authority and accountability for planning and developing services for and managing available resources (direct or indirect) by the Clinical Directorate are delegated from the Employer. 5) Clinical Directors report to a voluntary hospital or agency: the Chief Executive; under the Health Service Executive: Hospital Manager, the Hospital Network Manager, the Local Health Manager or the Assistant National Director, HSE PCCC Directorate, as appropriate. 6) The Clinical Director is accountable for resources used, directly and indirectly, by the Directorate and the transformation of these resource inputs into pre-planned and commensurate levels of service output in line with clinical need and as defined in patient service or other relevant terms and agreed with the Employer. 7) Each member of staff in the Directorate has a reporting relationship, through their line manager, to the Clinical Director. Each Consultant reports to the Clinical Director. 8) The role of the Clinical Director is exercised within the framework of prevailing corporate policy in areas including clinical assurance and effectiveness, quality assurance, Personnel, Finance, ICT, Estates and subject to budgetary and allocation constraints. 9) The principal duties and responsibilities of the Clinical Director include: a) Provision of strategic input and clinical advice; b) Leading the development and execution of a Service Plan for the Directorate. c) Monitoring and controlling actual performance of the Directorate against planned clinical, business and budgetary performance indicators. d) Identifying service development priorities and annual budget bids. e) Implementing the clinical audit function within the Directorate. f) Developing Practice Plans with individual Consultants and monitoring implementation. g) Fostering and implementing teamworking within the Directorate. h) Implementing the measures required to meet accreditation requirements i) Implementing and compliance with risk management policy and provisions. j) Participating in the grievance and disciplinary procedures in line with corporate policy.

001-077_IHCA Client Section 2022_V1 REV4.indd 62

k) Ensuring a consistency of approach across the Directorate in relation to application of corporate and ethical standards/ clinical protocols in accordance with best practice. l) Contributing to effective communications within the Directorate, across the hospital/ service and with external stakeholders. m) Supporting clinical training and continuing professional development throughout the Directorate. n) Fostering a culture of teaching and research within the Directorate. o) Participating in the recruitment of permanent, temporary and locum staff as required. p) Engaging with Service Users and Representatives and actively including the Service User perspective in Service Management. q) Clinical Directors in Psychiatry have specific duties pursuant to the Mental Health Act, 2001.

Appendix V – Extracts from Consultants Contract 1997 Sections 2.9.4 to 2.9.7 of the Memorandum of Agreement attached to the Consultants Contract 1997: “2.9.4 Each Consultant will be entitled to engage in private practice within the hospital or hospitals in which he is employed. The extent to which a Consultant is entitled to engage in private practice outside the hospital or hospitals in which he is employed is determined by the category of post which he holds (see Section 3 of the Memorandum of Agreement) and subject to him satisfying the employing authority that he is fulfilling his contractual commitment to the public hospital(s). 2.9.5 Where a Consultant is engaged in private practice within institution(s) financed from public funds, and with which he has a contract, then that private practice will be considered as on-site. 2.9.6 Conversely, where a Consultant is engaged in private practice within institution(s) where the managing authority is separate from the public hospital and/or the hospital is financed from private funds, then that private practice will be considered as off-site. 2.9.7 Notwithstanding the provisions of paragraphs 2.9.4 and 2.9.5 above, a Category 1 Consultant who, by definition, devotes substantially the whole of his professional time to a public hospital cannot treat patients in a private hospital or clinic. He may, however, see private patients in consulting rooms which are not on the site of the public hospital. The nature and extent of the activities pursued in consulting rooms should not extend beyond

www.ihca.ie

17/09/2021 10:42

Consultants’ Common Contract 2008

consultation, examination of patients and the performance of minor treatments, i.e. activities normally carried out in out-patient clinics. It does not encompass day-ward procedures involving anaesthesia. The principal criterion to be employed in assessing whether any particular activity falls within the permitted limits is the effect which it has on a Consultant's ready availability to the public hospital. The long-term objective is to provide consulting rooms in the public hospital(s) which may be availed of by Category 1 Consultants to see fee paying patients. Occasional consultations at the request of another Consultant are not precluded by the above provisions.”

APPENDIX VI – GRANTING OF SICK LEAVE a) Sick leave may be granted to the Consultant if (s)he is incapable of performing their duties owing to illness or physical injury by the Chief Executive Officer/General Manager/Master of the hospital (or other employing institution) or in the case of Consultant Psychiatrists, the Local Health Office Manager PCCC Directorate (where the Consultant is employed by the HSE)/Chief Executive Officer (where the Consultant is not employed by the HSE) only if he/she is satisfied that there is a reasonable expectation that the Consultant will be able to resume the performance of his/her duties and in the case of a fixed-term Consultant will be able to resume during his/her period of office. b) The Consultant may be required to submit him/ herself to independent medical examination before (s) he is granted sick leave and at any time during the continuance of sick leave granted to him/her. c) The Chief Executive Officer/General Manager/Master of the hospital (or other employing institution) or in the case of Consultant Psychiatrists, the Local Health Office Manager PCCC Directorate (where the Consultant is employed by the HSE)/Chief Executive Officer (where the Consultant is not employed by the HSE) may pay salary during sick leave to permanent officers in accordance with the following provisions. i) Except in the case mentioned at (c) (iv) below no salary shall be paid to a Consultant when the sick leave granted to such a Consultant during any continuous period of four years exceeds in the aggregate 365 days. ii) Subject to limitation mentioned in at (c) (i) above, salary may be paid to a Consultant at the full rate in respect of any days sick leave unless, by reason of

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 63

such payment the period of sick leave during which such Consultant has been paid full salary would exceed 183 days during the twelve months ending on such day. iii) Subject to the limitation mentioned at (c) (i) above, salary may be paid at half the full rate after salary has ceased by reason of the provision at (c) (ii) above to be paid at the full rate. iv) If before the payment of salary ceases by reason of the provision at (c) (i) and the Chief Executive of the HSE (where the Consultant is employed by the HSE)/Chief Executive Officer/Master of the hospital or other employing institution (where the Consultant is not employed by the HSE) so consents; salary may be paid to a pensionable officer with not less than 10 years service notwithstanding (c) (i) at either half the full rate or at a rate estimated to be the rate of pension to which such officer would be entitled on retirement, whichever of such rates shall be the lesser. d) For the purposes of these provisions every day occurring within a continuous period of sick leave shall be reckoned as part of such period. From the salary paid during sick leave to a Consultant who is an insured person within the meaning of the Social Welfare Acts, 1952 to 1968, there shall be deducted the amount of any payments to which such officer has become entitled under those Acts during the period of such sick leave. e) The Chief Executive Officer/General Manager/Master of the hospital (or other employing institution) or in the case of Consultant Psychiatrists, the Local Health Office Manager PCCC Directorate (where the Consultant is employed by the HSE)/Chief Executive Officer (where the Consultant is not employed by the HSE) may make appropriate salary payments during sick leave to a fixed term/locum Consultant if (s)he considers that having regard to all the circumstances of the case, such payment is reasonable. f) Where a Consultant is suffering from tuberculosis and is undergoing treatment, the Chief Executive Officer/General Manager/Master of the hospital (or other employing institution) or in the case of Consultant Psychiatrists, the Local Health Office Manager PCCC Directorate (where the Consultant is employed by the HSE) or Chief Executive Officer (where the Consultant is not employed by the HSE) may extend the foregoing provisions to allow the payment of salary at three quarters the full rate to the Consultant for the second six months of his/her illness and at half the full rate during the third six months of his/her illness.

17/09/2021 10:42

Consultants’ Common Contract 2008

APPENDIX VII – CORRESPONDENCE BETWEEN THE PARTIES The following correspondence is incorporated into this contract as noted in the preamble: Irish Hospital Consultants Association & Irish Medical Organisation 25 July 2008 I write to you in response to your request for written confirmation of our position on the following issues which have arisen during the negotiations on the proposed terms and conditions for a contract for Consultants employed in the public health service. This letter now supersedes my earlier letter of 16 May 2008 in this regard. Co-location In accordance with Mark Connaughton’s letter of 1 February 2008, discussions will take place on the practical issues arising from co-location, when appropriate. Working Hours The normal span of the working day will be between the hours of 8am to 8pm, Monday through Friday (Section 7A of the contract refers). However some scheduled variations outside these hours will be permitted where this is demonstrably in the best interest of patient care. With respect to local agreements provided for under section 7 (e), any issues which arise around the implementation of this provision will be referred to the Contract Implementation Group. With respect to the more onerous requirements of the on-call arrangements provided for under the contract, and particularly late night working, it is agreed that consideration will be given to the position of older Consultants, having regard to the provisions of equality legislation. Flexible Working Consultants are eligible to apply for flexible working under the “Health Service Flexible Working Scheme” which is designed to facilitate the retention and recruitment of staff and the maintenance of the workforce at the levels required to deliver and develop services into the future, while seeking to accommodate their work life balance. Membership of Specialist Register New appointees to Consultant posts must be either eligible for entry in the Register of Medical Specialists maintained by the Medical Council pursuant to the Medical Practitioners Act 1978, or be already entered in that Register. Once the relevant sections

001-077_IHCA Client Section 2022_V1 REV4.indd 64

of the Medical Practitioners Act 2007 are commenced, new appointees to Consultant posts must be either eligible for registration, or be already registered in the Specialist Division of the register of medical practitioners to be established and maintained by the Medical Council under that Act. Letter of Appointment Letters of appointment will stipulate that contracts to be offered to each individual Consultant will be consistent with the nationally agreed contract. 1997 Contract Holders – Pension Adjustments Retired Consultants will, in addition to the standard national pay round increases, have special increases applied to their pensions on the same basis as their serving counterparts who opt to remain on the 1997 contract. Public Private Ratio – Serving Consultants Serving Consultants whose public to private ratio in 2006 was greater than 20 per cent will be permitted to retain this higher ratio, subject to an overriding maximum ratio of 70:30, and this will endure for the lifetime of the agreement. Separation vs. Aggregation of Clinical Activity While the HSE’s position is that the 80:20 ratio should apply to in-patient, day case and out-patient activity (i.e. the same ratio will apply in all cases but will be calculated separately for each type of activity), the Public Private Mix Measurement Group shall consider whether such activities can be aggregated to form a single 80:20 public:private ratio. However, this is subject to the implementation of Clause 20(b) with effect from 1 September 2008, in the absence of any agreed alternative measurement arrangement by that date. Contract Implementation Committee A Contract Implementation Committee, comprising representatives of the HSE and the medical organisations, will be established. The Committee will be chaired by Mr Mark Connaughton, SC. Deadline Date for Contract Acceptance Consultants who sign for the new contract by 31 August 2008 will benefit from the enhanced pay rates with effect from 1 June 2008. However, consultants who sign up for the new contract between 1 September 2008 and 31 December 2008 will only benefit from the improved pay rates from the date of sign up.

www.ihca.ie

17/09/2021 10:42

Consultants’ Common Contract 2008

Eligibility Regulations I refer to Section 11.6 (Private Practice) of Mark Connaughton’s report of 4 October 2007 and again confirm our acceptance of the totality of Mr Connaughton’s Report.

Clinical Indemnity/Scope of Practice Document I can confirm that the revised Scope of Practice document, which is currently being finalised by the State Claims Agency will, when completed, be appended to the Consultant contract. Psychiatry/Clinical Directors The practice whereby Clinical Directors were appointed for up to seven years and the method associated with such appointment may continue under the new contract. However, it’s important to understand that this arrangement is quite separate from the transitional arrangement under the new Consultants contract (i.e. two year appointments).

local or other public authority, to act on a selection board to enable him/her to serve on the Board. i) For annual training with the Defence Forces/Reserves for one week. Subsequent leave is without pay. j) For up to three days on the serious illness or death of a near relative. k) When the Consultant is a candidate for a post, advertised by the Public Appointments Service, a Government Department, the HSE, or a local or other public authority for a maximum of six days with pay in any one year, to enable him/her to appear before such selection board. l) To the Consultant for the purpose of attending clinical meetings of societies appropriate to his/her specialty of not more than seven days with pay, in any one year (exclusive of travel time).

The number of Category 2/Type B*/Type C appointments With reference to the number of Category 2/Type B*/Type C appointments, the approach to be adopted will be in line with Mark Connaughton’s document of 2 May 2008 in which he expected “an upper limit in the order of approximately 700 appointments of Category 2/Type B*/Type C appointments within the system”. Practice Plans/Service Plans Consistent with Mark Connaughton’s letter dated 2 May 2008, it is agreed that further discussions shall take place on this subject at the Contract Implementation Committee, informed by the general principles already agreed between the parties. Yours sincerely, Gerard Barry Chief Executive

APPENDIX VIII – SPECIAL LEAVE PROVISIONS FOR CONSULTANTS IN NON-HSE EMPLOYMENT These provisions are in addition to those set out in Section 18 (i). The Employer may grant leave with pay: g) To a Consultant appointed by a Minister of State to be a member of any Commission, Committee of Statutory Board or a Director of a Company to enable him/ her to attend meetings of the body in question. h) To a Consultant invited by the Public Appointments Service, a Government Department, the HSE, or a

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 65

17/09/2021 10:43

Consultants’ Common Contract 2008

APPENDIX IX – COMMITTEES TO ADVISE HSE ON CONSULTANT APPLICATIONS Health Service Executive Terms of Reference Establishment The Consultant Applications Advisory Committee (CAAC) will be established by the CEO of the HSE. Purpose

The purpose of the CAAC is to provide independent and objective advice to the HSE on applications for medical Consultants and qualifications for Consultant posts. The CAAC provides a significant opportunity for Consultants to contribute their expertise and professional knowledge to the decision-making process for the development of Consultant services throughout the country.

Membership

Membership will comprise: (i) An independent Chair; (ii) S enior HSE planning officials from relevant Directorates (i.e. NHO, PCCC, Population Health, HR and Finance). The METR Unit band the Nursing Services Director will also be represented; (iii) Consultant representatives covering the nine relevant medical specialties (anaesthesia, emergency medicine, medicine, pathology, paediatrics, psychiatry, obstetrics & gynaecology, radiology, surgery). These members will be selected by the CEO from a pool comprising the Chairs of the Expert Advisory Groups and proposed nominees of the training bodies such as the Chairpersons and Honorary Secretaries; (iv) Patient advocacy groups; (v) Voluntary hospital CEO; (vi) Two representatives of each of the Irish Hospital Consultants Association and Irish Medical Organisation Members will be appointed by the CEO. Factors such as gender mix and geographic spread will be taken into account in the selection of members.

Modus Operandi

It is envisaged that the CAAC will meet every two months, or more often as required. The members of the CAAC will consider applications (new and replacement) submitted to it which have been processed by the Consultant Appointments Unit. All posts presented to the CAAC will have received financial clearance from the relevant service Directorate (NHO/PCCC).The officials of the Consultant Appointments Unit (CAU) will prepare background information on and initial analysis of each application and will present this to the CAAC. The CAAC will consider each application in the context of information received from the officials of the CAU, published policy, workload statistics, precedent, literature review, professional advice and knowledge, developments in medical education and training, relevant local information, demography, workload statistics and any other relevant advice (e.g from Expert Advisory Groups). The CAAC will provide advice in relation to each individual application. Advice could include: (i) Recommendation to approve the post. (ii) Recommendation to seek clarification of aspects of the post or aspects of policy not already clarified by the CAU. (iii) Recommendation to amend the structure, sessional commitment, etc. (iv) Recommendation to refuse approval to the post. The CAAC will also provide advice to the HSE on the appropriate qualifications for Consultant posts. Other functions may be assigned by the National Director, Human Resources, following discussion with the Committee. Advice provided by the CAAC will be forwarded by the Head of the CAU to the National Director, Human Resources, to whom responsibility for the regulation of Consultant posts has been delegated by the CEO of the HSE. The National Director will in turn regulate each post taking into account the advice provided. The recruitment and appointment of Consultants and related staff is approved by the National Employment Monitoring Unit (NEMU) in accordance with the Employment Control Framework approved by the Board of the HSE.The National Director, Human Resources, provides regular updates to the Board of the HSE on the Consultant posts recommended for approval.

Executive Support

The CAAC will be supported by the officials of the Consultant Appointments Unit (CAU).

Term

The CAAC will be appointed for an initial period of one year.

001-077_IHCA Client Section 2022_V1 REV4.indd 66

www.ihca.ie

17/09/2021 10:43

Consultants’ Common Contract 2008

Consultant Applications Advisory Committee Type C Consultant Posts

• Recommendations from the Type C Consultant Committee will be forwarded to the CEO of the HSE for approval/final decision.

Establishment process

3. Type C Consultant Committee • The Committee will be established by the CEO of the HSE. • Appointments to the Committee will be made by the CEO of the HSE. • Representation on the Committee will include:  Chairperson;  HSE Corporate;  DoHC;  Public voluntary agencies;  Members of the public;  One representative of the Irish Hospital Consultants Association;  One representative of the Irish Medical Organisation.

1. Introduction • The proposal with respect to Type C Consultant posts is set out in the report of the Independent Chairman of the Consultant Contract negotiations – Mark Connaughton SC – dated 4 October 2007. The report was fully adopted by the HSE and DoHC. • The requirement to be more specific with respect to how such posts might be established and be somewhat less rigid in its application than envisaged in the Chairman’s report and associated discussion was also recognised. • This paper sets out, at a high level, the process to be pursued in establishing such posts. 2. Establishment process 2.1 Application process • Applications for Consultant posts are generated through the pertinent hospital/network/PCCC agency/area in the prescribed format. • The applicant organisation is required to specify its proposed post type (A, B or C) in its related submission. • Where a Type C post is recommended, the applicant organisation will be required to satisfy a number of criteria pertinent thereto, which would include, but not be limited to, the following:  A clear indication as to why the post requirements cannot be met through a Type A or B arrangement;  A clear demonstration as to the added patient, service and public system benefits and values to be achieved through establishment of the post as a Type C rather than a Type A or B position. 2.2 Decision process • The application will be submitted to the HSE Consultant Appointments Unit (CAU) for initial review. This review will be undertaken with input from NHO/PCCC Corporate. Where, following internal review, the CAU considers that the case for a Type C designation is not adequately made, by reference to the specified criteria, the proposal will be returned to the applicant source for further development and resubmission. Where the CAU considers that the proposal meets the specified criteria, the submission will be furnished to a Type C Consultant Committee for consideration and recommendation.

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 67

17/09/2021 10:43

Professional Directory Medical Indemnity Organisations

Medical Protection Society Victoria House, 2 Victoria Place, Leeds LS11 5AE, UK. Medicolegal advice: 1800 936 077* Membership information: 1800 932 916 Fax: (0044) (113) 241 0500 Email: member.help@medicalprotection.org *Freephone number from Republic of Ireland Medisec/MedPro 7 Hatch Street Lower, Dublin, D02 AW92. Freephone: 1800-460-400 Tel: (01) 611 0504 Email: info@medisec.ie Challenge Unit 11 Burnell Square, Malahide Road, D17 VY04. Tel: (01) 839 5942 Fax: (01) 832 4254 Email: insurance@challenge.ie Medical Defence Union (MDU) One Canada Square, London E14 5GS, UK. Tel: (0044) (207) 202 1500 Tel Ireland Medico-legal Queries: 1800 535 935 Tel Ireland Membership: 1800 509 132 Fax: (0044) 20 7022 2210 Email: advisory@themdu.com or membership@themdu.com

001-077_IHCA Client Section 2022_V1 REV4.indd 68

www.ihca.ie

17/09/2021 10:44

Professional Directory Health Insurers Irish Life Health Irish Life Centre, Abbey Street Lower, Dublin 1. Tel: (01) 562 5100 or Participating Consultants can call (01) 562 5162 or Email: partnersupport@irishlifehealth.ie Head of Provider Affairs: Mr Brian Scollard ESB Staff Medical Provident Fund PO Box 384, Rosbrien, Limerick. Tel: (061) 430561 or Ext 55361 Fax: (061) 430500 Email: mpf@esb.ie Programme Leader: Mr John Conneely

Vhi Healthcare IDA Business Park, Purcellsinch, Dublin Road, Kilkenny, R95 WKK6. Tel: 1890 444 444 Tel: (Dublin): (01) 872 4499 Tel: (Kilkenny): (056) 444 4444 Fax: (01) 799 4091 Email: info@vhi.ie Medical Director: Dr Bernadette Carr Head of Provider Affairs (Acting): Ms Aoife de Paor HSF Health Plan 5 Westgate Business Park, Kilrush Road, Ennis, Co. Clare, V95 TR66. Tel: 1890 451 451/00 353 65 6862 500 (if outside Ireland) e-mail: customer@hsf.ie

Laya Healthcare Eastgate Road, Eastgate Business Park, Little Island, Co Cork, T45 E181. Tel: (021) 202 2000 Email: info@layahealthcare.ie Medical Practice Manager: Ms Noreen Quinlan Prison Officers’ Medical Aid Society 397e North Circular Road, Dublin 7, D07 TAC9. Tel: (01) 830 8963 Email: info@pomas.ie Secretary: Mr PJ Dunne

Professional Directory Medical Council MEDICAL COUNCIL The Medical Council was established under the Medical Practitioners Act, 1978 as amended by the Medical Practitioners Act of 2007. It is the guardian of the public’s interest in relation to the Medical profession and protects the public by promoting and better ensuring high standards of professional conduct and professional education, training and competence among doctors. The principal functions of the Council are: • To prepare and establish a register of medical practitioners that is known as the Register of Medical Practitioners; • To satisfy itself as to the suitability of medical education and training, the standards of theoretical and practical knowledge for primary qualifications, the clinical training and experience required for the granting of a certificate of experience, and the adequacy and suitability of postgraduate education and training; • To enquire into the conduct of registered medical practitioners for alleged professional misconduct or fitness to engage in the practice of medicine by reason of physical or mental disability • To promote good medical practice and oversee doctors’ continuing professional development.

The Council has 25 members including elected and appointed members. Under the provisions of the Medical Practitioners Act, 2007, the Council is comprised of 13 non-medical members and 12 medical members representing a range of medical specialties, teaching bodies and members of the public and stakeholders, all of whose appointments have been approved by the Minister for Health. The current Council’s period of office is 2018 to 2023. Consultants are advised to be registered in the Specialist Division of the Medical Register. Details of this are to be found overleaf. The Medical Council published an amended 8th Edition of its Guide to Professional Conduct and Ethics in 2019. This was updated in light of the Health (Regulation of Termination of Pregnancy) Act 2018. This edition was being reviewed at time of publication by the Council’s Ethics Committee in preparation of a new 9th Edition of the Ethical Guide. Consultants are strongly advised to acquaint themselves with the contents of the Guide. It lays out information on the operation of the Registers, on ethical conduct and behaviour, and on the operation of the fitness to practise process. The Medical Council Kingram House, Kingram Place, Dublin 2, D02 XY88. Tel: (01) 498 3100 Email: medicalcouncil@mcirl.ie www.medicalcouncil.ie

www.ihca.ie

001-073_IHCA Client Section 2022_V2.indd 69

07/10/2021 10:49

Professional Directory Medical Council MEMBERSHIP Dr Suzanne Crowe (President) Dr Tom Crotty (Vice President) Ms Vicky Blomfield Dr Anthony Breslin Ms Teresa Bulfin Mr Ian Drennan Mr John Gleeson Mr Paul Harkin Prof John Hyland Prof Marina Lynch Dr Erica Maguire Dr Michael McGloin Prof Joe McMenamin

Medical Member Medical Member Non-Medical Member Medical Member Non-Medical Member Non-Medical Member Non-Medical Member Non-Medical Member Medical Member Non-Medical Member Medical Member Medical Member Medical Member

REGISTER OF MEDICAL PRACTIONERS The Medical Council maintains this Register in which every practising doctor must be registered. It is an offence to practise medicine, except in some strictly defined exceptions, if you are not registered. Every doctor is responsible for ensuring that their registration is current within one of the following categories: (a) General Division, which shall include the names of those medical practitioners registered in that division pursuant to Section 46 and such other identifying particulars of those practitioners as the Council considers appropriate. Doctors with general registration may practise independently without supervision but may not represent themselves as being specialists; (b) Specialist Division, which shall include the names of those medical practitioners registered in that division pursuant to Section 47 and such other identifying particulars of those practitioners as the Council considers appropriate. Doctors with specialist registration may practise independently, without supervision, and may represent themselves as specialists; (c) Trainee Specialist Division, which shall include the names of those medical practitioners registered in that division pursuant to Section 48 or 49 and such other identifying particulars of those practitioners as the Council considers appropriate. Doctors with trainee specialist registration are on recognised training programmes and practise solely within the confines of posts allocated by the HSE, in conjunction with the national postgraduate training bodies; and (d) Visiting EEA Practitioners Division, which shall include the names of those medical practitioners registered in that division

001-073_IHCA Client Section 2022_V2.indd 70

Dr Aoife Mullally Medical Member Mr John Murray Non-Medical Member Mr Joe O’Donovan Non-Medical Member Mr Jim O’Sullivan Non-Medical Member Prof Mary O’Sullivan Non-Medical Member Dr Margaret O’Riordan ICGP Nominee Ms Jill Long Ministerial appointee Prof Edna Roche NUI Medical School Nominee Dr Mary Davoran College of Psychiatrists of Ireland Nominee Mr Ronan Quirke Ministerial Nominee Prof Paul Finucane RCPI Nominee

pursuant to Section 50 and such other identifying particulars of those practitioners as the Council considers appropriate. (e) Internship Registration allows a doctor to carry out internship training in a hospital recognised by the Medical Council. Internship registration is open to both graduates of Irish and EU/EEA member State Medical Schools. (f) Supervised Division For doctors to be considered for registration within the Supervised Division they must have been offered a post with the HSE that has been approved by the HSE as an individually numbered, identifiable post. SPECIALIST DIVISION The following specialties are recognised in the Specialist Division of the Register: Anaesthesiology • Anaesthesiology • Intensive Care Medicine • Pain Medicine Emergency Medicine • Emergency Medicine General Practice • General Practice • Military Medicine

www.ihca.ie

17/09/2021 16:10

Professional Directory Medical Council

Medicine • Cardiology • Clinical Genetics • Clinical Neurophysiology • Clinical Pharmacology & Therapeutics • Dermatology • Endocrinology & Diabetes Mellitus • Gastroenterology • General (Internal) Medicine • Genito-Urinary Medicine • Geriatric Medicine • Infectious Diseases • Medical Oncology • Nephrology • Neurology • Palliative Medicine • Pharmaceutical Medicine • Rehabilitation Medicine • Respiratory Medicine • Rheumatology • Tropical Medicine Obstetrics & Gynaecology • Obstetrics & Gynaecology Occupational Medicine • Occupational Medicine Ophthalmology • Ophthalmology Paediatrics • Paediatrics • Paediatric Cardiology • Neonatology

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 71

Pathology • Chemical Pathology • Haematology (Clinical & Laboratory) • Histopathology • Immunology (Clinical & Laboratory) • Microbiology • Neuropathology Psychiatry • Child & Adolescent Psychiatry • Psychiatry • Psychiatry of Learning Disability • Psychiatry of Old Age Public Health Medicine • Public Health Medicine Radiology • Diagnostic Radiology • Radiation Oncology Sports & Exercise Medicine • Sports & Exercise Medicine Surgery • Cardiothoracic Surgery • General Surgery • Neurosurgery • Ophthalmic Surgery • Oral & Maxillo-Facial Surgery • Otolaryngology • Paediatric Surgery • Plastic, Reconstructive & Aesthetic Surgery • Trauma and Orthopaedic Surgery • Urology • Vascular Surgery

17/09/2021 10:44

Professional Directory IHCA National Council 2021-2022

NAME HOSPITAL/REGION SPECIALITY Eastern Region Dr Gabrielle Colleran CHI at Temple Street/NMH Radiology Dr Laura Durcan Beaumont Hospital Rheumatology Prof Alan Irvine CHI at Crumlin Dermatology Dr David Kevans St James’s Hospital Gastroenterology Mr Rustom Manecksha Tallaght University Hospital Urological Surgery Dr Donal O’Hanlon Naas General Hospital Psychiatry Dr Ioannis Polyzois Dublin Dental Hospital Periodontology South Eastern Region Dr Carmel Ann Daly Prof Robert Landers Dr Conor O’Riordan

University Hospital Waterford University Hospital Waterford St Luke’s Hospital, Kilkenny

Radiology Histopathology Radiology

Midland Region Prof Clare Fallon Dr Conor Meehan

Midland Regional Hospital, Mullingar Midland Regional Hospital, Tullamore

Geriatric Medicine Radiology

North Eastern Region Dr Tripuraneni Prasad Dr Mike Staunton

Our Lady’s Hospital, Navan Our Lady of Lourdes, Drogheda

Radiology Anaesthesiology

North Western Region Dr Áine Burke Dr John Scully

Sligo University Hospital Letterkenny University Hospital

Haematology Anaesthesiology

Western Region Dr Conall Dennedy Dr Brian Egan Mr Colm Fahy

Galway University Hospitals Mayo University Hospital Galway Clinic

Endocrinology Gastroenterology Otolaryngology

Mid Western Region Mr Colin Peirce Ms Shona Tormey

University Hospital Limerick University Hospital Limerick

General Surgery General Surgery

Southern Region Ms Eimear Conroy University Hospital Kerry Dr Sinead Harney Cork University Hospital Dr Noirin Russell Cork University Maternity Hospital Mr Peter Ryan Bon Secours Hospital, Cork Co-Options Dr P J Breen Retired Representative Prof Elizabeth Barrett CHI Temple Street Dr Gerard O’Connor Mater Hospital Dr Ikechukwu Okafor CHI Temple Street Prof Anne Doherty Mater Hospital

001-073_IHCA Client Section 2022_V2.indd 72

Orthopaedic Surgery Rheumatology Obstetrics & Gynaecology Urological Surgery

Anaesthesiology Psychiatry Emergency Medicine Paediatrics Psychiatry

www.ihca.ie

17/09/2021 16:11

Professional Directory IHCA Officer Board 2021-2022

President Prof Alan Irvine Consultant Dermatologist, Children’s Health Ireland at Crumlin, Dublin 12.

Vice President Dr Gabrielle Colleran Consultant Paediatric Radiologist, National Maternity Hospital, Holles Street, Dublin 2 and CHI at Temple Street, Dublin 1. Vice President Prof Robert Landers Consultant Histopathologist, University Hospital Waterford, Waterford.

Membership Secretary Dr Conor O’Riordan Consultant Radiologist, St Luke’s Hospital, Kilkenny. Treasurer Prof Clare Fallon Consultant in Geriatric Medicine, Midland Regional Hospital, Mullingar. Immediate Past President Dr Donal O’Hanlon Consultant Psychiatrist, Naas General Hospital, Co. Kildare.

IHCA Secretariat SECRETARY GENERAL: Martin Varley Tel: 087 2274099 Email: m.varley@ihca.ie

ASSISTANT SECRETARY GENERAL: Alice McGarvey Tel: 086 803 2707 Email: a.mcgarvey@ihca.ie

SENIOR EXECUTIVE OFFICER: Aidan O’Reilly Tel: 086 1590733 Email: a.oreilly@ihca.ie

SENIOR POLICY AND RESEARCH EXECUTIVE: Dara Gantly Tel: 087 803 3336 Email: d.gantly@ihca.ie

www.ihca.ie

001-077_IHCA Client Section 2022_V1 REV4.indd 73

17/09/2021 10:45

Professional Directory

Voluntary & Support Organisations

A Little Lifetime Foundation - for bereaved parents and their families 18 Orion Business Campus, Rosemount Business Park, Ballycoolin, Blanchardstown, D15 HD91. Tel: (01) 882 9030 Email: info@alittlelifetime.ie Web: www.alittlelifetime.ie Alcoholics Anonymous Ireland General Service Office, Unit 2, Block C, Santry Business Park, Swords Road, Dublin 9, D09 H584. Tel: (01) 842 0700, Mobile for the deaf and Hard of Hearing: (087) 146 0387 Email: gso@alcoholicsanonymous.ie Web: www.alcoholicsanonymous.ie Alone Olympic House, Pleasants Street, Dublin 8. Tel: (01) 679 1032 Helpline: 0818 222 024 Email: hello@alone.ie Web: www.alone.ie Alzheimer Society of Ireland Temple Road, Blackrock, Co. Dublin. Tel: (01) 207 3800 Fax: (01) 210 3772 Helpline: 1800 341 341 Email: info@alzheimer.ie Web: www.alzheimer.ie

074-077_IHCA Client Section 2022_V2.indd 74

Arc Cancer Support Centres 65 Eccles St, Dublin, D07 TD35 Tel/Support Line: (01) 215 0250 Email: info@arccancersupport.ie Web: www.arccancersupport.ie Arthritis Ireland 1 Clanwilliam Square, Grand Canal Quay, Dublin 2, D02 DH77. Tel: 0818 252 846 / (01) 661 8188 Email: helpline@arthritisireland.ie Web: www.arthritisireland.ie Asthma Society of Ireland 42-43 Amiens Street, Dublin 1. Tel: (01) 817 8886 Helpline: 1800 44 54 64 Email: reception@asthmasociety.ie Web: www.asthma.ie Aware 9 Upper Leeson Street, Dublin 4, D04 KD80. Tel: (01) 661 7211 Helpline: 1800 804 848 Email: info@aware.ie Web: www.aware.ie

Bodywhys – The Eating Disorders Association of Ireland PO Box 105, Blackrock, Co. Dublin. Tel: (01) 283 4963 Helpline: (01) 210 7906 Email: info@bodywhys.ie Email Support Service: alex@bodywhys.ie Web: www.bodywhys.ie Cheshire Ireland 1st Floor, Block 4, Bracken Business Park, Bracken Road, Sandyford Business Park, Dublin 18, D18 VOYO. Tel: (01) 297 4100 Fax: (01) 205 2060 Email: info@cheshire.ie Web: www.cheshire.ie Children in Hospital Ireland Suite 113, 4-5 Burton Hall Road, Sandyford, Dublin 18. Tel: (01) 290 3510 Email: info@childreninhospital.ie Web: childreninhospital.ie Chime - National Charity for Deafness and Hearing Loss 35 North Frederick Street, Dublin 1. Tel: (01) 817 5700/ 1800 256 257 Text: (087) 922 1046 Email: info@chime.ie Skype: Chime NFS Web: www.chime.ie

www.ihca.ie

17/09/2021 10:48

Professional Directory

Voluntary & Support Organisations

CLAPAI - Cleft Lip and Palate Association of Ireland c/o 36 Woodlands Avenue, Glenageary, Co. Dublin, A96 R2F4. Tel: 087 131 9803 Email: info@cleft.ie Web: www.cleft.ie Coeliac Society of Ireland Dolcan House, 78/80 Tower Road, Clondalkin, Dublin 22, D22 N6F6. Tel: (01) 872 1471 Email: info@coeliac.ie Web: www.coeliac.ie Coolmine Therapeutic Community Coolmine House, 19 Lord Edward Street, Dublin 2. Tel: (01) 679 4822 / 087 122 9307 Email: info@coolminetc.ie or admissions@coolminetc.ie Web: www.coolmine.ie COPE Foundation Bonnington, Montenotte, Cork, T23 PT93. Tel: (021) 464 3100 Fax: (021) 450 7580 Email: headoffice@cope-foundation.ie Web: www.cope-foundation.ie

www.ihca.ie

074-077_IHCA Client Section 2022_V2.indd 75

Cuidiú Carmichael Centre, 4 North Brunswick Street, Dublin 7. Email: info@cuidiu.ie Web: www.cuidiu.ie Cystic Fibrosis Ireland CF House, 24 Lower Rathmines Road, Dublin 6, D06 A9P3. Tel: (01) 496 2433 Tel: 1890 311211 Fax: (01) 496 2201 Email: info@cfireland.ie Web: www.cfireland.ie Diabetes Ireland 19 Northwood House, Northwood Business Campus, Santry, Dublin 9, D09 DH30. Tel: (01) 842 8118 Email: info@diabetes.ie Web: www.diabetes.ie Down Syndrome Ireland Unit 3, Park Way House, Western Parkway Business Park, Ballymount Drive, Dublin 12, D12 HP70. Tel: (01) 563 2450 LoCall: 1890 374 374 Email: info@downsyndrome.ie Web: www.downsyndrome.ie

Enable Ireland 32F Rosemount Park Drive, Rosemount Business Park, Ballycoolin Road, Dublin 11 Tel: (01) 872 7155 Fax: (01) 866 5222 Email: hello@enableireland.ie Web: www.enableireland.ie Epilepsy Ireland 249 Crumlin Road, Crumlin, Dublin 12, D12 RW92. Tel: (01) 455 7500 Email: info@epilepsy.ie Web: www.epilepsy.ie Fighting Blindness 3rd Floor, 7 Ely Place, Dublin 2, DO2 TW98. Tel: (01) 678 9004 Email: info@fightingblindness.ie Web: www.fightingblindness.ie GROW – Mental Health Recovery National Support Office, Apartment 5, Forrest Mews, Forrest Road, Swords, Co. Dublin, K67 XR96. Tel: (01) 840 8236 Infoline: 1890 474 474 Email: info@grow.ie Web: www.grow.ie

17/09/2021 10:48

Professional Directory

Voluntary & Support Organisations Health Protection Surveillance Centre 25-27 Middle Gardiner Street, Dublin 1, D01 A4A3. Tel: (01) 876 5300, Fax: (01) 856 1299 Email: hpsc@hse.ie Web: www.hpsc.ie

Irish Family Planning Association Solomons House, 42a Pearse Street, Dublin 2. Tel: (01) 607 4456 National Pregnancy Helpline: 1850 495051 Email: reception@ifpa.ie Web: www.ifpa.ie

Headway - Brain Injury Services & Support Blackhall Green, off Blackhall Place, Dublin 7. Tel: (01) 604 0800 Freephone: 1800 400 478 Email: helpline@headway.ie Web: headway.ie

Irish Haemochromatosis Association The Carmichael Centre, North Brunswick Street, Dublin 7. Tel: (01) 8735911 Email: info@haemochromatosis-ir.com Web: haemochromatosis-ir.com

HIV Ireland 70 Eccles Street, Dublin 7. Tel: (01) 873 3799 Fax: (01) 873 3174 Email: info@hivireland.ie Web: www.hivireland.ie Huntington’s Disease Association of Ireland Carmichael House, 4 North Brunswick Street, Dublin 7. Tel: (01) 872 1303 Helpline: 1800 393939 Email: info@huntingtons.ie Web: www.huntingtons.ie Irish Cancer Society 43/45 Northumberland Road, Dublin 4, D04 VX65. Tel: (01) 231 0500 Fax: (01) 231 0555 Freephone: 1800 200 700 Email: info@irishcancer.ie Web: www.cancer.ie Irish Deaf Society Deaf Village Ireland, Ratoath Road, Cabra, Dublin 7, D07 W94H. Tel: (01) 860 1878 Text: (086) 380 7033 Skype: IDS Advocacy Service Email: info@irishdeafsociety.ie Web: www.irishdeafsociety.ie

074-077_IHCA Client Section 2022_V2.indd 76

Irish Haemophilia Society First Floor, Cathedral Court, New Street, Dublin 8, D08 VH64. Tel: (01) 657 9900 Fax: (01) 657 9901 Email: info@haemophilia.ie Web: www.haemophilia.ie Irish Heart Foundation 17-19 Rathmines Road Lower, Dublin D06 C780. Tel: (01) 668 5001 Fax: (01) 668 5896 Email: info@irishheart.ie Web: www.irishheart.ie Irish Hospice Foundation 4th Floor, Morrison Chambers, 32 Nassau Street, Dublin 2, D02 YE06. Tel: (01) 679 3188 Bereavement Support Line: 1800 80 70 77 Email: info@hospicefoundation.ie Web: www.hospicefoundation.ie Irish Kidney Association Head Office, Donor House, Block 43A, Park West, Dublin 12, D12 P5V6. Tel: (01) 620 5306 Email: info@ika.ie Web: www.ika.ie

Irish Motor Neurone Disease Association Unit 3, Ground Floor, Marshalsea Court, 22/23 Merchant’s Quay, Dublin 8, D08 N8VC. Tel: (01) 670 5942 Helpline: 1800 403 403 Email: info@imnda.ie Web: www.imnda.ie Irish Multiple Births Association Carmichael Centre, North Brunswick Street, Dublin 7. Tel: (01) 874 9056 Email: info@imba.ie Web: www.imba.ie Irish Osteoporosis Society 1B Clonskeagh Square, Clonskeagh, Dublin 14, D14 A0K8. Tel/Helpline:(01) 637 5050 Email: info@irishosteoporosis.ie Web: www.irishosteoporosis.ie Irish Patients’ Association Email: info@irishpatients.ie Web: www.irishpatients.ie The Irish Sleep Society P.O. Box 11850, Dublin 1. Email: theirishsleepsociety@gmail.com Web: www.irishsleepsociety.org Irish Society for Autism Unity Building, 16/17 Lower O’Connell Street, Dublin 1. Tel: (01) 874 4684 Email: admin@autism.ie Web: www.autism.ie Irish Society for Colitis and Crohns Disease 4 Carmichael Centre, North Brunswick Street, Dublin, D07 RHA8. Tel: (01) 872 1416 Support Line: (01) 531 2983 Email: info@iscc.ie Web: iscc.ie

www.ihca.ie

17/09/2021 10:48

Professional Directory

Voluntary & Support Organisations Irish Wheelchair Association Áras Cúchulainn, Blackheath Drive, Clontarf, Dublin 3, D03 AW62. Tel: (01) 818 6400 Email: info@iwa.ie Web: www.iwa.ie LGBT Ireland 7 Red Cow Lane, Smithfield, Dublin 7. Tel: (01) 6859280 Helpline: 1890 929 539 Email: info@lgbt.ie Web: www.lgbt.ie Meningitis Research Foundation Suite 204, Park House, 10 Park St, Bristol BS1 5HX, UK. Helpline: 1800 41 33 44 Email: helpline@meningitis.org Web: www.meningitis.org Mental Health Ireland Second Floor, Marina House, 11-13 Clarence Street, Dun Laoghaire, Co. Dublin, A96 E289. Tel: (01) 284 1166 Email: info@mentalhealth.ie Web: www.mentalhealthireland.ie Miscarriage Association of Ireland Carmichael Centre, North Brunswick Street, Dublin 7. Tel: (01) 873 5702 Helpline: 087 365 6887 / 086 868 4103 Email: info@miscarriage.ie Web: www.miscarriage.ie MS Ireland National Office, 80 Northumberland Road, Dublin 4. Tel: (01) 678 1600 Helpline: 1850 233 233 Fax: (01) 678 1601 Email: info@ms-society.ie Web: www.ms-society.ie Muscular Dystrophy Ireland 75 Lucan Road, Chapelizod, Dublin D20 DR77. Tel: (01) 623 6414 Fax: (01) 620 8663 Email: mdiinfo@mdi.ie Web: www.mdi.ie

www.ihca.ie

074-077_IHCA Client Section 2022_V2.indd 77

My Options - HSE Sexual Health & Crisis Pregnancy Programme Freephone: 1800 828 010 Web: www2.hse.ie/unplanned-pregnancy/ National Council for the Blind Head Office, Whitworth Road, Drumcondra, Dublin 9. Tel: (01) 830 7033 Helpline: 1850 33 43 53 Email: info@ncbi.ie Web: www.ncbi.ie National Infertility Support & Information Group Tel: (087) 797 5058. Email: contact@nisig.com Web: nisig.com Pact – Adoption Agency Arabella House, 18D Nutgrove Office Park, Rathfarnham, Dublin 14, D14 FC03. Tel: (01) 296 2200 Email: info@pact.ie Web: www.pact.ie Parkinson’s Association of Ireland Carmichael House, North Brunswick Street, Dublin 7. Tel: (01) 872 2234 Helpline: 1800 359 359 Email: nationaloffice@parkinsons.ie Web: www.parkinsons.ie Rape Crisis Help North Brunswick Street, Dublin 7, D07 RHA8. Tel: 01 865 6954 24-Hour Helpline: 1800 77 88 88 Rape Crisis Network Ireland Carmichael Centre, North Brunswick Street, Dublin 7, D07 RHA8. Email: admin@rcni.ie Web: www.rcni.ie

Samaritans Ireland 4-5 Usher’s Court, Usher’s Quay, Dublin 8. Tel: (01) 671 0071 Helpline: 116 123 Email: jo@samaritans.ie Web: www.samaritans.org Scoliosis Ireland Email: scoliosisirl@gmail.com Web: www.scoliosis-Ireland.ie or facebook.com/scolioireland/ Shine – Supporting People Affected by Mental Ill Health Block B, Maynooth Business Campus, Straffan Road, Maynooth, Co Kildare, W23 W5X7. Tel: (01) 541 3715 Email: info@shine.ie Web: www.shine.ie Spina Bifida Hydrocephalus Ireland National Resource Centre, Old Nangor Road, Clondalkin, Dublin 22, D22 W5C1. Tel: (01) 457 2329 Email: info@sbhi.ie Web: www.sbhi.ie St Michael’s House Ballymun Road, Ballymun, Dublin 9, D09 DX37. Tel: (01) 884 0200 Email: info@smh.ie Web: www.smh.ie Women’s Aid 5 Wilton Place, Dublin 2, D02 RR27. Tel: (01) 678 8858 24-Hour Helpline: 1800 341 900 Email: info@womensaid.ie or helpline@womensaid.ie Web: www.womensaid.ie

Rehab Group 10D Beckett Way, Park West Business Park, Park West, Dublin 12. Tel: (01) 205 7200 Fax: (01) 205 7211 Email: info@rehab.ie Web: www.rehab.ie

17/09/2021 10:48

Charts & Tables (as of September 2020)

Acute Hospital Services Overview of KeyServices Acute Hospital Activity Acute Hospital Acute Hospital Services Overview of Key Acute Hospital Activity Overview of Key Acute Hospital Activity Expected

Expected Activity Activity YTD YTD 1,166,046 1,166,046

Result YTD Result YTD Sept 2020 Sept 2020 959,767 959,767

% Var % Var YTD YTD -17.7% -17.7%

Result YTD Result YTD Sept 2019 Sept 2019 1,126,201 1,126,201

SPLY % SPLY Var % Var -14.8% -14.8%

Current Current (-2) (-2) 117,299 117,299

Current Current (-1) (-1) 116,894 116,894

964,216 964,216 2,496,399 2,496,399

797,918 797,918 2,184,779 2,184,779

-17.2% -17.2% -12.5% -12.5%

935,387 935,387 2,525,473 2,525,473

-14.7% -14.7% -13.5% -13.5%

97,269 97,269 266,349 266,349

96,882 96,882 247,194 247,194

Expected Activity Expected YTD Activity YTD 427,360 427,360 422,282 422,282 769,881 769,881 717,130 717,130 1,197,241

Result YTD Aug 2020 Result YTD Aug 2020 369,380 369,380 377,342 377,342 583,277 583,277 548,109 548,109 952,657

% Var YTD % Var YTD -13.6% -13.6% -10.6% -10.6% -24.2% -24.2% -23.6% -23.6% -20.4%

Result YTD Aug 2019 Result YTD Aug 2019 422,951 422,951 423,857 423,857 736,980 736,980 723,942 723,942 1,159,931

SPLY % SPLY Var % Var -12.7% -12.7% -11% -11% -20.9% -20.9% -24.3% -24.3% -17.9%

Current (-2) Current (-2) 45,496 45,496 44,470 44,470 67,550 67,550 63,005 63,005 113,046

Current (-1) Current (-1) 51,198 51,198 50,130 50,130 83,307 83,307 78,798 78,798 134,505

1,197,241 35.7%

952,657 38.8%

-20.4%

1,159,931 36.5%

-17.9% +6.3%

113,046 40.2%

134,505 38.1%

125,138 38.6%

35.7% 64.3%

38.8% 61.2%

36.5% 63.5%

+6.3% -3.6%

40.2% 59.8%

38.1% 61.9%

38.6% 61.4%

% DC Emergency IP discharges

64.3% 295,272

61.2% 261,462

63.5% 292,029

-3.6% -10.5%

59.8% 33,286

61.9% 35,694

61.4% 33,481

Emergency IP discharges Elective IP discharges

295,272 60,433

261,462 43,523

-11.5% -28%

292,029 58,970

-10.5% -26.2%

33,286 4,270

35,694 6,836

33,481 7,211

Elective IP discharges Maternity IP discharges

60,433 71,655

43,523 64,395

-28% -10.1%

58,970 71,952

-26.2% -10.5%

4,270 7,940

6,836 8,668

7,211 7,621

Maternity IP discharges Inpatient discharges >75 years

71,655 84,929

64,395 76,576

-10.1% -9.8%

71,952 83,732

-10.5% -8.5%

7,940 9,743

8,668 10,716

7,621 9,666

Inpatient discharges >75 years Day case discharges >75 years

84,929 141,509

76,576 109,239

-9.8% -22.8%

83,732 134,959

-8.5% -19.1%

9,743 12,866

10,716 15,838

9,666 14,562

Day case discharges >75 years

141,509

109,239

-22.8%

134,959

-19.1%

12,866

15,838

14,562

Activity Area Activity Area

Emergency Presentations Emergency Presentations New ED Attendances New ED Attendances OPD Attendances OPD Attendances Activity Area (HIPE data month in arrears) Activity Area (HIPE data month in arrears) Inpatient discharges Inpatient discharges Inpatient weight units Inpatient weight units Day case (includes dialysis) Day case (includes dialysis) Day case weight units (includes dialysis) Day case weight units (includes dialysis) IP & DC Discharges

IP & DC Discharges % IP % IP % DC

Health Services Performance Profile July - September 2020

Health Services Performance Profile July - September 2020 Inpatient, Day case and Outpatient Waiting Lists

-11.5%

Current Current 118,131 118,131 97,056 97,056 293,118 293,118 Current Current 48,313 48,313 46,177 46,177 76,825 76,825 71,647 71,647 125,138

Inpatient,Day Daycase caseand andOutpatient OutpatientWaiting WaitingLists Lists Inpatient, Inpatient, Day case and Outpatient Waiting Lists Target/ Inpatient, Day case and Outpatient WaitingCurrent Lists Target/ Target/

SPLY SPLY Current Current Performance area Expected Freq Current Best performance Outliers Current SPLY SPLY Current Current Current SPLY SPLY Current Period YTD YTD Change Current (-2) (-1) Performance area area Expected Freq Current Best performance performance Outliers Performance Expected Current Best Outliers Target/ Activity Freq Period YTD YTD Change (-2) (-1) Current SPLY SPLY Current Current Period YTD YTD Change (-2) (-1) Activity Performance area Expected Freq Current Best performance Outliers Activity Inpatient adult waiting list Period YTD YTD Change (-2) (-1) CUH (53.1%), PUH (54.1%), 18 out of 37 hospitals Inpatient adult adult waiting waiting list list M Activity 77.5% 79.8% 78.2% 77.5% 18 out 84.3% -6.8% 85% Inpatient CUH (53.1%), (53.1%), PUH (54.1%), out of of 37 37 hospitals hospitals CUH M within 15 months GUH (58.9%)PUH (54.1%), target 77.5% 85% 84.3% -6.8% 79.8% 78.2% 77.5% 18reached M 77.5% 85% 84.3% -6.8% 79.8% 78.2% 77.5% Inpatient waiting list GUH (58.9%) (58.9%) PUH (54.1%), within 15 15 adult months reached target GUH within months reached target CUH (53.1%), 18 out of 37 hospitals M 77.5% 85% 84.3% -6.8% 79.8% 78.2% 77.5% Day case adult waiting list MUH(58.9%) (69.3%), St Michaels 17 out of 41 hospitals GUH within 15 months Day case case adult waiting waiting list list M 87% 89.1% 87.9% 87% reached 95% 92.2% -5.2% Day adult MUH (69.3%), (69.3%), St Michaels Michaels 17 out out of oftarget 41 hospitals hospitals MUH 41 M within 15 months (70%), UHW St (75.1%) target 87% 95% 92.2% -5.2% 89.1% 87.9% 87% 17reached M 87% 95% 92.2% -5.2% 89.1% 87.9% 87% Day case adult waiting list within 15 months months (70%),(69.3%), UHW (75.1%) (75.1%) reached target within 15 (70%), UHW reached target MUH St Michaels 17 out of 41 hospitals M 87% 95% 92.2% -5.2% 89.1% 87.9% 87% Inpatient children waiting list UHL (76.8%), CHI (81.4%), 12 out of 20 hospitals within 15 children months waiting (70%), UHW (75.1%) Inpatient children waiting list list M 83.6% 91.3% -7.7% 86.4% 85% 83.6% reached 95% Inpatient 12 out out of oftarget 20 hospitals hospitals UHL (76.8%), (76.8%), CHI (81.4%), 20 UHL M within 15 months SUH (84.5%)CHI (81.4%), target 83.6% 91.3% -7.7% 86.4% 85% 83.6% 12reached 95% M 83.6% 91.3% -7.7% 86.4% 85% 83.6% 95% Inpatient within 15 15 children months waiting list reached target SUH (76.8%), (84.5%) CHI (81.4%), within months reached SUH (84.5%) 12 out oftarget 20 hospitals UHL M 83.6% 91.3% -7.7% 86.4% 85% 83.6% 95% Day case children waiting list Beaumont (75%), CHI 17 out of 26 hospitals SUH within 15 months (84.5%) Day case case children waiting waiting list list M 80.7% 80.3% 78.7% 80.7% reached 82.7% -2% 90% Day children Beaumont (75%), CHI CHI 17 out out of oftarget 26 hospitals hospitals Beaumont (75%), 26 M within 15 months (77.5%), UHL (77.7%) target 80.7% 90% 82.7% -2% 80.3% 78.7% 80.7% 17reached M 80.7% 90% 82.7% -2% 80.3% 78.7% 80.7% Day case children waiting list (77.5%), UHL UHL (77.7%) within 15 months months reached target (77.5%), (77.7%) within 15 reached Beaumont (75%), CHI 17 out oftarget 26 hospitals M 80.7% 90% 82.7% -2% 80.3% 78.7% 80.7% Outpatient waiting list within Croom (40.4%), RVEEH 7 out oftarget 43 hospitals (77.5%), UHL (77.7%) within 15 months reached Outpatient waiting list within M 59.2% 80% 61.2% 60.2% 59.2% 7 out 68.6% -9.5% Outpatient waiting list within Croom (40.4%), (40.4%), RVEEH out of of 43 43 hospitals hospitals Croom M 52 weeks (44.6%), UHW RVEEH (46.8%) target 59.2% 80% 68.6% -9.5% 61.2% 60.2% 59.2% 7 reached M 59.2% 80% 68.6% -9.5% 61.2% 60.2% 59.2% Outpatient 52 weeks weeks waiting list within (44.6%), UHW (46.8%) (46.8%) reached target 52 (44.6%), UHW reached target Croom (40.4%), RVEEH 7 out of 43 hospitals M 59.2% 80% 68.6% -9.5% 61.2% 60.2% 59.2% 52 weeks (44.6%), UHW (46.8%) reached target Inpatient & Day Case Waiting List Outpatient Waiting List Waiting List Numbers Inpatient & & Day Day Case Case Waiting Waiting List List Outpatient Waiting Waiting List List Waiting List List Numbers Numbers Inpatient Outpatient Waiting 11,988 Total SPLY >12 >15 Inpatient & Day Case Waiting List Outpatient Waiting List Numbers 250,000 Waiting List 11,988 11,988 Total Total SPLY >12 >15 Total SPLY >12 >15 250,000 250,000 194,658 SPLY Change Mths Mths Total Total 10,000 194,658 11,988 194,658 SPLY Change Mths Mths 200,000 Total SPLY >12 >15 SPLY Change Mths Mths 250,000 10,000 10,000 200,000 Total 200,000 7,111 Adult 194,658 138,675 18,534 SPLY 18,040 Change +494 Mths 5,766 Mths 4,162 7,111 Adult 10,000 7,111 150,000 138,675 138,675 Adult 200,000 IP 8,124 18,534 18,040 +494 5,766 4,162 150,000 18,534 18,040 +494 5,766 4,162 150,000 149,497 IP 8,124 IP Adult 8,124 138,675 5,000 7,111 100,000 149,497 18,534 18,040 +494 5,766 4,162 149,497 Adult 150,000 5,000 5,000 106,418 100,000 IP 100,000 8,124 49,612 43,483 +6,129 9,830 6,425 Adult Adult 4,841 106,418 149,497 DC 49,612 43,483 +6,129 9,830 6,425 49,612 43,483 +6,129 9,830 6,425 50,000 106,418 5,000 4,841 4,841 100,000 DC DC Adult 50,000 50,000 106,418 49,612 43,483 +6,129 9,830 6,425 Adult 0 4,841 0 DC 68,146 61,523 +6,623 15,596 10,587 Adult 50,0000 Adult IPDC 00 68,146 61,523 +6,623 15,596 10,587 10,587 0 68,146 61,523 +6,623 15,596 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep IPDC Adult IPDC Sep Oct Oct Nov Nov Dec Dec Jan Jan Feb Feb Mar Mar Apr Apr May May Jun Jun Jul Jul Aug Aug Sep Sep 0 Sep Sep Oct Oct Nov NovDec Dec Jan Jan Feb Feb Mar Apr May MayJun Jun Jul Jul Aug AugSep Sep 0 Sep 68,146 61,523 +6,623 15,596 10,587 Child 15m+ Mar Apr18m+ 15m+ 18m+ IPDC 3,383 2,631 +752 939 555 Child Child Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 15m+ 18m+ 15m+ 18m+ Sep Oct Nov Dec15m+ Jan Feb Mar Apr May Jun Jul Aug Sep IP 18m+ 15m+ 18m+ 3,383 2,631 +752 939 555 3,383 2,631 +752 939 555 IP IP Child Inpatient & Day Case Waiting Outpatient Waiting List Total 18m+ 15m+ 18m+ 3,383 2,631 +752 939 555 Child Inpatient & & Day Day Case Case Waiting Waiting Outpatient Waiting Waiting List List15m+ Total Inpatient Outpatient Total IP 4,373 3,831 +542 1216 846 Child Child DC 4,373 3,831 +542 1216 846 4,373 3,831 +542 1216 846 Inpatient Outpatient 90,000 & Day Case Waiting 650,000 Waiting List Total DC DC Child 90,000 650,000 90,000 650,000 4,373 3,831 +542 1216 846 Child 612,083 DC 7,756 6,462 +1,294 2,155 1,401 85,000 Child 612,083 Child 90,000 650,000 612,083 IPDC 7,756 6,462 +1,294 2,155 1,401 85,000 7,756 6,462 +1,294 2,155 1,401 85,000 600,000 IPDC IPDC Child 612,083 75,902 568,769 80,000 600,000 600,000 7,756 6,462 +1,294 2,155 1,401 85,000 75,902 568,769 75,902 80,000 568,769 80,000 IPDC OPD 612,083 568,769 +43,314 249,959 194,658 600,000 OPD 612,083 568,769 568,769 +43,314 +43,314 249,959 249,959 194,658 194,658 OPD 612,083 75,000 75,902 80,000 550,000 568,769 75,000 75,000 OPD 612,083 568,769 +43,314 249,959 194,658 550,000 550,000 67,985 70,000 67,985 75,000 67,985 70,000 550,000 70,000 500,000 65,000 67,985 70,000 500,000 65,000 500,000 65,000 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Oct Nov NovDec Dec Jan Jan Feb FebMar Mar Apr Apr May Jun Jul Aug Sep 500,000 Sep Sep Oct Oct Nov NovDec Dec Jan Jan Feb Feb Mar Mar Apr May May Jun Jun Jul Jul Aug AugSep Sep 65,000 Sep Apr Total Total May Jun Jul Aug Sep Total Total Sep Oct Nov Dec Jan FebTotal Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan FebTotal Mar Apr May Jun Jul Aug Sep Total Total

Health Services Performance Profile July - September 2020 Health Services Services Performance Performance Profile Profile July July -- September September 2020 2020 Health Health Services Performance Profile July - September 2020

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 78

Source: Health Service Performance Profile July - September 2020 Quarterly Report46 46 46 46

www.ihca.ie

08/10/2021 10:14

Charts & Tables (as of September 2020)

ED Performance ED Performance ED Performance Performance area

Performance area % within 6 hours

ED Performance

% within 6 hours ED % inPerformance ED < 24 hours Performance area

% in ED < 24 area hours Performance % within 75 years within 24 hours % 6 hours

Target/ Expected Target/ Activity Expected Activity 65%

Freq

Freq M

65% M Target/ 97% M Expected Freq Target/ Activity 97% FreqM Expected 99% MM Activity 65%

% 75 years within 24 hours 99% M %within patients admitted or discharged within 665% hours % 6 hours M % in ED < 24 hours 97% M 90% % patients admitted or discharged within 6 hours 80% %90% in ED < 24 hours 97% 68.7%M 70% % 75 years within 24 hours 99% M 80% 68.7% 60% 65% 63% 70% 50% %% 75 years within 24 hours patients admitted or discharged within 99% 6 hours M 60% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug 65% Sep 63% 90% Month 19/20within 6 hours %50% patients admitted or discharged Sep 80% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug68.7% 90% Colonoscopy Month 19/20 70% 80% Target/ 68.7% 60% 65% Colonoscopy 63% area 70% Performance Expected Freq 50% Activity Target/ 60% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug65% Sep 63% Urgent Colonoscopy new19/20 Expected Performance area – no. ofMonth Freq 50% Colonoscopy 0 M people 4 weeks Sepwaiting Oct Nov> Dec Jan Feb Mar Apr MayActivity Jun Jul Aug Sep Urgent Colonoscopy – no. Month of new19/20 Colonoscopy Bowelscreen – no. colonoscopies 0 M M people waiting 4 weeksdays scheduled > 20>working Target/ Colonoscopy Bowelscreen – area no. colonoscopies Performance Expected Freq Routine Colonoscopy and OGD M 65% M Target/ scheduled Activity <13 weeks> 20 working days Performance area Expected Freq Urgent of newof new Routine Colonoscopy OGD Urgent Colonoscopy Colonoscopy–and -no. number people waiting M Activity 65%0 M people waiting > 4 weeks <13 weeks 1,500 Colonoscopy – no. of new Urgent Bowelscreen – no. colonoscopies 0waiting M Urgent Colonoscopy number of new people 1,200 people waiting > 4 weeks M scheduled > 20 working days 900 450 1,500 Bowelscreen – no. colonoscopies 600 Colonoscopy Routine and OGD M 1,200 300 6 > 20 working days scheduled 65% M 900weeks <13 0 4500 Routine 600 Colonoscopy and OGD Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Urgent Colonoscopy number of new people waiting 65% M 6 <13300 weeks 0 Month 19/20 0 1,500 Urgent Colonoscopy - number of new people waiting 1,200 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 900 1,500 Month 19/20 450 600 1,200 Health Services Performance Profile July - September 2020 300 6 900 450 0 600 0 6Sep Oct 300 Services Nov Dec JanProfile Feb Mar May Jun Jul Aug Sep Health Performance JulyApr - September 2020 0 0 Month 19/20 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Month 19/20

Current Period Current YTD Period YTD 69.6%

SPLY YTD SPLY YTD 63.3%

SPLY Change SPLY Change +6.3%

Current (-2) Current (-2) 70.2%

Current (-1) Current (-1) 69.3%

Current

Best performance

Outliers

Current

Best performance Tallaght – Adults Outliers (41.9%), 18 out of 28 hospitals 68.7% Naas (51.7%), Beaumont achieved target Tallaght – Adults (41.9%), (52.9%), 18 out of 28 hospitals 69.6% 63.3% +6.3% 70.2% 69.3% 68.7% Naas (51.7%), Beaumont achieved Current 22 out of 28target hospitals UHL (92%), UHK (93.6%), (52.9%), SPLY SPLY Current Current 98% 96.3% 98.8% 98.6% 98.2% +1.7% Period Current achieved Best target performance CUH (94.9%)Outliers YTD Change (-2) (-1) Current YTD 22 out of 28 hospitals UHL (92%), UHK (93.6%), SPLY SPLY Current Current 98% 96.3% +1.7% 98.8% 98.6% 98.2% Period Current achieved Best performance CUH (94.9%) Tallaght –Outliers Adults (41.9%), 1618 outout of of 27target hospitals YTD Change (-2) (-1) 28 hospitals UHL (80.1%), CUH (82.5%), 95.2% 97.5% 97% 95.5% +4.5% YTD 69.6% 90.7% 63.3% +6.3% 70.2% 69.3% 68.7% achieved target Naas (51.7%), Beaumont UHK (85.9%) achieved target Tallaght – Adults (41.9%), (52.9%), 16 out outof of28 27 hospitals hospitals UHL (80.1%), CUH (82.5%), 95.2% 97.5% 97% 95.5% %18 90.7% +4.5% ED over 24 hours 75 years old or older admitted or discharged 69.6% 63.3% +6.3% 70.2% 69.3% 68.7% Naas Beaumont achieved target UHK (51.7%), (85.9%) achieved 22 out oftarget 28 hospitals UHL (92%), UHK (93.6%), (52.9%), 98% 96.3% 99% +1.7% 98.8% 98.6% 98.2% 100% 10,000 CUH (94.9%) ED over 24 hours %achieved 75 yearstarget old or older admitted or discharged 22 out of 28 hospitals UHL (92%), UHK (93.6%), 98% 4,712 96.3% +1.7% 98.8% 98.6% 98.2% 99% 95.5% 10,000 100% achieved CUH 1,900 16 27 hospitals UHL(94.9%) (80.1%), CUH (82.5%), 5,000 90%out oftarget 95.2% 90.7% +4.5% 97.5% 97% 95.5% 593 achieved target UHK (85.9%) 89.1% 1,512 4,712 95.5% 1,900 16 90% out of 27 hospitals UHL (80.1%), CUH (82.5%), 5,000 90.7% 95.2% 97.5% 97%593 0 95.5% %80% 0 ED over 24 hours +4.5% 75 years old or older admitted or discharged achieved target UHK (85.9%) 1,512 Sep89.1% Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 0 99% 10,000 100% Month 19/20 80% Patients 75+ >24 hrs All patients > 24 hrs 0 24 hours ED over % 75 years old or older admitted or discharged Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 99% 10,000 100% 4,712 95.5% Month 19/20 Patients 75+ >24 hrs All patients > 24 hrs 1,900 5,000 90% 593 Current 89.1% 1,512 4,712 95.5% SPLY SPLY Current Current1,900 Period Current Best Outliers 5,000 90% performance YTD Change (-2) (-1) 593 0 80% YTD 0 1,512 Current 89.1% SPLY SPLY Current Sep Oct Nov Dec Jan Feb Mar AprOutliers May Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May JunCurrent Jul Aug Sep0Current Period0 Best performance 26 out of 38 hospitals LUH (145), MUH (63), 80% Month 19/20 YTD Change (-2) Patients >24 hrs All patients(-1) >598 24 hrs 4,922 175 75+ +4747 557 450 YTD achievedSep target (60) Oct Nov Dec JanEnnis Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep of 38 hospitals UHK LUH (145), MUH (63), Month 19/20 Patients >24 hrs All patients > 24598 hrs 9 26 outout of 14 hospitals (4), GUH, Louth, 4,922 175 75+ +4747 557 450 130 384 -254 5 1 7 achieved target Ennis have 0 SJH (1) (60) Current SPLY SPLY Current Current of 14 hospitals UHK (4), GUH, Louth, Period Current 9 out Best performance Outliers UHL (22.8%), Naas (23.2%), 130 384 -11.7% -254 YTD Change (-2) 5 (-1) 1 36.2%7 3 out of 37 hospitals 36.2% 47.9% 31.7% 34.1% Current have 0 target SJH (1) YTD achieved MMUH (23.5%) SPLY SPLY Current Current Period Current Best performance Outliers 26 out of 38 hospitals LUH (145), MUH (63), YTD Change (-2) (-1) 3 out of 37 hospitals UHL (22.8%), Naas (23.2%), BowelScreen – Urgent Colonoscopies Number on waiting list for GI Scopes 4,922 47.9% 557 598 450 175 -11.7% +4747 36.2% 31.7% 34.1% 36.2% YTD achievedtarget target Ennis (60) achieved MMUH (23.5%) Current Current 26 out of 38 hospitals LUH (145), MUH (63), Current 4,922 175 +4747 557 598 450 Number 9 out of 14waiting hospitals UHK (4), GUH, Louth,22,083 BowelScreen – Urgent Colonoscopies list forEnnis GI Scopes (-1) achievedon target (60) 130 384 -254(-2) 5 1 7 24,000 have 0 SJH (1) 20,000 Number deemed Current Current 11,561 9 out of 14 hospitals UHK (4), GUH, Louth, 22,083 Current 16,000 24 51 65 130 384 -254 5(-1) 1 7 24,000 suitable 3 out of 37 hospitals UHL (22.8%), Naas (23.2%), 12,522 36.2%for colonoscopy 34.1% 36.2% 12,000 47.9% -11.7% (-2) 31.7% have 0 10,636 SJH (1) achieved target MMUH (23.5%) Number 20,000 Number scheduled deemed over out of 3711,561 hospitals UHL (22.8%), Naas (23.2%), 531.7% 51 1 34.1% 65 7 36.2% 38,000 20 working days 16,000 24 36.2% -11.7% suitable for47.9% colonoscopy BowelScreen – Urgent Colonoscopies Number on waiting list for GI Scopes 12,522 10,636 achieved MMUH (23.5%) Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 12,000 Septarget Number scheduled over <13 weeks 13 week breaches Current Current BowelScreen – Urgent Colonoscopies Number list for GI>Scopes 5 1 7 8,000 on waiting Current 20 working days 22,083 24,000 (-2) (-1) Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Current Current 20,000 Sep11,561 Number deemed <13 weeks > 13 week breaches 22,083 Current 24,000 (-2) (-1) 16,000 24 51 65 47 suitable for colonoscopy 12,522 10,636 20,000 Number 12,000 11,561 Numberdeemed scheduled over 16,000 245 511 657 suitable for colonoscopy 8,000 10,636 12,522 20 working days 47 12,000 Number scheduled over Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 5 1 7 8,000 <13 weeks > 13 week breaches 20 working days Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep <13 weeks > 13 week breaches

Health Services Performance Profile July - September 2020

HCAI Performance HCAI Performance HCAI Performance

Performance area

Target/ Expected Target/ Activity Expected

Performance area Rate of new cases of Staph. Activity <0.9 Aureus infection Rate of new cases of Staph. <0.9 Rate of new cases of C Difficile Aureus infection <2 infection Rate of new cases of C Difficile <2 % of hospitals implementing the infection requirements for screening with 100% % of hospitals implementing the CPE Guidelines requirements for screening with 100% RateGuidelines of Staph. Aureus bloodstream infections CPE 1.5 of Staph. Aureus bloodstream infections Rate 1.1 1.5 1.0 1.1

Freq

Freq M

M M M Q Q

1.1 <0.9 1.1 0.9 1.0 <0.9 0.5 0.9 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 0.5 Month 18/19 Month 19/20 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Delayed Transfers Month 18/19 of Care Month 19/20 Target/ Delayed Transfers of Care Expected Performance area Freq Target/ Activity Performance area Expected Freq Number of beds subject to ≤550 M Activity delayed transfers of care Number of beds subject to ≤550 M delayed of care Delayedtransfers Transfers of Care

Source: Service Performance Profile 800 Health Delayed Transfers of Care 564 July September 2020 Quarterly Report 600 800 400 564 600

724

724 550 417

550 200 www.ihca.ie 400 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 200

417

Month 18/19 Month 19/20 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Month 18/19 Month 19/20

Health Services Performance Profile July - September 2020

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 79

Current Period Current YTD Period

SPLY YTD SPLY

SPLY Change SPLY Change -0.2

Current (-2) Current

Current Current Best performance Outliers (-1) Current Current Best performance Outliers YTD (-2) (-1) 35 out of 46 hospitals Naas (4.3), Portlaoise (3.6), YTD 0.9 0.9 0.8 0.9 1.1 achieved target Beaumont (2.3) 35 out of 46 hospitals Naas (4.3), Portlaoise (3.6), 0.9 1.1 -0.2 0.9 0.8 0.9 33 out of 46 hospitals Croom (14.8), Bantry (9.1), achieved target Beaumont (2.3) 1.9 2.6 2.0 1.9 2.4 -0.5 achieved target CUH (5.6) 33 out of 46 hospitals Croom (14.8), Bantry (9.1), 1.9 2.4 -0.5 2.6 2.0 1.9 achieved (5.6)did not achieve the 40 out of 47target hospitals 7 CUH hospitals 85.1% 74.5% +10.6% 53.2% 76.6% 85.1% achieved target target. 40 out of 47 hospitals 7 hospitals did not achieve the 85.1% 74.5% +10.6% 53.2% 76.6% 85.1% achieved target target. Rate of new cases of C Difficile associated diarrhoea Requirements for screening with CPE Guidelines 100% 100% Requirements for screening with CPE Guidelines 85.1% 100% 100% 70.2% 74.5% 70% 85.1% 74.5% 70.2% 70% 40% Q1 Q2 Q3 Q4 40% Quarter 18/19 Quarter 19/20 Q1 Q2 Q3 Q4 Quarter 18/19 Quarter 19/20

3.2 of new cases of C Difficile associated diarrhoea Rate 2.9 3.2 2.6 2.4 2.4 2.9 2.3 <2 2.6 2.4 2.0 2.4 1.9 2.3 1.7 <2 2.0 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 1.9 1.7 Month 18/19 Month 19/20 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Month 18/19 Current Period Current YTD Period YTD417

SPLY YTD SPLY YTD 724

SPLY Change SPLY Change -307

Month 19/20 Current (-2) Current (-2) 422

Current (-1) Current (-1) 404

Current

Best performance

Outliers

Current 417

417 724 -307 422 404 Delayed Transfers of Care by Destination Over Under Total Total Delayed Transfers of Care 65 by Destination 65 % Over Total 47 Under 11 58 13.9% Home Total 65 65 % 186 20 206 49.4% Residential Care 47 11 58 13.9% Home 18 16 34 8.2% Rehab 186 20 206 49.4% Residential Care 18 24 42 10.1% Complex Needs 18 16 34 4.8% 8.2% Rehab 7 13 20 Housing/Homeless 18 24 42 10.1% Complex Needs 31 5 36 8.6% Legal complexity 13 20 4.8% Housing/Homeless 77 2 9 2.2% Non compliance 31 36 2.9% 8.6% Legal complexity 10 25 12 COVID-19 7 2 9 2.2% Non compliance 10 2 12 2.9% COVID-19

Best(0), performance Outliers SLRON Mullingar, SJH (68), CUH (49), Ennis (0) Tallaght - Adults (31) SLRON (0), Mullingar, SJH (68), CUH (49), 417 Ennis (0) Over Tallaght Under- Adults (31) Total Total 65 65 % Over Under Total 324 93 417 100% Total Total 65 65 % 324 93 417 100% Total

08/10/2021 10:14

HCAI Performance HCAI Performance

Target/ Current SPLY SPLY Current Current Target/ Current Best performance Outliers Expected Freq Current Period SPLY SPLY YTD Change Current (-2) Current (-1) Current Best performance Outliers Expected Period Activity Freq YTD YTD Change (-2) (-1) Activity YTD Rate of new cases of Staph. 35 out of 46 hospitals Naas (4.3), Portlaoise (3.6), 0.9 <0.9 M 1.1 -0.2 0.9 0.8 0.9 Rate of new cases of Staph. 35 achieved out of 46 hospitals Naas (4.3), Portlaoise (3.6), Aureus infection target Beaumont (2.3) 0.9 <0.9 M 1.1 -0.2 0.9 0.8 0.9 Aureus achieved (2.3) Bantry (9.1), 33 out target of 46 hospitalsBeaumont Croom (14.8), Rate infection of new cases of C Difficile 1.9 <2 M 2.4 -0.5 2.6 2.0 1.9 33 achieved out of 46 hospitals Croom Rate of new cases of C Difficile target CUH(14.8), (5.6) Bantry (9.1), infection 1.9 <2 M 2.4 -0.5 2.6 2.0 1.9 achieved target CUH (5.6) infection % of hospitals implementing the 40 out of 47 hospitals 7 hospitals did not achieve the % of hospitals implementing 85.1% requirements for screeningthe with 100% Q 74.5% +10.6% 53.2% 76.6% 85.1% 40 achieved out of 47 hospitals 7 hospitals target target. did not achieve the 85.1% requirements for screening with 100% Q 74.5% +10.6% 53.2% 76.6% 85.1% CPE Guidelines achieved target target. CPE Guidelines Rate of Staph. Aureus bloodstream infections Rate of new cases of C Difficile associated diarrhoea Requirements for screening with CPE Guidelines Rate of Staph. Aureus bloodstream infections Rate of new cases of C Difficile associated diarrhoea Requirements for screening with CPE Guidelines100% 1.5 100% 3.2 100% 1.5 100% 3.2 2.9 1.1 85.1% 1.1 74.5% 70.2% 2.6 2.4 2.9 1.1 85.1% 70% 1.0 2.4 1.1<0.9 74.5% 70.2% 2.6 2.3 2.4 <2 70% 1.0 2.4 <0.9 0.9 2.3 2.0 <2 1.9 40% 2.0 1.7 0.9 0.5 1.9 1.7 40% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Q1 Q2 Q3 Q4 0.5 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Q1 Quarter 18/19 Q2 Q3 Quarter 19/20 Q4 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Month 18/19 Month 19/20 Month 18/19 Month 19/20 Delayed Transfers of Care Quarter 18/19 Quarter 19/20 Month 18/19 Month 19/20 Month 18/19 Month 19/20 Performance area Performance area

Charts & Tables (as of September 2020)

Delayed Transfers of Care Delayed Transfers of Care

Target/ Current SPLY SPLY Current Current Target/ Expected Freq Current Period Current Best performance Outliers SPLY YTD SPLY Change Current (-2) Current (-1) Expected Freq Period Current Best performance Outliers Activity YTD YTD Change (-2) (-1) Activity YTD SLRON (0), Mullingar, SJH (68), CUH (49), Number of beds subject to 417 ≤550 M 422 404 417 724 -307 SLRON SJH (68), CUH (49),(31) Number of beds subject to Ennis(0), (0) Mullingar, Tallaght - Adults delayed transfers of care 417 ≤550 M 724 -307 422 404 417 Ennis (0) Tallaght - Adults (31) delayed transfers of care Delayed Transfers of Care Delayed Transfers of Care by Destination Over Under Total Total Delayed Transfers of Care Delayed Transfers of CareOver by Destination 65 Over65 Under Total% Under Total Total Total 800 724 65 65 % 324 93 417 100% 65 65 % Total Over Under Total Total 800 724 324 93 417 100% 65 47 65 11 Total 58 % 13.9% Home 600 564 47 11 58 13.9% Home 186 20 206 49.4% 564 Residential Care 600 550 400 186 18 20 16 206 3449.4% Residential 550 8.2% Rehab Care 417 400 18 18 16 24 34 42 8.2% Rehab 10.1% Complex Needs 200 417 18 7 24 13 42 2010.1% Complex Needs 200 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 4.8% Housing/Homeless Sep Oct Nov DecMonth Jan Feb Mar Apr MayMonth Jun 19/20 Jul Aug Sep 7 31 13 5 20 36 4.8% 18/19 Housing/Homeless 8.6% Legal complexity Month 18/19 Month 19/20 31 7 5 2 36 9 8.6% Legal 2.2% Noncomplexity compliance 7 10 2 2 9 12 2.2% Non compliance 2.9% COVID-19 10 2 12 2.9% COVID-19 Performance area Performance area

Health Services Performance Profile July - September 2020 Health Services Performance Profile July - September 2020

Surgery and Medical Performance Surgery and Medical Performance Target/ Surgeryand andMedical MedicalPerformance Performance Surgery Performance area Expected Freq

Current SPLY SPLY Current Current Period Current Best performance Outliers Target/ Current YTD Change (-2) (-1) Target/ Current SPLY SPLY Current Current Activity YTD SPLY SPLY Current Current Current Best performance Outliers Performance area Expected Freq Period Current Best performance Outliers Performance area Expected Freq Period YTD Change (-2) (-1) 19 out of 34 hospitals Columcille's (20.3%), LUH (16.9%), Emergency re-admissions YTD Activity YTD 12.2% (-1) 11.3% 11.3% 11.4% Change +0.4% (-2) ≤11.1% M-1M Activity YTD11.8% achieved target Ennis (16.7%) within 30 days of discharge Emergency re-admissions 19 out of 34 hospitals Columcille's (20.3%), LUH (16.9%), Emergency re-admissions outout of 34 hospitals (20.3%), LUH (16.9%), 11.8% ≤11.1% M-1M 11.4% +0.4% 12.2% 11.3% 11.3% 19 18 oftarget 35 hospitals Columcille's Croom (35.7%), SLK (50%), SJH Procedure conducted on day of 11.8% ≤11.1% within 30 days of discharge achieved Ennis (16.7%) 73.4% 11.4% 82% M-1M M-1M 71% 11.3% 74.1% 11.3% 76.5%achieved 75.1% +0.4% -1.7% 12.2% within 30 days(DOSA) of discharge target Ennis (16.7%) (22.8%) admission 18achieved out of 35target hospitals Croom (35.7%), SLK (50%), SJH Procedure conducted on day of outout of 35 hospitals (35.7%), SLK (50%), SJH Procedure conducted on day of 73.4% 82% M-1M 75.1% -1.7% 71% 74.1% 76.5% 18 11 oftarget 31 hospitals Croom Laparoscopic Cholecystectomy 73.4% 82% -1.7%0% 71% achieved (22.8%) admission (DOSA) 44.9% 75.1% 54.5% 74.1% 39.8% 76.5% 38.6%achieved 11 Hospitals (0%) 44.9% 60% M-1M M-1M target (22.8%) admission achieved target day case(DOSA) rate Laparoscopic Cholecystectomy 11 out of 31 hospitals Laparoscopic Cholecystectomy 11 out of 31 hospitals 44.9% 60% M-1M 44.9% 0% 54.5% 39.8% 38.6% 11Sth Hospitals (0%) 19 out oftarget 38 hospitals 11 Tipperary Surgical re-admissions within 30 44.9% 60% 0% 54.5% Hospitals (0%)(4.7%), Portlaoise day case rate achieved 2.1% 44.9%2% ≤2% M-1M M-1M 2.8% 39.8%2% 38.6% 1.9%achieved +0.1% daydays caseofrate target achieved target (4.6%), Mullingar (4.4%) discharge 19 out of 38 hospitals Sth Tipperary (4.7%), Portlaoise Surgical re-admissions within 30 19 out of 38 hospitals Sth Tipperary (4.7%), Portlaoise Surgical re-admissions within 30 2.1% ≤2% M-1M 2% +0.1% 2.8% 2% 1.9% 4 out of 16 hospitals (4.6%), OLOL Mullingar (59.5%), CUH (65.6%), UHL Hip of fracture surgery within 48 2.1% ≤2% 2% +0.1% 2% 1.9% achieved target (4.4%) days discharge 76.9% 85% M-1M Q-1Q 75.1% 76.8% 77.1%achieved 75.2% 1.7% 2.8% target (4.6%), Mullingar (4.4%) days of discharge achieved target (71.4%) hours of initial assessment Hip fracture surgery within 48 4 out of 16 hospitals OLOL (59.5%), CUH (65.6%), UHL OLOL (59.5%), CUH (65.6%), UHL Hip fracture surgery within 48 76.9% 85% Q-1Q 75.1% 76.8% 77.1% 4 out of 16 hospitals 75.2% 1.7% 76.9% Q-1Q 75.2%conducted 1.7%on day 75.1% 76.8% 77.1% hours of initial re-admissions assessment achieved target surgery (71.4%) Emergency within 3085% days Procedure of admissions Hiptarget fracture within 48 hours achieved (71.4%) hours of initial assessment 14% Emergency re-admissions within 30 days Procedure conducted on day of admissions Hip90% fracture surgery within 48 hours 11.3% 82% Emergency re-admissions within 30 days Procedure conducted on day of admissions Hip fracture surgery within 48 hours 80% ≤11.1% 14% 12% 76.5% 11.3% 90% 82% 85% 14% 11.3% 90%85% 82% 80% ≤11.1% 12% 10% 76.5% 10.7% 80% ≤11.1% 77.4% 85% 85% 80% 12% 75.1% 76.5% 77.1% 10.8% 75.1% 85% 85% 70% 10% 8% 10.7% 77.4% 80% 10% 75.1% 77.1% 75.1% 10.8% 75.1% 76.8% 10.7% 70% 75.1% 80%75% 77.4% 75.1% 77.1% 10.8% 70% 8% 6% 8% 60% 75% 75.1% 76.8% 70% Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug 75% 75.1% 76.8% 6% Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Q1 Q2 Q3 Q4 6% 60% 70% 60% Aug Sep OctMonth Nov Dec Jan Feb Mar Apr May 19/20 Jun Jul Aug 70% 2019 2020 Month 19/20Jul Aug Aug Sep Oct Nov Dec18/19 Jan Feb Mar Apr Month May Jun Jul Aug Aug Sep Oct Nov 18/19 Dec Jan Feb Mar AprMonth May Jun Q1 Q2 Q3 Q4 Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Q1 Q2 Q3 Q4 2019 2020 Month 18/19 Month 19/20 Month 18/19 Month 19/20 2019 2020 Month 18/19 Month 19/20 Month 18/19 Month 19/20 Laparoscopic Cholecystectomy day case rate Surgical re-admissions within 30 days 60% Laparoscopic Cholecystectomy day case rate 60% Laparoscopic Cholecystectomy day case rate 60% 50% 39% 60%39.6% 60% 60%40% 39% 39.6% 50% 39% 39.6% 50%30% 38.6% 40% 40%20% 30% 38.6% 30%10% 38.6% 20% 20%0% 10% 10% Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug 0% 0% Aug Sep Oct Nov 18/19 Dec Jan Feb Mar AprMonth May Jun Jul Aug 19/20 Aug Sep OctMonth Nov Dec Jan Feb Mar Apr May Jun Jul Aug Month 18/19 Month 19/20 Month 18/19 Month 19/20 Health Services Performance Profile July - September 2020 Health Services Performance Profile July - September 2020 Health Services Performance Profile July - September 2020

Surgical re-admissions ≤3%within 30 days Surgical 3% re-admissions within 30 days ≤3% ≤3% 3% 3% 1.9% 2% 1.9% 1.9% 2% 2% 1%

1% 1%

≤2% 1.9% ≤2% ≤2% 1.9% 1.9% 1.8%

1.8% Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul1.8% Aug

Month 19/20 Aug Sep Oct Nov Dec18/19 Jan Feb Mar Month Apr May Jun Jul Aug Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Month 18/19 Month 19/20 Month 18/19 Month 19/20

49 49 49

Source: Health Service Performance Profile July - September 2020 Quarterly Report 80

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 80

www.ihca.ie

08/10/2021 10:14

Charts & Tables (as of September 2020)

Pre-Hospital Emergency Care Services Pre-Hospital Emergency Care Services Pre-Hospital Emergency Target/Care Services Current SPLY Performance area Emergency Expected Care Freq Services Period Target/ Current Pre-Hospital SPLYYTD

SPLY Current Current Current Best performance Outliers ChangeCurrent (-2) Current (-1) SPLY Activity Freq YTD Performance area Expected Period Current Best performance Outliers YTD Change (-2) (-1) Target/ Current Activity YTD SPLY SPLY Current Current Response Times North Leinster (88.7%) South (70.7%), Performance area – Expected Period Best performance Outliers 80.4% 80.1% Change +0.3% 80.7% 78.7% Current 81.6% 80% Freq M YTD (-2) (-1) ECHO Times – Dublin Fire(88.7%) Brigade (84.2%), West (75%) Response North Leinster South (70.7%), Activity YTD 80% M 80.4% 80.1% +0.3% 80.7% 78.7% 81.6% ECHO Dublin Fire Brigade (84.2%), WestDublin (75%)Fire Brigade (41%), Response Times – North Leinster (88.7%) South (70.7%), 80% M 80.4% 80.1% +0.3% 80.7% 78.7% 81.6% Response Times – South (51.3%), Fire Brigade (41%), ECHO West (75%) 54.3% 56.7% -2.4% 57.9% 53.1% 53.1% Dublin Fire Brigade (84.2%), Dublin 70% M DELTATimes – West (58.1%) Response South (51.3%), 70% M 54.3% 56.7% -2.4% 57.9% 53.1% 53.1% Dublin Fire Brigade (41%), Leinster (60.7%) DELTA WestNorth (58.1%) Response – South (51.3%), Return ofTimes spontaneous North Leinster (60.7%) 70% M 54.3% 56.7% -2.4% 57.9% 53.1% 53.1% DELTA West (58.1%) 40% Q-1Q 43.7% 42.2% 1.5% 38.8% 47.9% 39.4% Return of spontaneous circulation (ROSC) North Leinster (60.7%) 40% Q-1Q 43.7% 42.2% 1.5% 38.8% 47.9% 39.4% circulation (ROSC) Return of spontaneous 40% Q-1Q 43.7% 42.2% Times1.5% 38.8% 47.9% 39.4% Response Times – ECHO Response – DELTA Call Volumes (arrived at scene) circulation (ROSC) Response Response Times – DELTA Call Volumes (arrived 90% Times – ECHO Target/ at scene) Current 90% % Var SPLY SPLY Expected 90% Target/ Current Response Times – DELTA Call Volumes (arrived atPeriod scene) YTD 90% Response Times – ECHO 82.1% YTD SPLY change 80% 85% ActivityPeriod YTD % Var SPLY Expected 81.8% 70% 82.1% YTD change 81.6% 90% Target/ Current YTD 80%90% 85% 70% Var SPLY 81.8% 70% ECHO Activity 3,699YTD 3,801 % +2.8% 3,605 SPLY196 Expected Period 81.6% 80% 82.1% 58.1% YTD 3,605 YTD change 70%80% 55.7% ECHO 3,699 3,801 +2.8% 196 85% 60% Activity YTD 81.8% 70% 80% 80% 58.1% 81.6% DELTA 97,497 83,714 -14.1% 96,940 -13226 55.7% 60%70% 75% 50% ECHO 3,699 3,801 +2.8% 3,605 196 53.1% DELTA 80% 97,497 83,714 -14.1% 96,940 -13226 80% 58.1% 75% 55.7% 50%60% 53.1% 40% 80% 70% DELTA 97,497 83,714 -14.1% 96,940 -13226 75% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug53.1% Sep 40%50% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 70% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 40% Month18/19 Month 19/20 Month18/19 Month 19/20 70% Sep Oct Nov Dec Jan Feb Mar Apr May19/20 Jun Jul Aug Sep Month18/19 Month Month18/19 19/20 Dec Jan Feb Mar Month Apr May Jun Jul Aug Sep ROSC Sep Oct Nov Month18/19 Month 19/20 ROSC Month18/19 Month 19/20 70% 56.5% 70% ROSC 60%56.5% 70% 60% 47.7% 56.5% 50% 47.7% 40% 50%60% 47.7% 40% 40% 39.4% 40%50% 39.4% 40% 30% 39.4% Q2 Q3 Q4 Q1 Q2 30%40% Q2 Q3 Q4 Q1Q 19/20 Q2 Q 18/19 30% Q 18/19 Q4 Q 19/20 Q2 Q3 Q1 Q2 Q 18/19

Q 19/20

Health Services Performance Profile July - September 2020 Health Services Performance Profile July - September 2020 Health Services Performance Profile July - September 2020

52 52

Source: Health Service Performance Profile July - September 2020 Quarterly Report

www.ihca.ie

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 81

08/10/2021 15:22

Charts & Tables (as of September 2020)

Mental Health Services Child andHealth Adolescent Community Mental Health Teams Mental Services Mental Health Services Child and Adolescent Community Mental Health Teams Child and Adolescent Community Teams Target/ Mental Health Current Performance Area Performance Area

Admission of Children to CAMHs of Children to Admission CAMHs CAMHs Bed Days Used CAMHs Bed Days Used CAMHs – first appointment within–12 months CAMHs first appointment within 12 months CAMHs waiting list CAMHs waiting list CAMHs waiting list > 12 months CAMHs waiting list > 12 months No of referrals received No of referrals received Number of new seen Number of new seen % of urgent referrals to CAMHs responded to % of urgentTeams referrals to withinTeams three working daysto CAMHs responded within three working days

Expected Freq Target/ Activity Freq Expected Activity 75% M 75% M 95% M 95% M 95% 95%

1,894 1,894

0 0 13,606YTD 18,128FYT 13,606YTD 8,136YTD 18,128FYT 10,833FYT 8,136YTD 10,833FYT >80% >80%

Period Current YTD Period YTD 91.4% 91.4% 98.4% 98.4%

95.6% 95.1% 95.6% 95.1%

+0.5% +0.5%

95.4% 95.4%

94.1% 94.1%

+38 +38

2,196 2,196

2,157 2,157

241 241

227 227

-3,105 -3,105 -1,285 -1,285

1,102 1,102 747 747

949 949 723 723

86.4% 73.5% +12.9% 86.4% 73.5% +12.9%

86.8% 86.8%

88.9% 88.9%

216 216

208 208

M M M

11,042 14,147 11,042 14,147 7,114 8,399 7,114 8,399

First appointment within 12 months 100% First appointment within 12 months 100% 96% 96%

95.1% 92% 95.1% 92%

Current Current

96.6% 96.6%95% 95% 93.6% 93.6%

88% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 88% Sep Oct Nov Dec Jan 18/19 Feb Mar Apr May Month Jun Jul19/20 Aug Sep Month Month 18/19 Month 19/20

55% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 55% Sep Oct Nov Dec Jan18/19 Feb Mar Apr May Jun Month Jul Aug19/20 Sep Month Month 18/19

89.3% 89.3% 99% 99%

72% 72%70.1% 67.7% 70.1% 67.7%

65% 68.6% 65% 68.6%

91.3% 91.3% 99.5% 99.5%

2,074 2,074

% offered an appointment and seen within 12 weeks 85% an appointment and seen within 12 weeks % offered 85% 75% 75%

+5.8% +5.8% +2.5% +2.5%

2,112 2,112

Current (-1) Current (-1)

85.6% 85.6% 95.9% 95.9%

M M

SPLY SPLY Current YTD Change Current (-2) SPLY SPLY YTD Change (-2)

Month 19/20

Best Performance Best Performance

Outliers Outliers

97% 97% 99.9% All CHOs reached target 99.9% All CHOs reached target CHO 2, 3, 5, 7, 8 & 9 93.6% reached CHO 2, 3, 5,target 7, 8 & 9 93.6% reached target CHO2 (40), CHO7 (147), 2,112 CHO3&5 (174) (147), CHO2 (40), CHO7 2,112 CHO3&5 (174) CHO2 (0), CHO5 (0), 216 CHO9 CHO2 (0),(0) CHO5 (0), 216 CHO9 (0) 1,544 1,544 982 982

CHO1 (63.7%), CHO4 (89.2%), CHO1 (63.7%), CHO6 (92.6%) CHO4 (89.2%), CHO6 (92.6%) CHO6 (374), CHO8 (351), CHO6 (374), CHO4 (347) CHO8 (351), CHO4 (70), CHO4 (347) CHO1 (56), CHO4 (70), CHO8 (41) CHO1 (56), CHO8 (41)

CHO1, 3, 4, 5, 7, 8, & 9 87.5% reached CHO1, 3, 4,target 5, 7, 8, & 9 87.5% reached target

CHO2 (49.3%), CHO6 (77.8%) CHO2 (49.3%), CHO6 (77.8%)

Waiting list > 12 months Waiting 400 list > 12 months 400350 313 350300 313 300250 216 250200 216208 200150 208 150100 100 50 50 0 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 0 18/19 19/20 Sep Oct Nov DecMonth Jan Feb Mar Apr MayMonth Jun Jul Aug Sep Month 18/19 Month 19/20

Health Services Performance Profile July - September 2020

General Adult Mental Health

Health Services Performance Profile July - September 2020

General Adult Mental Health Performance Area Number of referrals received Number of referrals seen

Target/ Expected Activity

Current Period YTD

Freq

SPLY YTD

SPLY Change

Current (-2)

Current (-1)

Current

33,610YTD 44,801FYT 21,554YTD 28,716FYT

29,050

33,108

-4,058

3,657

3,262

3,681

17,666

20,353

-2,687

2,080

1,928

2,176

75%

74.5%

72.7%

+1.8%

73.6%

76.6%

77.5%

% seen within 12 weeks

Best Performance

CHO1, 2,3,5,6 & 7 reached target

Outliers

CHO9 (57.9%), CHO4 (70.2%), CHO8 (73.4%)

Psychiatry of Later Life Performance Area Number of referrals received Number of referrals seen % seen within 12 weeks

Target/ Expected Activity 9,446YTD 12,593FYT 6,680YTD 8,896FYT 95%

Current Period YTD

Freq

Current (-2)

Current (-1)

Current

8,476

9,388

-912

1,084

1,030

989

5,689

6,803

-1,114

693

699

705

95.4%

94.4%

+1%

95.5%

96.2%

95.2%

77%

99%

75%

96% 93%

70.8%

Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Month 18/19 Month 19/20

Best Performance

CHO1, 2, 3, 5 & 6, reached target

Outliers

CHO9 (76.9%), CHO8 (90.8%), CHO7 (93.9%)

Psychiatry of Later Life - % offered an appointment and seen within 12 weeks

77.5%

73% 69%

SPLY Change

Adult Mental Health - % offered an appointment and seen within 12 weeks

71.1%

SPLY YTD

90%

94.7%

95.2% 95% 92.9%

Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Month 18/19 Month 19/20

Source: Health Service Performance Profile July - September 2020 Quarterly Report Health Services Performance Profile July - September 2020

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 82

www.ihca.ie

08/10/2021 10:14

General Adult Mental Health Target/ General Adult Mental Health Performance Area Performance Area

Number of referrals received Number of referrals received Number of referrals seen Number of referrals seen % seen within 12 weeks

Expected Freq Target/ Activity Expected Freq Activity 33,610YTD M 44,801FYT 33,610YTD M 21,554YTD 44,801FYT M 28,716FYT 21,554YTD M 28,716FYT 75% M 75% M

Charts & Tables

Current Period Current YTD Period YTD 29,050 29,050 17,666 17,666

SPLY SPLY Current Current Current Best Performance Outliers YTD Change Current (-2) (-1) SPLY SPLY Current Current Best Performance Outliers YTD Change (-2) (-1) -4,058 33,108 3,657 3,262 3,681 -4,058 33,108 3,657 3,262 3,681 20,353 -2,687 2,080 1,928 2,176 20,353 -2,687 2,080 1,928 2,176 CHO9 (57.9%), CHO1, 2,3,5,6 & 7 74.5% 72.7% +1.8% 76.6% 77.5% 73.6% CHO4 (70.2%), CHO9 (57.9%), CHO1, 2,3,5,6 &7 reached target CHO8 (73.4%) 74.5% 72.7% +1.8% 76.6% 77.5% 73.6% CHO4 (70.2%), reached target CHO8 (73.4%)

% seen within 12 weeks Psychiatry of Later Life

Psychiatry of Later Life Psychiatry of Later Life Performance Area Performance Area Number of referrals received Number of referrals received Number of referrals seen Number of referrals seen % seen within 12 weeks % seen within 12 weeks

Target/ Target/ Expected Freq Expected Freq Activity Activity 9,446YTD M 9,446YTD 12,593FYT M 12,593FYT 6,680YTD M 6,680YTD 8,896FYT M 8,896FYT 95% M 95% M

Adult Mental Health - % offered an appointment and Adult - % offered an appointment and seenMental within Health 12 weeks seen within 12 weeks 77% 77% 73% 73%

(as of September 2020)

Current SPLY SPLY Current Current Period Current Best Performance Outliers Current YTD Change Current (-2) (-1) SPLY SPLY Current YTD Period Current Best Performance Outliers YTD Change (-2) (-1) YTD 8,476 9,388 -912 1,084 1,030 989 8,476 9,388 -912 1,084 1,030 989 5,689 693 699 705 6,803 -1,114 5,689 6,803 -1,114 693 699 705 CHO9 (76.9%), CHO1, 2, 3, 5 & 6, 95.4% CHO9 (76.9%), 95.5% 96.2% 95.2%CHO1, 2, 3, 5 & 6, 94.4% +1% CHO8 (90.8%), reached target 95.4% 94.4% +1% 95.5% 96.2% 95.2% CHO8 (90.8%), CHO7 (93.9%) reached target CHO7 (93.9%) Psychiatry of Later Life - % offered an appointment Psychiatry Later 12 Life - % offered an appointment and seenofwithin weeks and seen within 12 weeks

77.5% 77.5%

99% 99%

75% 75%

96% 96%

71.1% 70.8% 70.8% 69% 71.1% 69% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan18/19 Feb Mar Apr May Jun Jul19/20 Aug Sep Month Month Month 18/19 Month 19/20

95.2% 95.2%95% 95%

94.7% 93% 94.7% 93%

92.9% 92.9% 90% 90% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Month 18/19 Month 19/20 Month 18/19 Month 19/20

Cancer Services

Health Services Performance Profile July - September 2020 Health Services Performance Profile July - September 2020 Cancer Services

Target/ Current Cancer Services SPLY SPLY Current Current Performance area Expected Freq Period Current Best performance Outliers Target/ Current YTD Change Current (-2) (-1) Cancer Services SPLY SPLY Current Activity Freq YTD Performance area Expected Period Current Best performance Outliers YTD Change (-2) (-1) % of new patients attending Target/ Current Activity YTD SPLY SPLY Current Current Performance area Freq Period Current Best(100%), performance Outliers UHW Access Breast, Lung and Expected LUH Beaumont CUH (19.5%), %Rapid of new patients attending YTD M 59.7% 71.6%Change -0.5% (-2)65.3% (-1)61.8% Activity 95% YTD 71.1% Prostate Clinics within (99.7%), SVUH (98.3%) (20.5%), SJHUHW (37.7%) Rapid Access Breast, Lung and LUH (100%), Beaumont CUH (19.5%), % of new patients timeframe attending 71.1% 95% M 71.6% -0.5% 65.3% 61.8% 59.7% recommended Prostate Clinics within (99.7%), SVUH (98.3%) (20.5%), SJH (37.7%) Rapid Access Breast, Lung and (19.5%), LUH (100%), Beaumont Urgent breasttimeframe cancer within 2 LUH (100%), Beaumont CUH UHW (8%),UHW CUH (15.5%), recommended 71.1% 95% 95% M M 71.7% 71.6% 64.7% 61.8% 56.4% 59.7% 55.1%(99.7%), SVUH (98.3%) 69.7% -0.5% +2% 65.3% Prostate within (20.5%), SJH (37.7%) weeksClinics (99.6%), UHL (98.8%) SJH (8%), (17.4%) Urgent breast cancer within 2 LUH (100%), Beaumont UHW CUH (15.5%), recommended timeframe 95% M 71.7% 69.7% +2% 64.7% 56.4% 55.1% Non-urgent breast within 12 MMUH (89.3%), Beaumont SJH CUH (6.6%), SJH (13.8%), weeks (99.6%), UHL (98.8%) (17.4%) 95% M 59.7% 70.2% -10.5% 56.9% 49.9% 48.2%LUH (100%), Beaumont Urgent breast cancer within 2 UHW (8%), CUH (15.5%), weeks (68.7%), UHW (64.3%) LUH (24.2%) 95% M Non-urgent breast within 12 71.7% 69.7% +2% 64.7% 56.4% 55.1% MMUH (89.3%), Beaumont SJH CUH (6.6%), SJH (13.8%), weeks (99.6%), UHL (98.8%) (17.4%) 95% M 59.7% 70.2% -10.5% 56.9% 49.9% 48.2% Lung Cancer within 10 working 5 out of 8 hospitals UHW (75%), CUH (76%), weeks (68.7%), UHW (64.3%) LUH (24.2%) 95% M 86.4% 90.3% 87.9% 90.7%MMUH (89.3%), Beaumont CUH (6.6%), SJH (13.8%), 86.4% 0% Non-urgent breast within 12 daysCancer within 10 working target UHL(75%), (77.8%) 95% M Lung 59.7% 70.2% -10.5% 56.9% 49.9% 48.2% 5 achieved out ofUHW 8 hospitals UHW CUH (76%), weeks (68.7%), (64.3%) LUH (24.2%) 95% M 86.4% 86.4% 0% 90.3% 87.9% 90.7% Prostate cancer within 20 5 out of target 8 hospitals CUH (11.4%), UHL days achieved UHL (77.8%) 90% M 50.4% 45.3% 64.9% 61.9%5 out of 8 hospitals 68.1% -17.8% Lung Cancer within 10 working UHW (75%),GUH CUH(35.1%) (76%), working days target (30.3%), 95% M Prostate cancer within 20 86.4% 86.4% 0% 90.3% 87.9% 90.7% 5 achieved out of target 8 hospitals CUH (11.4%), UHL days UHL (77.8%) 90% M 50.4% 68.1% -17.8% 45.3% 64.9% 61.9% achieved Radiotherapy within 15 working UHW (100%), SLRONGUH (67.7%), CUH working days achieved target UHL (30.3%), (35.1%) 90% M 84.1% 82.5% 77.2% 76.2% 85.6% -1.5% Prostate within 20 5 out of 8 hospitals CUH (11.4%), UHL days cancerwithin (97.9%), GUH (89.4%) outstanding 90% M Radiotherapy 15 working 50.4% 68.1% -17.8% 45.3% 64.9% 61.9% UHW (100%), UHL SLRON (67.7%), CUH working days (30.3%), GUH (35.1%) 90% M 84.1% 85.6% -1.5% 82.5% 77.2% 76.2% achieved target days (97.9%), GUHbreast (89.4%) Rapid Access within recommended timeframe Breast Cancer within 2 weeks Non-urgent within 12outstanding weeks Radiotherapy within 15 working UHW (100%), UHL SLRON (67.7%), CUH 90% M 95% 100% 84.1% 85.6% within-1.5% 77.2% 76.2% 95% 95% Rapid Access within recommended timeframe Breast Cancer 2 weeks 82.5% Non-urgent within 12outstanding weeks days (97.9%), GUHbreast (89.4%) 90% 90% 100% 95% 95% 95% 72.2% Breast Cancer within 2 weeks Non-urgent breast within 12 weeks Rapid Access within recommended timeframe 82.1% 80% 90% 90% 100% 95% 72.2% 95% 95% 82.1% 80% 60% 68.5% 59.7% 90%70% 90%70% 60% 72.2% 82.1% 55.1% 60% 80% 70% 70% 66.1% 68.5% 59.7% 60% 48.2% 55.1% 40% 66.1% 70%50% 60% 70%50% 68.5% 60% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul 59.7% Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul48.2% Aug Sep Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 50% 40% 50% 55.1% 66.1% 18/19 Month Sep Oct Nov Dec Jan Feb Month Mar Apr May Jun Jul Aug Sep Sep Oct NovMonth Dec 18/19 Jan Feb Mar Apr May Month Jun Jul Aug Sep Sep Oct Nov DecMonth Jan Feb Mar Apr May Jun 19/20 Jul Aug Sep 19/20 19/20 48.2% 50% 40% 50% Month 18/19 Month Month 19/20 18/19 19/20 Lung Cancer 10Feb working days Prostate Cancer within 20 Mar working days Radiotherapy within 15Feb working Sep Oct Novwithin Dec Jan Mar Apr May Jun Jul Aug Sep Sep Oct NovMonth Dec Jan Mar Aprdays May Month Jun Jul Aug Sep Sep Oct Nov Dec Jan Feb Apr May Jun 19/20 Jul Aug Sep Lung Cancer within 10 working days Month 19/20 90% Lung Cancer within 10 working days 90% 81.2% 90%70% 81.2% 70%

95% 95%

95%90.7% 85.9% 90.7% 85.9% 90.7% 81.2% 70%50% 85.9% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 50% 18/19 Month Sep Oct Nov DecMonth Jan Feb Mar Apr May Jun 19/20 Jul Aug Sep 50% 18/19 Month Sep Oct Nov DecMonth Jan Feb Mar Apr May Jun 19/20 Jul Aug Sep Health Services Performance Profile JulyMonth - September Month 18/19 19/20 2020

Health Services Performance Profile July - September 2020 Health Services Performance Profile July - September 2020

Month 18/19 Month 19/20 Prostate Cancer within 20 working days 90% Prostate Cancer within 20 working days 69.0% 90% 75% 69.0% 75% 60% 90% 69.0% 60% 75%45% 45% 30% 60% 30% 45% 30%

90% 90% 66.1% 90% 66.1% 61.9% 66.1% 61.9%

Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul61.9% Aug Sep 18/19 Month Sep Oct Nov DecMonth Jan Feb Mar Apr May Jun 19/20 Jul Aug Sep

18/19 Month Sep Oct Nov DecMonth Jan Feb Mar Apr May Jun 19/20 Jul Aug Sep Month 18/19

Month 19/20

RadiotherapyMonth within 15 working daysMonth 19/20 18/19 90% Radiotherapy within 15 working days 90% 78.7% 90%70% 78.7% 70%

90% 90% 84% 90% 84% 76.2%

84% 76.2% 70%50% 78.7% 76.2% Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 50% Sep Oct NovMonth Dec Jan Feb Mar Apr MayMonth Jun Jul Aug Sep 18/19 19/20 50% 18/19 19/20 Sep Oct NovMonth Dec Jan Feb Mar Apr MayMonth Jun Jul Aug Sep Month 18/19

Month 19/20

50 50

Source: Health Service Performance Profile July - September 2020 Quarterly Report

www.ihca.ie

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 83

08/10/2021 10:14

Charts & Tables (as of September 2020)

Health Sector Workforce At the end of September 2020 Health Services employment levels stand at 124,568 whole-time equivalents (WTE). increased +25 WTE and +27 WTE respectively this month primarily Overall headlines this bymonth due to increases in Consultants (+27 WTE), Registrars (+30 WTE) and

• When compared Admin with &the AugustGrade 2020 WTE), Supervisory V tofigure VII (+55(124,705 WTE). All Hospital Groups the exception of CHI decreased month the the change this month shows a with decrease of -136 WTE, withthisthe largest decrease seen in the Ireland East Hospital Group (-143 WTE). Year to Date change at +4,751 WTE (+4.0%).  The change within Community Services this month is an increase of • This month’s change is below thatto normally seen +153 WTE with a year date growth of 1,322for WTESeptember, (2.5%). Four of the six staff categories are showing increases this month with two with the 5 year average change for the same period at +274 reporting decreases. WTE.  Patient & Client Care is showing the largest growth (+111 WTE) which is attributable to increases in Homeimpacting Helps +58 WTE • There are however, a number of factors theand Care Other at +54 WTE. Further increases are seen in Health & Social Care Professionals employment data(+64 forWTE), this ofmonth, most notably; which 32 WTE relates to Social Care and 12 WTE relates Therapy Professions. Medical & Dentalintern staff category has • Health CaretoAssistants – StudentThe Nurse/Midwife increased by +71 WTE (+24 WTE SHO/Interns, +8 WTE Consultants and +41 WTE Medical Dental, other). (year 1-3), COVID-19 contracts ceased from 31st August  this Those staff categories showing decreases this month include Nursing & 2020 with month’s census reflecting a decrease of -352 Midwifery (-35 WTE), along with General Support (-61 WTE), both WTE; attributing to the reasons outlined above impacting on this month’s employment reports in these staff categories. • Pre-registration Nurse/Midwife Interns (4th Year)  Six of the nine CHOs are showing increases this month, with CHO 4 completing their showing decrease -385 the largest showinginternship the largest increase (+112aWTE). CHO 2of is reporting this month at -28 WTE. WTE, whichdecrease is expected to re-increase on uptake of Staff  At Division level all divisions are showing increases this month with the Nurse/ Midwife contracts due to reporting time lags; exception of Older People services as follows: Mental Health (+38 WTE), Primary Care seen (+18 WTE), Community & Wellbeing (+6 WTE) with • Similar to the impact on the rolloutHealth of NiSRP in the Disabilities showing the largest increase (+125 WTE). Older People is East, the further out ofof-34 NiRSP showingrole a decrease WTE. in the South East, along with an automation of the South census file has also impacted on this month’s figures, showing some variation, and in particular in General Support grades this month. Health Services Performance Profile July - September 2020

Overarching key findings this month • Four of the six staff categories are showing growth this month, the largest of which is Medical & Dental (+99 WTE). Within this category, the Consultant staff group has increased by +35 WTE, while registrars have increased by +31 WTE and Medical/Dental Other increased by +49 WTE. • Health & Social Care Professionals are the second largest increase this month at +55 WTE mainly due to +32 WTE Social Care, Therapy Professions +18 WTE and +15 WTE Social Workers. Further increases are seen across Management & Administration (+53 WTE), primarily seen in the Administrative/ Supervisory (Grade V to Grade VII) staff group at +77 WTE. Patient Client & Care increased by +19 WTE this month. • Nursing & Midwifery and General Support are both reporting decreases of-189 WTEs and -173 WTEs respectively this month.

By Division/ Care Group: September 2020 Division/ Care Group Total Health Service Ambulance Services Acute Hospital Services Acute Services Community Health & Wellbeing Mental Health

% change since Aug 2020

WTE change since Dec 2019

-136

-0.1%

+4,751

+4.0%

+0.1%

+12

+0.6%

63,912

-324

-0.5%

+3,308

+5.5%

65,856

-323

-0.5%

+3,319

+5.3%

WTE Dec 2019

WTE Aug 2020

WTE Sep 2020

119,817

124,705

124,568

1,933

1,944

1,945

60,604

64,236

62,537

66,180

WTE change since Aug 2020

% change since Dec 2019

130

136

+4.8%

+136

-100.0%

9,954

10,253

10,292

+38

+0.4%

+338

+3.4%

Primary Care

10,599

10,831

10,849

+18

+0.2%

+250

+2.4%

Disabilities

18,303

18,499

18,624

+125

+0.7%

+322

+1.8%

Older People

13,233

13,543

13,509

-34

-0.3%

+277

+2.1%

31,535

32,043

32,134

+91

+0.3%

+598

+1.9%

52,089

53,257

53,411

+153

+0.3%

+1,322

+2.5%

574

483

485

+0.4%

-88

-15.4%

3,035

3,177

3,196

+19

+0.6%

+161

+5.3%

1,583

1,608

1,620

+12

+0.8%

+37

+2.3%

5,191

5,268

5,301

+33

+0.6%

+110

+2.1%

Social Care Community Services Health & Well-being Corporate Health Business Service H&WB Corporate & National Services

As noted earlier however, both are impacted by specific issues this month. In Nursing & Midwifery, this is mainly attributable to completion of the 4th year clinical placement of Pre-97 registration Nurse/Midwife Intern (Covid-19) grades (-352 WTEs). Of note, most all other nursing and midwifery grades are reporting increases this month. The decrease in General Support is mainly seen in the South East (-141 WTEs) and is likely to be related to the roll out of NiSRP as referred to above. • This month the Section 38 Voluntary Agencies are reporting an increase of +128 WTE (+0.8%), while the HSE decreased by -11 WTE and Section 38 Voluntary Hospitals by -254 WTE (-0.9%). • At a divisional level, the largest increase is in Community Services at +153 WTE, with Mental Health showing an increase of +38 WTE, Disabilities at +125 WTE, Primary Care at +18 WTE, while Older people is showing a decrease of -34 WTE. Acute Services are showing a decrease of -323 WTE, while H&WB, Corporate & National Services have increased by +33 WTE.

Source: Health Service Performance Profile July - September 2020 Quarterly Report 84

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 84

www.ihca.ie

08/10/2021 10:14

Charts & Tables

(as of September 2020 & April 2021)

Operations key findings this month • Overall this month, Acute Services is showing an decrease of -323 WTE, however with a year to date growth of +3,319 WTE (+5.3%). • Four of the six staff categories are showing decreases this month of which Nursing & Midwifery is the largest decrease (-158 WTE), related to -307 WTE reduction in Preregistration Nurse/Midwife Interns as noted above. General Support is the second highest decrease at -115 WTE largely attributable to the rollout of the NiSRP in the South East, while Patient & Client Care is also showing a decrease mainly due to a reduction in Health Care Assistants of -92 WTE. Health & Social Care Professionals is showing a decrease at -13 WTE, predominantly related to Health Science Diagnostics (-18 WTE). Both the Medical & Dental staff category and Management & Administration staff categories have increased by +25 WTE and +27 WTE respectively this month primarily due to increases in Consultants (+27 WTE), Registrars (+30 WTE) and Admin & Supervisory Grade V to VII (+55 WTE). • All Hospital Groups with the exception of CHI decreased this month the largest decrease seen in the Ireland East Hospital Group (-143 WTE). • The change within Community Services this month is an increase of +153 WTE with a year to date growth of 1,322 WTE (2.5%). • Four of the six staff categories are showing increases this month with two reporting decreases. • Patient & Client Care is showing the largest growth (+111 WTE) which is attributable to increases in Home Helps +58 WTE and Care Other at +54 WTE. Further increases are seen in Health & Social Care Professionals (+64 WTE), of which 32 WTE relates to Social Care and 12 WTE relates to Therapy Professions. The Medical & Dental staff category has increased by +71 WTE (+24 WTE SHO/Interns, +8 WTE Consultants and +41 WTE Medical Dental, other). • Those staff categories showing decreases this month include Nursing & Midwifery (-35 WTE), along with General Support (-61 WTE), both attributing to the reasons outlined above impacting on this month’s employment reports in these staff categories. • Six of the nine CHOs are showing increases this month, with CHO 4 showing the largest increase (+112 WTE). CHO 2 is reporting the largest decrease this month at -28 WTE. • At Division level all divisions are showing increases this month with the exception of Older People services as follows: Mental Health (+38 WTE), Primary Care (+18 WTE), Community Health & Wellbeing (+6 WTE) with Disabilities showing the largest increase (+125 WTE). Older People is showing a decrease of-34 WTE.

Health Service Employment Report: April 2021: Health Service Employment Report: April 2021 by Service Area by Service Area

Apr 2021 (Dec 2020 figure: 126,174) Overall

WTE Mar 2021

WTE Apr 2021

WTE change since Mar 21

% change WTE since Mar change since Dec 21 20

WTE change since Apr 20

128,283

128,999

+717

+0.6%

+2,825

National Ambulance Service

2,046

2,044

0.1%

+54

+94

Children's Health Ireland

3,822

3,834

+12

+0.3%

+72

+204

Dublin Midlands Hospital Group

11,437

11,471

+34

+0.3%

+183

+396

Ireland East Hospital Group

13,147

13,227

+80

+0.6%

+304

+792

RCSI Hospitals Group

10,421

10,484

+63

+0.6%

+286

+516

Saolta University Hospital Care

10,138

10,201

+63

+0.6%

+372

+793

South/South West Hospital Group

11,500

11,595

+95

+0.8%

+307

+790

4,689

4,769

+79

+1.7%

+262

+553

677

679

+0.4%

+24

+102

University of Limerick Hospital Group other Acute Services

Acute Services

+7,297

67,878

68,304

+426

+0.6%

+1,865

+4,240

CHO 1

5,843

5,847

+0.1%

+92

+313

CHO 2

5,708

5,747

+38

+0.7%

+57

+274

CHO 3

4,757

0.0%

+147

+369

CHO 4

8,664

8,684

+20

+0.2%

+82

+393

CHO 5

5,538

5,577

+39

+0.7%

+100

+297

CHO 6

3,496

3,524

+28

+0.8%

+59

+180

CHO 7

6,788

6,812

+24

+0.3%

+29

+232

CHO 8

6,417

6,444

+27

+0.4%

+107

+228

CHO 9

6,979

6,996

+18

+0.3%

+47

+345

734

748

+14

+2.0%

+39

+88

54,924

55,134

+210

+0.4%

+758

+2,720

542

561

+19

+3.5%

+49

+59

3,562

3,618

+57

+1.6%

+403

+483

other Community Services

Community Services Health & Wellbeing Corporate Health Business Services

H&WB, Corporate & National Services

1,378

1,382

+0.3%

249

205

5,481

5,561

+80

+1.5%

+203

+337

Total WTE

excl. Employment by Staff GroupCareer Employment by Staff Group

Break(last )

WTE WTE Apr change 2021 since Mar 21

Apr 2021 (Dec 2020 figure: 126,174)

WTE Mar 2021

Overall

128,283 128,999

% change since Mar 21

WTE change since Dec 20

WTE change since Apr 20

+717

+0.6%

+2,825

+7,297

Consultants

3,485

3,495

+10

+0.3%

+37

+149

Registrars

3,941

3,955

+13

+0.3%

+79

+238

SHO/ Interns

3,502

3,519

+17

+0.5%

+345

839

817

2.7%

11,768

11,786

+17

+0.1%

+24

+731

Nurse/ Midwife Manager

8,505

8,547

+43

+0.5%

+203

+397

Nurse/ Midwife Specialist & AN/MP

2,360

2,368

+0.3%

+69

+258

27,118

27,230

+112

+0.4%

+467

+1,376

1,536

1,523

0.8%

695 31 297 30

716 12 268 49

+21 19 28 +19

+3.0% 61.1% 9.5% +64.2%

+688 218 +10 26

+293 440 13 21

1,052

1,046

0.6%

+454

180

357

354

0.7%

Medical/ Dental, other Medical & Dental

Staff Nurse/ Staff Midwife Public Health Nurse Preregistration Nurse/ Midwife Intern Preregistration Nurse Intern (C0VID19) Postregistration Nurse/ Midwife Student Nursing/ Midwifery awaiting registration

Nursing/ Midwifery Student Nursing/ Midwifery other Nursing & Midwifery

40,929

41,068

+140

+0.3%

+1,152

+1,839

Therapy Professions

5,688

5,739

+51

+0.9%

+174

+407

Health Science/ Diagnostics

4,797

4,812

+16

+0.3%

+82

+198

Social Care

2,920

2,941

+22

+0.7%

+32

+229

Social Workers

1,257

1,266

+0.7%

+27

+80

Psychologists

1,074

1,082

+0.8%

+16

+72

Pharmacy

1,197

1,205

+0.6%

+41

+119

H&SC, Other

1,186

1,227

+41

+3.5%

+93

+112

18,119

18,273

+153

+0.8%

+465

+1,217

Management (VIII & above)

2,009

2,035

+26

+1.3%

+66

+154

Administrative/ Supervisory (V to VII)

6,027

6,090

+63

+1.0%

+269

+724

12,290

12,400

+111

+0.9%

+362

+545

Health & Social Care Professionals

Clerical (III & IV) Management & Administrative

20,325

20,525

+199

+1.0%

+696

+1,423

Support

8,728

8,754

+26

+0.3%

+78

+150

Maintenance/ Technical

1,207

1,211

+0.4%

+11

+16

9,935

9,965

+31

+0.3%

+89

+166 +1,651

General Support Health Care Assistants

18,837

18,933

+96

+0.5%

+379

Home Help

3,382

3,442

+60

+1.8%

102

Ambulance Staff

1,932

1,929

0.2%

+52

+87

Care, other Patient & Client Care

3,055

3,079

+24

+0.8%

+69

+187

27,206

27,383

+176

+0.6%

+398

+1,921

Sources: Health Service Performance Profile July - September 2020 Quarterly Report; Health Service Employment Report: April 2021

www.ihca.ie

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 85

08/10/2021 10:14

Charts & Tables (as of April 2021)

Employment by Grade Group: Apr 2021 Employment by Grade Group: Apr 2021 Apr 2021 (Dec 2020 figure: 126,174)

WTE Mar 2021

Overall

128,283 128,999

Consultant Anaesthesia Consultant Dentistry Consultant Emergency Medicine Consultant Intensive Care Medicine Consultant Medicine Consultant Obstetrics & Gynaecology Consultant Paediatrics Consultant Pathology Consultant Psychiatry Consultant Radiology Consultant Surgery

Consultants

Registrar Senior Registrar Specialist Registrar

Registrars

Interns Senior House Officer

SHO/ Interns Dentists Other Medical

Medical/ Dental, other

Medical & Dental Clinical Nurse/ Midwife Manager Director Nursing/Midwifery, Assistant Director of Nursing/Midwifery

Nurse/ Midwife Manager

Advanced Nurse/ Midwife Practitioner Clinical Nurse/ Midwife Specialist

Nurse/ Midwife Specialist & AN/MP Nursing Bank Staff Midwives Staff Nurse [Intellectual Disability] Staff Nurse [Psychiatric] Staff Nurses [General/ Children's]

Staff Nurse/ Staff Midwife Public Health Nurse

Preregistration Nurse/ Midwife Intern Preregistration Nurse Intern (C0VID19) Postregistration Nurse/ Midwife Student Nursing/ Midwifery awaiting registration

Nursing/ Midwifery Student Nursing Education/Clinical Other Nursing/ Midwifery

Nursing/ Midwifery other

Nursing & Midwifery Dietitians Occupational Therapists Orthoptists Physiotherapists Podiatrists & Chiropodists

WTE Apr 2021

% change since Mar 21

WTE change since Dec 20

WTE change since Apr 20

+717

+0.6%

+2,825

+7,297

+1.1% 4.6% +0.3% +0.1% +0.2% 0.2% 0.3% +0.9% +0.3% 0.1% +0.2%

+0.3%

+10 1 +1 +0 +8 +3 1 +8 +7 4 +5

+37

+28 1 +3 +2 +59 +8 +8 +13 +16 +1 +11

+149

+0.7% 0.5% 0.2%

+85 1 4

+115 +35 +88

817

+5 1 +0 +0 +2 0 1 +3 +1 0 +1 +10 +17 1 3 +13 4 +22 +17 +1 24 23

11,786

+17

7,210 1,021 316

+24 +17 +2 +43 +1 +7 +7 2 +40 +14 +25 +35 +112

436 16 121 18 920 174 216 278 428 297 579 3,485 2,446 237 1,258 3,941 967 2,536 3,502 312 527 839

3,495

11,768 7,187 1,004 314 8,505 553 1,807 2,360 20 1,500 1,744 3,245 20,609 27,118 1,536 695 31 297 30 1,052 307 50 357

WTE change since Mar 21

441 16 122 18 922 174 215 280 429 297 580

2,463 236 1,256

3,955

962 2,557

3,519

313 503

8,547

554 1,814

2,368

18 1,539 1,758 3,270 20,645

27,230 1,523

+0.3%

+79

+238

0.5% +0.8%

9 66

+225 +120

+0.5%

+345

+0.4% 4.5%

2.7%

+0 17

1 +0

+0.1%

+24

+731

+0.3% +1.7% +0.6%

+172 +21 +10

+334 +44 +19

+0.5%

+203

+397

+0.1% +0.4%

+35 +34

+129 +129

+0.3%

+69

+258

9.7% +2.6% +0.8% +0.8% +0.2%

5 +53 108 +203 +324

8 +65 +161 +262 +896

+0.4% 0.8%

+467 34

+1,376 +1

+3.0% 61.1% 9.5% +64.2%

0.6%

+688 218 +10 26

+454

+293 440 13 21

0.7% 0.9%

11 +3

11 2

354

13 +21 19 28 +19 7 2 0 3

40,929

41,068

+140

+0.3%

+1,152

+1,839

650 1,764 37 1,993 87

654 1,781 37 2,012 82

+4 +17 +0 +19 5

+0.7% +1.0% +0.9% +1.0% 5.7%

+17 +79 1 +54 +2

+66 +166 +4 +111 +3

716 12 268 49

1,046

304 50

0.7%

180

Page 1 of 3

Source: Health Service Employment Report: April 2021 86

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 86

www.ihca.ie

08/10/2021 10:14

Charts & Tables (as of April 2021)

Apr 2021 (Dec 2020 figure: 126,174)

WTE Mar 2021

Overall

128,283 128,999

Speech & Language Therapists

Therapy Professions Audiology Biochemists Clinical Engineering Clinical Measurement Dosimetrists Medical Science Perfusionists Phlebotomists Physicists Radiation Therapists Radiographers

Health Science/ Diagnostics Social Care Social Workers Psychologists Pharmacy Counsellor Therapists Dental Hygienists Environmental Health Officers HSCP Trainees/ Students Other Health & Social Care Play Therapists/ Specialists Vaccinators

H&SC, Other

Health & Social Care Professionals Executive Management Senior Management (VIII & GM)

Management (VIII & above) Middle Management (VVII) Other Administrative

Administrative/ Supervisory (V to VII) Clerical (III & IV)

Management & Administrative Catering Household Services Other Labs & Associated Other Support Portering

Support

Maintenance Technical Services

Maintenance/ Technical

General Support HCA, Nurse's Aide, etc. Health & Social Care Assistants Swabber (COVID19)

Health Care Assistants Home Help Ambulance Control Ambulance Education

1,158 5,688 89 80 181 417 16 2,058 21 193 181 211 1,351 4,797 2,920 1,257 1,074 1,197 251 61 548 78 187 43 18 1,186

WTE Apr 2021

1,173

5,739

91 80 179 415 16 2,067 23 191 184 214 1,352

4,812 2,941 1,266 1,082 1,205

+717

+0.6%

+2,825

+15 +51 +3 +1 2 2 0 +9 +1 1 +3 +2 +1 +16

+1.3%

+23

+22 +8 +8

WTE change since Apr 20

+7,297 +57

+0.9%

+174

+407

+2.9% +1.0% 1.2% 0.4% 0.1% +0.5% +5.3% 0.6% +1.9% +1.0% +0.1%

+9 3 +8 +2 +2 +22 +1 +7 +6 +1 +28

+16 +0 +10 +27 +3 +30 +2 +10 1 +15 +87

+0.3% +0.7% +0.7% +0.8% +0.6%

+82 +32 +27 +16 +41

+198 +229 +80 +72 +119

+11 1 +11 +25 3 +0 +49

+11 +2 +13 +29 +8 +0 +49

1,227

+1.5% +1.6% +0.7% +3.6% 0.7% 0.0% +176.2%

+3.5%

+93

+112

18,119

18,273

+153

+0.8%

+465

+1,217

376 1,633 2,009 5,992 35 6,027

381 1,654

+5 +21 +26 +62 +1 +63

+1.4% +1.3%

+8 +57

+41 +113

2,035

6,054 36

+1.3%

+66

+154

+1.0% +1.5%

+268 +1

+729 5

12,290

6,090 12,400

+111

+1.0% +0.9%

+269 +362

+724 +545

20,325

20,525

+199

+1.0%

+696

+1,423

883 4,606 475 1,093 1,672 8,728 1,070 136 1,207

883 4,615 482 1,099 1,675

0.0% +0.2% +1.7% +0.5% +0.2%

5 +44 +34 1 +6

+2 +126 +60 28 12

1,211

0 +9 +8 +6 +3 +26 +3 +2 +4

+0.4%

+11

+16

9,935

9,965

+31

+0.3%

+89

+166

17,865 322 649 18,837

17,964 327 641

+99 +5 8 +96

+0.6% +1.6% 1.2%

+202 +20 +158

+926 +83 +641

3,382 174 206

8,754

1,073 138

18,933 3,442

176 201

Overall

128,283 128,999

Patient & Client Care

WTE change since Dec 20

+7 +4 +1 +4 +3 1 0 +31 +41

Page 2 of 3 WTE Apr WTE Mar 2021 2021

Ambulance Staff Care, other

% change since Mar 21

255 62 552 81 186 43 49

Apr 2021 (Dec 2020 figure: 126,174)

Ambulance Officers PreHospital Care (Ambulance)

WTE change since Mar 21

85 1,467 1,932

85 1,467

+60 +2 5 WTE change since Mar 21

+0.3%

+78

+150

+0.3% +1.2%

+3 +9

+0 +16

+0.5% +1.8%

+379 102

+1,651 3

+1.0% 2.4%

5 +63

7 +46

% change since Mar 21

WTE change since Dec 20

WTE change since Apr 20

+717

+0.6%

+2,825

+7,297

+0 0 3

+0.1% 0.0%

+1 6

+7 +41

3,055

1,929 3,079

+24

0.2% +0.8%

+52 +69

+87 +187

27,206

27,383

+176

+0.6%

+398

+1,921

Source: Health Service Employment Report: April 2021

www.ihca.ie

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 87

08/10/2021 10:14

Charts & Tables (as of March 2021)

March 2021 March 2021

Health Service Absence Rate by Staff Category: Mar 2021

Total

Total absence rate

Covid19 absence

% Non Covid19 absence

% Covid19 absence

3.5%

0.4%

3.9%

1.0%

4.9%

78.6%

21.4%

0.9%

0.1%

1.1%

0.3%

1.4%

77.2%

22.8%

Nursing & Midwifery

3.8%

0.5%

4.4%

1.4%

5.8%

75.6%

24.4%

Health & Social Care Professionals Management & Administrative

2.8% 2.8%

0.3% 0.2%

3.0% 3.0%

0.7% 0.5%

3.7% 3.6%

82.3% 84.8%

17.7% 15.2%

General Support

4.5%

0.4%

4.9%

1.2%

6.1%

80.4%

19.6%

Patient & Client Care

4.7%

0.5%

5.2%

1.4%

6.6%

78.4%

21.6%

Certified absence

Self certified absence

Non Covid19 absence

Covid19 absence

Total absence rate

% Non Covid19 absence

% Covid19 absence

Total

3.5%

0.4%

3.9%

1.0%

4.9%

78.6%

21.4%

Ambulance Services

3.5%

0.5%

4.0%

1.1%

5.1%

79.0%

21.0%

Acute Hospital Services

3.3%

0.4%

3.7%

1.1%

4.8%

76.4%

23.6%

3.3%

0.4%

3.7%

1.1%

4.8%

76.5%

23.5%

Community Health & Wellbeing Mental Health

3.2% 3.2%

0.1% 0.4%

3.3% 3.6%

1.0% 0.9%

4.2% 4.5%

76.9% 79.7%

23.1% 20.3%

Primary Care

3.0%

0.2%

3.2%

0.5%

3.7%

86.2%

13.8%

Disabilities Older People

4.0% 5.0%

0.5% 0.4%

4.5% 5.4%

1.0% 1.6%

5.5% 7.1%

81.4% 76.6%

18.6% 23.4%

3.8%

0.4%

4.2%

1.0%

5.2%

80.6%

19.4%

4.6% 2.3% 2.8%

0.1% 0.2% 0.1%

4.7% 2.5% 2.9%

0.3% 0.3% 0.2%

5.0% 2.8% 3.1%

94.3% 88.1% 94.1%

5.7% 11.9% 5.9%

2.6%

0.1%

2.7%

0.3%

3.0%

90.0%

10.0%

Acute Services

Community Services Health & Wellbeing Corporate Health Business Services HWB, Corporate & National Total absence rate 10%

10% Total absence rate

2019

3.1% 40.0%

2019

HBS

50%

26.4% 73.6%

50% 2021 25%

60.0%

2018

60.0%

25%

26.4% 40.0%

75%

25%

Corporate

2018

H&WB

2018

2019

Older People

2020

4.6% Disabilities

4.6%

Primary Care

2021

2020

50%

2.8% 75%

Mental Health

2021

Acute

NAS

2021

3.7% 4.7%

4.7%

5.0%

4.6%

100%

6.1%

6.1% 5% 0%

4.5% 4.7%

4.2%

6.9%

4.8%

75%

5.5%

CHWB

5.1%

5% 5%

Non Covid19 & Covid19 Absence 26.4% Non Covid19 & Covid19 Absence 40.0%

7.1%

6.1%

Non Covid19 & Covid19 Absence

100%

Total absence rate Total absence rate

6.9%

10%

73.6% 60.0%

2021

73.6%

2020

2021 2020

2020

6.4%

9.3%

5.9%

5.5%

Feb 2021 4.9%

Mar 2021 Nov 2020

5.9%

6.4% Jan 2021

Feb 2021 Oct 2020

Mar 2021

4.9%

6.4%

5.9% Dec 2020 5.6%

5.9% 5.1% Nov 2020

9.3%

5.5%

5.9%

5.6% Sep 2020

5.1%

5.9% 4.8%

Aug 2020

4.7%

5.6% 6.8%

Jul 2020

10.4%

Jun 2020 5.1%

6.8%

HBS 4.8%

7.8% 4.7% May 2020 Jul 2020 Mar 2020

Corporate

4.8% 4.8% Apr 2020 Jun 2020 Feb 2020

Oct 2020

7.8%

6.8% 5.2% Mar 2020

5.1%

Feb 2020

Dec 2020 Aug 2020

94.1%

5.5% 4.7%

88.1%

Total absence rate

Nov 2020 Jul 2020

5.9%

10.4%

11.9%

May 2020 Jan 2020

5.2% Jan 2020

10.4%

5.1%

7.8% 4.8% Older People

Dec 2019

Disabilities 4.8%

4.8%

Nov 2019 4.8%

Feb 2020 Oct 2019

4.8%

4.7%

5.2% Oct 2019

94.3% 4.8% H&WB

81.4%

Jan 2020 Sep 2019

4.7% Primary Care

5.7%

23.4%

76.6% Total absence rate

5.1%

Jul 2019

Mar 2019 4.5% 4.4%

Jul 2019 Mar 2019

4.7% 4.4%

4.5% Feb 2019 4.8% Jun 2019 Feb 2019

4.6% 4.4%

4.4% Jan 2019 4.9%

May 2019 Jan 2019

4.4%

4.8%

Sep 2019 4.6%

18.6%

Dec 2019 Aug 2019

4.5%

4.8% Mental Health 4.5% Aug 2019 4.6% Nov 2019 Jul 2019

CHWB 4.5%

86.2%

4.8% 4.5%

79.7%

Jun 2019

76.9%

Oct 2019 Jun 2019

76.4% 4.4%

79.0%

May 2019

13.8%

4.4% Acute

4% 10%

20.3%

25% 4.9%

6% 12%

23.1%

Apr 2019

50% 8%

23.6%

4.8%

10%

21.0%

75%

NAS 4.4%

12%

100%

9.3%

% of Absence Non Covid19 / Covid19 Total absence rate

Source: Health Service Employment Report: April 2021

www.ihca.ie

88 Page 2 of 2

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 88

Page 2 of 2

08/10/2021 10:14

Feb 2021

Jan 2021

Dec 2020

Jan 2021 Sep 2020

Oct 2020 Jun 2020

Sep 2020 May 2020

Page 2 of 2

Aug 2020 Apr 2020

Apr 2020 Dec 2019

Mar 2020 Nov 2019

Sep 2019 May 2019

Apr 2019

Mar 2019

Aug 2019 Apr 2019

Feb 2019

4.9%

Non Covid19 absence

Medical & Dental

Health Service Absence Rate by Care Group: Mar 2021

Jan 2019

Self certified absence

Certified absence

Charts & Tables (as of September 2020)

Financial Preformance HSE Overall Financial Performance The HSE’s financial position at the end of September 2020 shows a Financial Performance Financial Performance YTD deficit of €1.747bn. Within this €1.747bn deficit, operational

HSEHSE Overall Financial Performance Overall Financial Performance services areas are showing a deficit of €1.763bn of which other TheThe HSE’s financial position at the of September 2020 shows a YTD deficit of €1.747bn. Within this this €1.747bn deficit, operational services areas are are showing a deficit HSE’s financial position at end the end of September 2020 shows a YTD deficit of €1.747bn. Within €1.747bn deficit, operational services areas showing a deficit operations showing a deficit ofare €967.2m Covid-19 of €1.763bn of are which other operations showing a(mainly deficit of €967.2m (mainly Covid-19 related), acute operations €391.5m, private hospitals €295.4m (Covid-19 related) of €1.763bn of which other operations are showing a deficit of €967.2m (mainly Covid-19 related), acute operations €391.5m, private hospitals €295.4m (Covid-19 related) andrelated), community services €108.8m. and community services €108.8m. acute operations €391.5m, private hospitals €295.4m

(Covid-19 related) and community services €108.8m. Table 1 – 1Net Expenditure by Division September 2020 Table – Net Expenditure by Division September 2020 YTDYTD Actual Spend vrs YTD Budget Actual Spend vrs YTD Budget

September September 20202020

Approved YTDYTD Approved YTDYTD YTDYTD YTDYTD Allocation Actual Actual Budget Budget Variance Variance Variance Allocation Variance

Acute Operations Acute Operations

€m €m

5,809.4 5,809.4

4,701.1 4,309.6 4,309.6 4,701.1

Private Hospitals Private Hospitals

295.4 295.4

€m €m 391.5 391.5

% %

Covid-19 Related Variance Covid-19 Related Variance NoteNote 1 1

Covid-19 related NonNon Covid-19 related variance variance

€m (A) €m (A)

€m (B) €m (B)

27.327.3 - -

9.1%9.1%

364.2 364.2

(72.7) (72.7) (38.4) (38.4)

4,739.5 4,630.7 4,630.7 4,739.5

108.8 108.8

2.4%2.4%

295.4 295.4 181.6 181.6

1,452.1 1,452.1

967.2 199.5% 199.5% 967.2

1,005.6 1,005.6

12,739.1 11,188.1 11,188.1 9,425.1 9,425.1 1,763.0 1,763.0 18.7% 18.7% 12,739.1

1,846.8 1,846.8

(83.8) (83.8)

140.8 140.8

(156.6) (156.6)

1,987.7 1,987.7

(240.4) (240.4)

Community Services Community Services

6,238.8 6,238.8

Other Operations/Services Other Operations/Services Operational Service Areas TotalTotal Operational Service Areas Pensions & Demand TotalTotal Pensions & Demand Led Led Services Services Overall Overall TotalTotal

€m €m

Variance Analysed YTDYTD Variance Analysed As: As:

690.9 690.9

295.4 295.4 484.8 484.8

4,246.3 3,186.6 3,186.6 3,202.3 3,202.3 (15.7) (15.7) -0.5% -0.5% 4,246.3 16,985.5 14,374.7 14,374.7 12,627.4 12,627.4 1,747.3 1,747.3 13.8% 13.8% 16,985.5

1: The Acute Operations Covid-19 deficit of €364.2m is analysed as follows: €245.3m directly reported Covid-19 related expenditure for YTD September, €110.4m related to loss NoteNote 1: The Acute Operations Covid-19 deficit of €364.2m is analysed as follows: €245.3m directly reported Covid-19 related expenditure for YTD September, €110.4m related to loss of of income to Covid-19 for YTD September and €8.5m relating Covid-19 Indirect as identified for YTD September. income due to Covid-19 for YTD September and €8.5m to Covid-19 Indirect costscosts as identified for YTD September. Note 1: due The Acute Operations Covid-19 deficit of relating €364.2m isto analysed as

follows: €245.3m directly reported Covid-19 related expenditure for YTD

It should be noted following an agreement between Surplus of €56.8m December 2019 management accounts) It should be noted that that following an agreement between the the DoHDoH andand the the HSEHSE thatthat the the FirstFirst Surplus of €56.8m (as (as per per the the December 2019 HSEHSE management accounts) related lossDoH of income due to of Covid-19 forThe YTD was written in part against the debtor balance of €54.0m. The remaining balance been ignored for the purpose of this report below tables. wasSeptember, written off€110.4m inoffpart against thetoDoH debtor balance €54.0m. remaining balance has has been ignored for the purpose of this report andand below tables.

September and €8.5m relating to Covid-19 Indirect costs as identified for

Table 1a Summary Financial Performance sets out the same information as Table 1 but at a Divisional level. Detailed analyses of the Divisional performances are detailed Table 1a Summary YTD September. Financial Performance sets out the same information as Table 1 but at a Divisional level. Detailed analyses of the Divisional performances are detailed in relevant the relevant Sections below. in the Sections below.

It should be noted that following an agreement between the DoH and the HSE that the First Surplus of €56.8m (as per the December 2019 HSE management accounts) was written off in part against the DoH debtor balance of Profile €54.0m. remaining balance has been Health Services Performance - The September Health Services Performance Profile July -July September 20202020 ignored for the purpose of this report and below tables.

73 73

Source: Health Service Performance Profile July - September 2020 Quarterly Report

www.ihca.ie

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 89

08/10/2021 10:14

Notes

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 90

www.ihca.ie

08/10/2021 10:14

Notes

www.ihca.ie

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 91

08/10/2021 10:14

Notes

078_92_IHCA Client Section 2022_Charts _Tables_V2.indd 92

www.ihca.ie

08/10/2021 10:14

IHCA Diary Pages 2022_V3_Use this.indd 1

22/09/2021 10:34

INTERNATIONAL INFORMATION COUNTRY

CAPITAL

GMT

DIAL CODE

MONETARY UNIT

Argentina

Buenos Aires

-3

Argentine Peso/Centavo

Australia (Sydney)

Canberra

+10

Australian Dollar/Cent

Austria

Vienna

Euro/Cent

Belgium

Brussels

Euro/Cent

Brazil

Brasilia

-3

Real/Centavo

Canada (Toronto)

Ottawa

-5

Canadian Dollar/Cent

China

Beijing

Yuan/Jiao

Denmark

Copenhagen

Krone/Ore

Egypt

Cairo

Egyptian Pound/Piastre

Finland

Helsinki

358

Euro/Cent

France

Paris

Euro/Cent

Germany

Berlin

Euro/Cent

Ghana

Accra

GMT

233

Cedi/Pesewa

Greece

Athens

Euro/Cent

Hong Kong SAR

Victoria City

852

Hong Kong Dollar/Cent

India

New Delhi

+5.5

Rupee/Paise

Indonesia

Jakarta

Rupiah/Sen

Ireland

Dublin

GMT

353

Euro/Cent

Israel

Jerusalem

972

New Shekel/Agora

Italy

Rome

Euro/Cent

Japan

Tokyo

Yen

Luxembourg

352

Euro/Cent

Malaysia

Kuala Lumpur

Ringgit/Sen

Mexico

Mexico City

-6

Mexican Peso/Centavo

Netherlands

Amsterdam

Euro/Cent

New Zealand

Wellington

+12

New Zealand Dollar/Cent

Nigeria

Abuja

234

Naira/Kobo

Philippines

Manila

Philippine Peso/Sentimo

Portugal

Lisbon

GMT

351

Euro/Cent

Russia (Moscow)

Moscow

Rouble/Kopeck

Saudi Arabia

Riyadh

966

Riyal/Halala

Singapore

Singapore Dollar/Cent

South Africa

Pretoria

Rand/Cent

Spain

Madrid

Euro/Cent

Sweden

Stockholm

Krona/Ore

Switzerland

Berne

Franc/Centime

Taiwan

Taipei

886

New Taiwan Dollar/Cent

United Kingdom

London

GMT

British Pound/Pence

USA (New York)

Washington DC

-5

US Dollar/Cent

Zimbabwe

Harare

263

US Dollar/Cent

The information in this publication is checked carefully at the time of printing. No responsibility can be accepted if any errors occur.

IHCA Diary Pages 2022_V3_Use this.indd 2

22/09/2021 10:34

YEAR PLANNER 2022 ❋ Holidays 1 RoI & UK

JANUARY

17 St.Patrick’s Day Observed. RoI (B.Hol. NI)

18 RoI & UK

2 RoI & UK 31 UK

2-3 UK 6 RoI

MARCH

APRIL

MAY

JUNE

FEBRUARY

Week 1 1

Week 6 1

Wed.

Thur.

2❋

Fri.

3❋ 4

Tue.

Week 10

Week 14

Week 18

Week 23

Sat.

1❋

Sun.

Mon.

2❋

6❋

Tue.

Week 2 8

Week 7 8

Week 11 5

Week 15 3

Week 19 7

Wed.

Thur.

Fri.

Sat.

Sun.

Mon.

Tue.

Week 3 15

Week 8 15

Week 12 12

Week 16 10

Week 20 14

Wed.

Thur.

17 ❋

Fri.

Sat.

Sun.

Mon.

18 ❋

Tue.

Week 4 22

Week 9 22

Week 13 19

Week 17 17

Week 21 21

Wed.

Thur.

Fri.

Sat.

Sun.

Mon.

Tue.

Week 10 29

Week 14 26

Week 18 24

Week 22 28

Wed.

Thur.

Fri.

Sat.

Sun.

Mon.

Tue.

Week 5

Week 6

IHCA Diary Pages 2022_V3_Use this.indd 3

Week 24

Week 25

Week 26

Week 27

Week 23

22/09/2021 10:34

YEAR PLANNER 2022 ❋ Holidays 1 RoI & Scot. 29 UK

JULY

AUGUST

Week 27 1❋

Mon.

SEPTEMBER

Week 32

Week 36

24 RoI

30 Scot.

OCTOBER

NOVEMBER

Week 40

25 RoI & UK 26 RoI & UK

DECEMBER

Week 45

Week 49

Tue.

Wed.

Thur.

Fri.

Sat.

Sun.

Mon.

Week 28 8

Week 33 5

Week 37 3

Week 41 7

Week 46 5

Tue.

Wed.

Thur.

Fri.

Sat.

Sun.

Mon.

Week29 15

Week 34 12

Week 38 10

Week 42 14

Week 47 12

Tue.

Wed.

Thur.

Fri.

Sat.

Sun.

Mon.

Week 30 22

Week 35 19

Week 39 17

Week 43 21

Week 48 19

Tue.

Wed.

Thur.

Fri.

Sat.

Sun.

25 ❋

Mon.

Week 44 28

Week 49 26 ❋

Tue.

Wed.

30 ❋

Thur.

Fri.

Sat.

Sun.

Week 31 29 ❋

Mon.

IHCA Diary Pages 2022_V3_Use this.indd 4

Week 36 26

Week 40 24 ❋

Week 50

Week 51

Week 52

Week 53

22/09/2021 10:34

THREE YEAR CALENDAR 2021

JANUARY Wk M

1 2 3 4 5

FEBRUARY

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 T

Wk M

2 9 16 23 30

3 10 17 24 31

6 7 8 9 10

2 9 16 23

3 10 17 24

4 11 18 25

5 12 19 26

6 13 20 27

7 14 21 28

10 11 12 13 14

2 9 16 23 30

3 10 17 24 31

4 11 18 25

5 12 19 26

6 13 20 27

7 14 21 28

14 15 16 17 18

Wk M

2 9 16 23 30

23 24 25 26 27

2 9 16 23 30

3 10 17 24 31

4 11 18 25

31 32 2 3 33 9 10 34 16 17 35 23/30 24/31

1 8 15 22

18 19 3 20 10 21 17 22 24/31

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

36 37 38 39 40

1 6 7 8 13 14 15 20 21 22 27 28 29

1 7 8 14 15 21 22 28 29

SEPTEMBER T

1 8 15 22 29

JUNE

Wk M

APRIL

MAY W

MARCH

JULY

Wk M

2 9 16 23 30

3 10 17 24

4 11 18 25

5 12 19 26

40 41 42 43 44

Wk M

2 9 16 23 30

3 10 17 24

4 11 18 25

5 12 19 26

6 13 20 27

27 28 29 30 31

Wk M

2 9 16 23 30

3 10 17 24 31

45 46 47 48 49

2 9 16 23 30

3 10 17 24

4 11 18 25

5 12 19 26

6 13 20 27

7 14 21 28

49 50 51 52 53

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29

NOVEMBER 1 8 15 22 29

2 9 16 23 30

3 10 17 24

4 11 18 25

AUGUST

1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29

OCTOBER

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

DECEMBER T

1 6 7 8 13 14 15 20 21 22 27 28 29

2 9 16 23 30

3 10 17 24 31

4 11 18 25

5 12 19 26

2022 FEBRUARY

JANUARY Wk M

1 2 3 4 5

1 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 /31 25 26 27 28 29

Wk M

2 9 16 23 30

6 7 8 9 10

1 7 8 14 15 21 22 28

MAY Wk M

18 19 2 3 20 9 10 21 16 17 22 23/30 24/31

36 37 38 39 40

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29 W

1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29

Wk M

2 9 16 23

3 10 17 24

4 11 18 25

5 12 19 26

6 13 20 27

10 11 12 13 14

Wk M

2 9 16 23 30

3 10 17 24

4 11 18 25

5 12 19 26

27 28 29 30 31

Wk M

2 9 16 23 30

45 46 47 48 49

1 7 8 14 15 21 22 28 29

JUNE F

Wk M

23 24 25 26 27

1 6 7 8 13 14 15 20 21 22 27 28 29

SEPTEMBER Wk M

MARCH

Wk M

2 9 16 23 30

3 10 17 24 31

4 11 18 25

5 12 19 26

6 13 20 27

14 15 16 17 18

Wk M

2 9 16 23 30

3 10 17 24 31

31 32 33 34 35

2 9 16 23 30

3 10 17 24 31

4 11 18 25

5 12 19 26

6 13 20 27

7 14 21 28

Wk M

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

2 9 16 23 30

3 10 17 24

4 11 18 25

40 41 3 42 10 43 17 44 24/31

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

1 7 8 14 15 21 22 28 29

2 9 16 23 30

3 10 17 24

AUGUST 1 8 15 22 29

NOVEMBER

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

JULY

OCTOBER W

APRIL

DECEMBER

Wk M

2 9 16 23 30

3 10 17 24

4 11 18 25

5 12 19 26

6 13 20 27

49 50 51 52 53

Wk M

2 9 16 23 30

3 10 17 24 31

4 11 18 25

5 12 19 26

14 15 16 17 18

Wk M

2 9 16 23 30

32 33 34 35 36

1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 28

2 9 16 23 30

3 10 17 24 31

4 11 18 25

2023 FEBRUARY

JANUARY Wk M

1 2 3 4 5

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 /30 24/31 25 26 27 28 29

Wk M

6 7 8 9 10

1 6 7 8 13 14 15 20 21 22 27 28

MAY T

Wk M

19 20 21 22 23

2 9 16 23 30

3 10 17 24 31

4 11 18 25

5 12 19 26

6 13 20 27

7 14 21 28

23 24 25 26 27

Wk M

2 9 16 23 30

3 10 17 24

40 41 2 3 42 9 10 43 16 17 44 23/30 24/31

36 37 38 39 40

Wk M

2 9 16 23

3 10 17 24

4 11 18 25

5 12 19 26

10 11 12 13 14

Wk M

2 9 16 23 30

3 10 17 24

4 11 18 25

27 28 3 29 10 30 17 31 24/31

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

Wk M

1 6 7 8 13 14 15 20 21 22 27 28 29

IHCA Diary Pages 2022_V3_Use this.indd 5

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

45 46 47 48 49

1 6 7 8 13 14 15 20 21 22 27 28 29

2 9 16 23 30

AUGUST T

1 7 8 14 15 21 22 28 29

2 9 16 23 30

3 10 17 24 31

4 11 18 25

5 12 19 26

6 13 20 27

DECEMBER

NOVEMBER T

1 3 4 5 6 7 8 10 11 12 13 14 15 17 18 19 20 21 22 24 25 26 27 28 29

JULY

OCTOBER

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

APRIL

1 5 6 7 8 12 13 14 15 19 20 21 22 26 27 28 29

SEPTEMBER Wk M

MARCH

JUNE

Wk M

1 8 15 22 29

Wk M

2 9 16 23 30

3 10 17 24

4 11 18 25

5 12 19 26

49 50 51 52 53

1 4 5 6 7 8 11 12 13 14 15 18 19 20 21 22 25 26 27 28 29

2 9 16 23 30

3 10 17 24

22/09/2021 10:34

WORLD HOLIDAYS FOR 2022 IRELAND New Year’s Day: St Patrick’s Day Observed: Easter Mon: May Bank Hol: June Bank Hol: Aug Bank Hol: Oct Bank Hol: Christmas Day: St Stephen’s Day:

1 Jan 17 Mar 18 Apr 2 May 6 Jun 1 Aug 31 Oct 25 Dec 26 Dec

USA New Year’s Day: Martin Luther King Day: Presidents’ Day: Memorial Day: Independence Day: Labor Day: Columbus Day: Veterans Day: Thanksgiving Day: Christmas Day:

1 Jan 17 Jan 21 Feb 30 May 4 Jul 5 Sep 10 Oct 11 Nov 24 Nov 26 Dec

AUSTRALIA New Year’s Day: Australia Day Observed: Labour Day (WA): Good Fri: Easter Mon: ANZAC Day: May Day (NT): Western Australia Day (WA): Queen’s B’Day (except WA): Labour Day (NSW/ACT/SA/QLD): Christmas Day: Boxing Day:

1 Jan 26 Jan 7 Mar 15 Apr 18 Apr 25 Apr 2 May 6 Jun 13 Jun 3 Oct 25 Dec 26 Dec

CHINA New Year’s Day: 1 Jan Spring Festival Golden Week/Chinese NY: 1-7 Feb Qing Ming Jie: 5 Apr Labour Day: 1 May Dragon Boat Festival: 3 Jun Mid-Autumn Festival: 10 Sep National Day: 1 Oct National Day Hol: 2 Oct - 7 Oct

IHCA Diary Pages 2022_V3_Use this.indd 6

UNITED KINGDOM New Year’s Day: St Patrick’s Day Observed (NI): Good Fri: Easter Mon (except SCO): Early May Bank Hol: Spring Bank Hol: Queen’s Platinum Jubilee The Twelfth/Orangemen’s Day (NI): Summer Bank Hol (SCO): Summer Bank Hol (UK, except SCO): St Andrew’s Day (SCO): Christmas Day: Boxing Day: CANADA New Year’s Day: Family Day (BC): Family Day (AB, ON, SK, MA, NB, NS): Good Fri: Easter Mon: Victoria Day (except NB/NS/PE): National Patriots’ Day (QC): National Aboriginal Day (NT): National Holiday of Quebec Canada Day: Public Hol (BC, SK, MB, ON, NB, NU, PE): Labour Day: Thanksgiving Day (BC, AB, SK, MB, ON, QC, YT, NT, NU): Remembrance Day (except ON/QC): Christmas Day: Boxing Day (except AB/BC/NU): JAPAN New Year’s Day: Coming-of-Age Day: National Foundation Day: Spring Equinox: Shõwa Day: Constitution Memorial Day: Greenery Day: Children’s Day: Marine Day: Mountain Day: Respect for the Aged Day: Autumn Equinox: Health & Sports Day: Culture Day: Labour Thanksgiving Day:

1 Jan 17 Mar 15 Apr 18 Apr 2 May 2 Jun 3 Jun 12 Jul 1 Aug 29 Aug 30 Nov 25 Dec 26 Dec

1 Jan 21 Feb 21 Feb 15 Apr 18 Apr 23 May 23 May 21 Jun 24 Jun 1 Jul 1 Aug 5 Sep 10 Oct 11 Nov 25 Dec 26 Dec

1 Jan 10 Jan 11 Feb 21 Mar 29 Apr 3 May 4 May 5 May 18 Jul 11 Aug 19 Sep 23 Sep 10 Oct 3 Nov 23 Nov

22/09/2021 10:34

CONVERSION FORMULAE

LITRES 4.55 6.82 9.09 11.36 13.64 15.91 18.18 20.46 22.73 27.28 31.82 36.37 40.91

1.00 1.50 2.00 2.50 3.00 3.50 4.00 4.50 5.00 6.00 7.00 8.00 9.00

GALLONS 0.22 0.33 0.44 0.55 0.66 0.77 0.88 0.99 1.10 1.32 1.54 1.76 1.98

KILOGRAMS 0.11 0.23 0.45 0.68 0.91 2.27 2.27 3.18

0.25 0.50 1.00 1.50 2.00 5.00 6.00 7.00

POUNDS 0.55 1.10 2.20 3.31 4.41 11.02 13.23 15.43

METRES 0.91 1.83 2.74 3.66 4.57

1 2 3 4 5

YARDS 1.09 2.1 3.28 4.28 5.47

KILOMETRES 1.61 3.22 4.83 6.44 8.05 9.66 11.26 12.87 14.48

1 2 3 4 5 6 7 8 9

MILES 0.62 1.24 1.86 2.48 3.11 3.7 4.25 4.97 5.59

CENTIGRADE -18 -15 -12 -9 -7 -4 -1 2 4 7 10 13 16 18 21 24 27 32 38

0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 90 100

FARENHEIT 32 41 50 59 68 77 86 95 104 113 122 131 140 149 158 167 176 194 212

58 203 121 169 146 323 171 188 195 89

61 105 31 163 108 82 452 87 129 351 140 158 61

21 278 111 264 219 402 95 153 266 140 51 116 76

117 174 222 185 90 135 486 97 105 404 55

68 142 105 288 43 227 275 407 119 60 306 129 53 158 146 93

251 85 212 71 280 272 303 130 301 175 282 254 130 166 151 183 151 51 225 285 286 114 113 175 69 100 190 227

224 156 156 32 251 245 343 84 254 251 211 151 151 164 126 119 80 158 264 249 198 150 31 129 64 109 171 163 103

330 153 285 201 348 351 295 267 391 208 398 391 204 240 245 312 274 98 275 364 391 211 241 280 198 203 259 333 135 241

206 214 150 117 200 227 428 121 185 336 135 66 201 169 206 68 138 245 343 240 113 233 106 126 135 188 177 111 188 85 327

346 177 307 137 375 367 185 225 230 103 346 320 227 261 79 278 145 76 132 380 367 40 180 270 166 192 285 322 95 169 124 254

425 298 380 222 473 446 109 306 480 119 430 398 346 380 138 364 206 214 32 459 452 101 266 351 251 296 367 407 216 251 291 335 11

333 163 298 164 357 354 216 224 394 126 383 357 211 246 166 280 220 48 193 367 381 129 204 269 164 195 267 322 100 208 79 293 82 212

303 257 253 150 303 325 377 188 288 293 238 169 254 267 151 171 84 256 277 338 216 180 146 225 179 224 275 214 220 114 352 103 220 282 309

309 135 264 183 330 330 277 256 372 187 378 372 190 225 227 295 253 80 254 344 372 190 224 261 180 183 240 314 116 222 19 307 143 272 61 333 219 51 145 177 145 266 233 113 137 251 288 275 98 134 209 129 270 124 335 209 217 277 161 153 121 89

IHCA Diary Pages 2022_V3_Use this.indd 7

89 185 124 198 116 261 169 257 142 233 90

Wicklow

137 48 106 101 183 158 394 68 204 275 201 182 27

Westport

92 158 114 140 117 278 211 217 150 43 106

Wexford

177 87 143 47 229 198 196 61 232 245 212 190 79

Tralee

51 240 60 222 220 360 121 113 249 90

Waterford

87 126 27 129 122 108 438 45 126 348 108 121 87

Sligo

183 127 126 43 220 204 354 53 224 262 183 146 119 132 154 85 111 156 275 217 187 164

Tipperary

323 193 278 121 372 344 188 204 377 105 328 296 243 278 37 262 105 113 111 357 351

Roscommon

48 198 161 322 101 251 333 455 146

Rosslare

150 237 122 230 122 171 533 156 82 449 32

Omagh

60 547 166 76 451 114 229 158 117 372 172 330 319 470

Portlaoise

34 204 93 261 34

Navan

436 304 389 232 481 457 77 315 488 87 441 407 352 386 145 364 193 198

Newry

285 114 264 116 309 306 243 175 346 148 335 309 167 201 150 232 172

Monaghan

306 212 237 93 336 327 293 177 323 209 272 204 227 245 68 183

Mullingar

61 132 103 245

Limerick

138 175 87 142 135 159 443 53 148 360 98

Longford

338 230 269 111 362 359 225 195 391 137 343 272 245 262

Larne

53 150 129 105 431 79 151 338 159 179 39

Letterkenny

Killkenny

92 132 167 143 396 90 192 304 196 192

PINTS 0.88 1.32 1.76 2.20 2.64 3.08 3.52 4.40 5.28 6.16 7.04 8.80

Killarney

122 50

Enniskillen

180 233 127 183 146 201 484 114 119 402 69

Galway

117 232 109 209 82 138 541 151 50 428

Dundalk

417 254 383 219 476 438 90 303 481

0.50 0.75 1.00 1.25 1.50 1.75 2.00 2.50 3.00 3.50 4.00 5.00

Distances in kilometres between principal towns

Ennis

Donegal

87 237 98 254 43 109 566 171

LITRES 0.28 0.43 0.57 0.71 0.85 0.99 1.14 1.42 1.70 1.99 2.27 2.84

IRELAND DISTANCE CHART Drogheda

Cork

84 167 153 393

The bold figures in the central columns can be read as either the Metric measure or the Imperial measure. For example: 1 metre=1.09 yards; or 1 yard=0.91 metres

Multiply by 2.54 0.3937 0.3048 3.281 0.9144 1.094 1.609 0.6214 6.452 0.155 10.76 0.0929 0.8361 1.196 2.59 0.3861 0.4047 2.471 16.39 0.06102 0.02832 35.31 0.7646 1.308 0.01639 61.03 4.546 0.22 0.0648 15.43 28.35 0.03527 453.6 0.002205 0.4536 2.205 1016.0 0.000984

Derry

132 114 72

Coleraine

513 346 468 311 560 534

Bantry

21 187 85 246 68

Cavan

45 195 82 253

Ballymena

227 127 158

Bangor

60 129

Armagh

166

To Centimetres Inches Metres Feet Metres Yards Kilometres Miles Sq Centimetres Sq Inches Sq Feet Sq Metres Sq Metres Sq Yards Sq Kilometres Sq Miles Hectares Acres Cubic Centimetres Cubic Inches Cubic Metres Cubic Feet Cubic Metres Cubic Yards Litres Cubic Inches Litres Gallons Grams Grains Grams Ounces Grams Pounds Kilograms Pounds Kilograms Tons

Athlone

Dublin

Distance in Kilometres From: Belfast Dublin Armagh Athlone Ballymena Bangor Bantry Cavan Coleraine Cork Derry Donegal Drogheda Dundalk Ennis Enniskillen Galway Kilkenny Killarney Larne Letterkenny Limerick Longford Monaghan Mullingar Navan Newry Omagh Portlaoise Roscommon Rosslare Sligo Tipperary Tralee Waterford Westport Wexford Wicklow

Belfast

From Inches Centimetres Feet Metres Yards Metres Miles Kilometres Sq Inches Sq Centimetres Sq Metres Sq Feet Sq Yards Sq Metres Sq Miles Sq Kilometres Acres Hectares Cubic Inches Cubic Centimetres Cubic Feet Cubic Metres Cubic Yards Cubic Metres Cubic Inches Litres Gallons Litres Grains Grams Ounces Grams Pounds Grams Pounds Kilograms Tons Kilograms

METRIC CONVERSION

22/09/2021 10:34

November 2021 WEEK 48

29 Monday | Luain

NOLLAIG

DECEMBER 2021 Wk

Mo Tu We Th

48 49

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

30 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

01 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 8

22/09/2021 10:34

JANUARY 2022 Wk

Mo Tu We Th

52 1

10 11 12 13 14 15 16

17 18 29 20 21 22 23

24 25 26 27 28 29 30

December 2021 NOLLAIG

WEEK 48

02 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

03 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

04 Saturday | Satharn

05 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 9

22/09/2021 10:34

December 2021 WEEK 49

06 Monday | Luain

NOLLAIG

DECEMBER 2021 Wk

Mo Tu We Th

48 49

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

07 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

08 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 10

22/09/2021 10:34

JANUARY 2022 Wk

Mo Tu We Th

52 1

10 11 12 13 14 15 16

17 18 29 20 21 22 23

24 25 26 27 28 29 30

December 2021 NOLLAIG

WEEK 49

09 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

10 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

11 Saturday | Satharn

12 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 11

22/09/2021 10:34

December 2021 WEEK 50

13 Monday | Luain

NOLLAIG

DECEMBER 2021 Wk

Mo Tu We Th

48 49

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

14 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

15 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 12

22/09/2021 10:34

JANUARY 2022 Wk

Mo Tu We Th

52 1

10 11 12 13 14 15 16

17 18 29 20 21 22 23

24 25 26 27 28 29 30

December 2021 NOLLAIG

WEEK 50

16 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

17 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

18 Saturday | Satharn

19 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 13

22/09/2021 10:34

December 2021 WEEK 51

20 Monday | Luain

NOLLAIG

DECEMBER 2021 Wk

Mo Tu We Th

48 49

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

21 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

22 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 14

22/09/2021 10:34

JANUARY 2022 Wk

Mo Tu We Th

52 1

10 11 12 13 14 15 16

17 18 29 20 21 22 23

24 25 26 27 28 29 30

December 2021 NOLLAIG

WEEK 51

23 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

Christmas Eve 24 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

25 Saturday | Satharn Christmas Day

St.Stephen’s Day 26 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 15

22/09/2021 10:34

December 2021 WEEK 52

27 Monday | Luain

EANÁIR

JANUARY 2022 DECEMBER 2021 Wk

Mo Tu We Th

52 48 1 49

3 6

4 7

5 8

6 9

1 3

2 5

7 11 8 12 9 10

2 50

10 14 11 12 13 15 13 16 14 17 15 18 16 19

3 51

17 20 18 21 29 22 20 23 21 24 22 25 23 26

4 52

24 27 25 28 26 29 27 30 28 31 29 30

8 9 10 11 12 13 14 15 16 17 Notes

28 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

29 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 16

22/09/2021 10:34

JANUARY 2022 Wk

Mo Tu We Th

52 1

10 11 12 13 14 15 16

17 18 29 20 21 22 23

24 25 26 27 28 29 30

January 2022 EANÁIR

WEEK 52

30 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

New Year’s Eve 31 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

01 Saturday | Satharn New Year’s Day

02 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 17

22/09/2021 10:34

January 2022 WEEK 1

EANÁIR

JANUARY 2022 Wk

52 1 2

03 Monday | Luain

Mo Tu We Th 3

10 11 12 13 14 15 16

17 18 29 20 21 22 23

24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

04 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

05 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 18

22/09/2021 10:34

FEBRUARY 2022 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

9 28

January 2022 EANÁIR

WEEK 1

06 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

07 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

08 Saturday | Satharn

09 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 19

22/09/2021 10:34

January 2022 WEEK 2

EANÁIR

JANUARY 2022 Wk

52 1 2

10 Monday | Luain

Mo Tu We Th 3

10 11 12 13 14 15 16

17 18 29 20 21 22 23

24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

11 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

12 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 20

22/09/2021 10:34

FEBRUARY 2022 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

9 28

January 2022 EANÁIR

WEEK 2

13 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

14 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

15 Saturday | Satharn

16 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 21

22/09/2021 10:34

January 2022 WEEK 3

EANÁIR

JANUARY 2022 Wk

52 1 2

17 Monday | Luain

Mo Tu We Th 3

10 11 12 13 14 15 16

17 18 29 20 21 22 23

24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

18 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

19 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 22

22/09/2021 10:34

FEBRUARY 2022 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

9 28

January 2022 EANÁIR

WEEK 3

20 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

21 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

22 Saturday | Satharn

23 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 23

22/09/2021 10:34

January 2022 WEEK 4

EANÁIR

JANUARY 2022 Wk

52 1 2

24 Monday | Luain

Mo Tu We Th 3

10 11 12 13 14 15 16

17 18 29 20 21 22 23

24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

25 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

26 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 24

22/09/2021 10:34

MARCH 2022 FEBRUARY 2022 Wk

Mo Tu We Th

9 5 10 6

10 11 12 13

11 7

14 15 16 17 18 19 20

12 8

21 22 23 24 25 26 27

13 9

28 29 30 31

February 2022 FEABHRA

WEEK 4

27 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

28 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

29 Saturday | Satharn

30 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 25

22/09/2021 10:34

February 2022 WEEK 5

31 Monday | Luain

FEABHRA

FEBRUARY 2022 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

9 28

8 9 10 11 12 13 14 15 16 17 Notes

01 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

02 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 26

22/09/2021 10:34

MARCH 2022 Wk

Mo Tu We Th

9 10

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

February 2022 FEABHRA

WEEK 5

03 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

04 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

05 Saturday | Satharn

06 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 27

22/09/2021 10:34

February 2022 WEEK 6

07 Monday | Luain

FEABHRA

FEBRUARY 2022 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

9 28

8 9 10 11 12 13 14 15 16 17 Notes

08 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

09 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 28

22/09/2021 10:34

MARCH 2022 Wk

Mo Tu We Th

9 10

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

February 2022 FEABHRA

WEEK 6

10 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

11 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

12 Saturday | Satharn

13 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 29

22/09/2021 10:34

February 2022 WEEK 7

14 Monday | Luain St.Valentine’s Day

FEABHRA

FEBRUARY 2022 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

9 28

8 9 10 11 12 13 14 15 16 17 Notes

15 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

16 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 30

22/09/2021 10:34

MARCH 2022 Wk

Mo Tu We Th

9 10

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

February 2022 FEABHRA

WEEK 7

17 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

18 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

19 Saturday | Satharn

20 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 31

22/09/2021 10:34

February 2022 WEEK 8

21 Monday | Luain

FEABHRA

FEBRUARY 2022 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5 6

7 8 9 10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

9 28

8 9 10 11 12 13 14 15 16 17 Notes

22 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

23 Wednesday | Céadaoin Ash Wednesday 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 32

22/09/2021 10:34

MARCH 2022 Wk

Mo Tu We Th

9 10

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

February 2022 FEABHRA

WEEK 8

24 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

25 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

26 Saturday | Satharn

27 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 33

22/09/2021 10:34

March 2022 WEEK 9

28 Monday | Luain

MÁRTA

MARCH 2022 Wk

Mo Tu We Th

9 10

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

01 Tuesday | Máirt Shrove Tuesday 8 9 10 11 12 13 14 15 16 17 Notes

02 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 34

22/09/2021 10:34

APRIL 2022 Wk

Mo Tu We Th Fr Sa Su

13 1 2 3 14 15

4 5 6 7 8 9 10

March 2022 MÁRTA

WEEK 9

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30

03 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

04 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

05 Saturday | Satharn

06 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 35

22/09/2021 10:34

March 2022 WEEK 10

07 Monday | Luain

MÁRTA

MARCH 2022 Wk

Mo Tu We Th

9 10

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

08 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

09 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 36

22/09/2021 10:34

MAY 2022 APRIL 2022 Wk

Mo Tu We Th

17 13 18 14

2 4

3 5

4 6

5 7

1 3

6 8

7 9

8 10

19 15

9 10 11 12 11 13 12 14 13 15 14 16 15 17

20 16

16 18 17 19 18 20 19 21 20 22 21 23 22 24

21 17

23 25 24 26 25 27 26 28 27 29 28 30 39

30 31

March 2022 MÁRTA

WEEK 10

10 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

11 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

12 Saturday | Satharn

13 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 37

22/09/2021 10:34

March 2022 WEEK 11

14 Monday | Luain

MÁRTA

MARCH 2022 Wk

Mo Tu We Th

9 10

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

15 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

16 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 38

22/09/2021 10:34

APRIL 2022 Wk

Mo Tu We Th Fr Sa Su

13 1 2 3 14 15

4 5 6 7 8 9 10

March 2022 MÁRTA

WEEK 11

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30

St.Patrick’s Day 17 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

18 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

19 Saturday | Satharn

20 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 39

22/09/2021 10:34

March 2022 WEEK 12

21 Monday | Luain

MÁRTA

MARCH 2022 Wk

Mo Tu We Th

9 10

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

22 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

23 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 40

22/09/2021 10:34

APRIL 2022 Wk

Mo Tu We Th Fr Sa Su

13 1 2 3 14 15

4 5 6 7 8 9 10

March 2022 MÁRTA

WEEK 12

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30

24 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

25 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

26 Saturday | Satharn

27 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 41

22/09/2021 10:34

March 2022 WEEK 13

28 Monday | Luain

MÁRTA

MARCH 2022 Wk

Mo Tu We Th

9 10

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

29 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

30 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 42

22/09/2021 10:34

MAY 2022 APRIL 2022 Wk

Mo Tu We Th

17 14 18 15

2 4

3 5

4 6

5 7

1 3

6 8

7 9

8 10

19 16

9 10 11 12 11 13 12 14 13 15 14 16 15 17

20 17

16 18 17 19 18 20 19 21 20 22 21 23 22 24

21 18

23 25 24 26 25 27 26 28 27 29 28 30 39

30 31

April 2022 AIBREÁN

WEEK 13

31 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

01 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

02 Saturday | Satharn

03 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 43

22/09/2021 10:34

April 2022 WEEK 14

AIBREÁN

APRIL 2022 Wk

13 1 2 3 14 15

04 Monday | Luain Easter Monday

Mo Tu We Th Fr Sa Su 4 5 6 7 8 9 10 11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

05 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

06 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 44

22/09/2021 10:34

MAY 2022 Wk

Mo Tu We Th

Su 1

April 2022 AIBREÁN

WEEK 14

10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 39

30 31

07 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

08 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

09 Saturday | Satharn

10 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 45

22/09/2021 10:34

April 2022 WEEK 15

AIBREÁN

APRIL 2022 Wk

13 1 2 3 14 15

11 Monday | Luain

Mo Tu We Th Fr Sa Su 4 5 6 7 8 9 10 11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

12 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

13 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 46

22/09/2021 10:34

MAY 2022 Wk

Mo Tu We Th

Su 1

April 2022 AIBREÁN

WEEK 15

10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 39

30 31

14 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

Good Friday 15 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

16 Saturday | Satharn

Easter 17 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 47

22/09/2021 10:34

April 2022 WEEK 16

AIBREÁN

APRIL 2022 Wk

13 1 2 3 14 15

18 Monday | Luain Easter Monday

Mo Tu We Th Fr Sa Su 4 5 6 7 8 9 10 11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

19 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

20 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 48

22/09/2021 10:34

MAY 2022 Wk

Mo Tu We Th

Su 1

April 2022 AIBREÁN

WEEK 16

10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 39

30 31

21 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

22 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

23 Saturday | Satharn

24 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 49

22/09/2021 10:34

April 2020 WEEK 17

AIBREÁN

APRIL 2022 Wk

13 1 2 3 14 15

25 Monday | Luain

Mo Tu We Th Fr Sa Su 4 5 6 7 8 9 10 11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

26 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

27 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 50

22/09/2021 10:34

MAY 2022 Wk

Mo Tu We Th

Su 1

April 2022 AIBREÁN

WEEK 17

10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 39

30 31

28 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

29 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

30 Saturday | Satharn

01 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 51

22/09/2021 10:34

May 2022 WEEK 18

02 Monday | Luain May Day

BEALTAINE

MAY 2022 Wk

Mo Tu We Th

Su 1

10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 39

30 31

8 9 10 11 12 13 14 15 16 17 Notes

03 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

04 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 52

22/09/2021 10:34

JUNE 2022 Wk

Mo Tu We Th

22 23

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

May 2022 BEALTAINE

WEEK 18

05 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

06 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

07 Saturday | Satharn

08 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 53

22/09/2021 10:34

May 2022 WEEK 19

09 Monday | Luain

BEALTAINE

MAY 2022 Wk

Mo Tu We Th

Su 1

10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 39

30 31

8 9 10 11 12 13 14 15 16 17 Notes

10 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

11 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 54

22/09/2021 10:34

JUNE 2022 Wk

Mo Tu We Th

22 23

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

May 2022 BEALTAINE

WEEK 19

12 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

13 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

14 Saturday | Satharn

15 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 55

22/09/2021 10:34

May 2022 WEEK 20

16 Monday | Luain

BEALTAINE

MAY 2022 Wk

Mo Tu We Th

Su 1

10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 39

30 31

8 9 10 11 12 13 14 15 16 17 Notes

17 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

18 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 56

22/09/2021 10:34

JUNE 2022 Wk

Mo Tu We Th

22 23

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

May 2022 BEALTAINE

WEEK 20

19 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

20 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

21 Saturday | Satharn

22 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 57

22/09/2021 10:34

May 2022 WEEK 21

23 Monday | Luain

BEALTAINE

MAY 2022 Wk

Mo Tu We Th

Su 1

10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 39

30 31

8 9 10 11 12 13 14 15 16 17 Notes

24 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

25 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 58

22/09/2021 10:34

JUNE 2022 Wk

Mo Tu We Th

22 23

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

May 2022 BEALTAINE

WEEK 21

26 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

27 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

28 Saturday | Satharn

29 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 59

22/09/2021 10:34

June 2022 WEEK 22

30 Monday | Luain

MEITHEAMH

JUNE 2022 Wk

Mo Tu We Th

22 23

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

31 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

01 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 60

22/09/2021 10:34

JULY 2022 Wk

Mo Tu We Th

26 27

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

June 2022 MEITHEAMH

WEEK 22

02 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

03 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

04 Saturday | Satharn

05 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 61

22/09/2021 10:34

June 2022 WEEK 23

06 Monday | Luain June Bank Holiday

MEITHEAMH

JUNE 2022 Wk

Mo Tu We Th

22 23

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

07 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

08 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 62

22/09/2021 10:34

JULY 2022 Wk

Mo Tu We Th

26 27

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

June 2022 MEITHEAMH

WEEK 23

09 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

10 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

11 Saturday | Satharn

12 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 63

22/09/2021 10:34

June 2022 WEEK 24

13 Monday | Luain

MEITHEAMH

JUNE 2022 Wk

Mo Tu We Th

22 23

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

14 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

15 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 64

22/09/2021 10:34

JULY 2022 Wk

Mo Tu We Th

26 27

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

June 2022 MEITHEAMH

WEEK 24

16 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

17 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

18 Saturday | Satharn

19 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 65

22/09/2021 10:34

June 2022 WEEK 25

20 Monday | Luain

MEITHEAMH

JUNE 2022 Wk

Mo Tu We Th

22 23

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

21 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

22 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 66

22/09/2021 10:34

JULY 2022 Wk

Mo Tu We Th

26 27

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

June 2022 MEITHEAMH

WEEK 25

23 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

24 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

25 Saturday | Satharn

26 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 67

22/09/2021 10:34

June 2022 WEEK 26

27 Monday | Luain

MEITHEAMH

JUNE 2022 Wk

Mo Tu We Th

22 23

10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

28 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

29 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 68

22/09/2021 10:34

JULY 2022 Wk

Mo Tu We Th

26 27

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

June 2022 MEITHEAMH

WEEK 26

30 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

01 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

02 Saturday | Satharn

03 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 69

22/09/2021 10:34

July 2022 WEEK 27

04 Monday | Luain

IÚIL

JULY 2022 Wk

Mo Tu We Th

26 27

Su 3

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

05 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

06 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 70

22/09/2021 10:34

AUGUST 2022 Wk

Mo Tu We Th Fr Sa Su

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

July 2022 IÚIL

WEEK 27

07 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

08 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

09 Saturday | Satharn

10 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 71

22/09/2021 10:34

July 2022 WEEK 28

11 Monday | Luain

IÚIL

JULY 2022 Wk

Mo Tu We Th

26 27

Su 3

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

12 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

13 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 72

22/09/2021 10:34

AUGUST 2022 Wk

Mo Tu We Th Fr Sa Su

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

July 2022 IÚIL

WEEK 28

14 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

15 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

16 Saturday | Satharn

17 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 73

22/09/2021 10:34

July 2022 WEEK 29

18 Monday | Luain

IÚIL

JULY 2022 Wk

Mo Tu We Th

26 27

Su 3

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

19 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

20 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 74

22/09/2021 10:34

AUGUST 2022 Wk

Mo Tu We Th Fr Sa Su

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

July 2022 IÚIL

WEEK 29

21 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

22 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

23 Saturday | Satharn

24 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 75

22/09/2021 10:34

July 2022 WEEK 30

25 Monday | Luain

IÚIL

JULY 2022 Wk

Mo Tu We Th

26 27

Su 3

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

26 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

27 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 76

22/09/2021 10:34

SEPTEMBER 2022 AUGUST 2022 Wk

Mo Tu We Th

35 31

36 32

5 8

6 9

1 4

2 5

3 6

4 7

7 11 8 12 9 10 10 13 11 14

37 33

12 15 13 16 14 17 15 18 16 19 17 20 18 21

38 34

19 22 20 23 21 24 22 25 23 26 24 27 25 28

39 35

26 29 27 30 28 31 29 30

August 2022 LÚNASA

WEEK 30

28 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

29 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

30 Saturday | Satharn

31 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 77

22/09/2021 10:34

August 2022 WEEK 31

01 Monday | Luain August Bank Holiday

LÚNASA

AUGUST 2022 Wk

Mo Tu We Th Fr Sa Su

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

02 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

03 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 78

22/09/2021 10:34

SEPTEMBER 2022 Wk

Mo Tu We Th

35 36

10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30

August 2022 LÚNASA

WEEK 31

04 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

05 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

06 Saturday | Satharn

07 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 79

22/09/2021 10:34

August 2022 WEEK 32

08 Monday | Luain

LÚNASA

AUGUST 2022 Wk

Mo Tu We Th Fr Sa Su

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

09 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

10 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 80

22/09/2021 10:34

SEPTEMBER 2022 Wk

Mo Tu We Th

35 36

10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30

August 2022 LÚNASA

WEEK 32

11 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

12 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

13 Saturday | Satharn

14 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 81

22/09/2021 10:34

August 2022 WEEK 33

15 Monday | Luain

LÚNASA

AUGUST 2022 Wk

Mo Tu We Th Fr Sa Su

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

16 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

17 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 82

22/09/2021 10:34

SEPTEMBER 2022 Wk

Mo Tu We Th

35 36

10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30

August 2022 LÚNASA

WEEK 33

18 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

19 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

20 Saturday | Satharn

21 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 83

22/09/2021 10:34

August 2022 WEEK 34

22 Monday | Luain

LÚNASA

AUGUST 2022 Wk

Mo Tu We Th Fr Sa Su

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

23 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

24 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 84

22/09/2021 10:34

SEPTEMBER 2022 Wk

Mo Tu We Th

35 36

10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30

August 2022 LÚNASA

WEEK 34

25 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

26 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

27 Saturday | Satharn

28 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 85

22/09/2021 10:34

August 2022 WEEK 35

29 Monday | Luain

LÚNASA

AUGUST 2022 Wk

Mo Tu We Th Fr Sa Su

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

30 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

31 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 86

22/09/2021 10:34

SEPTEMBER OCTOBER2022 2022 Wk Wk

Mo MoTuTuWe WeThTh FrFr SaSa Su Su

3539

31 42

3640

5 3 6 4 7 5 8 6 9 7 108 119

3741

1210 1311 1412 1513 1614 1715 1816

3842

1917 2018 2119 2220 2321 2422 2523

3943

2624 2725 2826 2927 3028 29 30

September 2022 MEÁN FÓMHAIR

WEEK 35

01 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

02 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

03 Saturday | Satharn

04 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 87

22/09/2021 10:34

September 2022 WEEK 36

05 Monday | Luain

MEÁN FÓMHAIR

SEPTEMBER 2022 Wk

Mo Tu We Th

35 36

10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

06 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

07 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 88

22/09/2021 10:34

OCTOBER 2022 Wk

Mo Tu We Th

39 40

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

September 2022 MEÁN FÓMHAIR

WEEK 36

08 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

09 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

10 Saturday | Satharn

11 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 89

22/09/2021 10:34

September 2022 WEEK 37

12 Monday | Luain

MEÁN FÓMHAIR

SEPTEMBER 2022 Wk

Mo Tu We Th

35 36

10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

13 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

14 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 90

22/09/2021 10:34

OCTOBER 2022 Wk

Mo Tu We Th

39 40

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

September 2022 MEÁN FÓMHAIR

WEEK 37

15 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

16 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

17 Saturday | Satharn

18 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 91

22/09/2021 10:34

September 2022 WEEK 38

19 Monday | Luain

MEÁN FÓMHAIR

SEPTEMBER 2022 Wk

Mo Tu We Th

35 36

10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

20 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

21 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 92

22/09/2021 10:34

OCTOBER 2022 Wk

Mo Tu We Th

39 40

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

September 2022 MEÁN FÓMHAIR

WEEK 38

22 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

23 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

24 Saturday | Satharn

25 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 93

22/09/2021 10:34

September 2022 WEEK 39

26 Monday | Luain

MEÁN FÓMHAIR

SEPTEMBER 2022 Wk

Mo Tu We Th

35 36

10 11

12 13 14 15 16 17 18

19 20 21 22 23 24 25

26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

27 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

28 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 94

22/09/2021 10:34

OCTOBER 2022 NOVEMBER 2022 Wk Wk

Mo Tu Tu We We Th Th Fr Fr Sa Sa Su Su Mo

39 44 40 45

6 11 7 12 8 13 9 10

41 46

10 15 11 16 12 17 13 18 14 19 15 20 16 14

42 47

17 22 18 23 19 24 20 25 21 26 22 27 23 21

43 48

24 29 25 30 26 27 28 29 30 28

October 2022 DEIREADH FÓMHAIR

WEEK 39

29 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

30 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

01 Saturday | Satharn

02 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 95

22/09/2021 10:34

October 2022 WEEK 40

03 Monday | Luain

DEIREADH FÓMHAIR

OCTOBER 2022 Wk

Mo Tu We Th

39 40

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

04 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

05 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 96

22/09/2021 10:34

NOVEMBER 2022 Wk

Mo Tu We Th

44 45

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30

October 2022 DEIREADH FÓMHAIR

WEEK 40

06 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

07 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

08 Saturday | Satharn

09 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 97

22/09/2021 10:34

October 2022 WEEK 41

10 Monday | Luain

DEIREADH FÓMHAIR

OCTOBER 2022 Wk

Mo Tu We Th

39 40

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

11 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

12 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 98

22/09/2021 10:34

NOVEMBER 2022 Wk

Mo Tu We Th

44 45

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30

October 2022 DEIREADH FÓMHAIR

WEEK 41

13 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

14 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

15 Saturday | Satharn

16 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 99

22/09/2021 10:34

October 2022 WEEK 42

17 Monday | Luain

DEIREADH FÓMHAIR

OCTOBER 2022 Wk

Mo Tu We Th

39 40

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

18 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

19 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 100

22/09/2021 10:34

NOVEMBER 2022 Wk

Mo Tu We Th

44 45

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30

October 2022 DEIREADH FÓMHAIR

WEEK 42

20 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

21 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

22 Saturday | Satharn

23 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 101

22/09/2021 10:34

October 2022 WEEK 43

24 Monday | Luain

DEIREADH FÓMHAIR

OCTOBER 2022 Wk

Mo Tu We Th

39 40

10 11 12 13 14 15 16

17 18 19 20 21 22 23

24 25 26 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

25 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

26 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 102

22/09/2021 10:34

NOVEMBER 2022 Wk

Mo Tu We Th

44 45

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30

October 2022 DEIREADH FÓMHAIR

WEEK 43

27 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

28 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

29 Saturday | Satharn Halloween

30 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 103

22/09/2021 10:34

November 2022 WEEK 44

31 Monday | Luain October Bank Holiday

SAMHAIN

NOVEMBER OCTOBER 2022 2022 Wk

Mo Tu We Th

44 39 45 40

7 3

8 4

9 5

5 1

6 2

10 6 11 7 12 8 13 9

46 41

14 10 15 11 16 12 17 13 18 14 15 19 16 20

42 47

17 21 18 22 19 23 20 24 21 25 22 26 23 27

43 48

24 28 25 29 26 30 27 28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

01 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

02 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 104

22/09/2021 10:34

DECEMBER 2022 NOVEMBER Wk Wk

Mo Tu Tu We We Th Th Mo

48 44 49 45

5 7

6 8

7 9

1 3

Fr Fr

Sa Su Su Sa

2 4

3 5

4 6

8 11 9 12 10 13 11 10

50 46

12 15 13 16 14 17 15 18 16 19 17 20 18 14

51 47

19 22 20 23 21 24 22 25 23 26 24 27 25 21

52 48

26 29 27 30 28 29 30 31 28

November 2022 SAMHAIN

WEEK 44

03 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

04 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

05 Saturday | Satharn

06 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 105

22/09/2021 10:34

November 2022 WEEK 45

07 Monday | Luain

SAMHAIN

NOVEMBER 2022 Wk

Mo Tu We Th

44 45

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

08 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

09 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 106

22/09/2021 10:34

DECEMBER 2022 Wk

Mo Tu We Th Fr Sa Su

48 1 2 3 4 49 50

5 6 7 8 9 10 11

November 2022 SAMHAIN

WEEK 45

12 13 14 15 16 17 18

51 19 20 21 22 23 24 25 52

26 27 28 29 30 31

10 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

11 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

12 Saturday | Satharn

13 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 107

22/09/2021 10:34

November 2022 WEEK 46

14 Monday | Luain

SAMHAIN

NOVEMBER 2022 Wk

Mo Tu We Th

44 45

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

15 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

16 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 108

22/09/2021 10:34

DECEMBER 2022 Wk

Mo Tu We Th Fr Sa Su

48 1 2 3 4 49 50

5 6 7 8 9 10 11

November 2022 SAMHAIN

WEEK 46

12 13 14 15 16 17 18

51 19 20 21 22 23 24 25 52

26 27 28 29 30 31

17 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

18 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

19 Saturday | Satharn

20 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 109

22/09/2021 10:34

November 2022 WEEK 47

21 Monday | Luain

SAMHAIN

NOVEMBER 2022 Wk

Mo Tu We Th

44 45

10 11 12 13

14 15 16 17 18 19 20

21 22 23 24 25 26 27

28 29 30

8 9 10 11 12 13 14 15 16 17 Notes

22 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

23 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 110

22/09/2021 10:34

DECEMBER 2022 Wk

Mo Tu We Th Fr Sa Su

48 1 2 3 4 49 50

5 6 7 8 9 10 11

November 2022 SAMHAIN

WEEK 47

12 13 14 15 16 17 18

51 19 20 21 22 23 24 25 52

26 27 28 29 30 31

24 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

25 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

26 Saturday | Satharn

27 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 111

22/09/2021 10:34

December 2022 WEEK 48

28 Monday | Luain

NOLLAIG

NOVEMBER DECEMBER 2022 2022 Wk

Mo Tu We Th

44 48 45 49

7 5

8 6

9 7

3 1

4 2

5 3

6 4

10 8 11 9 12 10 13 11

46 50

14 12 15 13 16 14 17 15 18 16 17 19 18 20

47 51

21 19 22 20 23 21 24 22 25 23 24 26 25 27

48 52

28 26 29 27 30 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

29 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

30 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 112

22/09/2021 10:34

DECEMBER 2022 JANUARY 2023 Wk

Mo Tu We Th Fr Sa Su

48 52 1 2 3 4 1 49 1 50 2

5 6 7 8 9 2 3 4 5 6 7 8 10 11

December 2022 NOLLAIG

WEEK 48

12 13 14 15 9 10 11 12 13 14 15 16 17 18

3 51 19 16 20 21 22 23 17 18 19 20 21 22 24 25 52 4 23 26 27 28 29 30 24 25 26 27 28 29 31

5 30 31

01 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

02 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

03 Saturday | Satharn

04 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 113

22/09/2021 10:34

December 2022 WEEK 49

NOLLAIG

DECEMBER 2022 Wk

48 1 2 3 4 49 50

05 Monday | Luain

Mo Tu We Th Fr Sa Su 5 6 7 8 9 10 11 12 13 14 15 16 17 18

51 19 20 21 22 23 24 25 52

26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

06 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

07 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 114

22/09/2021 10:34

JANUARY 2023 Wk

Mo Tu We Th Fr Sa Su

52 1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

December 2022 NOLLAIG

WEEK 49

16 17 18 19 20 21 22

4 23 24 25 26 27 28 29

5 30 31

08 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

09 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

10 Saturday | Satharn

11 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 115

22/09/2021 10:34

December 2022 WEEK 50

NOLLAIG

DECEMBER 2022 Wk

48 1 2 3 4 49 50

12 Monday | Luain

Mo Tu We Th Fr Sa Su 5 6 7 8 9 10 11 12 13 14 15 16 17 18

51 19 20 21 22 23 24 25 52

26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

13 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

14 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 116

22/09/2021 10:34

JANUARY 2023 Wk

Mo Tu We Th Fr Sa Su

52 1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

December 2022 NOLLAIG

WEEK 50

16 17 18 19 20 21 22

4 23 24 25 26 27 28 29

5 30 31

15 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

16 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

17 Saturday | Satharn

18 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 117

22/09/2021 10:34

December 2022 WEEK 51

NOLLAIG

DECEMBER 2022 Wk

48 1 2 3 4 49 50

19 Monday | Luain

Mo Tu We Th Fr Sa Su 5 6 7 8 9 10 11 12 13 14 15 16 17 18

51 19 20 21 22 23 24 25 52

26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

20 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

21 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 118

22/09/2021 10:34

JANUARY 2023 Wk

Mo Tu We Th Fr Sa Su

52 1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

December 2022 NOLLAIG

WEEK 51

16 17 18 19 20 21 22

4 23 24 25 26 27 28 29

5 30 31

22 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

23 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

24 Saturday | Satharn Christmas Eve

Christmas Day 25 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 119

22/09/2021 10:34

December 2022 WEEK 52

NOLLAIG

DECEMBER 2022 Wk

48 1 2 3 4 49 50

26 Monday | Luain St. Stephen’s Day

Mo Tu We Th Fr Sa Su 5 6 7 8 9 10 11 12 13 14 15 16 17 18

51 19 20 21 22 23 24 25 52

26 27 28 29 30 31

8 9 10 11 12 13 14 15 16 17 Notes

27 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

28 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 120

22/09/2021 10:34

FEBRUARY 2023 JANUARY 2023 Wk

Mo Tu We Th Fr Sa Su

52 5 1 2 3 4 5 1

6 1

7 2

3 8

6 7 8 9 2 3 4 5 6 7 8 10 11 12

EANÁIR

WEEK 52

13 14 15 16 17 18 19 9 10 11 12 13 14 15 20 21 22 16 17 18 19 23 24 25 26 20 21 22

9 4 23 27 28 24 25 26 27 28 29

January 2023

5 30 31

29 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

30 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

31 Saturday | Satharn New Years Eve

New Years Day 01 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 121

22/09/2021 10:34

January 2023 WEEK 01

02 Monday | Luain

EANÁIR

JANUARY 2023 Wk

Mo Tu We Th Fr Sa Su

52 1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

4 23 24 25 26 27 28 29

5 30 31

8 9 10 11 12 13 14 15 16 17 Notes

03 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

04 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 122

22/09/2021 10:34

FEBRUARY 2023 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5

6 7 8 9 10 11 12

January 2023 EANÁIR

WEEK 01

13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

05 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

06 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

07 Saturday | Satharn

08 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 123

22/09/2021 10:34

January 2023 WEEK 02

09 Monday | Luain

EANÁIR

JANUARY 2023 Wk

Mo Tu We Th Fr Sa Su

52 1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

4 23 24 25 26 27 28 29

5 30 31

8 9 10 11 12 13 14 15 16 17 Notes

10 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

11 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 124

22/09/2021 10:34

FEBRUARY 2023 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5

6 7 8 9 10 11 12

January 2023 EANÁIR

WEEK 02

13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

12 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

13 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

14 Saturday | Satharn

15 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 125

22/09/2021 10:34

January 2023 WEEK 03

16 Monday | Luain

EANÁIR

JANUARY 2023 Wk

Mo Tu We Th Fr Sa Su

52 1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

4 23 24 25 26 27 28 29

5 30 31

8 9 10 11 12 13 14 15 16 17 Notes

17 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

18 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 126

22/09/2021 10:34

FEBRUARY 2023 Wk

Mo Tu We Th Fr Sa Su

5 1 2 3 4 5

6 7 8 9 10 11 12

January 2023 EANÁIR

WEEK 03

13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

19 Thursday | Déardaoin

8 9 10 11 12 13 14 15 16 17 Notes

20 Friday | Aoine 8 9 10 11 12 13 14 15 16 17 Notes

21 Saturday | Satharn

22 Sunday | Domhnach

8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 127

22/09/2021 10:34

January 2023 WEEK 04

23 Monday | Luain

EANÁIR

JANUARY 2023 Wk

Mo Tu We Th Fr Sa Su

52 1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

4 23 24 25 26 27 28 29

5 30 31

8 9 10 11 12 13 14 15 16 17 Notes

24 Tuesday | Máirt 8 9 10 11 12 13 14 15 16 17 Notes

25 Wednesday | Céadaoin 8 9 10 11 12 13 14 15 16 17 Notes

IHCA Diary Pages 2022_V3_Use this.indd 128

22/09/2021 10:34