Title: Review of consultant level ENT surgery services in the Eastern Region: an update of 1983 Comhairle na n'Ospideal report on ENT surgery services.
Authors: Eastern Regional Health Authority (ERHA)
Description: Existing acute hospital services for people diagnosed in need of inpatient
ENT care were put in place in the 1980's at seven designated hospitals:
Beaumont Hospital, the Mater Hospital, St. James's Hospital, AMNCH, St.
Vincent's University Hospital, Temple Street Children's Hospital, and Our
Lady's Hospital for Sick Children. These services, provided under the
Health Act (1970) 3, are free of charge and include access to both inpatient
and out-patient treatments as required. Outpa1ient facilities were
also provided in JCM, Naas, St. Michael's and Loughlinstown.
In 1983 the report of the committee on the development of ENT services
was published (Comhairle, 1983) 2. In relation to the level of resource
provision - particularly beds and consultant manpower - appropriate to
the specialty of otolaryngology, Comhairle recommended that the general approach to planning of services must be based on a wider
population catchment. This relates to the scale of the workload derived
from a given population and the need to concentrate sufficient workload
to justify the provision of a reasonably sized· unit in terms of staff,
equipment space and other resources. (Para 3.2:8-9).
In relation to the eastern region, the Comhairle recommended that in the
future development of services, there should be a major rationalisation of
the existing services. This rationalisation necessitated a substantial
reduction In the existing ENT bed stock in the eastern region; the closure of
a number of smaller inpatient units and the relocation, In the long-term, of
the existing unit at the Royal Victoria Eye and Ear Hospital.
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