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Health Issues:
I was asked to give a talk on the Future of Monaghan Hospital at a Public Meeting hosted by Deputy Caoimhghin O’Caolain and Matt Carthy in the Four Seasons Hotel on Wednesday January 9th, which I did and I though some of you might like to hear what I had to say. So here I give you the main points I made plus a little on the more up-to-date situation. 1. I thanked Sinn Fein and Caoimhghin in particular for continuous and consistently keeping Monaghan General Hospital on the political agenda. 2. I outlined how the Community Alliance came into existence in 2002 and thanked the members of the Alliance for their time, energy and commitment to the cause. I also thanked the members of the Retention Committee for their major contribution to Monaghan General Hospital  over many years. I thanked all those community people who never failed to support the Alliance campaign. 3. I then pointed to all the promises made to the people of Monaghan as to the maintenance of services at the hospital, the ‘better services’ we would get and the other promises which were never fulfilled. 4. I stated that the future of Monaghan General Hospital soon became ‘a political football’, whereas a concerted all-party approach was needed. As a result members of the Alliance and myself had to suffer anonymous and scathing letters and postcards and middle of the night phone-calls but they did not scare us off. 5. I recalled the excellent services we had in Monaghan while it was a Training Centre for the Royal College of Surgeons and a proven excellent Cardiac Unit. 6. I stated that it was the failure of the authorities to resource the Hospital and to maintain adequate staffing levels that helped to run the hospital down and make it unsafe so that they had an excuse to remove services. 7. Consultants have claimed that at least 300 people die annually in Ireland as a result of the ludicrous health system which has been imposed on the people of Ireland. 8. The Alliance forecast that there would be mayhem in hospitals as a result of the plans being implemented but the authorities would not listen then and they are still not listening. 9. Every year they use the same ‘plan’ to solve the numbers on trolleys – cancel elective surgery, cancel appointments, delay diagnosis and treatments. All this does is shift the crisis from one service to another from one set of patients to another and it never works but causes extra pain and suffering for more patients and in some cases death. 10. They also promise that they will open more beds – but they cannot do so because they need more doctors and nurses to treat the patients in these extra beds and they are doing little to attract doctors and nurses to work here in Ireland. 11. I praised the services available in Monaghan General at the moment and extolled the services being provided by the staff in very trying and difficult circumstances and encouraged people to use what services they can there. 12. I asked – who is responsible? who is making the rules and drawing up the plans? Who has the power to make decisions? The former head of the HSE, Tony O’Brien in a newspaper article has told us that no one is in charge as the HSE, the Department of Health, The Department of the Taoiseach, the Department of Expenditure and Reform all toss decision back and forth as none of them want to be blamed, when something goes wrong, as it usually does. I ask – can we not have one organisation to make the decisions and take responsibility. We are paying too many people too much money for so litttle in return. 13. I claim – the buck stops with our politicians as we elect them, we pay them and we expect them to look after our interests and they should not be able to pass the responsibility to any other group. We also should not accept anything less and we also should not accept that they hire consultants at huge costs to make decisions for them. Otherwise we end up with what we have in our Childrens Hospital – built in the wrong place, costs have gone from €450 million to €1.4 BILLION and I am told by an insider that the final cost will be over €2BILLION – that is if the hospital is ever finished. This is OUR MONEY they are playing with – not Monopoly. 14. I stated that the hospital system should be divided with the Tertiary looking after the major medical and surgical patients, while the less serious are treated in the less expensive and closer to home smaller hospitals like Monaghan. 15. I claimed that 80% to 90% of the emergencies that ambulances take to Cavan could be taken and treated in Monaghan Minor Injuries Unit which should be open at least 12/7. Currently when an ambulance is taking a call to Cavan it is out of commission for Monaghan emergencies for over three hours and during that time, as has happened on more than a few occasions, the second emergency must wait for an ambulance to come from Cavan, Dundalk, Longford or indeed Northern Ireland. This is a waste of valuable time for the patient and a big financial waste for the tax payer. 16. I proposed that Monaghan General have the availability to have over-night in-patient services to allow more Minor Surgeries and to treat minor illnesses requiring overnight stays. 17. I also pointed out that the Golden Hour is treated as vital in all other countries but our authorities tell us to ignore it. 18. Modern Technology provides innovative ways to bring services back to small hospitals and I cited Belford in Scotland as an example where they have full services for a catchment of 20,000/30,000 people while Monaghan has a catchment population of around 60,000. Telemedicine, Video linkage, and travelling consultants from the main hospital 70 miles away make this possible and safe. 19. Too many in Monaghan do not regard Monaghan General Hospital as an issue until it hits them or their families. Too few campaigned or bothered attend events organised by the Alliance but some, who didn’t take it seriously, have come to realise what it means when they have needed it and it was not there for them. Let’s hope the powers that be can see sense. To that I would add the following: Some waiting list have reduced slightly and the Taoiseach and Minister are claiming credit and are calling it success. With around the 600 on trolleys on any day and with the effect of the cancellations the success will be short lived but much of the ‘success’ is brought about by the National treatment Fund paying high prices to the Private system to carry out procedures for the Public patients. This is great for those patients, who get the treatment, but it is increasing the profits for the Private System and doing nothing to improve the public system. It would appear that they are trying to force everyone to purchase Private Health Insurance and we end up with the American system – if you have insurance or can afford to pay you get treated otherwise ????
All Content Copyright emyvale.net
I was asked to give a talk on the Future of Monaghan Hospital at a Public Meeting hosted by Deputy Caoimhghin O’Caolain and Matt Carthy in the Four Seasons Hotel on Wednesday January 9th, which I did and I though some of you might like to hear what I had to say. So here I give you the main points I made plus a little on the more up-to-date situation. 1. I thanked Sinn Fein and Caoimhghin in particular for continuous and consistently keeping Monaghan General Hospital on the political agenda. 2. I outlined how the Community Alliance came into existence in 2002 and thanked the members of the Alliance for their time, energy and commitment to the cause. I also thanked the members of the Retention Committee for their major contribution to Monaghan General Hospital  over many years. I thanked all those community people who never failed to support the Alliance campaign. 3. I then pointed to all the promises made to the people of Monaghan as to the maintenance of services at the hospital, the ‘better services’ we would get and the other promises which were never fulfilled. 4. I stated that the future of Monaghan General Hospital soon became ‘a political football’, whereas a concerted all-party approach was needed. As a result members of the Alliance and myself had to suffer anonymous and scathing letters and postcards and middle of the night phone-calls but they did not scare us off. 5. I recalled the excellent services we had in Monaghan while it was a Training Centre for the Royal College of Surgeons and a proven excellent Cardiac Unit. 6. I stated that it was the failure of the authorities to resource the Hospital and to maintain adequate staffing levels that helped to run the hospital down and make it unsafe so that they had an excuse to remove services. 7. Consultants have claimed that at least 300 people die annually in Ireland as a result of the ludicrous health system which has been imposed on the people of Ireland. 8. The Alliance forecast that there would be mayhem in hospitals as a result of the plans being implemented but the authorities would not listen then and they are still not listening. 9. Every year they use the same ‘plan’ to solve the numbers on trolleys – cancel elective surgery, cancel appointments, delay diagnosis and treatments. All this does is shift the crisis from one service to another from one set of patients to another and it never works but causes extra pain and suffering for more patients and in some cases death. 10. They also promise that they will open more beds – but they cannot do so because they need more doctors and nurses to treat the patients in these extra beds and they are doing little to attract doctors and nurses to work here in Ireland. 11. I praised the services available in Monaghan General at the moment and extolled the services being provided by the staff in very trying and difficult circumstances and encouraged people to use what services they can there. 12. I asked – who is responsible? who is making the rules and drawing up the plans? Who has the power to make decisions? The former head of the HSE, Tony O’Brien in a newspaper article has told us that no one is in charge as the HSE, the Department of Health, The Department of the Taoiseach, the Department of Expenditure and Reform all toss decision back and forth as none of them want to be blamed, when something goes wrong, as it usually does. I ask – can we not have one organisation to make the decisions and take responsibility. We are paying too many people too much money for so litttle in return. 13. I claim – the buck stops with our politicians as we elect them, we pay them and we expect them to look after our interests and they should not be able to pass the responsibility to any other group. We also should not accept anything less and we also should not accept that they hire consultants at huge costs to make decisions for them. Otherwise we end up with what we have in our Childrens Hospital – built in the wrong place, costs have gone from €450 million to €1.4 BILLION and I am told by an insider that the final cost will be over €2BILLION – that is if the hospital is ever finished. This is OUR MONEY they are playing with – not Monopoly. 14. I stated that the hospital system should be divided with the Tertiary looking after the major medical and surgical patients, while the less serious are treated in the less expensive and closer to home smaller hospitals like Monaghan. 15. I claimed that 80% to 90% of the emergencies that ambulances take to Cavan could be taken and treated in Monaghan Minor Injuries Unit which should be open at least 12/7. Currently when an ambulance is taking a call to Cavan it is out of commission for Monaghan emergencies for over three hours and during that time, as has happened on more than a few occasions, the second emergency must wait for an ambulance to come from Cavan, Dundalk, Longford or indeed Northern Ireland. This is a waste of valuable time for the patient and a big financial waste for the tax payer. 16. I proposed that Monaghan General have the availability to have over-night in-patient services to allow more Minor Surgeries and to treat minor illnesses requiring overnight stays. 17. I also pointed out that the Golden Hour is treated as vital in all other countries but our authorities tell us to ignore it. 18. Modern Technology provides innovative ways to bring services back to small hospitals and I cited Belford in Scotland as an example where they have full services for a catchment of 20,000/30,000 people while Monaghan has a catchment population of around 60,000. Telemedicine, Video linkage, and travelling consultants from the main hospital 70 miles away make this possible and safe. 19. Too many in Monaghan do not regard Monaghan General Hospital as an issue until it hits them or their families. Too few campaigned or bothered attend events organised by the Alliance but some, who didn’t take it seriously, have come to realise what it means when they have needed it and it was not there for them. Let’s hope the powers that be can see sense. To that I would add the following: Some waiting list have reduced slightly and the Taoiseach and Minister are claiming credit and are calling it success. With around the 600 on trolleys on any day and with the effect of the cancellations the success will be short lived but much of the ‘success’ is brought about by the National treatment Fund paying high prices to the Private system to carry out procedures for the Public patients. This is great for those patients, who get the treatment, but it is increasing the profits for the Private System and doing nothing to improve the public system. It would appear that they are trying to force everyone to purchase Private Health Insurance and we end up with the American system – if you have insurance or can afford to pay you get treated otherwise ????
Health Issues:
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