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A&E overcrowding at maximum despite extra beds

Denise McNamara

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The Emergency Department at Galway University Hospital has been on Code Red or Black – the highest status in its new escalation policy – continuously for five weeks due to overcrowding.

On Tuesday, there were 36 people waiting on trolleys when the hospital issued a warning about excessive delays, urging people to stay away unless “in the case of real emergencies”. That was down to 32 by Wednesday morning and up from 25 on Monday.

The unrelenting pressure on the ED continues despite the opening of 17 new beds last month to accommodate more patients, with a further thirteen due to come on stream before the end of this month on the site of the old Physiotherapy and Social Work Department.

However the extra capacity has done very little to alleviate the lengthy waiting times for patients, insisted Clare Treacy, Irish Nurses and Midwives Organisation (INMO) industrial relations officer for the Galway region.

And it follows a national agreement with the INMO to implement an escalation process when 30% of patients are waiting more than nine hours on a trolley in the ED, which sets out specific steps to be followed to try and speed up the flow of patients. These include cancelling elective patients, arranging more step down beds in the community, organising transport for the discharge of patients and rushing diagnostic tests.

The hospital said it was procuring convalescence beds “on a daily basis” from private nursing homes and working closely with all the hospitals in the Saolta group to ensure that capacity on all sites is maximised.

“We’ve been meeting with management at UHG every week since just before Christmas and they’ve been in full escalation – either Code Red or Code Black – since January 6, apart from the one or two days that they have dropped back to Code Orange or Green,” Clare stated.

“There’s no escalation policy going to deescalate the situation in Galway in my view – only building a new Emergency Department and adequately staffing it.”

Yesterday management brought in private ambulances to move patients fit for discharge. However a promise to hire more staff has stalled as nurses spurn the chronic conditions at UHG for the less stressful atmosphere and better pay of private hospitals.

“I believe local managers are doing as good as they can do – they are having meetings, they are trying to improve the flow of patients through the hospital but there just aren’t enough beds, the ED is still small and way understaffed,” stressed Clare.

Ten ED nurses left the unit last year.

Health Minister Leo Varadkar stated that the new ED will go to design and planning stage after a cost benefit analysis is done by the end of March on a revised proposal submitted by the hospital management after their original plan was deemed overly ambitious. A further 75 beds are expected to open by the end of the year after various departments have been moved and other units built in a complex game of infrastructural chess on the highly developed Newcastle site.

In the meantime, planned surgeries are continuing to be postponed.

Almost 7,000 surgeries were cancelled at Galway’s two public hospitals in the past two years – that’s on average nine elective surgeries at UHG and Merlin Park every day of 2014 and 2015. Saolta, the group which runs Galway’s three public hospitals, was fined over a million euro for failing to adequately clear lengthy waiting lists across all disciplines for the final five months of last year.

However the practice of imposing fines is due to be reviewed for this year.

CITY TRIBUNE

Gardaí bid to identify body recovered near Mutton Island

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Gardai have launched an investigation following the discovery of a body in Galway Bay yesterday afternoon.

A member of the public raised the alarm after spotting the body in the water while walking on the causeway to Mutton Island.

Galway Fire Service, Gardai and the RNLI attended the scene and recovered the body at around 4pm, before it was taken to University Hospital Galway for a post mortem.

It is understood that the body may have been in the water for some time.

Gardaí are currently examining a list of missing people in the city.

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Connacht Tribune

Gardaí investigate fatal Carraroe crash

Enda Cunningham

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A man in his 30s has died following a road crash in Carraroe in the early hours of this morning.

At 3.50am, Gardaí and emergency services attended at a single car collision on a minor road.

The driver of the car, a man in his 30s, was pronounced dead at the scene a short time later. A passenger in the car, a male in his 30s, was taken by ambulance to Galway University Hospital. His injuries are not thought to be life threatening.

The road is currently closed and local diversions are in place. Garda forensic collision investigators will examine the crash site this morning.

Anyone with information is asked to contact Salthill Garda Station (091) 514 720 the Garda Confidential Line 1800 666 111 or any Garda Station.

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CITY TRIBUNE

Land Development Agency rules out Merlin ‘land grab’

Dara Bradley

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From this week’s Galway City Tribune – Campaigners have warned the Land Development Agency (LDA) to keep its hands off Merlin Woods.

Local community group Friends of Merlin Woods said that the amenity on the east side of the city is not suitable for residential development.

It has sought clarification on whether the LDA has earmarked part of the recreational and amenity lands for housing, after it appeared on its online database of publicly-owned lands.

In a statement to the Galway City Tribune, the LDA said its database compiles a list of all State lands, not just land for development.

In relation to Merlin Woods, the LDA said: “Those lands aren’t included in the LDA developments in Galway. The lands database is a map-based tool which compiles all State lands and has no reflection on development potential.”

It came after Caroline Stanley of Friends of Merlin Woods raised concern that land within Merlin Woods had been earmarked for development.

“I’d be concerned that it’s marked as residential when it’s in RA (Recreational and Amenity) land. Some is marked ‘open space’ but some is marked as ‘new proposed residential’ on its [LDA’s] database. It makes us wonder why. We’d like clarity and to clear it up.

“The message we’d like to get out there is we need clarification, whether it’s a mistake on the Land Development Agency’s part, or whether it is an area that they consider as a residential area, which the community would be opposed to. We need clarity. It could be something that is in line for development later on, we don’t know, and we need clarity.”

Councillor Owen Hanley explained that the fears around Merlin Woods stem from legislation currently making its way through the Oireachtas that would strip councillors of powers to veto the transfer of land to the LDA for housing projects.

The Bill would also allow Government to direct what public lands – including those owned by local authorities – can be transferred to the LDA for development of social and affordable housing.
This is a shortened preview version of this article. To read the rest of the story, see this week’s Galway City Tribune. You can buy a digital edition HERE.

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