Chaos in Galway’s hospitals, manifesting itself in unsafe and chronic overcrowding of Emergency Departments – at UHG and Portiuncula – can be eased with more beds, more staff and increased investment in community care, according to Irish Midwives and Nurses Organisation (INMO).
Mary Leahy, First Vice President and Representative of INMO, warned the health system is “on the edge of a cliff” and needs dramatic action to stave off an even worse crisis in the coming years.
Ms Leahy, a public health nurse and former Galway City councillor, said the problems with the health system are “multifactorial” and there are “so many issues to address”.
“In the short-term, we need to invest in community and public health. The rhetoric of politicians is about care in the community and primary care but there isn’t matching investment in community care.
“We have 40 less public health nurses now than in 2008, and yet we have an increased population. The number of people applying for the HDip in public health nursing, has fallen year-on-year. We need 200 places at least every year,” she said.
“The Emergency Department is a capacity issue. In Ireland, we have only 2.8 beds per 1,000 people but the OECD average is 4.8 beds per 1,000. I’m not saying we necessarily need 4.8 but we definitely need more beds because population has increased, we are living longer, and birth rates are up. So, yes, we need investment in community care but we also need more beds in hospitals to cater for an increasing population.
“There is a certain percentage of admissions to ED that are unnecessary admissions. That is because GPs are under pressure and cannot cope. If you invest in more public health nurses, who are involved in preventative medicine, we can reduce the level of admissions and treat people in the community and in their homes, which is where they want to be. You cannot underestimate the value of home care and home help and yet they are the first packages that suffer when there are cutbacks,” added Ms Leahy.
She said retention and recruitment of nurses must be prioritised, after the moratorium on recruitment, emigration and retirements during the recession has robbed the system of thousands of experienced nurses.
“We lost seven ED nurses over a number of weeks to the private sector, so there is an issue with retention as well as recruitment. And it’s not just an issue with ED, nurses working right through the system are burnt-out. They’ve been asked to put the shoulder to the wheel for the last eight years and they have put two and three shoulders to the wheel but it is not sustainable. Nurses were happy to do that in a crisis but there is no sign of the crisis abating,” she said.
Ms Leahy added there was a need to focus on planning ahead.
“There is no forward planning in the health service. There is a need to sit down and devise a strategy for the next 10, 15, 20 and 30 years rather than focusing on the here and now. We need to get rid of annual budgets because you cannot forward-plan.
“There needs to be multi-annual budgets for ten years to allow planning . . . We are on the edge of a cliff in terms of the number of elderly people who are going to need care over the next 20 years, if we don’t do something dramatic to invest in home care and primary care.”
Galway East Dáil Deputy Anne Rabbitte said the overcrowding crisis has spiralled out of control, with a record 600-plus people waiting on hospital trolleys in Emergency Departments across the country one day last week.
“The situation is completely unacceptable and has been generating justifiable outrage and anger among hospital staff, patients and their families. Unfortunately, the scenes witnessed in hospitals this week are all too familiar to people who have attended the Emergency Department at University Hospital Galway in recent months. This week at UHG there were 40 patients on trolleys on the busiest day of the year so far, and there are regularly more than 30 people on trolleys in the UHG ED,” said the Fianna Fáil TD.
Galway/Roscommon Independent, Michael Fitzmaurice said the entire health system is in “meltdown”.
“It has gone way beyond political one-upmanship and point scoring at this stage. People are suffering and it is so unfair. I have dozens of constituents who are having operations cancelled at extremely short notice due to beds not being available on the day of their surgery.
“This is compounding the Emergency Department and trolley crisis. People who are in desperate need of procedures are being forced, and in some cases, being told off the record, to attend EDs because this is the only way they will get their procedure carried out in any sort of a reasonable time,” he said.
Tests reveal high pollution levels close to Barna bathing spot
New bathing water testing in Barna has revealed dangerously high levels of pollution at an inlet stream that discharges into the local pier which is a popular bathing spot.
Galway County Council confirmed that it had recently started sampling at Mags’ Boreen Beach in the village and at the inlet stream that feeds into the pier.
The results from May 26 show levels of E.coli at 198,636 cfu/100 ml and Enterococci at 2,900 cfu/100 ml at the stream. Cfu (colony-forming unit) is a measurement used to estimate the number of viable bacteria or fungal cells in a sample.
Mags’ Boreen Beach was 86 for E.coli and 7 for Enterococci at low tide.
The levels of both pollutants in the water for it to be deemed ‘sufficient quality’ are 500 and 185 cfu/100ml respectively.
E.coli is a bacteria that lives in the gut of humans and animals. Some types can cause illnesses such as diarrhoea, abdominal pain, fever and vomiting and can be life-threating to infants and people with poor immune systems.
Enterococci are bacteria which indicate contamination by faecal waste that can cause disease in the skin, eyes, ears and respiratory tract.
Galway County Council Secretary Michael Owens said the Council would continue to monitor water quality at these locations during the bathing season.
“The monitoring results for the inlet stream to the pier are concerning and may indicate a risk of poor water quality at the pier. Local people have noted that young people use the pier area for swimming,” he stated.
“The results of monitoring of Mags’ Boreen Beach indicates that the water quality was compliant with the standards for excellent water quality. Further sampling will be carried out during the bathing season.
“We will carry out further investigations to try to identify any sources of contamination in the catchment. We have already installed a sign at the inlet stream noting that the inlet stream is contaminated and may pose a risk to health.”
Chairperson of Barna Tidy Towns, Dennis O’Dwyer, said there had been a lot of speculation for years about the stream polluting the water.
“It’s extremely high but at least we now know that the stream has a problem while Mag’s Boreen Beach is safe,” he said.
“We will probably now ask the Council to go further upstream where two streams converge at Donnelly’s Pub, one under The Twelve Hotel and other beside the bus stop so we can eliminate if individual houses or housing estates not linked to the sewage pipes are causing the pollution.”
The group will also request testing at Barna Pier which is a popular jumping off point.
“It’s not a designated swimming area but people do swim there, including children. I don’t think anyone has ever been sick but we’d rather know because a lot of kids do jump in.”
Mr Owens said it can be very difficult to identify sources of pollution in a stream or river as it is generally a combination of multiple sources.
“The majority of properties in the village are connected to the public wastewater scheme, which is pumped to the Galway City public wastewater treatment plant. There is a possibility that some properties that should be connected to the public wastewater scheme are misconnected.
“Other possible sources in the catchment include private wastewater treatment systems connected to individual homes, housing estates and businesses and discharges from agricultural activities. Galway County Council intends to carry out inspections of private wastewater treatment plants in the area and will issue advisory notices if issues are identified.”
The catchment has been put forward as a Priority Area for Action for the next cycle of the River Basin Management Plan which is scheduled to commence in 2022. If this is approved, additional resources will be available for investigations in the catchment.
There is no requirement on the Council to notify the Environmental Protection Agency (EPA) as the sample of concern was taken from an inlet stream. The local authority is required to notify the EPA in the event of non-compliances at all designated bathing areas. The inlet stream is not a designated bathing area as it is too shallow.
“If necessary, additional signs will be put in place at the pier,” added the County Secretary.
“The EPA advise that after a heavy rainfall event it is best to avoid recreational water activities at a beach or bathing area for at least 48 hours to protect public health. It is especially important in areas where sewage may pose a risk.”
Community’s delight at club’s first ever Irish rugby international
Members of Monivea Rugby have expressed their delight at the naming of one of their own in the Irish team for this year’s summer series – with Caolin Blade looking set to be the clubs first to don the Irish jersey as a new era at his home club gets underway.
Blade, who is part of a 37-man squad named by Head Coach Andy Farrell this week that will take on Japan and the USA in two test matches in Dublin this July, exemplifies what can be achieved by a player from a small club in the West of Ireland, according to its recently appointed President Anthony Killarney.
“The sense of elation and pride in the club is immense, to see the Blade name on the Irish squad sheet. A very well-deserved achievement and timely indeed, based on his performances for Connacht.
“Caolin is showing such a great example – on and off the pitch – of what can be achieved through dedication and hard work to all the young players in Monivea RFC. We are all so proud today, and for this to happen as we approach our 50th year celebrations,” said Mr Killarney.
Caolin’s dad Pat was Monivea’s star player for years, he added, so to see his son rise up to international rugby was no surprise.
Blade’s naming on Monday coincides with a shakeup at the club that includes the election of a new committee aiming to grow the club and achieve the long-held goal of building a clubhouse.
As well as Mr Killarney becoming President, Carmel Laheen has been elected Vice President, while local councillor Shelly Herterich Quinn has taken the position of Chairperson.
Speaking to the Connacht Tribune this week, Cllr Herterich Quinn said she’d been involved in the club for almost ten years and was hugely honoured to take the role, as she paid tribute to the outgoing President, Pádraic McGann.
“I was delighted to receive the nomination for Chair from Pádraic McGann and I want to sincerely thank Padráic for everything he has achieved for rugby in Monivea over the past 49 years. It is absolutely true to say that without Pádraic’s grit and determination, we would not have a rugby club to go to every week, to play the game we love so much,” she said.
“2021 has been a significant years in more ways than one, but in particular here at Monivea RFC where one of the main figures in all things rugby for the last 49 years will take a back seat as we face into exciting times. Affectionately known as Mr Monivea, Pádraic McGann has been the driving force behind Monivea Rugby since 1972 which he founded, based on his love and enthusiasm for the game.”
The new committee comes from a wide variety of backgrounds, she said, and share a determination to build on the clubs successes – and to produce more players like Caolin Blade.
“The absence of a clubhouse is notable but we know that with the determination of the new committee, and the help of all our members, Monivea RFC will soon put down some solid foundations and continue to build on what has already been achieved in this wonderful club,” said Cllr Herterich Quinn.
“What better way to mark 50 years of rugby in the small picturesque village of Monivea than the opening of a clubhouse.”
Man jailed for using coercive behaviour to control family
A man whose young children fear for their mother’s safety once he is released from custody, has been sentenced to three years in prison for using coercion to control his family.
Imposing the sentence at Galway Circuit Criminal Court this week, Judge Rory McCabe concurred with the findings of psychiatric and probation reports handed into court, that 49-year-old Paul Harkin posed a high risk of reoffending and of committing violence against his partner.
Harkin, a native of Derry who formerly lived with his wife and two children near Kilchreest, Loughrea, pleaded guilty before the court last January to knowingly and persistently engaging in behaviour that was controlling or coercive on a date unknown between June 24 and August 13 last year at an unknown location, which had a serious effect on a woman who is or was his spouse, and the behaviour was such that a reasonable person would consider it likely to have a serious effect on a relevant person, contrary to Section 39 (1) and (3) of the Domestic Violence Act, 2018.
Judge McCabe heard evidence at Harkin’s sentence hearing last week but adjourned finalisation of sentence until this week to consider the findings of comprehensive psychiatric and probation reports.
The court heard Harkin believed in several conspiracy theories and his coercive control of his wife and two young children, then aged nine and seven, escalated on the run-up to the children’s impending return to school last September as he feared they would be vaccinated against Covid 19, which he believed was a hoax.
He made veiled threats to his now former wife, Fiona Clarke, that he would burn their house down, and the homes of her extended family without warning, resulting in the loss of twelve lives, if she did not behave and do as she was told.
The court heard Ms Clarke went out to work while her husband stayed at home. He got her to withdraw money from her account on a regular basis and give it to him. He spent most days watching conspiracy videos on his phone and drinking beer, the court heard.
In her victim impact statement, which Ms Clarke read to the court, she said she lived in fear for the future when Harkin got out of prison.
“I went against Paul by speaking out and I am now terrified of the consequences. I don’t know if he will want revenge,” she said.
Detective Sergeant Paul Duane told the court that he arrested Harkin on September 2 last year.
He confirmed Harkin had previous convictions from Northern Ireland in 1998 for threatening to kill a former partner there, for two aggravated burglaries and causing criminal damage for which he had received a two-year suspended sentence.
Judge Rory McCabe said Harkin’s 1998 convictions showed he had ‘form’.
The judge placed the headline sentence at four-and-a-half years which he said, reflected the gravity of the offence, which carries a maximum tariff of five years.
Taking the early plea, Harkin’s expression of remorse, and his intention to leave the jurisdiction and go back to live in Derry as mitigating factors, Judge McCabe said the sentence he had in mind was three years.
However, he decided not to finalise the structure of that sentence until this week, stating this was a complex matter and he needed more time to consider the reports before the court.
Judge McCabe said an immediate custodial sentence was unavoidable and warranted when passing sentence this week.
The judge said he believed Harkin would make no effort to rehabilitate and it was his belief he would pose an ongoing risk of reoffending.
Imposing the three-year sentence, the judge directed Harkin to have no contact with the victims and come under the supervision of the probation service for twelve months on his release from prison.