GP services on-call in North Monaghan

At the meeting in Monaghan County Council recently, Monaghan Councillors were concerned about the quality of out-of-hours services for people living in North County Monaghan. I will be interested to hear the comments of Monaghan local councillors and I will let you know what they say when I get reports from them.

Query re call outs in North Monaghan from the GP call out service

The North East Doctor On-Call Service is a partnership between the Health Service Executive Dublin North East and NEDOC Ltd. (the GPs who participate in the Co-Op). NEDOC provides urgent out-of-hours general practice services to patients of participating practices from 6pm to 8am weekdays and 24 hours weekends and public holidays. NEDOC is not an emergency service.

NEDOC has four treatment centres in the North East Region, Navan, Drogheda, Cavan and Castleblayney. Each treatment centre is equipped with all the necessary equipment required for urgent out-of-hours GP care, including nebulizers, resuscitation equipment, a certain stock of medicine etc. In addition each centre has the support of Nurses, Driver and Administrative staff.

NEDOC operates a GP triage service where each call is dealt with on its own merits and in terms of the type of medical care that may be required, whether that is GP advice over the phone, a request to visit the nearest treatment centre or a home visit. Home visits are usually reserved for terminally ill, house-bound patients and those who cannot travel in the event of worsening their condition. Children with temperatures and the usual common childhood illnesses are best seen by a doctor in a well-equipped centre.

When a patient requires to be seen by a doctor, they are usually directed to the nearest fully equipped treatment centre in order that they will receive all the necessary and appropriate care. In Monaghan that centre is based in Castleblayney. Although there is a peripheral centre based in St. Davnet’s complex, it is not as well equipped as the main treatment centre, nor does it have the support staff present.

While, unfortunately it is not possible to locate a fully equipped and staffed centre in each town in each county, Treatment Centres are strategically located in each of the four counties in the North East to give patients reasonable access and travel distance to a centre.

Geraldine Kane
Operations Manager
Primary Care GP Out-of-Hours Service
HSE Dublin North East