Surgery at Our Lady Hospital, Navan (OLHN)

Following the publication of the ‘Review of Four Cases of Laparoscopic
Surgery Carried out at Our Lady’s Hospital, Navan’ – (The Peyton
Report), which was accepted in full by the HSE, the Area Manager
established the Louth Meath Hospital Surgical Services Implementation
Group.

This group has been charged with implementing all of the Peyton Report
recommendations. The Report outlines incremental steps in
implementing them. To date significant progress has been made. A
single Department of Surgery has been established incorporating all of
the resources and workload for the Louth Meath Hospital Group. A
governance structure has been agreed and is functioning since
September 2011. Minor and Intermediate elective surgery for persons
with a defined anaesthetic risk recommenced on 21st November 2011. A
facilitated appraisal of the re-introduction of laparoscopic
cholescystectomies was undertaken on the 24th November 2011. The
outcome of this appraisal will be considered by the next meeting of
the Louth Meath Hospital Surgical Services Implementation Group.

The next steps to be considered by the implementation group are the
repatriation of all surgical referrals from Our Lady’s Hospital, Navan
to Our Lady of Lourdes Hospital, Drogheda and the re-introduction of
admissions of surgical patients to Our Lady’s Hospital, Navan who do
not require acute surgical procedures.

The Group General Manager and Clinical Director met with all heads of
departments in Our Lady’s Hospital, Navan recently to brief them on
the progress to date and advise them of the next steps relating to
further service developments in general surgery.

The introduction of a Chronic Pain Service is expected to commence in
January 2012 which will allow patients from the Louth Meath area to
receive this treatment instead of travelling to Dublin. Also, the
establishment of a Regional Rheumatology Service in OLHN is planned
for early September. In addition to the full time Rheumatologist
dedicated to this service a second Consultant post is forthcoming from
the National Clinical Care Programmes together with a musculoskeletal
physiotherapist.

Management wish to acknowledge the hard work and dedication of all
staff and applaud them for achieving an overall ‘green’ rating in the
latest published HSE Healthstat Report – August 2011. This places
OLHN in the top performing hospitals category with an overall ‘very
good’ performance rating.