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11,452 Patients on Trolleys
Press release 31.10.19
There were not enough beds for 11,452 patients in Irish hospitals this October, according to new figures released by the INMO.
The nurses and midwives’ union noted that this is the worst-ever October for overcrowding and the second-worst month since records began. 
The INMO has warned that, together with chronic understaffing patients are at “grave risk”.
Chronic understaffing 
INMO analysis of the latest HSE workforce figures shows that since the start of 2019 there are:
  • 308 fewer staff nurses
  • 37 fewer Public Health Nurses
  • 87 fewer staff midwives
The final figure represents a 6% drop in the staff midwife workforce over just nine months.
Figures produced by the INMO in August found over 1,300 nursing and midwifery vacancies in the public health sector as a direct result of the HSE’s recruitment freeze. 284 of the vacancies were in midwifery – with 1 in 6 posts vacant.
Understaffing is linked with higher patient mortality and longer stays in hospital. The UK’s National Institute for Health Research found that when nurse staffing fell below average levels on a ward, the risk of death increased by 3%.
The research also found that each additional hour worked by nurses per patient reduced the risk of death by 3%.
In Ireland, similar trials by UCC and the Department of Health found that appropriate nurse staffing levels:
  • Reduced patient mortality and length of stay
  • Reduced staff burnout
  • Net financial savings due to shorter stays and less agency staffing
INMO General Secretary, Phil Ní Sheaghdha, said:
“The message from the frontline is clear: patients are being put at grave risk. 
“There is no doubt that this situation will worsen as winter bites, unless staffing becomes a top priority for the government. Patients are paying the price for the HSE’s “go slow” recruitment freeze, which leaves many posts unfilled.
“I have written to the HSE to warn that their recruitment pause is putting lives at risk. 
“We need to be encouraging more nurses and midwives into our system. Instead, we are making an already bureaucratic recruitment process even more difficult. In many cases, we’re slamming the door on those who want to work in our public health system.”

Notes to Editors:


The INMO’s Trolley Watch database contains a daily snapshot of overcrowding in all major hospitals going back to 2006. A full list of October figures is here, broken down by hospital. If there is a specific analysis or statistic you would like, please contact the INMO press office.

October’s figure of 11,452 is the second highest monthly figure recorded since Trolley Watch began. The highest month on record is January 2018 at 12,395.

The most overcrowded hospitals in Ireland this October were:

  • University Hospital Limerick -1,450
  • Cork University Hospital – 1,028
  • University Hospital Galway - 885
  • South Tipperary General Hospital - 753
  • Letterkenny University Hospital - 693

Highest trolley figures today (October 31st) were in:

  • University Hospital Limerick - 59
  • Cork University Hospital – 52 
  • University Hospital Galway – 46
  • Letterkenny University Hospital – 44
  • University Hospital Waterford - 30





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