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News Update No. 7: 22nd December 2015
Advertisement for Nursing Posts, New Escalation Policy

To: All Members Emergency Departments
Re: 1. Advertisement for Nursing Posts,   2. New Escalation Policy
Dear Colleagues,
I refer to my previous updates, with regard to ED overcrowding, and, specifically, the proposals which are currently being considered and balloted upon by our ED members.
As part of the recent negotiations, chaired by the Workplace Relations Commission (WRC), the INMO demanded a number of issues including:
  • the filling of all vacant posts:
in this regard please find here a copy of the advertisement, which appeared in the national media over the weekend, for nursing posts, (including Emergency Departments), confirming the incentives agreed at the WRC negotiations; and
a strengthened escalation policy for the sole purpose of avoiding overcrowding occurring and clearly specifying the responsibilities of senior management to minimise overcrowding:
in this regard go here for  a copy of the System Wide Escalation Framework which issued, this morning, to all hospitals and the entire health system. You will note this policy requires a range of actions including:
  • that the policy is universally applied across all Hospitals with an Emergency Department and partner Community Healthcare Organisations;
  • it clearly requires named personnel, with appropriate status and authority, to address the issue of overcrowding consistent with this revised policy and the recent Ministerial Directive ;
  • stipulates that there should be zero tolerance for breaches for the nine hour wait time for admitted patients; 
  • confirms that escalation procedures must be initiated when 30% of ED cubicles are occupied by patients awaiting admission; 
  • confirms that the INMO has not agreed to the use of the Full Capacity Protocol (FCP) which can only be initiated, as a last resort, and when directed by the CEO/Hospital Group CEO;  
  • confirms that the Joint Chairs of the ED Taskforce (Tony O’Brien, HSE/ Liam Doran, INMO) must be notified of any decision to activate the Full Capacity Protocol; and 
  • provides for the Joint Chairs to call for a review, of the use of the Full Capacity Protocol, to determine whether all earlier escalation measures were activated in a timely, and appropriate, manner consistent with the policy and the Ministerial Directive.
This policy clearly prioritises avoiding pressures/overcrowding, in Emergency Departments, over all other hospital activity.  It also clearly indicates that elective cases must be cancelled/deferred as part of the escalation response to signs of overcrowding in the ED.
As these measures formed part of the proposals, drawn up at the WRC, I wanted to update you on these relevant developmen
As previously stated we continue with Information Meetings, followed by balloting, on the current proposals, so please watch out, locally, for times and dates of these meetings over the next two weeks.
Thank you for your attention to this note and please bring this to the attention of all members in your department.
Kind regards
General Secretary 
Members Updates
News Update No. 23 : 16th April 2016
Workplace Relations Commission (WRC) held its second review
News Update No. 21 : 16th March 2016
WRC Review of Implementation of ED Agreement
News Update No. 20 : 15th March 2016
ED Talks at Work Relations Commission
News Update No. 19 : 10th March 2016
Following ED Meeting 9th March 2016
News Update No. 18 : 25th February 2016
WRC Convenes Review Of ED Agreement
News Update No. 17 : 5th February 2016
INMO Emergency Department Members - ED Members Accept Revised WRC Proposals
News Update No. 16 : 19th January 2016
Report on National Meeting - ED Representatives. 19.01.16
News Update No. 15 : 15th January 2015
INMO Emergency Department Members
News Update No. 14 : 13th January 2015
National meeting, of ED representatives Tuesday, 19th January 2016
News Update No. 13 : 11th January 2015
INMO Executive Council Defers Planned Industrial Action
News Update No. 12 : 9th January 2015
News Update No. 11 : 9th January 2015
Workplace Relations Commission Invite INMO/HSE To Participate In Further Discuss...
News Update No. 10 : 7th January 2015
Outcomes - National ED Meeting 7th Jan '16
News Update No. : 5th January 2015
Ballot Result And Next Steps
News Update No. 8: 24th December 2015
Recruitment / Retention Measures - Claim for Incremental Credit for new Graduat...
News Update No. 7: 22nd December 2015
Advertisement for Nursing Posts, New Escalation Policy
News Update No. 6: 18th December 15
ED Dispute - Settlement Proposals.
News Update No. 5: 15th December 15
Strike Action Deferred.
Site Map
Irish Nurses & Midwives Organisation (Cumann Altrai agus Ban Cabhrach na hEireann). The Whitworth Building, North Brunswick Street, Dublin 7. T:0016640600 E:inmo@inmo.ie