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News Update No. 24 : 26th May 2016

ED Agreement - Report On Third Review By WRC

INMO secures confirmation that all vacant Emergency Department Nursing posts will be filled

Thursday, 26 May 2016

Dear Colleagues

At the most recent review of the ED Agreement the Irish Nurses and Midwives Organisation (INMO) secured confirmation, from the HSE, that all vacant nursing posts, in the country’s Emergency Departments (ED), will be filled, as provided for in the recent Agreement, despite the recent announcement, to pause recruitment, from the HSE.

The confirmation, that all posts will be filled, was given at the third Review of the ED Agreement between the HSE/Department of Health and the INMO, chaired by the Workplace Relations Commission (WRC) which took place last Monday.

This part of the ED Agreement provides for the filling of over 144 staff nurse posts, in ED’s, across the country.

The meeting also noted that the level of overcrowding this year, to date, is almost identical with the level of overcrowding which took place in 2015.  However the figures for the first three weeks of May, in 2016 compared to last year, indicated a 10% reduction with 4,766 admitted patients on trolley’s, compared to 5,324 in the first three weeks of May in 2015.

The third review also considered a number of other issues including; 

  • Ongoing implementation issues in a number of hospitals including the Mid-West, Sligo and St Vincent’s Hospital Elm Park;
  • The appointment of an Assistant Director of Nursing in each ED, with responsibility for patient flow, and an additional Clinical Nursing Manager post, in 15 hospitals, with responsibility for admitted patients held in ED’s, when no beds are available.  
  • The appointment, through internal competition, of 7 CNM1 posts in 25 ED’s (St James’ already has these posts)
  • The need to have greater transparency with regard to the presence of senior clinical decision makers, out of hours and at weekends, in a number of hospitals; and 
  • The preliminary outcome of initial Health and Safety Audits which indicate a series of problems requiring additional security measures in the interests of staff welfare.  

The WRC will convene the parties again, on Monday 25th July, to undertake its fourth review, of the implementation of the ED Agreement, and begin preparing for the autumn/winter period later this year. 

The meeting also noted that a special four person expert group, provided for in the Agreement including one nominee from the INMO, will be established immediately (6th June 2016).  This will begin the process leading to recommended staffing levels, for all 26 EDs across the country, and report within 10 weeks.  The INMO will be represented on this group by Ms Bernadette Stenson, CNM2, in St Vincent’s Hospital ED and member of the incoming Executive Council for 2016 - 2018. 

The INMO also took the opportunity, at this meeting, to point out, to the HSE/Department of Health, that any recruitment pause, with regard to nursing and midwifery, would be counterproductive, damage standards of care and, inevitably, lead to bed closures and curtailment of other services. 

The INMO also confirmed it will continue to engage with senior management, at hospital and group level, to ensure the ongoing, 24/7, implementation of the ED Agreement.  

This review also noted that the next meeting of the ED Taskforce Implementation Group will take place next Monday 30th May.   This meeting will be attended by the new Minister for Health, Mr. Simon Harris TD.  A further update will issue, to all INMO ED members, after this meeting. 

Please continue to participate in all local meetings, under this agreement, and thank you for your attention to this note. 

Yours sincerely 


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