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News Update No. 27 : 08.09.2016

Update - ED Expert Group Report On Emergency Department Staffing

Thursday, 8th September 2016

Dear Colleagues

I refer again to the ongoing implementation of the national ED Agreement between the INMO/HSE/Department of Health.

In particular I refer to my recent update, following the fifth review by the Workplace Relations Commission (WRC), and the part of the agreement which stipulated a review of ED Nurse Staffing by an Expert Group.  Once again please click here for a copy of that report which was recently finalised and forwarded to the INMO/Department of Health/HSE.

I can now confirm that I met with senior officials, from the HSE/Department of Health, last Tuesday afternoon, 6th September 2016, to discuss the implementation of this report’s recommendations.

In particular I can now confirm the following:

1.    Immediate steps will be taken to implement the recommendation providing for additional (permanent) staff, on a separate roster, to look after all admitted patients in Emergency Departments.

  • the funding for this will be in the estimates for 2017;
  • the exact number of staff that will now be employed, in each hospital, will be determined with reference to the average number of admitted patients, in that hospital’s ED in the past 12 months, using an agreed dependency tool; and  
  • it is expected that the advertisement, for these posts, will appear very shortly through the usual channels.

2.    The recommended work, with regard to appointing additional Advanced Nurse Practitioners (ANPs), in certain identified hospitals, including the back filling of staff nurses posts where relevant, will commence immediately.

  • in particular this recommendation provides for the establishment of a minimum of 148 (there are currently 78) ANP posts in all Emergency Departments across the country.  This has been accepted and the necessary work, as detailed in the report, will begin immediately.

3.    Agreement was reached on a renewed, dedicated, recruitment campaign aimed at filling all existing staff nurse vacancies in EDs across the country.  It is hoped this renewed campaign will commence in the next week or so.

4.    It was also agreed that the Taskforce on Nurse Staffing will be immediately asked to initiate further work to establish a specific method of determining the staffing levels required (excluding all admitted patients who will now be under the care of a separate cadre of nursing staff) for all Emergency Departments across the country

  • this work is likely to take approximately six months.

All of these developments will be considered by the INMO’s Executive Council, when it meets next Monday / Tuesday.  The additional staff for EDs arising from these recommendations have the potential to improve the working environment for ED staff.  It has been stated, repeatedly, that retaining responsibility for admitted patients, in a busy ED is unsafe and separate staffing, to provide the required care, will be a positive development.

We are, however, acutely aware, particularly in the current labour market environment, that agreement to fill additional posts does not automatically result in additional staff becoming available due to the fact that we have such a nursing shortage.

In that regard the whole issue of nurse / midwife staffing levels will be the subject of a dedicated campaign, by the Organisation, in the coming weeks.  However, in the context of what management have now agreed, we can assure every member that we will demand the full implementation of all of the foregoing measures, recommended by this ED Expert Group, immediately.

We will keep you fully advised of developments on these issues.

In the interim please continue to actively participate in the local ED Forum meetings and continue to advise the Organisation of any failings by management to implement all strands of the agreement.

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.
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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