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Dublin: 15 °C Tuesday 18 June, 2013

‘All services’ to continue at hospital clinic as quarter of jobs are cut

Nurses have said the cut to Cavan and Monaghan outpatient departments will have a “devastating effect” on patient care.

The entrance to Cavan Hospital
The entrance to Cavan Hospital
Image: Google Maps

ALL SERVICES WILL be maintained in the outpatient departments of two hospitals in the north-east despite a 25 per cent reduction in staff, the HSE has warned.

The outpatient operations at Cavan and Monaghan hospitals are “under review” after budget overruns last year. In a statement, HSE Dublin North East said the 25 per cent payroll cut is “required to achieve cost reductions”.

It insisted that “all clinic services” will be maintained despite the reduction in staff numbers.

However, the union representing nurses and midwives has said that the staff reduction will have a “devastating effect on patient services.” INMO spokesperson Derek Reilly said staff are “seriously concerned about the effect these cutbacks will have on patients and how safe patient care and safe practice will be maintained.”

The union, which met with hospital management yesterday, also claims that the cutbacks are in breach of the Croke Park agreement.

HSE Dublin North East said it is facing a “challenging year” in 2012 after running over budget in 2011.

More: Beds to be closed in Tallaght hospital>

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Comments (24 Comments)

  • Are they just going to let people die and put it down to Natural causes?? Clear all backlogs that way ? Nurses and doctors and all frontline workers have my sympathy as we know they do and will do their best to accomodate and look after patients. Is it admin management or who that make these godawful decisions? Shame shame shame.

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  • All to appease our European masters. Irish people will die as a direct result of these cutbacks. I can’t be anymore blunt about it.

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  • It is in the best interests of the sick and vulnerable people in this country that the Croke park agreement is reviewed.

    Protect front line workers and let the axe fall where there are overstaffed or redundant areas.

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    • I’m a frontline HSE worker, my gross wage for 2011 was €27k, I’m sick and tired of hearing about how the Croke Park agreement should be torn up, we’re entitled to a reasonable wage and reasonable working conditions. Just because hundreds of thousands of others have lost their jobs that does not entitle anyone to blame any section of society, this whole Public vs Private divide achieves nothing.
      My daughter had a bad infection recently, she was admitted to hospital for a day in the A&E Department and, as she’s a nurse, was sent home because there was no beds (she’ll understand) at one point she was dumped out of her bed into a chair for a while, it was only when she almost fainted that she was found a bed again. She now has to have nurses come out to our house and administer IV antibiotics for 1 day and if they don’t work go back to A&E again. Whats the chances of that?
      Would you have confidence in system that does something like this? This is relatively minor and just the tip of the iceberg, our hospitals simply cannot cope. Its lunacy to suggest that a quarter of staff will go but nothing will be affected, if thats so they weren’t need in the first place, bloody sure services will be affected. If you’re in any doubt ask someone who actually works there, not a manager, or take a walk through any busy hospital ward and speak to any member of staff. We’ll tell you the truth.

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    • @Brian Walsh

      Ive not actually called for the scrapping off the Croke Park agreement. Quite the opposite. If you read my comment again you will see that ive said that it should be renegotiated to protect front line workers like yourself and many many others.

      Cuts in the public sector wage bill is necessary, and the croke park agreement ties the hands of the government in how they approach the reduction in this bill. The Croke park agreement means that the only way the government can achieve the reduction in the wage bill is by not replacing staff that leave. This is clearly a crazy approach to adopt.

      Clearly when any organisation is in trouble you will try and keep those that you need and make redundant those that are less necessary. Im not saying that this is a nice thing to do. Far Far from it. All of these people have families to feed and mortgages to pay like us all.

      Do you not think that front line workers should be protected ahead of non critical workers ?

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    • Brian Walsh @
      I hope your daughter improves and has a speedy recovery. Frontline workers are the only ones to ask about the state of what is happening .

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    • @Eileen
      I hope your daughter improves and has a speedy recovery

      Absolutely. Best wishes to her Brian. Sounds like she had a terrible experience.

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    • @Kirk I can see your point, but how do you define a frontline worker, and who does the defining? If all frontline workers were to be protected you can be damn sure every secretary in the HSE would define their job as a frontline worker, not that I have anything against secretaries. But if the axe were to fall on secretaries for example then who would do their job? When all these other jobs deemed non essential are cut back it has a knock on affect on everyone as someone has to take up the slack, and as we now see it becomes almost laughable when 25% of all jobs in one area can be slashed but some “suit” can still keep a straight face and say this won’t affect any services. It’s a bit like saying “yeah normally cars have 4 wheels but, well with cutbacks and all this one only has 3 wheels but you won’t notice any difference at all… would I lie to you”?

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    • @Brian

      Oh I agree, it wouldnt be an easy process to identify non critical personnel.

      Again, in all of this talk of numbers reductions, its necessary to remember that there are real people and their families affected by any compulsory redundancies.

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    • What i wold be afraid of happening is HIQA wll then come long and say close these as it is unsafe using the excuse of not enough staff JE@U@ this government really are clueless they have no idea what they are at

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  • Shame shame how many people on trollies in Berlin

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  • Blain M 11/01/12 #

    Its a disgrace what is happening to Monaghan hospital while the T.Ds earn over 100k per annum. Put them on 40k and that will save at least 10m immediatly. Simples.

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  • dont believe it Roscommon was promised no cut backs to our hospital look at us now

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  • where do we draw the line.

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  • dont believe them look at Roscommon,we lost our a/e they promised we would not

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    • and only gave us 2 weeks notice and James Reilly or Enda Kenny never even had the B@L@S to come and explain why to the people of Roscommon why we have been given the DEATH SENTENCE and they also gave out false statistics on figures too anything to cover their A@@E@ so they will not be seen o do a uturn
      BUT WE HAVE NOT GONE AWAY we will be forever be the thorn in their sides no matter how long it takes we will see our A +E open again
      so the best of luck in Cavan and Monaghan

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  • The new European laws says that all agency staff have to be paid the same amount as their permanent counterparts – but it doesn’t say they have to get the same amount of hours. This is how they’re now getting around this law, by saying yes agency staff have to be now paid a higher rate, but sadly we can only give them 20 hours a week. The knock on affect of this is even less staff available and they may be taking home even less than they were before. Those who do manage to get a 39 hour week, and good luck to them, will actually walk out with more than their HSE or PS counterparts as they are not Public Servants and not subject to the same levies etc.

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  • CMD 12/01/12 #

    Sarah while u are correct about agency staff not getting their increments etc and obviously getting less money, stats prove they actually cost the HSE more when the fee to the agency itself is counted. The use of agency staff is attractive as they can be dropped when not required etc. Also in Cavan a good number if HSE clerical are taking the early retirement so the hospital overall could be down 50 – 60 staff in next few months. Not once has patient safety been discussed despite local management pointing out the obvious risks of HSE actions. It’s all about saving money. So much for James Reilly – “the money will follow the patient”. Yeh right!!

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  • CMD 11/01/12 #

    Do people realize that all agency staff (about 40) in Cavan general have been told they will be let go over the next few months. Also these same agency staff are all working at a fraction of the hourly rate the HSE staff are being paid. Despite the EU ruling which came into force on 6 December last HSE are still refusing to pay them the same as their full time colleagues.

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    • but why are there agency staff wh do they not work for the HSE there should be no agency staff at all they cost more and then they do not have the same rights as the HSE God we have become a great country Good Grif if my father were alive to see this he would surely be kicking some asses into shape

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    • Bernadette, I am a nurse and I agree with your point overall. However, you are wrong in saying that agency staff cost more. They do not. They are a much cheaper form of labour as the employer does not have to pay pension contributions (which employees also contribute to, for all the public sector haters), sick pay, maternity pay etc. Also, nurses are paid on an incremental scale which increases with years of experience. Agency pay is fixed at a particular point on this scale and does not increase with experience.

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    • @ Sara Cahill thank you for correcting me there i appreciate what you are saying what i was trying to put across was why employ agency staff and not put them on the staff and give agency staff the rights that they would get if they were on the staff …. and I am saying this because i respect ALL frontline staff who else works weekends bank holidays public holidays Christmas new year 12hour shifts days nights and so forth and I wish you well Sara

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