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Dublin: 9 °C Wednesday 22 May, 2013

Anger expressed over downgrading of Loughlinstown A&E services

The emergency department at the Dublin hospital will close at some stage this year. Last year it treated 21,000 patients.

Services at the 24- Hour Emergency Department at St Columcille's Hospital Loughlinstown Dublin are to end this year. Acute surgical services are also due to finish at the 106-bed hospital in South County Dublin.
Services at the 24- Hour Emergency Department at St Columcille's Hospital Loughlinstown Dublin are to end this year. Acute surgical services are also due to finish at the 106-bed hospital in South County Dublin.
Image: Photocall Ireland

AN ACCIDENT AND Emergency department at St. Columcilles’s Hospital in Loughlinstown Dublin which dealt with 21,000 cases last year is to close at some stage this year.

The HSE has said that the hospital will be left with a minor injury service, operating during the day, and that emergency cases will sent to St. Vincent’s hospital reports RTE. However, no date has been set.

It comes as health sector unions issue a second warning in 24 hours that chaos will descend on the hospital system within days, reports the Irish Examiner.

Wicklow Labour TD Anne Ferris said the Loughlinstown decision is a devastating one for families living in Co. Wicklow who are currently using the acute services, while People Before Profit Alliance TD Richard Boyd-Barrett said shutting down the 24-hour service was “utterly unacceptable”.

The HSE has also said that the hospital will stop accepting acute surgical cases by the end of the year.

Local residents have been taking to Twitter to vent their frustration with @stainlessSRat commenting that St Vincent’s Hospital is “not very near in an emergency” and @Nelligirl101 calling the decision “mad”.

Twitter user Cara D said that he family were among those who had used the A&E department in recent years:

However other locals said that they had “bypassed” Loughlinstown in the past in favour of St. Vincents.

Read: Concerns raised over shortage of junior hospital doctors>

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Comments (18 Comments)

  • As if Vincents isn’t over-crowded enough! Friend of mine went there recently and was told it would be quicker for him and his Dad to drive to Wexford and wait to be seen there

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  • Tend to agree. The only problem I see is that the other A&E services are already over capacity so things might get worse.

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  • The sooner you get medical attention in any situation the better.An A&E does not have to have brain surgeon or womb transplant expert on hand,just a few patcher-uppers to save a life or two. A bit like a MASH really.

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    • We seldom agree Mad Gerald but I tip my hat to you for that comment.

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    • Its like this Guinness,theres my side of the story and theres your side and somewhere in the middle is the reality

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    • I used to love Mash it was brill! Bring I back and also China Beach, am I showing my age!!!

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    • The basis for all these small hospital closures is twofold.
      1. It is common sense that in order to provide a 1st class medical service you must see enough cases to maintain your skill level. If loughlinstown are not seeing enough emergency cases then the risk is that they will de-skill and patient care will be compromised. A minor injuries unit will still see a huge proportion of those 21,000 people every year.
      2. Money. It is more cost-effective to analyse population data and thus base emergency services so that everyone is no further than say an hour from hospital. Paramedics are becoming more skilled in that anyone who is in danger of death during that “golden hour” will be maintained until reaching a tertiary medical centre. Thus patient care is maintained, and less money spent on unneccessary coverage.
      Example. Loughlinstown has a morbidity rate of 8% for disease X in an emergency, but Vincent’s has a rate of 4% because they have better resources and more skilled staff – they see 20 cases of disease X compared to Loughlinstowns 3 per year. Which would you go to? Loughlinstown if it’s closer. Contrary to everyone’s opinion, the HSE want to avoid death/complications as it costs money/harm to patients. So disease X is only sent to SVUH. Apply that for most serious emergencies and you can understand the decision

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    • Sean. An hour, golden or not is a long time. What about the poor man who died a mile from Drogheda hospital while waiting for an ambulance from Navan?? At the same time there was one parked outside a shop. Some serious questions need to answered about our health service. I hope with ‘I’ve no questions to answer Harney’ gone that we get them.

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    • The golden hour refers to statistics of death following trauma/fatal emergency… If you can get to a hospital within that time, your survival chances go up. And of course I can also pick random stories about bad experiences in our health system, but that doesn’t really serve anyone.

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  • Vincent’s is already overcrowded, I work there, so I have an idea what I’m talking about. I was born in this hospital and my sister broke her wrist couple years ago and they were brilliant. Have to say they should be kept open for ‘minor’ emergencies.

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  • to be honest i prefer to go to the best hospital surgically, for those living in wexford general tbh i know women from arklow choosing to have their kids there and ambulance crew have excellent training and really can deal with difficult situations, kids wise its straight in to crumlin and apart from one case that’s the a&e i could stay and tell you about having to get my the 6 month old daughters xray having to be redone in crumlin after the ones from loughlainstown not being up to scratch, basically the hospital is not quite 21st centery and its alright as a old folks place and minor stuff but if i was in a bad way i don’t think id have any faith and would possible be transferred to another hospital .

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  • Tallaght is 5 mins up the M50 in an ambulance vincents 15mins away from loughlainstown i have by passed to bring a relative to vincents, we had been in loughlainstown prior and had a bad ordeal, a few other things happened to various family members and friends, surgically the other south side hospitals are better prepared.

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  • Oh I dont like this at all-for the ppl of Wicklow with ‘at risk’ relatives the ambulance service at loughlinstown are a crucial an appreciated service!

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    • i don’t believe there is any plan to remove the ambulances there just the A&E, also there are ambulances stationed at strategic locations in a hospitals hinterland as it would not be possible to get from the major hospital to the patient and back within the majar hour in a great many cases

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  • One of the regular pile-ups between Jack Whites and The Tap [?] will make merde of all the plans and tactics

    Reply

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