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Impact of ‘grace period’ retirements in the HSEUpdate for Joint Committee on Health and Children

Laverne McGuinnessNational Director,

Integrated Services Directorate

23rd February 2012

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Retirement Numbers

4,326 notified retirements as at 16th Feb (3,822 WTEs approx)

Of the 4,326 approximately 2,300 (53%) aged over 60 years 730 (17%) retiring on other grounds 1,052 are early retirees under the Cost Neutral Early Retirement scheme

Numbers who have left At end December 2011 1,759 (41%) At end January 2,176 (51%) At 16th February 2,347 (54%) Balance to leave 1,979 (46%)

Please note that the figures contained in this report are ‘point in time’ information and are liable to change as more information becomes available.

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Retirements by Region

Region Dublin Mid

Leinster

Dublin North East

South West National Total

Grand Total

998 888 1217 1194 29 4326

% of Total 23% 21% 28% 27% 1% 100%

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Retirements by Care Group and staff type

Acute Hospitals 1,490

Ambulance Services 38

Children and Families 66

Corporate Functions 101

Disability Services 478

Elderly Care 572

Mental Health 586

Primary Care 676

Other 319

Grand Total 4,326

General Support Staff

468

Health & Social Care 419

Management/ Admin 400

Medical/ Dental 170

Nursing 1,994

Other Patient & Client Care

821

To be Determined 54

Total 4,326Total health service staff (WTE as at 31/12/11) 104,392

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Planning Process

Planning commenced in Autumn 2011

National and Regional Service plans reflect retirements. Regional plans reflect both the HSE’s budget reduction of €750m and

retirements in 2012. The National Service Plan assume 3,313 exits yielding pay bill reduction

of €160m

Refined contingency plans have been developed locally

Hospital and community services Risk assessment undertaken by each hospital CEO/ community manager.

Priority is on maintaining essential critical frontline services

e.g. Maternity, Emergency Departments, Critical Care, Neonatal etc

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Planning process: Assurance

Individual Contingency Plan Review meetings

Held between the National Director, Integrated Services and RDOs, Hospital CEOs, Area Managers to review individual plans

Review of replacement for critical posts Staff redeployment/ reorganisation/ work practice changes are first

contingency option. Short term transition measures (increased hours/agency/ postponed

leave) Where critical roles cannot be filled through redeployment or other

changes a limited number of posts have been identified for replacement

Signed assurance statements

Formal written assurance provided by each RDO, hospital CEO and service managers, that appropriate contingency measures are in place across all services

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National levers

Public Service Agreement Maximising staff flexibility and productivity

National Clinical Programmes Greater productivity (€23.4m)

Strategic allocations in the National Service Plan 2012 Mental health €35m, Primary Care €20m

Targeted recruitment €16 million

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Hospitals: Key risks South

General 326 retirees, 57 replacements

Consultant posts 19 Consultants will be retiring and 14 critical posts will be replaced. In addition over 20 new Consultant Posts being filled as part of the

Clinical Programmes.

Maternity services 32 midwives will retiring and 23 replacements have been agreed.

Nursing For the transition period to the end of March graduate nurses have

been maintained on a 3 month contract in the two regional hospitals / cancer centres Cork University and Waterford Regional.

In addition a number of these posts have also being maintained in the mental health service in Waterford / Wexford & the Cork Area.

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Hospitals South

Numbers of staff retiring and being replaced

Hospital To be replaced

Bantry General Hospital 4

Mallow General Hospital 3

Mercy Hospital Cork 2

South Infirmary 3

Cork University Hospital (Including Maternity) 11

St. Luke's, Kilkenny 13

South Tipp General Hospital 3

Kerry General Hospital 4

Waterford Regional Hospital 9

Wexford General Hospital 5

 Total 57 (17.48%)

Total retirees 326

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Consultant Posts South

Numbers of consultants retiring and being replaced

Acute Hospital No. retiring No. being replaced

Specialties

Bantry General 2 2 Surgical Registrarx1; Radiologist x1

Cork University 5 2 Ophthalmology (0.5 replacement), Neuropathology (0.5 replacement)

Mallow General 1 1 Radiology - reduced hours plus additional ultrasonographer recruited

Mercy Hospital 2 2 Anaesthetics, Microbiology

Kerry General 3 3 Radiology

South Tipperary 3 1 General Medicine,

St. Luke's, Kilkenny

1 1 Surgery

Waterford 2 2 Nephrology, Gastroenterology

Total HSE South 19 14

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Maternity Services South

Numbers of staff retiring and being replaced

Hospitals No. retiring No. being replaced

Cork University Hospital 14 8

Kerry General 1 0

Waterford Regional 4 2

Wexford General 3 2

St. Luke's Kilkenny 10 11

Total HSE South 32 23

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Community services: Key risks South

General 891 retiring, 31 to be replaced Figures do not include the new investment in mental

health/ primary care

Nursing in the community 266 nurses including 21 Public Health Nurses to

retire. 28 additional nurses to be recruited. Nurse management posts to be reorganised. A number of PHNs to be replaced with Registered

General Nurse community nurses

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Hospitals: Key risks Dublin North East

General 357 retirees, 71 replacements

Consultant posts 10 Consultants will be retiring and 8 critical posts will

be replaced

Maternity services 21midwives retiring and 20 critical posts to be

replaced

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Hospitals Dublin North East

Numbers of staff retiring and being replaced

Hospital To be replaced

Connolly Hospital, Blanchardstown 6

Cappagh Orthopaedic Hospital 3

Our Ladys Hospital, Navan 2

Louth County Hospital 19

Our Lady of Lourdes, Drogheda 19

Cavan/ Monaghan 9

Rotunda 11

Beaumont Hospital 15

Mater Hospital 5

Total 71 (19.88%)

Total retirees 357

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Consultant posts Dublin North East

Numbers of staff retiring and being replaced

Hospital No. retiring No. being replaced

Specialties

Beaumont 4 4 Anaesthetics, Nephrology, Psychiatry

Connolly 1 1 Surgery

Mater 2 2 Anaesthetics, Opthalmology

Rotunda 1 1 Histopathology

Cavan 2 0 Anaesthetics, Registrar ED/ MIU

Total 10 8  

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Maternity Services Dublin North East

Numbers of staff retiring and being replaced

Maternity Hospitals / Services No. retiring No. being replaced

Rotunda Hospital 8 8

Our Lady of Lourdes, Drogheda 8 8

Cavan/ Monaghan Hospital Group 5 4

Total Dublin North East 21 20

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Community services : Key risks Dublin North East

General 531 retiring, 109 to be replaced Figures do not include the new investment mental health/ primary

care

Public Health Nursing 24 Public Health Nurses to retire. Nurse management posts to be reorganised. A number of PHNs to be replaced with Registered General Nurse

community nurses

Mental Health After maximising reconfiguration a number of critical mental health

posts are to be replaced.

St Joseph’s Intellectual Disability services Clinical posts to be replaced

Primary Care Cavan/ Monaghan Key members of PCTs to be replaced.

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Hospitals: Key risks Dublin Mid Leinster

General 415 retirees, 83 replacements

Consultant posts 18 Consultants will be retiring, all of whom will be replaced.

Maternity services 31 staff retiring, mainly midwives, 25 critical staff to be replaced

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Hospitals Dublin Mid-Leinster

Numbers of staff retiring and being replaced

Hospital To be replaced

CUH Temple St 1

Eye & Ear 7

Our Ladys Hospital for Sick Children 4

Naas General Hospital 8

AMNCH, Tallaght 5

Midland Regional Hospital, Tullamore 4

Midland Regional Hospital, Portlaoise 11

Midland Regional Hospital, Mullingar 17

St. Vincent's University Hospital 4

National Maternity Hospital 6

Coombe Maternity Hospital 9

St. James's Hospital 7

Total 83 (20%)

Total retirees 415

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Consultant posts Dublin Mid-Leinster

Numbers of staff retiring and being replaced

Acute Hospital No. retiring No. being replaced

Specialties

Holles St 1 1  

Temple St. 1 1 Orthopaedics

Mullingar 3 3 Medicine, Paediatrics, Anaesthetics

Portlaoise 1 1 Obstetrics

Tullamore 1 1 Anaesthetics

Tallaght 4 4 Anaesthetics, Orthopaedics, Radology, Urology

St. James' 2 2 Histopathology, Medicine

St. Vincent's & St. Michaels

4 4 ENT, Orthopaedics, Radiology

Royal Victoria Eye & Ear 1 1 Opthalmology

Total Dublin Mid-Leinster 18 18  

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Maternity Services Dublin Mid-Leinster

Numbers of staff retiring and being replaced

Maternity Hospitals / Services No. retiring No. being replaced

Coombe Women & Infants Hospital 7 7

National Maternity Hospital, Holles Street 10 6

Midland Regional Mullingar 7 6

Midland Regional Portlaoise 7 6

Total Dublin Mid-Leinster 31 25

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Community services: Key risks Dublin Mid Leinster

General 583 retiring, 50 being replaced Figures do not include the new investment mental health/ primary care

Central Mental Hospital 7 nurses will be retiring. Hospital impacted by the cumulative effect of the Moratorium. Business case for staff replacement plan developed.

Nursing in the community 183 nurses including 33 Public Health Nurses to retire. 30 additional nurses to be

recruited. Nurse management posts to be reorganised. A number of PHNs to be replaced with Registered General Nurse community

nurses

Public Analysis Laboratory 1 x Medical scientist to be replaced. (specialist post)

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Hospitals: Key risks West

General 392 retirees, 77 replacements Figures do not include the new investment mental health/ primary

care

Consultant posts 11 Consultants will be retiring and 8 critical posts will be replaced.

Maternity services 27 midwifery staff are retiring, particularly in the Limerick Maternity

Hospital. Of these 12 will be replaced including 5 in Limerick Regional (A further 5 midwives will be transferred from general nursing duties to the Maternity Unit).

Midwest Hospital Group Particular risks and challenges remain as a result of the

cumulative impact of the Moratorium and reconfiguration.

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Hospitals West

Numbers of staff retiring and being replaced

Hospital To be replaced

Sligo General Hospital 2

Mayo General Hospital 5

Letterkenny General 7

Galway University Hospital Group 25

Mid Western Regional Hospital Group 38

Total 77 (19.64%)

Total retirees 392

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Consultant posts West

Numbers of staff retiring and being replaced

Hospital No. retiring No. replaced Specialties

Galway University 4 4 Respiratory, General/Vascular Surgery; Cardiology, Obstetrics/Gynae

Letterkenny 3 2 Orthopaedics, Paediatrics (non-replacement), Surgery

Limerick University 1 1 Consultant Biochemist

St. John's, 2 1 Consultant Surgeon; Casualty officer

Ennis 1 0 Consultant Anaesthetist

Total HSE West 11 8  

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Maternity Services West

Numbers of staff retiring and being replaced

Hospitals No. retiring No. being replaced

Limerick Maternity Hospital 19 5

Letterkenny General 1 1

Sligo General 2 2

Mayo General 2 2

University Hospital Galway 1 1

Portiuncula Hospital 2 1

Total HSE West 27 12

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Community services : West

General 802 retirements, 46 replacements

Nursing in the community

318 nurses including 32 including Public Health Nurses to retire.

Nurse management posts to be reorganised. A number of PHNs to be replaced with Registered General

Nurse community nurses

Community Nursing Units

Sacred Heart Castlebar Conlans, Limerick

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Conclusion

The HSE is satisfied that following the planning process appropriate measures are in place to deal with the impact of these retirements.

Thank you