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

Impact of ‘grace period’ retirements in the HSE Update for Joint Committee on Health and Children. Laverne McGuinness National Director, Integrated Services Directorate 23 rd February 2012. Retirement Numbers. 4,326 notified retirements as at 16 th Feb ( 3,822 WTEs approx)

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

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  1. Impact of ‘grace period’ retirements in the HSEUpdate for Joint Committee on Health and Children Laverne McGuinness National Director, Integrated Services Directorate 23rd February 2012

  2. Retirement Numbers • 4,326notified 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.

  3. Retirements by Region

  4. Retirements by Care Group and staff type

  5. 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

  6. 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

  7. 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

  8. 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.

  9. Hospitals SouthNumbers of staff retiring and being replaced

  10. Consultant Posts SouthNumbers of consultants retiring and being replaced

  11. Maternity Services South Numbers of staff retiring and being replaced

  12. 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

  13. 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

  14. Hospitals Dublin North EastNumbers of staff retiring and being replaced

  15. Consultant posts Dublin North East Numbers of staff retiring and being replaced

  16. Maternity Services Dublin North East Numbers of staff retiring and being replaced

  17. 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.

  18. 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

  19. Hospitals Dublin Mid-LeinsterNumbers of staff retiring and being replaced

  20. Consultant posts Dublin Mid-Leinster Numbers of staff retiring and being replaced

  21. Maternity Services Dublin Mid-Leinster Numbers of staff retiring and being replaced

  22. 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)

  23. 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.

  24. Hospitals WestNumbers of staff retiring and being replaced

  25. Consultant posts West Numbers of staff retiring and being replaced

  26. Maternity Services West Numbers of staff retiring and being replaced

  27. 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

  28. 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

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