Chairperson/Cathaoirleach. Members Present/Comhaltaí i Láthair. Apologies/Leithscéalta. Absent/As Láthair. In Attendance/I láthair freisin

Transcription

1 Minutes of Meeting of the Regional Forum West, Held on Tuesday 22 nd September, 2009 at 2.00pm in Room 1, Education, Service Executive West, Merlin Park,. Miontuairiscí cruinnithe an Fhóraim Réigiúnach Sláinte, ar an Mháirt 22 Meán Fómhair 2009 ag 2.00 i.n, an tionad Oideachais, Feidhmeannacht na Seirbhíse Sláinte, Páirc Mheirlinne, Gaillimh. Chairperson/Cathaoirleach Councillor Pádraig Conneely Members Present/Comhaltaí i Láthair Cllr Liam Blaney Cllr Michael Hourigan Cllr Gerry Murray Cllr Declan Bree Cllr Gordon Hughes Cllr Austin Francis O Malley Cllr Rose Brennan Cllr John Kelly Cllr Annie May Reape Cllr Tim Broderick Cllr John Kennedy Cllr Gerry Reynolds Cllr Ciaran Brogan Cllr Frank McBrearty Jr Cllr Jerome Scanlan Cllr Richard Butler Cllr Sean McGowan Cllr Kevin Sheahan Cllr John Carroll Cllr John Rocky McGrath Cllr Tony Ward Cllr Tom Connolly Cllr Bernard McGuinness Cllr Seamus Weir Cllr Ger Fahy Cllr Gerry McLoughlin Cllr Laurence Fallon Cllr Tom McNamara Cllr Jimmy Harte Cllr Brian Meaney Cllr Imelda Henry Cllr Michael Mullins Cllr Mary Hoade Cllr Paul Murphy Apologies/Leithscéalta Councillor Catherine Connolly Councillor Joe Cooney Absent/As Láthair Councillor Richard Butler Councillor Michael Crowe Councillor Colm Keaveney Councillor Malachy Noone In Attendance/I láthair freisin Dr Seán Conroy, Director, Regional Office, HSE West Mr Seamus McNulty, Asst. National Director, PCCC, HSE West Mr Alan Moran, Network Manager, HSE West Mr Francis Rogers, Asst Nat Director, Human Resources, HSE West Dr Jacky Jones, Functional Manager, Promotion, HSE West Mr John Doyle, Manager, Mid Western Ennis Mr Pauric Sheerin, Chief Ambulance Officer, HSE West Mr Pat Daly, Chief Ambulance Officer, HSE West Mr Paudie O Riordan, Ambulance Officer, HSE West Mr Seamus Gallagher, Senior Administrative Officer, Regional Office, HSE West Ms Shirley Murphy, A/Section Officer, Regional Office, HSE West Apologies/Leithscéalta Mr John Hennessy, Network Manager, HSE Mid West FinalMins_RHF#23_

2 241/23/09 Minutes/Miontuairiscí The minutes of the previous meeting held on the 14 th July were proposed by Councillor Austin Francis O Malley, seconded by Councillor Tony Ward and adopted. 242/23/09 Chairman s Business/Gnothai an Chathaoirligh The Chairman stated that discussions have taken place at both Committee Meetings regarding the reconfiguration of such meetings. It was agreed that he will arrange to meet with the Chairs of the and PCCC Committees with a view to discussing the matter further. He will also discuss the matter with Dr. Conroy, Director, so as to establish the regulations, etc., in relation to such meetings and report back to the next Regional Forum Meeting. These discussions were in the context of members feelings that Committee Meetings could be more focused in relation to local services. 243/23/09 Presentation on the Pandemic H1N Swine Flu Dr Diarmuid O Donovan, Director of Public, Mr Alfie Bradley, A/General Manager, Emergency Management, HSE West and Mr. Tony Canavan, Manager, Mayo General made a comprehensive Presentation on the Pandemic H1N Swine Flu. The Presentation covered the following: Description of the flu Ongoing upgrading and more scientific knowledge becoming available Strategies for containment, mitigation Situation worldwide, Europe and in Ireland in terms of the number of cases, number deaths etc Who is affected? Preventive measures for members of the public Measures to take if you get the flu Seasonal flu Historical details regarding previous pandemics service issues Defined risk groups Anti-viral vaccinations Occupational for health care workers Pandemic vaccinations Goals in the pandemic vaccinations Why immunise? Issues around vaccination Communication of messages Seasonal influenza HSE Pandemic response HSE Major Emergency Plans including Influenza Plans Mass vaccination project Regional organisation of vaccination Implementation Group Mass Vaccination Teams Priority groups Actions for HSE institutions, Actions for schools and colleges Key points Resources and other information available from websites Important message protection of oneself and others Measures to take if you have the flu FinalMins_RHF#23_

3 The Chairman and members of the Forum warmly welcomed the comprehensive and clear Presentation on the influenza pandemic. Members raised the following issues: Period during which person is infectious Licensing of vaccination Side effects of vaccination Measures to be taken for vaccination of large institutions such as universities and schools Vaccination of health staff Uptake of vaccination by health staff Why vaccination was not administered during school holidays Measures for involvement of GPs in the vaccination programme Time frames for mass vaccination in each county The normal flu vaccine and the swine flu vaccination Procedures and information on public vaccination Risk Groups Vaccination of residents in private nursing homes Procedures to be taken to protect individuals from flu Procedures to be taken if one has the flu Criteria for closure of schools and colleges in the event of a swine flu outbreak Dr O Donovan, Mr Bradley and Mr Canavan dealt with all issues raised. It was agreed that a copy of the presentation would be circulated to all members. It was also agreed that final details of locations, times, etc., for Public Vaccinations will be communicated to all members of the Forum when they are agreed. 244/23/09 Committees/ Councillor Tom McNamara reported on the PCCC Committee Meeting as follows: The first meeting of the new Primary, Community & Continuing Committee took place on Tuesday 1 st September, 2009 in the HSE Offices, Merlin Park,. A total of thirteen members attended. Officers Elected: The following Officers were elected: Chairperson: Councillor Tom McNamara representing Clare County Council Vice-Chairperson: Councillor Michael Hourigan representing Limerick City Council Presentation on Services provided by the Primary Community and Continuing (PCCC) Services Mr Bernard Gloster, Local Manager, North Tipperary/ Limerick PCCC Services gave a presentation, which gave a broad over view of health and personal services provided by the PCCC Services and also an update on the budgetary and other challenges facing the services. Presentation on Services provided in the Population Directorate Dr Jacky Jones, Functional Manager Promotion, HSE West made a Presentation on the services provided in the Population Directorate including details of health promotion initiatives in progress within the HSE West and an update on the preparations, plans, etc., by the HSE in dealing with the Swine Flu. FinalMins_RHF#23_

4 Presentation on Diabetic Retinopathy Members recommended that a presentation made by Dr Ann Shannon, Public Specialist, Department of Public, HSE West on a Diabetic Retinopathy Project, to previous meeting of the PCCC Committee project should be made to a future meeting of the Regional Forum. Local Meetings: Members recommended that at least two local meetings should take place annually between members of the Regional Forum and Local, and Ambulance managers. Such meetings to be scheduled and Forum members informed of dates locations, etc. Next Meeting: The next meeting of the Committee will take place on Tuesday 1 st December 2009 in the HSE Offices, Catherine Street, Limerick. Councillor Austin Francis O Malley reported on the Committee Meeting as follows: The Committee Meeting was held on Tuesday 8 th September, 2009 in the Education, Merlin Park, HSE West,. 19 members attended the Committee, including new and returning members. Election of Chair and Vice Chairperson Councillor Austin Francis O Malley was nominated for the post of Chairperson and as there were no further nominations was deemed elected. Councillor Rose Brennan was nominated for the post of Vice-Chairperson and as there were no further nominations was also deemed elected. Presentation on the Regional Forum West The Regional Office Director, Dr Seán Conroy, gave a brief presentation on the history of the Forums to date, the legislative background, the structure of the Forums and the HSE West Region, and the workings of the current Committees. Presentations on the HSE Budget/Service Plans 2009 for Services in the West Mr Alan Moran, Network Manager, HSE West and Mr John Doyle, Local Manager, Clare, who attended on behalf of Mr. John Hennessy, Network Manager, Mid-Western s, each gave a comprehensive presentation and update on the current budgetary situation in their respective service areas. Many issues were raised and discussed including: current overspends and associated risks to services; the transfer of cancer services to ; stat results, the Swine Flu Pandemic; the transfer of hospital services to Limerick; bed closures in limerick hospital; staff embargo implications; low morale; derelict accommodation in Limerick and Young Adult Cystic Fibrosis Services in the Mid West. Ambulance Service The Ambulance Service provided documentation setting out each area s current budgetary situation and activity. Population Dr Jacky Jones, Functional Manager Promotion, HSE West, gave a presentation on Population Services. Issues discussed included: Cancer Deaths in the West in 2008 and the Prevention of Suicide. Dr Jones also highlighted and circulated the Standard Drink in Ireland What Strength report to members. FinalMins_RHF#23_

5 Matters raised by members, to be further discussed and considered by the Forum Chair, Committee Chairs and the Director included the possible reconfiguration of the Forum Committees and an Update on Cancer Services in the West. The next meeting of the Regional Forum Committee will take place on Tuesday 8 th December, 2009 in Limerick. The approved Minutes of the PCCC Committee Meeting held on the 7 th April, 2009 and the Committee Meeting held on the 28 th April, 2009 were circulated with the Minutes of the meeting. 245/23/09 Questions/Ceisteanna W23Q457 Councillor Gordon Hughes To ask the Executive of the HSE North and West, what is the up to date position regarding the provision of a new community hospital/day care centre in Ballinamore. Stage 3 of the process was due to be completed by the end of June 2009 and was due to proceed to the planning stage thereafter. Consultation was also due to take place with local residents regarding the design and layout, when it is proposed that this will happen? Can I also ask has it been approved in the 2010 National Development Plan and if so, what is the envisaged budget and timeframe for the completion of this project? The design process has now been completed in respect of the new Community Nursing Unit/Day and Primary in Ballinamore. It had been anticipated that a planning application would be completed by the end of June 2009, however, further consultation was required with Leitrim County Council Planning Department in respect of minor layout issues. These matters have been agreed and the planning application will be submitted before the end of September As you are aware, the planning process allows for the public to view the plans, however the HSE is more than amenable to having a public information evening, if so required. In 2009, the HSE has approved funding to complete design work and planning application. Tendering and award of a construction contract is subject to approval at national level in quarter It is anticipated that a 12 month construction period would deliver the project, if approved to proceed. W23Q458 Councillor Gordon Hughes To ask the Executive of the HSE North and West what is the up to date position regarding the provision of a new 60 bed community nursing unit in Carrick-on-Shannon? Can I also ask has it been approved in the 2010 National Development Plan and if so, what is the envisaged timeframe for the completion of this project? There has been no change in the position in respect of the provision of a new 60 bed Community Nursing Unit in Carrick-on-Shannon, Co Leitrim. The project is not included in the 2009 National Development Plan, Design and Build Programme under Older Persons. The project will receive further consideration for inclusion in the 2010 National Development Plan, the outcome of which will not be know until 1 st quarter, FinalMins_RHF#23_

6 W23Q459 Councillor Brian Meaney How many individuals are currently involuntarily detained under the Mental Act, in facilities in the HSE West region? What are the figures for 2007 and 2008? Response provided at the meeting. In 2007 there were 524 individuals detained under the MHA 2001 in facilities in the HSE West Region. In 2008 there were 484 individuals detained under the MHA 2001 in facilities in the HSE West Region. Figures in relation to the current year will not be available from the Mental Commission until W23Q460 Councillor Brian Meaney I request a full report on repayments made under the Nursing Home Repayment Scheme for each County in the HSE West. How many claims are outstanding? How many eligible claimants decided not to pursue repayment? The Service Executive (HSE) has responsibility for administrating the Repayment Scheme in conjunction with the appointed scheme administrator KPMG Accountants and McCann Fitzgerald Solicitors. The attached table indicates the number of claims received by the Scheme Administrator, the number of rejection decisions issued, offers completed and claims paid to claimants for each county in the HSE West. On the attached table under the heading Processing this relates to the number of claims remaining to be processed for each of the counties named in the West area. These claims have not yet been finalized (less than 3% of the total population) because there is a difficulty either with the institution records, with determining eligibility or because there is a complexity in relation to probate. The Scheme Administrator and the HSE continue to work closely together to resolve these issues and claims are been concluded on a weekly basis as issues are resolved. However it should be noted that the repayments offered cannot be paid until the statutory 28 day period for appeal has elapsed and a completed acceptance form has been returned to the Scheme Administrator. The Scheme Administrator and the HSE cannot provide an accurate figure to the question of how many eligible claimants decided not to pursue repayment, however an estimate of 70,000 claims nationally was expected prior to commencement of scheme and a total of 35,000 approximate claim forms has actually been submitted for the scheme. The HSE Longstay Charges Repayment Scheme Unit previously received feedback at Regional Forum meetings, which indicated that a high proportion of patients resident at public health care facilities were satisfied with the level of care provided and these residents and or their representatives did not intend making a claim for refund of any charges due. FinalMins_RHF#23_

7 Spreadsheet of statistics to date for applications for the Western Region. Stats County Breakdown CLARE DONEGAL GALWAY LEITRIM LIMERICK MAYO ROSCOMMON SLIGO TIPPERARY Claims received (white forms only) 1,006 1,432 1, ,553 1, ,093 1,154 Rejections Offers made , Processing Claims paid Payments made 11,808,690 14,713,835 23,002,570 6,501,401 13,090,704 15,862,286 8,535,678 10,605,248 13,057,364 Average payment 20,015 17,496 27,814 21,177 21,355 20,708 22,113 19,603 22,019 W23Q460 extra information HSE West Repayment Scheme Claims that remain Outstanding September 2009 Applications Claims Concluded Outstanding Received (Offer/Rejection) Clare 1, Donegal 1,432 1, ,736 1, Leitrim Limerick 1,553 1, Mayo 1,264 1, Roscommon Sligo 1,093 1, Tipperary 1,154 1, FinalMins_RHF#23_

8 In relation to the number of claimants entitled to claim under the scheme who did not claim, this information is not available on a county by county basis. However, the position nationally is as follows: Potential Claimants When the scheme was originally introduced, the best estimate available at that time indicated that there were 70,000 potential claims. It should be noted that this was only an estimate as the figures were based on records of varying quality over a 30 year period. Actual Claimants 35,100 applications have been received under the scheme. Latest estimates received from the scheme administrator indicate that when adjusted for rejections etc., the number of valid claims that will be received under the scheme, will be approximately 21,200. The Reasons the number of claims is less than anticipated: The legal and technical standards for payments under the scheme have meant the process is more complex than originally envisaged High level of deficiencies on claim forms (40% - Signatures; Statutory Declaration; Medical Certs; Income Details) Tax implications for potential claimants. W23Q461 Councillor Brian Meaney What was the incidence of resistant infections (MRSA etc) in acute hospitals in the HSE West in 2007 and 2008? What figures are available for 2009? Is there an identifiable budget for dealing with hospital acquired infections in the HSE West, and if so, what is it and is there a breakdown by County, and how many staff are specifically deployed in the region and where in the control of HAI? WEST/NORTHWEST MRSA bloodstream infections have been reported to Protection Surveillance [HPSC] since 2006 by all the acute hospitals in the network and are reported annually. See attached statistics from the latest report (April 2009). Infection control costs form a part of the general hygiene, cleaning, laboratory costs in the budget of each hospital. Expenditure on infection control is allocated depending on the requirements, e.g., to respond to cases as they arise. Current Infection Control Staff: Numbers of WTE currently in post / GUHs Portiuncula MGH RCH IC team member Consultant Microbiologist* Infection Control Nurses** 5 (1:200) 1.5 (1:130) 2 (1:155) 1 (1:100) (ratio of WTE to acute beds 2007) Surveillance scientist * GUH surveillance scientist reports for RCH Antimicrobial (0.5 but unfilled) pharmacist Administrative/ secretarial * National recommendation is for 4 WTE per 350,000 population. A further 1.5 WTE appointed but not due to start until Nov ** Recommendation is for 1 WTE ICN per 115 acute beds Details will be provided in relation to staff figures for other hospitals later FinalMins_RHF#23_

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11 MIDWEST Mid Western Regional, Dooradoyle, Mid Western Maternity and Croom Orthopaedic There are 2 WTE Infection Prevention & Control Nurses for the Mid Western Regional s which includes Mid Western Regional Dooradoyle, Maternity Ennis Road and Orthopaedic Croom and 1 WTE Consultant Microbiologist, with a remit to St Johns. No Ring fenced money for HAIs The incidence of MRSA infections in all acute HSE hospitals for 2006, 2007 and 2008 are available from the HPSC website: 2008 report: Z/MicrobiologyAntimicrobialResistance/EuropeanAntimicrobialResistanceSurveillanceSystemE ARSS/EARSSSurveillanceReports/2008Reports/ 2006, 2007 report: Z/MicrobiologyAntimicrobialResistance/InfectionControlandcare- AssociatedInfection/Publications/ Summary of MRSA Bloodstream infection data from acute public hospitals for 2008 SAU Number MRSA Number %MRSA MRSA rate per 1000 bed days used MWRH % 0.14 Dooradoyle MW Maternity % 0.00 Croom Orthopaedic % 0.00 Summary of MRSA Bloodstream infection data from acute public hospitals for 2007 SAU Number MRSA Number %MRSA MRSA rate per 1000 bed days used MWRH % 0.12 Dooradoyle MW Maternity % 0.00 Croom Orthopaedic % 0.00 Summary of MRSA Bloodstream infection data from acute public hospitals for 2006 SAU Number MRSA Number %MRSA MRSA rate per 1000 bed days used MWRH % 0.21 Dooradoyle MW Maternity % 0.00 Croom Orthopaedic % 0.00 FinalMins_RHF#23_

12 Reply from St. Johns, Limerick Please see table below, containing details of resistant infections in St. John s for 2007, 2008 and to June St. John s has 1 x Infection Control and Prevention CNS and 1 session per week commitment from Dr. Nuala O Connell, Consultant Microbiologist. There is no specific budget for control of HAI. MRSA C Diff VRE Total Bacteremia Colonisations end June Spreadsheets/Attachments were also made available my MidWest Group. W23Q462 Councillor Brian Meaney At what stage is the proposed upgrade of Ennis General and given the deflation in the construction sector, has the overall cost been re-evaluated? In order to comply with the HSE s Executive plans to reconfigure acute hospital services in the mid west region, the facilities at the Mid West Regional Ennis have been examined and recommended for upgrade, refurbishment and extension, where appropriate, in order to provide an environment suitable to meet the changing service for current and future practice. A project briefing document has now been finalised which will form part of the overall regional strategy to provide an infrastructural project to allow this new delivery of care. Included in the first phase of development are the following infrastructural developments; - Local Emergency, Assessment Beds, Theatres, and an Integrated Out Patient Service are now considered a priority. Funding will be sought to advance these projects on a priority basis from The estimate has been calculated based on current construction cost indices. In the shorter term as an interim measure a new endoscopy facility is currently being designed with an associated day ward which will increase capacity for day case activities. It is hoped that this unit will be completed by mid Recent capital works have provided enhanced facilities for pathology with new infrastructure and equipment also being provided for CT services which were completed in July In addition to these departments, an inpatient ward accommodation project delivering 50 inpatients beds is being procured under a national procurement initiative and funding is being sought which if approved will form an integral part of the infrastructure required for the reconfigured delivery of service. W23Q463 Councillor Austin Francis O Malley How many beds are allocated for cancer patients transferred from Castlebar General for treatment in the University? Can you tell me if there is a separate allocation of beds for Sligo patients? The NCCP prioritised the transfer of symptomatic breast services to the designated specialist cancer centres. Symptomatic breast services transferred from Mayo General to University in November last year and from Sligo General in August of this year. 2 beds are allocated for cancer patients transferred from Mayo General and 3 beds for patients transferred from Sligo. FinalMins_RHF#23_

13 W23Q464 Councillor Michael Mullins Can I have an update on plans for the re-opening of closed wards and Theatre at Portiuncula, and also details on any re-configuration of services that are planned for the? The is working towards the re-opening of the Theatre and St. Johns Ward and the opening of the Medical assessment Unit A Working Group has been established to progress with the development of increased capacity in the Day Ward from 8 day beds to 18 day beds and the development of a 5 Day Ward. In addition, the has relocated the Special Baby Unit to a new unit with an increased capacity from 7 10 cots which include 2 Intensive Cots, 4 High Dependency Cots and 4 Special Baby Unit Cots. W23Q465 Councillor Michael Mullins Since our last meeting, what progress has been made on efforts to resolve the ongoing dispute involving Nurse Managers at Portiuncula? Mediation is ongoing under the auspices if the Labour Court. W23Q466 Councillor Michael Mullins What plans has the HSE to increase the resources of the Community Welfare Officers, so that Medical Card applications can be processed in a timely manner, and large backlogs cleared? Due to the recent economic downturn, there has been a significant increase in workloads for all Community Welfare staff throughout the Country during the period 2008/2009. The Community Welfare Service is a very unique service serving a very vulnerable population and one of its defining characteristics that it has to provide an immediate and urgent response to customer s financial and other needs. A National Business Case for Additional Resources to support the Community Welfare Service was made in May The Business Case recommended that 37 additional Community Welfare Officers be made available to administer the Back to School Clothing & Footwear Scheme for A further 25 Community Welfare Officers were recommended across 8 of the former Regional Boards (4 for HSE West) to provide support to the additional work associated with the downturn in the Economy. These posts were approved by the Dept of and Children, Dept of Social and Family Affairs and the Dept of Finance. Currently the 37 posts identified to administer the Back to School Scheme are in place and the scheme is at an advanced stage. Of the 25 posts identified and approved in recognition of the impact of the downturn in the economy, 15 are in place. A process for fast tracking the filling of the remaining posts was presented to the relevant Unions on the 17th of September and they are considering same. The Unions have also been invited by HSE Management to become involved in a process to examine the current caseloads and to examine what has happened since the original business case was finalised. Finally the clearly measurable increases in Community Welfare Services workload and potential for further increase, has strengthened a well recognised requirement to address the workload and operational issues of the service. The current service model, in place for many decades, relies largely on lone individual staff members managing community welfare clinics in a fragmented geographical framework. In addition, analysis of the workload division across the country shows discrepancies in workload distribution within areas which require equalisation across the available FinalMins_RHF#23_

14 staff resources. Such an examination of how best to reconfigure service delivery is also a pivotal part of the solution to the CWOs workload issues. All of the above will hopefully contribute to an easing of the pressures on CWOs and thereby enable them to conduct all of their duties in a timely manner and clear whatever backlogs exist. W23Q467 Councillor Michael Mullins How many Primary s are operating in Co., and how many are planned by the end of 2010? Response provided at the meeting. Please find the schedule for team development listed below: Primary Teams Team areas Teams in Place Tuam, Athenry, South Connemara, Oughterard, Shantalla and Knocknacarra Teams commencing 2009 Turloughmore, Clifden, Ballinasloe Teams commencing 2010 City (2), Mountbellew, Glenamaddy, Gort, Abbeyknockmoy, Loughrea Capital and infrastructure projects for Primary Centers are being progressed in Inis Boffin, Glenamaddy, Oranmore, Athenry, Portumna, City, Turloughmore and Clifden. Existing s are being used as the base for the existing and new Primary Teams. W23Q468 Councillor Catherine Connolly Please furnish the minutes of the Western Board dealing with the purchase of the house at No. 1 The Mass Path, Newcastle and the purpose for which it was bought and please give specific details of how many other properties owned and/or leased by the HSE West in City and County remain unused/unoccupied, for how long and why, together with the most up to date details of all properties rented and/or leased by the HSE West in City and County. Human Resources The house in question was purchased by UHG in December 2000 at a cost of 350,000 punts. HR has provided funding towards this project as the intended use of this house is for Occupational Services. HR does not have any unused/unoccupied properties. The Employee Support Service currently leases premises at Unit 4C, Oranmore Business Park, Oranmore,. The Terms of the Agreement is from 1 st May 09 1 st May 2011 and the total cost per year, 37,665 pa, is payable every three months at a cost of 9,416. PCCC provided at the meeting. I wish to confirm the following 4 properties are currently vacant in City and County: 14/15 Bar Aille, Tuam Road, - HSE owned. Premises currently vacant as childcare services have now been amalgamated with and to, Aras Gael. It has now been discussed and established to utilise the property as a base for a Primary Team in the near future. on Inis Oirr HSE owned. Premises currently vacant as services moved into the new in August Direction is currently awaited from Estates regarding the sale/disposal of the original. Old Grove, Tuam HSE owned. Property has been closed for the past 5 years and is part of the proposed Tuam Campus. Old, Turloughmore HSE owned. This property has been closed for the last 7 years and we are awaiting direction from Estates regarding the sale/disposal of this property. As requested, please also find attached a complete listing of all properties rented/leased in City and County. FinalMins_RHF#23_

15 Site Code Site Name Block no Ins. Ref. Block Name County Sector Room No Description group Svc Provision Address 1 Address 2 Address 3 Address 4 Tenure Landlord Status Block GIA Land Area (Ha) Build Year Remaining Life (Estimate) Beds Staff Day GO121 GO112 Tuam Community (Bon Secours Site) 3000msq Turloughmore OLD 01 Tuam Community (Bon Secours Site) Turloughmore OLD GE088 Bolag Woodford 01 Bolag Woodford 001 Acute Services MSQ Community Vicar Street Tuam Freehold NOT D Turloughmore Freehold NOT D Community Residence Woodford Leasehold John Cormican IN- 3, Site Code Site Name Block no Ins. Ref. Block Name County Sector Room No Description group Svc Provision Address 1 Address 2 Address 3 Address 4 Tenure Status Block GIA Land Area (Ha) Build Year Remaining Life (Estimate) Beds Staff Day GO001 GO002 GO007 Abbeyknockmoy Ahascragh Ardrahan 01 Abbeyknockmoy Ahascragh, Ardrahan GE001 Athenry Day 01 Athenry Day Day Abbeyknockmoy Freehold IN- Ahascragh Freehold IN- Ardrahan Freehold IN- Athenry Freehold IN GO008 GO009 GO011 Athenry and Nurse's Res. Aughrim, Ballinasloe Workhouse Athenry and Nurse's Res Aughrim, 01 Ballinasloe Workhouse GE002 St. Brigids Nurses Home Including cycle shed GE002 St. Brigids Old R.M.Ss Residence GE002 St. Brigids Former Medical/Officer House-Hostel GE002 St. Brigids Gate Lodge on right of main gate GE002 St. Brigids Gate Lodge on left of main gate GE002 St. Brigids Main Block GE002 St. Brigids Old Church GE002 St. Brigids St. Mary's Hostel GE002 St. Brigids New Chapel 002 Community Residence Athenry Freehold IN- Aughrim Freehold IN- Workhouse Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN FinalMins_RHF#23_

16 GE002 St. Brigids Shelters GE002 St. Brigids New Building GE002 St. Brigids 12 Upgraded section in New Building GE002 St. Brigids Mortuary (New) GE002 St. Brigids Creagh Lodge & Outbuildings GE002 St. Brigids The Cottage GE002 St. Brigids Farm Buildings GE002 St. Brigids Boilerhouse (Old) GE002 St. Brigids Fitters Workshop/Stores GE002 St. Brigids Incinerator House GE002 St. Brigids St. Theresas Unit GE002 St. Brigids Stores formerly Coach House GE002 St. Brigids Admission GE002 St. Brigids Farm machinery shed GE002 St. Brigids St. Josephs GE002 St. Brigids Weighbridge House GE002 St. Brigids House at Attycorra GE002 St. Brigids Hay shed GE002 St. Brigids Cattle shed GE002 St. Brigids 29 90a Glasshouse GE002 St. Brigids Engineering stores and workshop GE002 St. Brigids 31 Riverview GE002 St. Brigids 32 Farmyard GE003 Creagh 01 Creagh GE004 Ard Mhuire Ard Mhuire GE005 Hawthorn Park 01 Horans GE006 Portnick Drive 01 Portnick Drive GE007 Kilgarve Gardens 01 Lallys GE008 Upper Brackernagh 01 O'Neill's Ballinasloe Freehold SOLD Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- Ballinasloe Freehold IN- T/ & Workshop Ballinasloe Freehold IN- Day Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN FinalMins_RHF#23_

17 GE009 Church Street 01 Gullanes GE010 Brackernagh, Dunnes GE011 Kilgarve Park 01 Finnerty's GE012 Garbally Drive, Garbally Drive, 51 GE013 Ashfield Drive 01 T. O'Connor GE014 Taughmaconnell Road 01 The Meadows GE015 The Cobbles 01 McCullaghs GE016 Hillcrest 01 Hillcrest GE017 The Willows 01 The Willows GE018 Kilgarve Court 01 Kilgarve Court GE019 Oak Grove 01 Oak Grove GE020 Deerpark 01 House No. 1 GE020 Deerpark 02 House No. 2 GE020 Deerpark 03 House No. 3 GE020 Deerpark 04 House No. 4 GE021 Portumna Rd, Ballinsloe 01 Portumna Rd, Ballinsloe GE022 Hillcrest, 5 01 Hillcrest, 5 Community Residence Ballinasloe Freehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Freehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Freehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Freehold IN- Community Residence Ballinasloe Freehold IN- Community Residence Ballinasloe Freehold IN- Community Residence Ballinasloe Freehold IN- Community Residence Ballinasloe Freehold IN- Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN GE023 Chaplins Residence 01 Chaplin's Residence Community Residence Ballinasloe Leasehold IN- GE024 Ashfield Drive, 4 01 Ashfield Drive, 4 Community Residence Ballinasloe Leasehold IN- GE025 Parkmore Ballinasloe 01 Parkmore Ballinasloe GE026 Hawthorn Road Ballinasloe GE027 Retail Space Main Street GO012 Ballinasloe 11 Hawthorn Road, Child Support Services GO013 Ballinasloe Family Support Service Social GO014 Ballinasloe(PHC), Brackernagh GO018 Ballygar GO019 Ballymacward 01 Hawthorn Road Ballinasloe 01 Retail Space Main Street Hawthorn Road, Ballinasloe - Child Support Services 01 Ballinasloe Family Support Service Social Ballinasloe(PHC), Brackernagh Ballygar 01 Ballymacward GE028 John Boland House 01 John Boland House MSQ Community Community Residence Ballinasloe Leasehold IN- Community Residence Ballinasloe Leasehold IN- Workshop & T/ Main Street Ballinasloe Leasehold IN- Residence Ballinasloe Leasehold IN- Family Support Ballinasloe Leasehold IN- Ballinasloe Freehold IN- Ballygar Freehold IN- Ballymacward Freehold IN- Community Residence Beagh Leasehold IN FinalMins_RHF#23_

18 GE029 Beagh, Ballinasloe 01 Beagh, Ballinasloe Community Residence Beagh Leasehold IN- GO020 Caltra 01 Caltra (April 03 Board Minutes) GO024 GO035 GO036 GO037 GE030 Kilkerrin Corrandulla Craughwell Dunmore. Fahy Community Kilkerrin Corrandulla Craughwell Dunmore. 01 Fahy Community Caltra Freehold IN- Kilkerrin Carna Freehold IN- Corrandulla Freehold IN- Craughwell Freehold IN- Dunmore Freehold IN- Day Eyrecourt Leasehold IN GO038 GO068 GO069 GO070 GO071 GE031 Eyrecourt Glenamaddy 2 Creggs Road, - CWO Accomm. Glenamaddy CWO Depot Glenamaddy Community to 31 Dec 04 Glenamaddy Glenamaddy - House Kilkerrin Rd Eyrecourt 01 2 Creggs Road, Glenamaddy - CWO Accomm. 01 Glenamaddy CWO Depot 01 Glenamaddy Community to 31 Dec Glenamaddy 01 Glenamaddy - House Kilkerrin Rd GO072 Gort Workshouse 01 Gort Workshouse GE032 Ennis Road 01 Ennis Road GO073 Gort 01 1 Gort GO074 GO075 GE034 GO076 GO081 GO082 Gort (Dental) Gorteeny. Headford Day (Convent) Headford Kilconnell, Killimor Gort (Dental) Gorteeny. 01 Headford Day (Convent) Headford Kilconnell, Killimor GE036 Kiltormer The Elms GO084 Kiltormer H.C Kiltormer H.C. GO085 GO086 Kinvara Laurencetown Kinvara Laurencetown. GO090 St. Brendan's Home Main Block GO090 St. Brendan's Home 01 Main Block 001 (beside HC) Mental MSQ Community 001 Main Block Older People 002 Physiotherapy Unit Community Eyrecourt Freehold IN- CWO Glenamaddy Leasehold IN- CWO Glenamaddy Leasehold IN- Day Glenamaddy Leasehold IN- Glenamaddy Freehold IN- Residence Glenamaddy Leasehold IN- Workhouse Gort Freehold IN- Community Residence Gort Leasehold IN- Gort Freehold IN- Dental Gort Freehold IN- Gorteeny Freehold IN- Day Headford Freehold IN- Headford Freehold IN- Kilconnell Freehold IN- Killimor Freehold IN- Community Residence kiltormer Freehold IN- Kiltormer Freehold IN- Kinvara Freehold IN- Laurencetown Freehold IN- Long Stay Loughrea Freehold IN- Loughrea Freehold IN , , FinalMins_RHF#23_

19 GO090 St. Brendan's Home 01 Main Block GO090 St. Brendan's Home Main Block GO090 St. Brendan's Home Mrs Toppins Bungalow & Boilerhouse GO090 St. Brendan's Home 03 Training, Grounds of St. Brendans GO090 St. Brendan's Home 04 Ambulance Base 003 Day 004 Carpenters Workshop Older People Mental 001 Older People 001 Gate Lodge Ambulance Base Day Loughrea Freehold IN- Training & Workshop Loughrea Freehold IN- Long Stay Loughrea Freehold IN- Training & Workshop Ambulance Base Loughrea Freehold IN- Loughrea Freehold IN- 6, , GE037 Waterview House Cross Street 01 93I Waterview House Cross Street GE038 Barrack Street 01 93J Barrack Street GE039 Tullahill House Coscorrig Tullahill House Coscorrig GE040 Donnellan Drive 01 Donnellan Drive GE041 Bride Street 01 Bride Street GE042 Castle Street 01 Castle Street GE043 Waterfront 01 Waterfront GE044 Jardine Drive 01 Jardine Drive GE045 Ard Breeda, Ard Breeda, 32 GE046 Ard Breeda, Ard Breeda, 53 GE047 Edenview 01 Edenview GE048 Greystones, Lake Rd 01 Greystones, Lake Rd GE049 Bride Street 01 Flat No. 2 Day Loughrea Freehold IN- Day Loughrea Freehold IN- Community Residence Loughrea Freehold IN- Community Residence Loughrea Freehold IN- Community Residence Loughrea Leasehold IN- Community Residence Loughrea Leasehold IN- Community Residence Loughrea Leasehold IN- Community Residence Loughrea Leasehold IN- Community Residence Loughrea Leasehold IN- Community Residence Loughrea Leasehold IN- Community Residence Loughrea Leasehold IN- Community Residence Loughrea Leasehold IN- Community Residence Loughrea Leasehold IN GE050 Main Street Loughrea 01 Main Street Loughrea Community Residence Loughrea Leasehold IN- GE051 GE052 GO091 GO091 GO092 GO093 GO094 Jarden Drive Loughrea Bride Street training centre Loughrea - Store & Playschool Loughrea - Store & Playschool Milltown Monivea Mountbellew Workhouse 01 Jarden Drive Loughrea 01 Bride Street training centre 01 71/72 Loughrea Store & Playschool 02 Loughrea Milltown Monivea 01 Mountbellew Workhouse GE053 Ballygar Rd 01 Ballygar Rd GE054 Ashbrook 01 Ashbrook Community Residence Loughrea Leasehold IN- Training & Workshop Loughrea Leasehold IN- Childcare Loughrea Freehold IN- Loughrea Freehold IN- Milltown Freehold IN- Monivea Freehold IN- Workhouse Mountbellew Freehold IN- Day Mountbellew Freehold IN- Day Mountbellew Leasehold IN FinalMins_RHF#23_

20 GE055 Brook House 01 Brook House GO095 GO097 Mountbellew Oranmore Mountbellew Oranmore GO099 Portumna Workhouse Portumna Workhouse GE056 St. Brendan's Road 01 G&M Mansfield GE057 Abbey Street 01 Forest View GE058 Domnick Street 1 01 Castle Oaks GE059 Domnick Street 2 01 Domnick Street GE060 Bridge Rd, Portumna 01 Bridge Rd, Portumna GE061 Church Rd, Portumna 01 Church Rd, Portumna GE062 Portumna Day 01 Portumna Day Community Residence Mountbellew Leasehold IN- Mountbellew Freehold IN- Oranmore Freehold IN- Workhouse Portumna Freehold IN- Day Portumna Leasehold IN- Community Residence Portumna Leasehold IN- Community Residence Portumna Leasehold IN- Community Residence Portumna Freehold IN- Community Residence Portumna Leasehold IN- Community Residence Portumna Leasehold IN- Day Portumna Leasehold IN GE063 Abbey Street Portumna 01 Abbey Street Portumna Community Residence Portumna Leasehold IN- GO100 GO101 Portumna (Dr's Surgery) Portumna Portumna (Dr's Surgery) Portumna Portumna Leasehold IN- Portumna Freehold IN GO109 Arus Mhuire CNU Arus Mhuire CNU GO109 Arus Mhuire CNU Arus Mhuire CNU 001 Older People 002 Older People CNU Tuam Freehold IN- Day Tuam Freehold IN GE064 Toghermore 01 Toghermore House GE064 Toghermore Recreation GE064 Toghermore 03 Former Laundry GE064 Toghermore 04 Training Day Tuam Leasehold IN- Training & Workshop Tuam Leasehold IN- Day Tuam Leasehold IN- Training & Workshop Tuam Leasehold IN GE064 Toghermore Farm Shop Training & Workshop Tuam Leasehold IN GE064 Toghermore Farm Sheds used as Stores-Training GE064 Toghermore Workshops Woodwork and Paint spraying GE064 Toghermore 08 Workshop and Administration GE064 Toghermore Unit 15 Community Workshop GE064 Toghermore Portacabin at C.E. Project Pitch and Putt Course GE064 Toghermore 11 Bowling Green Shed- Training GE065 Ethon House 01 Ethon House Training & Workshop Training & Workshop Training & Workshop Training & Workshop Training & Workshop Training & Workshop Tuam Leasehold IN- Tuam Leasehold IN- Tuam Leasehold IN- Tuam Leasehold IN- Tuam Leasehold IN- Tuam Leasehold IN- Community Residence Tuam Leasehold IN FinalMins_RHF#23_

21 GE066 Park View 01 Park View GE067 Parkmore, Parkmore, 48 GE068 Parkmore, Parkmore, 29 GE069 Bel Air Drive, 7 01 Bel Air Drive, 7 GE070 Race Course Road, Race Course Road, 15 GE071 Rosehaven 01 Rosehaven GE072 GE073 Old Racecourse Road, 32 Old Racecourse Road, Old Racecourse Road, Old Racecourse Road, 40 GE074 Aisling House Hostel 01 Aisling House Hostel Community Residence Tuam Leasehold IN- Community Residence Tuam Leasehold IN- Community Residence Tuam Leasehold IN- Community Residence Tuam Leasehold IN- Community Residence Tuam Leasehold IN- Community Residence Tuam Leasehold IN- Community Residence Tuam Leasehold IN- Community Residence Tuam Leasehold IN- Community Residence Tuam Leasehold IN GE075 Nestors House 01 Nestors House GE076 Ballygaddy Road 01 Lissadyra, 13 GE077 Fairgreen Heights 01 Fairgreen Heights GE078 Hermitage Road 01 Hermitage Road GE079 7 Dublin Road 01 Dublin Road GE080 The Fairgreen, 7 01 The Fairgreen, 7 GE081 Tuam Day (Credit Union Building) 01 Tuam Day (Credit Union Building) GE082 The Grove 01 The Grove Community Residence Tuam Leasehold IN- Community Residence Tuam Freehold IN- Day Tuam Freehold IN- Day Day Tuam Leasehold IN- Tuam Freehold IN- Community Residence Tuam Leasehold IN- Day Tuam Leasehold IN- Community Residence Tuam Leasehold IN GE083 The Mall Tuam 01 The Mall Tuam GE084 St Olivers Kilmore Road 01 St Olivers Kilmore Road GE085 The Birches 01 The Birches GE086 GE087 Tuam - No 3 The Meadows Tuam - No 18 The Meadows 01 Tuam - No 3 The Meadows 01 Tuam - No 18 The Meadows GO110 Tuam 01 7 Tuam GO111 Tuam Vicar Grove 01 Vicar Grove, Tuam - Home Mgmt. & Childcare Services GO111 Tuam Vicar Grove 01 Vicar Grove, Tuam - Home Mgmt. & Childcare Services GO121 GO112 GO113 Tuam Community (Bon Secours Site) 3000msq Turloughmore OLD Turloughmore 01 Tuam Community (Bon Secours Site) Turloughmore OLD Turloughmore 002 Community Alcohol Unit Community Residence Community Residence Kilmore Rd Tuam Leasehold IN- Tuam Leasehold IN- Tuam Leasehold IN- Residence Tuam Leasehold IN- Residence Tuam Leasehold IN- Family Support 001 Acute Services MSQ Community MSQ Community Tuam Freehold IN- Tuam Leasehold IN- Childcare Tuam Leasehold IN- Vicar Street Tuam Freehold NOT D Turloughmore Freehold NOT D Turloughmore Freehold IN , FinalMins_RHF#23_

22 GO114 GO115 Tynagh, Williamstown Tynagh, Williamstown. GE088 Bolag Woodford 01 Bolag Woodford GO116 Woodford Woodford MSQ Community Tynagh Freehold IN- Williamstown Freehold IN- Community Residence Woodford Leasehold IN- Woodford Freehold IN PCCC Property Use From whom acquired Information as per EOY data to be updated for 2008 year-end position. Commitments at 31/12/2008 Annual Remaining Total Rental Lease Period Commitment Are Period Sq. ft. per Break Amount Comments Yrs premises Sq. ft /Review Date P.A Occupied? Yes/No Is copy of current lease documents retained on file locally? Yes/No Has lease been approved by the Property Committee? Yes/No Unit 17, Briarhill, Business Pk Ballyquirke Rd Moycullen Dockgate, merchants rd.. Stores & PHN accommodation CWO accommodation Jack Nohilly yes yes yes July June 2011 Dr Eamon Scully yes no no Not on fixed term Mr. R. Goulding. yes yes no July July plus service charges 23/02/ ,649 rent review under way 119, Jun-02 6, ft No date specified in lease 25,000 6,603 25,000 Ross House Merchants Hs CWO Rooney Auctioneers yes no no Jan Dec every 4 years from year of commencement 34, ft2 35, Ely Place Sea Road, Audiology Ms. Bridie Hopkins yes yes no 1st Feb 2004-April sq ft (Sept. 2003) 01/06/2008 Rent Review 31,700 Square Feet calculated as 24,758/ 17 = ,700 West City Liosban Retail, Unit 9b Unit 14C & 18A, Liosban Retail Unit 8B - Preschool Community services Childcare services Buck Properties yes yes no Feb Jan 2026 Peter Melville, Deerpark Ind Estate Peter Melville, Deerpark Ind Estate yes yes no Sept to 2021 yes no no July Jun 2012 yes yes no Sept June , opt out 2011/ Rent review 2009, 21 year lease to ,557 Sq Ft per Sq Ft Not detailed on lease being reviewed opt out ,190 36,000ft ,000 Childcare services (Mary Giblin) rent review ongoing ,242 Westdoc 33, ft2 24,000 94,242 35,574 FinalMins_RHF#23_

23 SCCUL property, Ballybane Community and mental health service Ardiun ltd.,gladden ltd.,celebrant ltd.,folca Ltd., 120 rathgar rd, D yes yes no April 2005 to March , , ft2 205,000 Ballard House, Westside 64 Dominic Street House on Inisbofin 6, Francis Street St. Ann s Taylors Hill Childcare & adolescent psychiatry Drug support services PHN accommodation Counselling services Child Services Ml.McLoughlin yes yes yes 01/01/ /03/2012 Bridge Dev. Co. Ltd, Salthill Coyne family, Inisboffin Mr. Peter Lyons, Convent of Mercy Trustees Ltd. yes no no Feb Jan 2006 yes no no Sept 2005 to September ,439 Total cost incl. 7,284 for fit out Domestic residence No rent review date as shortterm 21,770 Being renegioated at present by drugs co-ord unit 9,880 being rented year to year waiting const. Of new centre, currently going to planning yes no no July `04-`05 no lease 5,400 lease continues, "The Gaff" yes no no Sept 1997 Sept ,000 Every 5 years from date of commencement 19,044 planning rec. for new building at merlin park should be completed by ,724 21,770 9,880 5,400 19,044 Ballybane Community 13/01/ ,997 lease ongoing 13,080 Resource yes no no 12/01/ Ballybane Community 13/01/ ,815 lease ongoing 31 Ballybane Community 13/01/2005 3,429 lease ongoing 3,655 Ballinfoyle NYP NYP City Council yes no no Indefinite Yearly 1, Cashel Clonbur e CWO Payout Primary Services Comhairle Muintir an Chaiseil Teo North Connemara Voluntary Housing Assocation Connemara West Ltd yes no no Yearly Yearly 660 yes no no New lease being agreed proposed 4,400 1 Yearly 1,270 Maintenance Costs Only Proposal to NCVHA that we take over building Letterfrack CWO Payout no no no monthly no longer 1 monthly No lease leased 122 Agreement 122 Kilronan CWO Payout Inis Mor Co-Op no no no monthly monthly No Lease 660 1,270 FinalMins_RHF#23_