Anne Gallen – HSE Director of Nursing & Midwifery Planning & Development
Alan Corry Finn – WHSCT Director of Nursing Primary Care & Older People
1 Dec 2014
Co-operation and Working Together (CAWT)
Cross Border Senior Nursing and Midwifery
Forum
CAWT Co-operation and Working
Together (CAWT) is a cross border health partnership, comprised of the statutory health and social care services in both jurisdictions in the border region of Ireland/Northern Ireland.
Established in 1992
Role and Function of CAWT
Enable health services to be more accessible within border areas
Attract EU funding to support the development of ‘additional’ services, based on local need
Innovate – pioneer new ways of delivering health services and improving health and social care on a cross border basis
CAWT partner organisations
Republic of Ireland Health Service Executive border
countiesNorthern Ireland
Southern Health and Social Care Trust
Western Health and Social Care Trust
Health and Social Care Board Public Health Agency
Cross Border Senior Nurses & Midwives Forum
• Established 2013• Western Health & Social Care Trust & HSE
North West• Catalyst for its creation:• “the worst national disaster to hit any Irish
hospital in the history of the island of Ireland”DDTV: CAUGHT ON CAMERA - MOMENT FLOOD WATERS CAME THROUGH LETTERKENNY HOSPITAL - YouTube
Main hospital corridor
New A/E only opened 4 months
More Flood Scenes
From Crisis to Opportunity
EVERY CRISIS PROVIDES THE OPPORTUNITY
FOR US TO DO THINGS THAT
WE COULD NOT DO BEFORE
Nurses & Midwivesled
the change
WHSCT and HSE (NW) Proximity
WHSCT Population: 300,000
HSE West Population:
Donegal 147,000
Sligo/Leitrim 100,000
Distances: Derry to Letterkenny 22 miles / 36 kilometres (30 minute drive)
Enniskillen to Sligo 41 miles / 66 kilometres (1 hour drive)
Implications of LGH FloodED in Letterkenny GH rendered non functionalEmergency patients re-directed to Altnagelvin
HospitalAltnagelvin was already at full capacity &
under pressure ED and inpatient wards were overwhelmed Staffing, quality and safety were concerning
and not sustainable in the medium termInitial contact made with professional
colleagues at Letterkenny GH to seek additional nursing support
Registration was a huge issue and barrierRole of NMC
WHSCT/HSE (NW) Proximity - considerations
Health and social care governed by borders but not always recognised by the population or their needs
Examples of issues challenging quality of patient careChild with nut allergyChildbirth and early discharge Cancer and palliative care patients – cross border NW
Radiotherapy CentreTissue ViabilityMental Health patients
Establishment of Cross border Forum
CAWT Cross Border Senior Nursing and Midwifery Forum
Established in 2013Facilitated by Directors of Nursing in
WHSCT and HSE Aims is to engage in joint working
which will result in practical benefits to nursing and midwifery services and enhance the patient/client experience
Terms of Reference Objectives Priority ThemesMembership and subgroupsEstablishment of Task and Finish Group
Acute Care in the Community Quality Improvement Person and Patient Centred Care Workforce Planning and Education Complex Care for Children Informal Networking and sharing of
information Common challenges irrespective of border Enthusiasm and willingness to work together
Cross Border Professional Practice in Nursing and Midwifery
Common themesSharing of Best PracticeResearch and Development Workforce Planning, Training,
Registration, CPD, RevalidationSupporting Supervision and RegulationE/Nursing Records
Current and future prioritiesRegistrationDementia CareCancer CarePalliative CareIntellectual DisabilityPaediatric CareLeadership Development Education and TrainingWorkforce Planning and Development
Next StepsPartnership is establishedEmpowered leadershipFacilitation of appropriate flow of patientsEnabling and supporting patient safety and
quality improvement across border corridorShared learning resulting in enhanced
knowledge and skillsWorkforce flexibility and potential for
joint appointments
www.cawt.comhttp://www.youtube.com/cawtpartnership
Cross Border Senior Nursing and Midwifery Forum
‘Enabling Patients, Communities and Professionals in Practice’
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