Statement of Purpose
Statement of Purpose
Statement of Purpose
0 Introduction
Naas General Hospital is a 243 bedded acute public hospital serving the catchment area of
Kildare and West-Wicklow with a population of over a quarter of a million people. Our services
are designed to meet the needs of the adult (over 14 years) population in this catchment area.
The majority of our hospital activity results from unscheduled inpatient admissions through the
Emergency Department (ED). The emergency department is open 24-hours per day 7 days per
week all year round. Service users can self-present to ED or referral can be made by General
Practitioner (GP) services or within the hospital via Out Patient Department (OPD). Service
users can also access the day ward, the day hospital and the outpatients department via GP
referral.
Mission Statement
Together we will provide equitable and quality patient care, delivered safely by skilled and
valued staff, through the best use of available resources
3.1 Implementation of HIQAs National Standards for Safer Better Healthcare 2012 in
conjunction with the HSEs Corporate Strategy
Naas General Hospital has developed their strategic quality objectives in line with the eight
themes of HIQAs National Standards for Safer Better Healthcare (HIQA, 2012) and to align with
the HSEs Corporate Strategy 2015-2017 (HSE, 2015).
Theme 6: Workforce
Our workforce is committed to delivering a high quality and safe service. We support our
workforce to achieve this by providing a safe working environment, and by creating a skill mix
within teams that compliments the organisation as a whole. We adhere to national mandatory
training programs. We encourage professional motivation through continuous professional
development and by promoting clinical developments. We aspire to harness the maximum
potential of staff by promoting and cultivating innovative approaches. We encourage strong
links with our academic partners and encourage internships and work placements.
Our vision is to realize a health system that has as its primary focus patient safety and quality of
care
In order to achieve our vision we refer to The Report of the Quality and Safety Clinical
Governance Development Initiative: Sharing our Learning March 2014.
This report illustrates a framework for governance of quality and safety which was developed in
collaboration with health service providers, the framework is made up of vision, principles and
matrix of structures and processes that support clinical governance development.
The main purpose of this report is to consolidate learning and make core recommendations for
health service providers, policy makers and commissioners to inform their own specific actions
plans. Consequently, we believe that in following the principles and guides detailed below we
will achieve our vision. The report recommends the following as central to deliverance of a
quality service:
Active listening with patients and staff - understanding the experience of patients (what
matters to them) and what motivates staff is central in creating a quality culture.
Real time measurement prompts wise decisions which lead to the need for good quality
data and transparency.
Terminology matters in avoiding confusion - the term clinical governance was seen by
some as management speak- therefore, we are proposing the term quality and safety
and specifically governance for quality and safety.
We will aspire to implement these guides in order to link quality initiatives and improvements
in order to provide cohesive, consistent, continuous, high standard care within the framework
of our available resources.
Consultant Doctors
General Medicine
Emergency Medicine
Endocrinology
Cardiology
Gastroenterology
Geriatrics/Stroke
Surgeons
Dermatology
Rheumatology
Haematology
Microbiology
Palliative Care
Oncology
Orthopaedics
Naas General Hospital is of the hospitals within the Dublin Midlands Group and supports the
integration of services between hospitals within this group. A number of the consultant doctors
have joint appointments with other hospitals. Naas General Hospital links with the tertiary
referral centres outside the hospital as necessary. A number of pathways exist linking our
hospital services to community service.
The Quality & Risk Department within the hospital has responsibility for risk management,
complaints management and management of compliance with National Standards. The Quality
& Risk Department operates according to HIQA National Standards for Safer Better Healthcare.
It also operates according to HSE policies around quality, risk and complaints management
including HSEs Safety Incident Investigation Policy 2014 and Your Service Your Say.
Complaints are managed according to the HSEs national policy Your Service Your Say which
integrates HSE guidance in meeting the legislative requirements. In keeping with the
Ombudsman recommendations, we will attempt to resolve complaints as efficiently as possible
in accordance with the complainant and to their satisfaction in an informal manner. If you wish
to proceed to formal investigation stage, your complaint will be investigated thoroughly and
you will be informed of the outcome as soon as possible. Complaints are treated in complete
confidence and will not affect your current or future treatment. Please address complaints to:
As well as complaints, we welcome your views on the service and care we provide. We are
delighted to hear when we are doing well, but we also need to know what we can do better. If
you would like to make any comments on our services (compliments, suggestions or feedback),
please direct to the above contact details.
Naas General Hospital is committed to the provision of safe, high quality health services,
delivered according to our standardised policies, procedures, protocols and guidelines
(PPPGs) that are based on best available evidence. This should lead to achievement of best
possible health and personal social care outcomes for patients and service users, within our
available resources.
National Clinical Guidelines are considered for use in local practice when assessing and
planning services. Risk assessments are documented when services are unable to fully
implement National Clinical Guidelines and appropriate action taken to ensure the quality and
safety of services. Arrangements are in place for training staff in appraising and developing
policies, procedures, protocols and guidelines and for identifying evidence-based best
practice.