Brian Higgins
2.5K posts

Brian Higgins
@DrBrianHiggins
Galway Based GP Medical Director Galway Skin Clinic

Three issues determine access: infrastructure, staffing, and workflow efficiency. The goal: maximal use of available SACT-infusion chair time. Safe and effective workflow efficiencies (whereever they can be mined) are welcome. In public hospitals, at any one cancer systemic therapy delivery site across the country, the problem is likely a mixture of all three. In private hospitals, because the money follows the patient, there is a clear connection between service demand and resource allocation. Workflows should prioritise: - a pre-assessment model - have the capacity for late but necessary changes in dose - consider distributed pre-assessment where patient travel is an issue - develop treatment opportunities closer to home in safe and effective settings Publicly-funded resources must be reasonable, and carefully considered. Currently, the public system does not adapt well enough to expected changes in service demand. This needs some thought. 'It's getting tougher': Hospitals failing to consistently start chemo on time (via @thejournal_ie) jrnl.ie/6751362

The IHCA added: "the core problem remains a capacity crisis — a shortage of beds, staff, and facilities — and any initiative that suggests otherwise risks creating a misleading sense of reassurance." imt.ie/news/new-hse-d…

Opinion: 'Not only could he not get an appointment, he couldn't get a GP to take him on' jrnl.ie/6663729t



Minister for Health just said on Newstalk that the health service is underutilising healthcare workers. I really don’t think the NCHDs doing 24 hour shifts, & 70+ hour weeks, feel underutilised

20-year-old Yousaf Ghaffar who was paralysed from the waist down in a road crash has been learning how to walk again after a pioneering spinal procedure. He can now experience sensation and movement in his legs after the groundbreaking treatment | rte.ie/b/1500194




















