long-stay activity statistics 2001 - core

Long-Stay Activity Statistics

2001

Prepared by: The Information Management Unit Department of Health and Children Hawkins House Hawkins Street Dublin 2 Republic of Ireland

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i

Contents

Page

List of Tables ii

List of Figures

iv

Introduction 1

Section B Survey Results by Category of Long-Stay Unit 3

Section C Survey Results by Health Board Area 13

Section D Summary of Individual Long-Stay Units by Health Board and Unit Category

22

Appendix 1 Questionnaire and Explanatory Notes 38

Appendix 2 Number of Responses by Health Board and Unit Category

44

ii

List of Tables

Table Number

Title Page

Introduction

1 Response Rate to Survey of Long-Stay Units by Health Board 1

Section B

B1 Long-Stay Unit by Category: Number of Beds Available, Number of Patients and Percentage of Beds Occupied at 31 December 2001

3

B2 Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Gender

4

B3 Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Age

5

B4 Long-Stay Units by Category: Percentage Distribution of Male Patients Resident at 31 December 2001 by Age

5

B5 Long-Stay Units by Category: Percentage Distribution of Female Patients Resident at 31 December 2001 by Age

6

B6 Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Level of Dependency

7

B7 Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Medico/Social Status

8

B8 Long-Stay Units by Category: Percentage Distribution of Patients Admitted During 2001 by Source of Admission

9

B9 Long-Stay Units by Category: Percentage Distribution of Patients Discharged (including Deceased) During 2001 by Destination of Discharge

10

B10 Long-Stay Units by Category: Percentage Distribution of Discharged (including Deceased) During 2001 by Length of Stay

11

Section C

C1 Long-Stay Unit by Health Board: Number of Beds Available, Number of Patients and Percentage of Beds Occupied at 31 December 2001

13

C2 Long-Stay Units by Health Board: Percentage Distribution of Patients Resident at 31 December 2001 by Gender

14

iii

C3 Long-Stay Units by Health Board: Percentage Distribution of Patients Resident at 31 December 2001 by Age

15

C4 Long-Stay Units by Health Board: Percentage Distribution of Male Patients Resident at 31 December 2001 by Age

15

C5 Long-Stay Units by Health Board: Percentage Distribution of Female Patients Resident at 31 December 2001 by Age

16

C6 Long-Stay Units by Health Board: Percentage Distribution of Patients Resident at 31 December 2001 by Level of Dependency

16

C7 Long-Stay Units by Health Board: Percentage Distribution of Patients Resident at 31 December 2001 by Medico/Social Status

17

C8 Long-Stay Units by Health Board: Percentage Distribution of Patients Admitted During 2001 by Source of Admission

19

C9 Long-Stay Units by Health Board: Percentage Distribution of Patients Discharged During 2001 by Destination of Discharge

20

C10 Long-Stay Units by Category: Percentage Distribution of Discharged (including Deceased) During 2001 by Length of Stay

21

Section D

D1 Eastern Regional Health Authority Area Summary of Individual Long-Stay Units 2001

22

D2 Midland Health Board Area Summary of Individual Long-Stay Units 2001

25

D3 Mid-Western Health Board Area Summary of Individual Long-Stay Units 2001

27

D4 North-Eastern Health Board Area Summary of Individual Long-Stay Units 2001

29

D5 North-Western Health Board Area Summary of Individual Long-Stay Units 2001

31

D6 South-Eastern Health Board Area Summary of Individual Long-Stay Units 2001

32

D7 Southern Health Board Area Summary of Individual Long-Stay Units 2001

34

D8 Western Health Board Area Summary of Individual Long-Stay Units 2001

36

iv

List of Figures Figure Number

Title Page

Section B

B1 Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Gender

4

B2 Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Age and Gender

6

B3 Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Level of Dependency

7

B4 Long-Stay Units by Category: Percentage Distribution of Patients Admitted During 2001 by Source of Admission

9

B5 Long-Stay Units by Category: Percentage Distribution of Patients Discharged (including Deceased) During 2001 by Destination of Discharge

11

B6 Long-Stay Units by Category: Percentage Distribution of Discharged (including Deceased) During 2001 by Length of Stay

12

Section C

C1 Long-Stay Units by Health Board: Percentage Distribution of Patients Resident at 31 December 2001 by Gender

14

C2 Long-Stay Units by Health Board: Percentage Distribution of Patients Resident at 31 December 2001 by Level of Dependency

17

C3 Long-Stay Units by Health Board: Percentage Distribution of Patients Resident at 31 December 2001 by Medico/Social Status

18

C4 Long-Stay Units by Health Board: Percentage Distribution of Patients Admitted During 2001 by Source of Admission

19

C5 Long-Stay Units by Health Board: Percentage Distribution of Patients Discharged During 2001 by Destination of Discharge

20

C6 Long-Stay Units by Health Board: Percentage Distribution of Discharged (including Deceased) During 2001 by Length of Stay

21

1

Introduction and Summary of Results

This report presents data collected through a survey of long-stay units in 2001. The aim of the survey is to provide statistics on the number of beds available for long-term care, how the beds are used and the types of patients who occupy these beds. In order to present the data this report has been divided into a number of sections. This introductory section examines how data was collected and analysed and gives a summary of the results. Demographic Data on the elderly, which composes Section A of the 2000 report, are not reproduced here. These data will be up-dated once the 2002 Census data becomes available in mid 2003. Section B presents data according to type of unit and Section C presents data according to Health Board. An examination of gender, age, dependency, medico/social status, admissions, discharges and length of stay is undertaken in these sections. Section D looks at individual long-stay units within each health board according to the type of unit. Details of number of beds, patients, discharges and admissions are presented. Methodology Health boards maintain a register of long-stay units/nursing homes in their health board area. At the request of the Department of Health and Children, questionnaires were issued by health boards to each long-stay unit within their area. Units that did not respond were followed up by health boards with an additional letter, questionnaire and telephone contact. The table below gives the response rate (i.e., number of questionnaires returned by long-stay units as a percentage of total number of registered long-stay units within each health board). Despite the improvement in the response rate since 2000 additional efforts are being made to ensure a higher response rate for 2002 data.

Table 1 Response Rate to Survey of Long-Stay Units by Health Board for

2001

EHB MHB MWHB NEHB NWHB SEHB SHB WHB Ireland

68.2 100.0 89.3 100.0 90.6 86.3 83.9 97.3 84.9

In 2001, 478 questionnaires were returned out of a total of 648 giving a response rate of 84.9 percent. Appendix 2 provides details of the number of responses received by health board and by long-stay unit category. Responses were coded and entered into a database and analysed using a statistical software package. Data were validated to ensure accuracy and completeness. Where missing data or inconsistencies were identified, clarification was sought from the relevant long-stay unit. In some cases, it was not possible to obtain clarification. In this instance, where possible, numbers

2

were allocated to categories according to the overall national distribution observed for that category. For example, if information on the number of patients within each dependency category were missing, cases were allocated according to the national distribution rate for this category. Summary Results Bed Occupancy: The percentage of beds occupied at 31 December 2001 was 90.6 percent. Sex: The majority of patients in long-stay units were female (67.5%). Age: The majority of patients are aged 80 years or over (64.3%). A larger proportion of women (70.6%) are in this age group compared to men (51.3%). Level of Dependency: As level of dependency increases so does the proportion of patients in each category; 9.4 percent have been categorised as low dependency, 20.0 percent as medium dependency, 29.3 percent as high dependency and 41.2 percent as maximum dependency. Medico/Social Status: The single largest percentage of patients fall into the chronic physical illness category (30.2%), followed by mental infirmity/dementia (22.1%), social reasons (14.4%) and physical disability (13.6%). Admissions and Discharges: Over half (56.3%) of patients were admitted into a long-stay unit from the community during 2001. Another 33.9 percent were admitted from acute hospitals. With regard to discharges during 2001, nearly two-thirds (64.7%) were discharged back into the community and another 19.1 percent were deceased. Length of Stay: Over three-quarters (77.0%) of patients were resident for less than three months during 2001. Only 12.1 percent of patients were resident for a year or more.

3

Section B

Survey Results by Category of Long-Stay Unit This section examines data collected from the survey of long-stay units by category of unit. Five categories are used: • Health Board Geriatric Home or Hospital • Health Board Welfare Home • Health Board District or Community Hospital • Voluntary Geriatric Home or Hospital • Private Nursing Home Respondents to the survey select the category which applies to long-stay unit of which they are proprietor or which they are managing. Table B1 below gives details of the number of beds, respite beds, patients and the occupancy rate of long-stay units according to the above five categories. The overall occupancy rate for long-stay units is 90.6 percent. However this varies from 89.5 percent within heath board geriatric homes or hospitals to 92.1 percent in voluntary geriatric homes or hospitals. Approximately one quarter of patients (25.6%) were resident in heath board geriatric homes or hospitals and 44.1 percent were resident in private nursing homes with the remaining 30.3 percent distributed among the remaining categories of long-stay units.

Table B1

Long-Stay Units by Category:

Number of Beds available, number of Patients and the Percentage of Beds Occupied at 31 December 2001

Category Beds

Respite Beds

Total Beds

% of Beds

Patients

% of Patients

% Occupancy

Health Board Geriatric Home/Hospital

5,358 334 5,692 25.9 5,096 25.6 89.5

Health Board Welfare Home

907 27 934 4.3 856 4.3 91.6

Health Board District/ Community Hospital

2,406 186 2,592 11.8 2,344 11.8 90.4

Voluntary Geriatric Home/Hospital

2,945 108 3,053 13.9 2,813 14.1 92.1

Private Nursing Home 9,538 140 9,678 44.1 8,777 44.1 90.7

TOTAL 21,154 795 21,949 100.0 19,886 100.0 90.6

4

Gender and Age Tables B2 to B5 and figures B1 and B2 look at the gender and age distribution of patients within long-stay units. Two-thirds (67.5%) of patients are female. This percentage break-down varies by unit type from 59 percent within heath board community or district hospitals to 72.4 percent in private nursing homes.

Table B2

Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Gender

CATEGORY OF UNIT Male Female Total

Health Board Geriatric Home/Hospital 37.7 62.3 100

Health Board Welfare Home 40.9 59.1 100

Health Board District/Community Hospital 41.0 59.0 100

Voluntary Geriatric Home/Hospital 28.7 71.3 100

Private Nursing Home 27.6 72.4 100

TOTAL 32.5 67.5 100

Figure B1

Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Gender

0

10

20

30

40

50

60

7080

HB Geriatric HB Welfare HB District/Community

Voluntary Private Total

Male Female

5

The majority (64.3%) of patients are 80 years of age or over. However, female patients show an older age profile compared to male patients. Over two-thirds (70.6%) of female patients are 80 years of age or over while only just over half (51.3%) of male patients fall in this age category.

Table B3

Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Age

CATEGORY OF UNIT Less than 40 Years

40-64 Years

65-69 Years

70-74 Years

75-79 Years

80-84 Years

85 Years and Over

Total


0.4 4.8 5.7 11.3 20.3 23.8 33.7 100


1.2 4.4 3.3 8.9 20.6 25.6 36.1 100


2.4 7.3 5.0 8.7 17.6 25.5 33.6 100


2.1 7.3 3.6 7.4 13.7 23.6 42.4 100

Private Nursing Home 0.3 3.7 3.6 7.5 15.5 26.9 42.5 100

TOTAL 0.9 4.9 4.3 8.6 16.9 25.4 38.9 100.0

Table B4

Long-Stay Units by Category: Percentage Distribution of Male Patients Resident at 31 December 2001 by Age


40-64 Years

65-69 Years

70-74 Years

75-79 Years

80-84 Years

85 Years and Over

Total


0.8 7.7 8.9 14.4 23.9 21.2 23.1 100


0.9 4.9 4.0 11.4 25.4 26.6 26.9 100


3.0 9.1 7.4 11.0 20.4 25.3 23.8 100


4.1 12.0 6.3 11.0 16.3 22.6 27.7 100


TOTAL 1.5 7.8 6.9 12.3 20.2 24.2 27.1 100

6

Table B5

Long-Stay Units by Category:

Percentage Distribution of Female Patients Resident at 31 December 2001 by Age


40-64 Years

65-69 Years

70-74 Years

75-79 Years

80-84 Years

85 Years and Over

Total


0.2 3.0 3.7 9.5 18.1 25.5 40.1 100


1.4 4.2 2.8 7.1 17.2 24.9 42.5 100


2.0 6.1 3.3 7.0 15.6 25.7 40.3 100


1.2 5.4 2.4 5.9 12.7 24.0 48.3 100


TOTAL 0.6 3.5 3.0 6.9 15.4 26.0 44.6 100

There is also a variation in the percentage of patients aged 80 years and over among categories of unit. Just under 70 percent (69.4%) of patients in private nursing homes are in the two oldest age categories compared to 57.5 percent of patients in heath board geriatric homes or hospitals. This can partially be explained by the different gender composition of unit categories and the variance in the age profiles of male and female patients.

Figure B2 Long-Stay Units by Category:

Percentage Distribution of Patients Resident at 31 December 2000 by Age and Gender

05

101520253035404550

< 65 Years 65-69 Years 70-74 Years 75-79 Years 80-84 Years 85+ Years

Male Patients Female Patients All Patients

0.05.0

10.015.020.025.030.035.040.045.050.0

< 65 Years 65-69 Years 70-74 Years 75-79 Years 80-84 Years 85+ Years

Male Patients Female Patients All Patients

7

Dependency Respondents were asked to indicate how their patients were distributed across four dependency levels of low, medium, high and maximum. The definitions for these categories are provided in explanatory notes sent out with questionnaire (see Appendix 1). Table B6 gives details of the distribution of patients according to their dependency category and by long-stay unit category. The largest proportion of patients are in the maximum dependency category which means they require a high degree of nursing care and assistance. Levels of dependency vary across long-stay unit category with health board geriatric homes or hospitals having the largest proportion (76.8%) of patients in the high or maximum dependency category and health board welfare homes having the lowest proportion (39.4%) in these two categories.

Table B6 Long-Stay Units by Category:

Percentage Distribution of Patients Resident at 31 December 2001 by Level of Dependency

CATEGORY OF UNIT Low Medium High Maximum Total


6.0 17.2 32.6 44.2 100


30.4 30.3 24.3 15.1 100


7.2 20.3 25.2 47.4 100


11.3 21.6 24.6 42.4 100

Private Nursing Home 9.3 20.1 30.5 40.1 100

TOTAL 9.4 20.0 29.3 41.2 100

Figure B3 Long-Stay Units by Category:


0%20%40%60%80%

100%

HB Geriatric HB Welfare HB District /Community


Low Medium High Maximim

8

Medico/Social Status Respondents were asked to categorise their patients according to their Medico/Social Status (i.e., the main reason for residence) at 31st December 2001. Nine categories were provided: • Chronic Mental illness • Chronic Physical Illness • Convalescence or Rehabilitation • Mental Infirmity or Dementia • Mental Handicap • Social Reasons • Terminal Illness • Other Reasons Among all long-stay units the category with the largest proportion of patients was chronic physical illness (30.2%) followed by mental infirmity or dementia (22.1%). Together these two reasons accounted approximately fifty percent of cases in all categories of long-stay units except for health board welfare homes. In this instance, 32 percent of patients fell into these two categories and another 37.7 percent were in residence due to social reasons.

Table B7

Long-Stay Units by Category: Percentage Distribution of Patients Resident at 31 December 2001 by Medico/Social Status

CATEGORY OF UNIT

Chronic Mental Illness

Chronic Physical

Illness

Conval- escence/

Rehab- ilitation

Mental Infirmity/ Dementia

Physical Disability

Mental Handicap

Social Reasons

Terminal Illness

Other Total

Health Board Geriatric Home/ Hospital

8.6 36.0 5.0 19.4 10.1 1.6 11.2 1.1 7.0 100


6.3 24.5 0.8 7.5 15.3 1.8 37.7 0.2 5.8 100

Health Board Community/ District Hospital

5.0 41.6 9.9 14.2 10.8 5.2 5.8 2.6 4.9 100


4.0 28.6 2.1 22.3 19.6 2.7 14.5 1.5 4.8 100

Private Nursing Home

6.3 24.9 3.3 27.2 14.4 1.0 16.3 1.7 4.7 100

TOTAL 6.4 30.2 4.3 22.1 13.6 1.9 14.4 1.6 5.4 100

9

Admissions Respondents were asked about the number of admission they had had during 2001 and the source of these admissions. The following categories were provided: • From the community (e.g., the patient’s home) • From an acute hospital • From another long-stay hospital/home (including private nursing homes) • From other sources The majority of admissions (56.3%) during 2001 came from the community. This was the single largest source of admissions for all categories of long-stay units except for private nursing homes. In this case, the 51.8 percent of admissions came from acute hospitals.


Percentage Distribution of Patients Admitted During 2001 by Source of Admission

CATEGORY OF UNIT Community Acute Hospital

Long-Stay Hospital / Home

Other Total


60.0 28.6 5.1 6.3 100


61.8 22.2 13.5 2.5 100


68.1 27.8 2.9 1.1 100


56.5 33.5 6.5 3.5 100

Private Nursing Home 33.4 51.8 12.1 2.8 100

TOTAL 56.3 33.9 6.3 3.4 100

Figure B4

Long-Stay Units by Category: Percentage Distribution of Patients Admitted During 2001 by Source of Admission

0%

20%

40%

60%

80%

100%



Community Acute Hospital Long-Stay Hospital Other

10

Discharges Respondents were asked how many patients were discharged throughout the year and the destination of the patients who were discharged. The categories provided were: • Into the community • Into an acute hospital • Into another long-stay hospital or home • Other destination • Deceased Table B9 and Figure B5 give details of the destination of patients upon discharge. The vast majority of patients (64.7%) were discharged back into the community. The largest proportion of patients from all categories of long-stay units fell into this category though the proportion varies from 45.2 percent among patients in private homes to 71.3 percent among patients in health board community or district hospitals. Approximately one fifth of patients (19.1%) were discharged on their death. Again there is a variation in this category from 11.6 percent among patients in health board community or district hospitals to 33.2 percent among patients in private nursing homes.

Table B9

Long-Stay Units by Category: Percentage Distribution of Patients Discharged (including Deceased)

During 2001 by Destination of Discharge

CATEGORY OF UNIT Community Acute Hospital

Long-Stay Hospital /

Home

Other Death Total


68.4 6.5 5.0 2.0 18.0 100


58.3 14.3 9.9 2.0 15.6 100


71.3 10.9 5.2 1.0 11.6 100

Voluntary Geriatric Home/ Hospital

70.3 3.7 3.9 1.4 20.7 100

Private Nursing Home 45.2 9.2 8.8 3.6 33.2 100

TOTAL 64.7 8.4 5.8 1.9 19.1 100

11

Figure B5 Percentage Distribution of Patients Discharged (including Deceased)

During 2001 by Destination of Discharge

Length of Stay In relation to patients who had been discharged, respondents were asked how long they had resided in their long-stay unit. Over three-quarters of patients (77%) resided for less than three months. This varied from 51.9 percent among private homes to 87.6 percent among patients in health board community or district hospitals. Table B10 below gives details of patients’ length of stay by long-stay unit category.


Percentage Distribution of Patients Discharged (including Deceased) During 2001 by Length of Stay

CATEGORY OF UNIT Less than 3 Months

3 to 6 Months

6 to 12 Months

1 to 2 Years

2 to 4 Years

4 to 6 Years

6 to 10 Years

Over 10 Years

Total


82.4 3.9 3.6 3.1 3.4 1.7 1.1 0.8 100


67.2 2.7 2.6 4.7 6.5 7.8 5.4 3.1 100


87.6 4.5 4.2 1.3 1.2 0.6 0.3 0.2 100


76.4 4.0 3.3 3.5 5.2 3.2 2.6 1.7 100

Private Nursing Home 51.9 15.1 7.9 8.4 7.5 4.1 2.8 2.3 100

TOTAL 77.0 6.3 4.6 3.7 3.7 2.1 1.5 1.1 100

0%

20%

40%

60%

80%

100%



Community Acute Hospital Long-Stay Hospital / Home Other Deceased

12

Figure B6 re-categorises length of stay into less than three months, three months to less than one year and one year and over. It is clear that there is some variation among the categories of long-stay unit. Over one quarter of patients (27.5%) in health board welfare homes and private had a length of stay of one year or more. In voluntary homes 16.2 percent of patients had a length of stay of one year or more and in health board geriatric homes the figure was one tenth. In health board district or community hospitals 3.6 percent of patients had a length of stay of one year or more.

Figure B6

Long-Stay Units by Category: Percentage Distribution of Patients Discharged (including Deceased)

During 2001 By Length of Stay

0%

20%

40%

60%

80%

100%



Less than 3 months 3 months to less than 1 year 1 year or more

13

Section C

Survey Results by Health Board Area Section C re-examines the data collected in the 2001 survey but presents it by health board area. Over one quarter of patients (26.1%) were resident in an ERHA long-stay unit at 31 December 2001. The North-Western Health Board recorded the lowest proportion of patients at 6.9 percent. The overall occupancy rate among long-stay units was 90.6 percent. This varied from 89.2 percent among Midland Health Board long-stay units to 91.7 percent among Southern Health Board long-stay units. Table C1 below gives details of numbers of beds, respite beds, patients, percentage of beds, percentage of patients and percentage occupancy by health board.

Table C1

Long-Stay Units by Health Board: Number of Beds available, number of Patients and the

Percentage of Beds Occupied at 31 December 2001

Health Board Beds Respite

Beds Total Beds

% of Beds

Patients % of Patients

Percentage Occupancy

ERHA 5,540 213 5,753 26.2 5,197 26.1 90.3

Midland 1,727 74 1,801 8.2 1,606 8.1 89.2

Mid-Western 2,343 85 2,428 11.1 2,186 11.0 90.0

North-Eastern 1,973 140 2,113 9.6 1,895 9.5 89.7

North-Western 1,430 69 1,499 6.8 1,367 6.9 91.2

South-Eastern 2,459 48 2,507 11.4 2,274 11.4 90.7

Southern 2,823 116 2,939 13.4 2,696 13.6 91.7

Western 2,859 50 2,909 13.3 2,665 13.4 91.6

TOTAL 21,154 795 21,949 100.0 19,886 100.0 90.6

14

Gender and Age Tables C2 to C5 and Figures C1 look at the gender and age distribution of patients within the health boards. Table C2 gives details of the gender profile of patients within the health boards. Approximately two thirds (67.5%) of patients are female but this varies from 62.1 percent of patients in the North-Western Health Board to 73.6 percent of patients in the ERHA.

Table C2

Long-Stay Units by Health Board: Percentage Distribution of Patients Resident at 31 December 2001 by Gender

Health Board Male Female Total

ERHA 26.4 73.6 100

Midland 35.7 64.3 100

Mid-Western 35.0 65.0 100

North-Eastern 30.2 69.8 100

North-Western 37.9 62.1 100

South-Eastern 34.1 65.9 100

Southern 35.2 64.8 100

Western 35.0 65.0 100

TOTAL 32.5 67.5 100

Figure C1 Long-Stay Units by Health Board:

Percentage Distribution of Patients Resident at 31 December 2001 by Gender

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%

Eastern Midland Mid-Western

North-Eastern

North-Western

South-Eastern

Southern Western Total

Male Female

15

The majority of patients are in the two oldest age categories. The Western Health Board has the largest percentage of patients (41.1%) in the 85 years and over age category and the Midland Health Board has the smallest percentage in this category at 32.9 percent.

Table C3

Long-Stay Units by Health Board:

Percentage Distribution of Patients Resident at 31 December 2001 by Age

Health Board Less than 40 Years

40-64 Years

65-69 Years

70-74 Years

75-79 Years

80-84 Years

85 Years and Over

Total

ERHA 1.4 6.1 4.1 8.2 15.6 24.7 40.1 100

Midland 3.5 5.9 4.7 9.3 18.6 25.0 32.9 100

Mid-Western 0.3 3.3 4.3 8.8 17.9 27.0 38.4 100

North-Eastern 0.2 4.9 4.9 7.9 18.3 25.1 38.8 100

North-Western 0.1 4.5 4.9 9.8 17.3 24.6 38.7 100

South-Eastern 0.3 3.5 4.7 9.3 18.0 26.3 37.9 100

Southern 0.8 5.6 3.7 8.3 15.9 26.4 39.3 100

Western 0.3 4.3 3.8 8.7 16.9 24.9 41.1 100

TOTAL 0.9 4.9 4.3 8.6 16.9 25.4 38.9 100

Table C4

Long-Stay Units by Health Board: Percentage Distribution of Male Patients Resident at 31 December 2001 by Age

Health Board

Less than 40 Years

40-64 Years

65-69 Years

70-74 Years

75-79 Years

80-84 Year

85 Years and Over

Total

ERHA 3.1 10.6 7.5 12.2 17.1 22.4 27.1 100

Midland 5.4 6.4 7.1 14.5 19.7 24.4 22.5 100

Mid-Western 0.8 5.2 6.3 11.4 23.5 28.3 24.5 100

North-Eastern 0.3 8.7 8.7 11.2 20.2 24.6 26.2 100

North-Western 0.0 6.6 7.5 12.9 20.5 24.7 27.8 100

South-Eastern 0.4 5.4 6.3 13.0 22.1 23.5 29.3 100

Southern 1.3 9.5 6.4 12.2 19.5 24.6 26.5 100

Western 0.3 7.3 5.8 11.3 21.3 23.0 30.9 100

TOTAL 1.5 7.8 6.9 12.3 20.2 24.2 27.1 100

16

Table C5 Long-Stay Units by Health Board:

Percentage Distribution of Female Patients Resident at 31 December 2001 by Age

Health Board Less than 40 Years

40-64 Years

65-69 Years

70-74 Years

75-79 Years

80-84 Years

85 Years and Over

Total

ERHA 0.8 4.4 2.9 6.7 15.0 25.5 44.7 100

Midland 2.5 5.5 3.4 6.5 17.9 25.4 38.8 100

Mid-Western 0.1 2.3 3.2 7.5 14.9 26.3 45.8 100

North-Eastern 0.1 3.3 3.3 6.5 17.4 25.3 44.3 100

North-Western 0.2 3.3 3.3 7.9 15.4 24.5 45.3 100

South-Eastern 0.2 2.5 3.9 7.3 15.9 27.8 42.4 100

Southern 0.6 3.4 2.2 6.2 13.9 27.4 46.3 100

Western 0.2 2.7 2.7 7.3 14.6 25.9 46.6 100

TOTAL 0.6 3.5 3.0 6.9 15.4 26.0 44.6 100

Dependency Table C6 and figure C2 below give details of dependency levels among patients within each health board. Over two thirds of patients (70.5%) are either in the high dependency or maximum dependency category (See Appendix 1 for definitions). There is some variation across health boards among patients in each category. For example, within the ERHA, 35.2 percent of patients are in the maximum dependency category while the same figure for the North-Eastern Health Board is 53 percent.



Health Board Low Medium High Maximum Total

ERHA 11.7 21.2 31.9 35.2 100

Midland 9.6 18.4 32.1 39.9 100

Mid-Western 7.8 22.4 26.4 43.4 100

North-Eastern 6.1 17.2 23.7 53.0 100

North-Western 6.5 18.7 26.9 47.9 100

South-Eastern 11.7 22.9 30.3 35.1 100

Southern 9.7 21.6 30.8 37.8 100

Western 7.8 15.5 27.7 49.0 100

TOTAL 9.4 20.0 29.3 41.2 100

17



Medico/Social Status As stated in Section B the single largest proportion of patients are resident in a long-stay unit due to chronic physical illness. Table C7 gives details of medico/social status of patients within each health board. There is some variation among health boards. For example, 25.1 percent of patients within the ERHA have a medico/social status of chronic physical illness. Within the Mid-Western Health Board this figure is 35.3 percent.

Table C7

Long-Stay Units by Health Board: Percentage Distribution of Patients Resident at 31 December 2001 by Medico/Social Status

Health Board Chronic Mental Illness

Chronic Physical

Illness

Convalescence/ Rehabilitation

Mental Infirmity/ Dementia

Physical Disability

Mental Handicap

Social Reasons

Terminal Illness

Other Total

ERHA 5.2 25.1 2.2 26.1 15.3 1.7 14.5 1.2 8.9 100

Midland 8.0 31.5 3.1 20.4 10.1 7.0 12.5 1.8 5.5 100

Mid-Western 7.2 35.3 4.8 21.3 12.4 1.0 12.5 1.1 4.5 100

North-Eastern 8.0 30.3 6.9 21.6 15.5 2.0 10.2 1.1 4.3 100

North-Western 8.6 26.0 8.4 19.9 14.8 1.5 12.2 2.8 5.7 100

South-Eastern 5.6 32.0 4.0 18.8 11.5 1.3 22.5 1.4 2.9 100

Southern 4.9 34.8 3.7 22.9 15.7 1.3 12.2 1.9 2.7 100

Western 7.1 31.4 5.3 19.7 11.6 1.5 16.6 2.1 4.8 100

TOTAL 6.4 30.2 4.3 22.1 13.6 1.9 14.4 1.6 5.4 100

0%10%20%30%40%50%60%70%80%90%

100%

ERHA Midland Mid-Western

North-Eastern

North-Western

South-Eastern


Low Medium High Maximum

18

Figure C3 below displays the Medico/Social Status of patients within each health board according to the four following categories: • Physical Disorders (Chronic Physical Illness, Convalescence and Rehabilitation,

Physical Disability, Terminal Illness) • Mental Disorders (Chronic Mental Illness, Mental Infirmity and Dementia, Mental

Handicap) • Social Reasons • Other According to this classification just under half of patients (49.7%) fall into Physical Disorder category, 30.4 percent fall into the Mental Disorder category, 14.4 percent fall in to the Social Reasons category and 5.4 percent are in the Other category. Again there is some variation among the health boards. Under half of the patients (43.8 %) within the ERHA are categorised was having a Physical Disorder while 56.1 percent of patients within the Southern Health Board fall into this category.


Percentage Distribution of Patients Resident at 31 December 2001 by Medico/Social Status

Admissions Table C8 and Figure C4 give details of the source of admissions by health board. As stated earlier the majority of patients (56.3%) were admitted from the community. However there is some considerable variation among health boards. For example, 41.7 percent of patients were admitted from the community within the South-Eastern Health Board. Within the Southern Health Board this figure was 65.9 percent. Similarly, the proportion admitted from acute hospitals also varies considerably from 26.4 percent within the Southern Health Board to 45.7 percent within the Mid-Western Health Board.

0%

20%

40%

60%

80%

100%


North-Eastern

North-Western

South-Eastern


Physical Disorders Mental Disorders Social Reasons Other

19

Table C8

Long-Stay Units by Health Board: Percentage Distribution of Patients Admitted During 2001 by Source of Admission

Health Board

Community Acute Hospital

Long Stay Hospital / Home

Other Total

ERHA 58.5 28.3 4.6 8.6 100

Midland 65.3 27.1 6.6 1.1 100

Mid-Western 46.9 45.7 6.3 1.1 100

North-Eastern 57.4 34.0 5.9 2.7 100

North-Western 58.5 33.2 6.9 1.4 100

South-Eastern 41.7 39.6 12.2 6.5 100

Southern 65.9 26.4 4.8 2.9 100

Western 50.0 43.2 6.5 0.4 100

TOTAL 56.3 33.9 6.3 3.4 100


Percentage Distribution of Patients Admitted During 2001 By Source of Admission

0%10%20%30%40%50%60%70%80%90%

100%


North-Eastern

North-Western

South-Eastern


Community Acute Hospital Long Stay Hospital / Home Other

20

Discharges Table C9 and Figure C5 give details of the destination of patients who were discharged throughout 2001 within each health board. The majority of patients (64.7%) were discharged back into the community. However, there is considerable variation among the health boards. For example, 53.3 percent of patients within the South-Eastern were discharged back into the community while the figure within the ERHA is 71.6 percent. Similarly the proportion of patients who were deceased varies from 14.8 percent within the North-Eastern Health Board to 28.6 percent within the South-Eastern Health Board.


Percentage Distribution of Patients Discharged (including Deceased) During 2001 by Destination of Discharge

Health Board Community Acute Hospital

Long-Stay Hospital / Home

Other Death Total

ERHA 71.6 3.5 3.5 1.1 20.3 100

Midland 68.3 9.9 3.2 2.7 16.0 100

Mid-Western 63.0 7.2 6.6 2.2 21.0 100

North-Eastern 68.9 6.1 6.5 3.7 14.8 100

North-Western 62.9 12.8 8.1 1.2 15.0 100

South-Eastern 53.3 6.3 8.6 3.3 28.6 100

Southern 64.5 9.8 4.7 2.0 19.1 100

Western 58.2 13.1 7.7 0.8 20.2 100

TOTAL 64.7 8.4 5.8 1.9 19.1 100


Percentage Distribution of Patients Discharged During 2001 by Destination of Discharge

0%

20%

40%

60%

80%

100%


North-Eastern

North-Western

South-Eastern


Community Acute Hospital Long-Stay Hospital / Home Other Death

21

Length of Stay Over three-quarters (77%) of patients who were discharged in 2001 were in residence for less than three months. Table C10 and Figure C6 give details of the length of stay of discharged patients within each health board.


Percentage Distribution of Patients Discharged (including Deaths) During 2001 by Length of Stay

Health Board

Less than 3 months

3 to 6 months

6 to 12 months

1 to 2 years

2 to 4 years

4 to 6 years

6 to 10 years

10 years and Over

Total

ERHA 76.3 5.5 3.4 4.1 5.7 2.4 1.6 0.9 100

Midland 76.0 6.7 4.7 3.2 4.0 2.9 1.5 0.9 100

Mid-Western 76.1 8.0 4.1 3.1 3.1 2.2 2.2 1.1 100

North-Eastern 83.3 4.3 3.4 3.5 2.1 1.5 1.2 0.6 100

North-Western 74.4 7.7 9.7 2.2 2.1 1.1 0.9 2.0 100

South-Eastern 70.1 6.5 4.8 7.6 5.3 3.0 1.5 1.2 100

Southern 82.0 4.3 3.2 3.3 3.5 1.6 1.4 0.7 100

Western 75.3 8.5 4.1 3.6 3.3 2.5 1.3 1.4 100

TOTAL 77.0 6.3 4.6 3.7 3.7 2.1 1.5 1.1 100

Figure C6 re-categorises length of stay into less than three months, three months to less than one year and one year and over. It is clear that there is some variation among the health boards with regard to length of stay. For example within the South-Eastern Health Board 18.6 per cent of patients had a length of stay of one year or more compared to 8.3 percent of patients in the North-Western Health Board.


Percentage Distribution of Patients Discharged (including Death) During 2001 by Length of Stay

0%

20%

40%

60%

80%

100%

ERHA Midland Mid-

Western

North-

Eastern

North-

Western

South-

Eastern


Less than 3 months 3 months to less than 1 year 1 year or more

22

Section D Summary of Individual Long-Stay Units by Health Board and Unit

Category

This section looks at individual long-stay units within each health board and according to category of long-stay unit. The tables below give details of number of beds, number of patients, number of admissions and number of discharges within each long-stay unit during 2001. In this way it is possible to get a picture of the variety with regard to size and activity (i.e., admissions and discharges) within long-stay units across the country.

Table D1

ERHA Area Summary of Individual Long-Stay Units 2001

Name of Home/Hospital Number of Beds at

31/12/2001

Number of Patients

31/12/2001

Number of Admissions during 2001

Number of Discharges

during 2001 Health Board Geriatric Home/Hospital

Baggot Street Community Hospital, D4 84 66 728 721 Bru Chaoimhin, D8 180 145 45 37 Cherry Orchard, D10 68 60 39 21 Community Unit for Elderly- Lusk 70 6 6 3 Cuan Ros, D7 45 43 288 287 District Hospital, Baltinglass 94 84 153 131 James Connolly Memorial, D15 64 58 44 52 St Brigid's, Crooksling 150 136 50 44 St. Clare's Home, D11 63 59 57 35 St Colman's, Rathdrum 141 118 491 496 St Mary's Hospital, Phoenix Park 327 306 715 672 St Vincent's, Athy 224 194 330 348 Total 1,510 1,275 2,946 2,847


Ashgrove House, D7 39 38 15 12 Clarehaven Welfare Home, D11 39 39 17 12 Drogheda Memorial, Curragh 16 16 34 36 St Broc's, D6 39 30 30 6 The Orchard, Bray 39 37 10 11 Total 172 160 106 77

Health Board District/Community Hospital

District Hospital, Wicklow 32 30 56 48 Seanchara Community Unit, D11 50 46 207 183 Total 82 76 263 231

23

Table D1 Continued Name of Home/Hospital Number of

Beds at 31/12/2001

Number of Patients

31/12/2001



during 2001

Voluntary Geriatric Home/Hospital Alexandra Guild Housing Association, D6 27 27 6 6 Ardeen Cheshire, Arklow 45 35 251 251 Barrett Cheshire, D2 32 28 12 12 Beech Lawn House, D9 42 33 7 9 Brabazon Nursing Home, D4 12 10 13 16 Cara Cheshire, Phoenix Park 34 32 40 41 Cedar House, D14 21 18 2 14 Glenindare, D4 32 32 14 11 Harcourt Home, D2 34 34 5 5 Jewish Home of Ireland, D6 41 38 15 12 Leopardstown Park Hospital, D18 148 130 388 393 Marian House, D12 27 23 27 29 Maryfield, D20 55 49 19 14 Molyneux Home, D6 25 20 10 13 Our Lady's Hospice, D6 104 97 60 62 Our Lady's Manor, Dalkey 80 80 466 466 Peamount, Newcastle 92 83 81 81 Queen of Peace Centre, D6 48 48 8 8 Regional Care Unit, Blackrock 14 14 4 4 Richmond Cheshire, Monkstown 26 25 48 49 Rosglas Nursing Home, Kildare 12 12 0 0 Sacred Heart Residence, D5 88 87 18 16 Shalom, Kilcock 28 26 6 5 Simpson's Hospital, D16 43 43 8 6 St Columban's, Maghermore 21 17 8 7 St Gabriel's, D5 52 52 37 37 St Joseph's Centre, Shankill 60 58 66 65 St Mary's Centre, D4 81 81 8 10 St Monica's, D1 45 44 62 62 The Royal Hospital, D4 197 176 233 240 Total 1,566 1,452 1,922 1,944

Private Nursing Home Aisling House Nursing Home, Arklow 4 4 2 2 Alzheimer Care Centre, D9 64 34 25 19 Ashford House, Dunlaoire 28 24 13 13 Ballystrahan, St.Margaret's, Dublin 26 26 8 9 Beaumont, D9 100 83 29 26 Bedford House, Balbriggan 39 31 17 14 Belmont House, Stillorgan 55 55 144 125 Bray Manor,Wicklow 26 24 13 11 Brymore House, Howth 40 37 25 19 Cairn Hill Nursing Home, D18 37 36 13 11 Churchview, D7 55 51 12 7 Craddock House, Naas 68 65 41 36 Dalkey Lodge, Dalkey 31 30 39 35 Dargle Valley, Enniskerry 30 24 39 28

24


Beds at 31/12/2001

Number of Patients

31/12/2001



during 2001

Private Nursing Home (continued) Earlsbrook, Bray 64 59 32 19 Fingal House, Swords 20 20 21 21 Florence Garden, Bray 55 55 7 7 Garda Retirement Home, D5 42 40 13 13 Glenaulin, D20 66 64 32 31 Glenbervie, Bray 32 29 14 15 Glencarrig, D24 25 25 11 4 Greystones Nursing Home, Wicklow 76 65 17 15 Harvey, D6W 23 16 9 27 Hazel Hall, Clane 46 46 54 51 Holy Family Residence, D14 72 72 17 10 Holy Rosary Care Unit, D6 28 28 3 3 Howth Hill Lodge, Howth 39 36 20 8 Killiney Grove Nursing Home, Killiney 44 36 91 72 Kinvara House, Bray 40 32 15 15 Larchfield Park, Naas 56 56 189 184 La Verna, Clontarf 28 24 15 15 Leas Cross, Swords 37 35 23 22 Leeson Park House, D6 54 48 29 31 Lisheen, Rathcoole 27 24 7 10 Lourdesville, Kildare 48 44 62 47 Lucan Lodge, Lucan 46 42 18 14 Marymount, Lucan 48 48 19 18 Maryville, Dublin 4 46 44 7 7 Moyglare, Maynooth 54 52 20 13 New Lodge, Donnybrook 31 24 14 17 Northbrook, D6 23 23 5 5 Oghill Nursing Home, Monasterevin 36 36 36 18 Padre Pio, D22 28 26 7 7 Rathfarnham, D16 37 35 8 9 Roseville Nursing Home, Bray 30 30 19 11 Rostrevor, D6 23 20 8 7 Sally Park, D24 35 32 24 26 San Remo Nursing and Convalescent Home Ltd, Bray 51 43 31 11 Shannagh Bay, Bray 45 42 21 19 Shrewsbury House, D3 36 36 8 8 St Theresa's, Bray 21 21 4 4 Talbot Lodge, Kinsealy 52 51 63 62 Tara, Bray 50 50 14 14 Tara Winthrop, Swords 60 60 117 57 The Croft, D8 39 38 11 11 The Ryevale, Leixlip 73 70 42 42 Tower, D22 21 21 5 5 York House, Dunlaoghaire 13 12 2 1 Total 2,423 2,234 1,604 1,361

ERHA Totals 5,753 5,197 6,841 6,460

25

Table D2 Midland Health Board Area

Summary of Individual Long-Stay Units 2001


31/12/2001

Number of Patients

31/12/2001



during 2001

Health Board Geriatric Home/Hospital District Hospital, Abbeyleix 50 49 160 159 General Hospital, Tullamore 17 10 19 18 St Brigid's, Portlaois 62 60 20 18 St Joseph's/Mount Carmel, Longford 161 138 374 387 St Mary's, Mullingar 120 105 337 351 St Vincent's, Athlone 76 70 298 310 St Vincent's, Mountmellick 157 157 326 332 Total 643 589 1,534 1,575

Health Board Welfare Home Loughloe House, Athlone 37 34 102 107 Total 37 34 102 107

Health Board District/Community Hospital Community Nursing Unit, Birr 62 62 387 386 Community Nursing Unit, Edenderry 59 59 14 23 Riada House, Tullamore 42 39 226 227 St Peter's Centre, Castlepollard 93 91 0 41 Total 256 251 627 677

Voluntary Geriatric Home/Hospital Mont Vista, Athlone 17 8 2 1 Our Lady's Manor, Edgeworthstown 71 71 93 87 St Camillus, Killucan 57 57 47 44 Total 145 136 142 132

Private Nursing Home Ballard Lodge, Portlaois 14 14 5 5 Bethaney House, Tyrrellspass 28 28 14 11 Carthage Nursing Home, Tullamore 36 36 34 29 Castlecore, Bally mahon 33 30 14 12 Clover Lodge, Birr 56 4 4 0 Elmgrove House, Birr 32 25 7 7 Fairview, Abbeyleix 11 10 8 9 Gallen Priory, Ferbane 57 44 44 32 Kilminchy Lodge, Portlaois 52 41 109 68 Laurel Lodge, Glebe 51 51 55 53 Maplecourt Nursing Home, Castlepollard 21 21 0 29 Marian, Portarlington 10 8 9 9 Moate House Care, Moate 16 16 40 14 Newbrook Nursing Home, Mullingar 52 51 40 33 Newtownforbes Nursing Home, Newtownforbes 41 40 70 66

26


Beds at 31/12/2001

Number of Patients

31/12/2001



during 2001

Private Nursing Home (continued) Our Lady of Consolation, Tullamore 25 25 4 8 Retreat Nursing Home, Athlone 40 40 24 24 St Clair's Medical Centre, Ballinderry 41 28 28 15 Stella Maris, Athlone 29 28 23 17 St Ignatius, Tullamore 52 38 37 30 Upton House, Clara 23 18 9 9 Total 720 596 578 480

Midland Health Board Totals 1,801 1,606 2,983 2,971

27

Table D3

Mid-Western Health Board Area Summary of Individual Long-Stay Units 2001

Name of Home/Hospital Number of

Beds at 31/12/2001

Number of Patients

31/12/2001



during 2001 Health Board Geriatric Home/Hospital Community Nursing Unit, Kilrush 37 36 134 136 Community Nursing Unit, Nenagh 33 32 91 88 Hospital of the Assumption, Thurles 105 93 362 367 St Camillus', Limerick 232 200 638 627 St Joseph's, Ennis 266 216 464 469 Total 673 577 1,689 1,687

Health Board Welfare Home Community Nursing Unit, Roscrea 37 35 153 153 Total 37 35 153 153

Health Board District/Community Hospital Community Hospital, Ennistymon 32 26 143 143 Community Hospital, Raheen 33 33 104 98 St Ita's Hospital, Limerick 139 132 426 424 Total 204 191 673 665

Voluntary Geriatric Home/Hospital Cahercalla Community Hospital, Cahercalla 99 87 29 26 Carrigoran House, Newmarket-on-Fergus 152 145 88 93 Catherine McAuley House, Limerick 28 25 14 13 Kilrush District Hospital, Kilrush 54 54 17 18 St Paul's, Limerick 52 52 55 53 Total 385 363 203 203

Private Nursing Home Adare & District Nursing Home, Limerick 47 47 10 10 Ardeen, Thurles 40 38 27 36 Ard Na Ri, Bruff 25 24 17 15 Ashlawn, Nenagh 29 26 25 36 Beechwood House, Newcastle West 37 37 55 39 Belmont Nursing Home, Castleconnell 20 18 3 3 Bushy Park, Borrisokane 40 37 19 19 Caherass Nursing Home, Croom 50 25 27 4 Cahermoyle House, Ardagh 47 47 67 47 Corbally House, Corbally 31 31 25 22 Glebe House, Fedamore 41 41 22 12 Glenview House, Newport 14 14 5 5 Good Counsel, Limerick 28 28 7 7 Milford House, Castletroy 47 46 174 166 Millbrae Lodge Nursing Home, Tipperary 37 34 22 27

28

Table D3 Continued


31/12/2001

Number of Patients

31/12/2001



during 2001 Private Nursing Home (continued) Mount Carmel, Roscrea 28 26 19 18 Mount St Benedict, Thurles 12 12 14 11 Nenagh Manor Nursing Home, Nenagh 54 30 29 27 Patterson's Roscrea 28 19 6 6 Riverdale House, Blackwater 25 24 6 6 Rivervale Nursing Home, Nenagh 46 26 62 36 Roseville, Ballysimon 40 40 75 10 Roslyn Nursing Home, Templemore 16 13 4 6 Sancta Maria, Cratloe 24 22 25 17 St Anne's Dromcollogher 22 18 22 26 St Anthony's, Pallesgreen 27 27 4 3 St Gobnait's, Ballyagran 20 20 8 8 St Jude's, Borrisoleigh 19 18 2 2 St Kieran's Roscrea 26 26 7 7 St Martha's Nursing Home, Cahir 20 20 10 11 St Teresa's Nursing Home, Cashel 14 14 6 8 St Theresa's, Kilrush 34 32 47 42 St Theresa's,Thurles 35 35 34 28 Tall Trees, Askeaton 26 25 20 15 The Lakes Nursing Home, Clare 57 57 141 107 Villa Maria Nursing Home, Roscrea 23 23 8 8 Total 1,129 1,020 1,054 850

Mid-Western Health Board Totals 2,428 2,186 3,772 3,558

29

Table D4

North-Eastern Health Board Area Summary of Individual Long-Stay Units 2001


Beds at 31/12/2001

Number of Patients

31/12/2001



during 2001 Health Board Geriatric Home/Hospital Boyne View House, Drogheda 38 32 115 114 Cottage Hospital, Drogheda 48 46 452 439 County Infirmary, Navan 17 14 394 390 Oriel House, Rooskey 31 30 27 24 St Felim's, Cavan 56 53 470 371 St Joseph's, Ardee 44 44 101 97 St Joseph's, Trim 188 162 285 289 St Mary's, Castleblayney 162 141 28 26 St Mary's, Drogheda 50 49 32 25 Sullivan Memorial Home, Cavan 34 34 61 56 Total 668 605 1,965 1,831

Health Board District/Community Hospital Ballyconnel Community Services, Cavan 30 28 120 92 Lisdaran Unit for the Elderly, Cavan 63 60 230 234 St Oliver Plunkett, Dundalk 150 147 381 373 Total 243 235 731 699

Voluntary Geriatric Home/Hospital Medical Missionaries, Drogheda 30 19 192 159 Mount Oliver, Convent Infirmary, Dundalk 34 29 4 4 St Joseph's, Ballybay 26 15 1 5 St Louis, Monaghan 19 19 9 9 Total 109 82 206 177

Private Nursing Home Boyne Valley, Dowth 14 13 20 22 Castle Lodge, Castlebellingham 40 4 4 0 College View Nursing Home, Cavan 55 55 71 49 Conifer House, Dundalk 20 18 19 15 Creevela House, Laytown 46 44 27 23 Dealgan House, Dundalk 29 14 28 14 Delvin Lodge 48 47 19 17 Delvin Lodge, Phase 2, Gormanston, Meath 47 27 40 23 Fairlawns, Bailieboro 35 35 24 24 Heatherfield Nursing Home, Dimshaughlin 19 19 6 4 Hillview, Tara 26 22 49 39 Kilmainhamwood Nursing Home, Kells 50 45 190 157 Moorehall Lodge, Ardee 64 63 28 17 Navan, Athlumney 26 24 42 42 Omega, Belturbet 19 18 15 11 Quarrybanks Nursing Home, Carlingford 44 44 56 22

30

Table D4


31/12/2001

Number of Patients

31/12/2001



during 2001 Private Nursing Home (continued) Rathoath Manor, Rathoath 57 54 21 18 Sacred Hearts, Clones 50 47 20 25 Sancta Maria, Kinnegad 44 44 78 62 Sheelin Nursing Home, Mountnugent 27 27 1 2 Silvergrove Nursing Home, Clonee 38 26 12 12 St. Anthony's, Trim 14 14 1 1 St Clare's, Stamullen 68 65 40 33 St Colmcille's Nursing Home, Kells 38 38 17 15 St Columban's, Navan 25 22 9 4 St Elizabeth's, Athboy 23 23 25 11 St Joseph's Nursing Home, Virginia 43 43 34 32 St Ursula's, Bettystown 24 24 38 38 Windfield, Dunboyne 38 34 16 14 Woodlands House, Navan 22 20 53 47 Total 1,093 973 1,003 793

North-Eastern Health Board Totals 2,113 1,895 3,905 3,500

31

Table D5

North-Western Health Board Area Summary of Individual Long-Stay Units 2001


Beds at 31/12/2001

Number of Patients

31/12/2001



during 2001 Health Board Geriatric Home/Hospital Rock Nursing Unit 35 33 19 19 Total 35 33 19 19

Health Board District/Community Hospital Arus Carolan, Mohill 41 41 46 45 Community Hospital, Caradonagh 39 35 285 284 Community Hospital Donegal 28 26 294 285 Community Hospital, Killybegs 41 14 357 345 Community Hospital, Lifford 40 38 295 294 Community Nursing Unit, Buncrana 40 32 63 67 Community Nursing Unit, Falcarragh 35 31 151 145 Community Nursing Unit, Ramelton 38 33 147 150 District Hospital, Dongloe 44 30 383 383 Our Lady's, Manorhamilton 35 32 353 352 Sheil Hospital, Ballyshannon 48 39 241 249 St John's, Sligo 189 177 622 619 St Joseph's, Stranolar 104 80 379 381 St Patrick's, Carrick-on-Shannon 114 114 238 245 Total 836 722 3,854 3,844

Voluntary Geriatric Home/Hospital Community Nursing Unit, Ballymote 27 27 24 25 Nazareth House, Fahan 48 48 28 26 Nazareth House, Sligo 136 129 76 81 Total 211 204 128 132

Private Nursing Home Archview Lodge, Letterkenny 29 29 15 12 Bailey's, Tubbercurry 43 40 39 15 Brindley Manor Nursing Home LTD.,Convoy 43 42 25 25 Drumbeg, Inver 24 24 3 13 Harbour Lights, Burckless 39 39 16 11 Laggan Valley, Lifford 27 27 11 11 Lakehouse, Port-na-Blagh 57 57 42 42 Lakeview, Mohill 25 24 37 34 Mulross, Carrick-on-Shannon 36 32 89 92 Sancta Maria, Enniscrone 34 34 11 9 St Phelim's, Dromahair 60 60 39 19 Total 417 408 327 283

North-Western Health Board Totals 1,499 1,367 4,328 4,278

32

Table D6

South-Eastern Health Board Area Summary of Individual Long-Stay Units 2001


31/12/2001

Number of Patients

31/12/2001



during 2001 Health Board Geriatric Home/Hospital New Houghton, New Ross 66 65 76 37 Sacred Heart, Carlow 101 83 329 310 St Columba's, Thomastown 130 123 77 81 St John's, Enniscorthy 164 162 123 124 St Joseph's, Dungarvan 102 92 270 213 St Patrick's, Cashel 128 116 38 45 St Patrick's, Waterford 126 122 436 436 Total 817 763 1,349 1,246

Health Board Welfare Home Bethany House, Carlow 38 32 10 10 Cluain Arann, Tipperary 36 32 11 12 Dunabbey House, Dungarvan 40 33 22 18 Gahan House, Graiguenamanagh 16 14 3 3 Marion Court, Clonmel 33 30 6 5 Mount Carmel, Callan 21 21 6 4 O'Gorman Home, Ballyragget 12 11 2 2 Prague House, Freshford 25 25 4 4 Total 221 198 64 58

Voluntary Geriatric Home/Hospital Community Hospital, New Ross 34 32 136 125 Holy Ghost Hospital, Waterford 58 58 15 15 Martin Residential Home, Portlaw 20 20 8 7 St Anne's, Portlaw 33 33 9 9 St Canice's Parish, Troy's Court 21 21 4 4 St Fiac's House, Carlow 20 20 6 6 St Joseph's Home, Kilmoganny 24 24 19 16 St Joseph's Nursing Home, Manor Hill 45 40 19 19 St Lazerian's House, Bagenalstown 20 17 7 8 Total 275 265 223 209

Private Nursing Home Acorn Lodge, Cashel 50 20 128 106 Ard na Farraige, Tramore 21 18 6 9 Aut-Even, Kilkenny 5 5 283 273 Avondale, Callan 31 31 18 18 Bailey House, Thurles 17 17 4 4 Beechwood, Leighlinbridge 31 31 9 9 Borris Lodge, Borris 31 31 11 7 Bramleigh Lodge N.H., Cahir 20 20 7 7 Carlford, Enniscorthy 20 20 7 8

33

Table D6 Continued


31/12/2001

Number of Patients

31/12/2001



during 2001 Private Nursing Home (continued) Cottage, Clonmel 20 20 5 5 Deerpark, Lattin 28 27 26 29 Drakelands House, Drakelands 42 40 25 24 Dr Cuddigan's, Enniscorthy 20 20 9 8 Drum Hills, Dungarvan 23 18 14 8 Greenhill, Carrick-on-Suir 54 22 26 4 Knockeen Nursing Home, Barntown 45 39 52 46 Maypark House, Waterford 44 44 35 32 Melview House, Clonmel 65 45 29 37 Moyne Nursing Home, Enniscorthy 27 27 4 4 Padre Pio, Holycross 40 36 12 11 Padre Pio Rest Home, Cappoquin 24 23 23 21 Rathkeenan, Clonmel 41 40 40 11 Rivderdale Nursing Home, Ballon 27 27 1 1 Rivervale, Nenagh 46 26 62 36 Rockshire Care Centre, Ferrybank 17 17 6 6 Ros Aoibhinn, Bunclody 20 20 13 13 Sacre Coeur, Tipperary 26 25 6 11 Spring Valley, Enniscorthy 53 46 33 53 St Anne's, Cashel 18 18 3 3 St Anne's, Kilmore 32 28 40 12 St Brigid's Nursing Home, Carlow 24 22 34 35 St Catherine's, Freshford 30 30 8 7 St Joseph's Private Nursing Home, Thomastown 50 49 57 55 St Joseph's, Tipperary 24 24 26 22 St Lawrences, Fethard 25 25 8 14 St Teresa's, Cashel 14 14 6 8 The Sacred Heart, Johnstown 23 21 8 28 Woodlands, Dundrum 46 42 35 37 Woodside House, Fethard 20 20 7 10 Total 1,194 1,048 1,126 1,032

South-Eastern Health Board Totals 2,507 2,274 2,762 2,545

34

Table D7

Southern Health Board Area Summary of Individual Long-Stay Units 2001


Beds at 31/12/2001

Number of Patients

31/12/2001



during 2001 Health Board Geriatric Home/Hospital General Hospital, Bantry 24 21 71 69 General Hospital, Tralee 46 46 72 72 Mount Carmel, Clonakilty 146 145 77 69 St Columbanus, Killarney 184 166 140 142 St Finbarr's, Cork 161 159 73 66 Total 561 537 433 418

Health Board Welfare Home Cois Abhann, Youghal 34 27 72 79 St Francis Welfare Home, Fermoy 23 13 0 6 St Joseph's, Killorglin 37 37 16 18 St Laurence Cheshire Home, Glanmire 36 32 0 1 Welfare Home, Listowel 37 36 5 5 Total 167 145 93 109

Health Board District/Community Hospital Community Hospital, Bandon 23 23 113 106 Community Hospital, Caherciveen 45 37 217 218 Community Hospital, Kanturk 51 51 134 120 Community Hospital, Kenmare 26 20 281 283 Community Hospital, Killarney 39 24 535 539 Community Hospital, Kinsale 38 33 199 202 Community Hospital, Listowel 33 29 8 8 Community Hospital, Macroom 38 36 96 97 Community Hospital, Midleton 90 76 186 191 Community Hospital, Youghal 42 35 208 203 General Hospital, Cobh 36 36 34 27 St Anne's, Skibbereen 40 35 209 212 St Anthony's, Dunamanway 23 23 77 71 St. Elizabeth's, Dingle 43 39 152 152 St Gabriel's, Schull 23 19 62 62 St Joseph's, Castletownbere 33 30 203 201 St Joseph's Community Hospital, Millstreet 26 24 58 59 St Patrick's, Fermoy 87 85 339 330 Total 736 655 3,111 3,081

Voluntary Geriatric Home/Hospital Baile an Aoine, Montenotte 30 30 0 0 Nazareth House, Mallow 156 125 183 192 St Patrick's Cork 51 48 408 407 St Paul's, Clonakilty 30 29 3 4 Village Hospital, Valentia 16 15 14 14 Total 283 247 608 617

35

Table D7 Continued


31/12/2001

Number of Patients

31/12/2001



during 2001 Private Nursing Home

Ballynoe Nursing Home, Cork 34 34 30 22 Beaumont Residential Care, Cork 42 42 6 6 Bishopscourt Residential Care, Waterfall 32 32 1 1 Bridhaven Nursing Home, Mallow 24 24 19 18 Castlemahon Nursing Home, Cork 23 21 11 10 Corpus Christi, Mitchelstown 22 22 6 7 Cramers Court Nursing Home, Belgooly 60 59 28 14 Cuskinny Court, Cobh 28 28 38 34 Darraglynn, Douglas 19 19 6 6 Deerpark House, Bantry 34 29 59 60 Douglas Nursing Home, Moneygourney 30 28 29 30 Dromore Nursing Home, Listowel 22 13 10 12 East Ferry House, Midleton 25 25 22 16 Fairfield Nursing Home, Drimoleague 32 31 9 9 Fairy Hill, Mallow 31 30 29 17 Glendonagh, Dungourney 21 19 19 19 Glen Haven, Glenbeigh Village 19 18 23 18 Graigue, Ardfert 11 10 9 9 Grange Con, Carrigroane 15 15 5 5 Heatherlee, Killarney 26 15 21 14 Kenmare Nursing Home, Kenmare 15 10 2 5 Kennedy Nursing Home, Listowel 33 29 26 26 Madonna House, Ballincollig 22 22 17 17 Norwood Grange, Waterfall 23 23 9 9 Ocean View, Tralee 30 28 30 30 Our Lady of Fatima, Tralee 65 65 30 30 Our Lady of Lourdes, Killarney 31 29 32 32 Padre Pio, Churchtown 40 38 76 71 Padre Pio, Rochestown 25 25 16 6 Resthaven, Newmarket 20 9 10 15 Riverside Nursing Home, Abbeydorney 27 27 22 14 St Albert's, Sundays Well 40 40 11 11 St Joseph's, Kenmare 34 34 8 8 St Joseph's, Tralee 18 12 13 16 St Luke's, Blackrock 91 89 88 89 Strawhall, Fermoy 21 21 4 4 Upton House, Innishannon 30 27 17 15 White Friars, Glanmire 32 32 20 16 Woburn House, Cork 28 24 5 8 Woodview, Lixnaw 17 14 14 14 Total 1,192 1,112 830 763

Southern Health Board Totals 2,939 2,696 5,075 4,988

36

Table D8

Western Health Board Area Summary of Individual Long-Stay Units 2001


31/12/2001

Number of Patients

31/12/2001



during 2001 Health Board Geriatric Home/Hospital Aras Mac Dara, Carraroe 60 60 57 71 Merlin Park, Galway 132 124 143 149 Sacred Heart, Castlebar 194 171 294 317 Sacred Heart, Roscommon 182 156 357 359 St Brendan's, Loughrea 185 176 53 70 St Fionnan's, Achill Island 32 30 99 95 Total 785 717 1,003 1,061

Health Board Welfare Home Aras Deirbhile, Belmullet 40 28 3 10 Aras Mathair Pol, Castlerea 40 38 47 52 Aras Mhuire, Tuam 26 26 5 5 Dalton Home, Claremorris 41 40 127 133 MacBride, Westport 40 39 28 28 St Anne's Nursing Home, Clifden 33 33 7 5 St Augustine's, Ballina 40 40 36 36 St Francis, Newcastle 40 40 38 37 Total 300 284 291 306

Health Board District/Community Hospital District Hospital, Belmullet 40 38 406 403 District Hospital, Clifden 35 25 208 223 District Hospital, Swinford 40 36 401 395 Plunkett Home, Boyle 60 59 53 53 St Joseph's District Hospital, Ballina 60 56 809 753 Total 235 214 1,877 1,827

Voluntary Geriatric Home/Hospital Castlemacgarret, Claremorris 57 49 44 41 Lakeview, Castlerea 22 15 8 10 Total 79 64 52 51

Private Nursing Home Aras Bride, Glenamaddy 28 28 10 10 Ballinamore House, Mayo 44 39 26 20 Ballinderry Nursing Home, Ballinasloe 35 33 43 47 Ballygar Private Nunsing Home, Ballygar 16 16 5 4 Blackrocks Nursing Home, Foxford 34 25 16 6 Caiseal Geal, Castlegar 23 21 19 18 Carewell, Ballyhaunis 29 28 10 9 Castleturvin Nursing Home, Athenry 31 22 46 24

37

Table D8 Continued


31/12/2001

Number of Patients

31/12/2001



during 2001 Private Nursing Home (continued) Central Park Nursing Home Ballinasloe 25 25 25 14 Cleggan Beach, Cleggan 18 18 5 3 Clover Hill Nursing Home, Cloverhill 42 34 99 65 Corrandulla Nursing Home 32 32 4 4 Creagh, Ballinasloe 14 14 4 4 Cuan Chaitriona, Castlebar 26 19 19 31 Drumderrig House, Boyle 19 17 8 5 Fearna, Castlerea 16 16 14 7 Forest View, Ballymurray 20 17 18 18 Garbally, Ballinasloe 32 32 14 14 Glenlara, Glenamaddy 15 15 16 4 Greenpark, Tuam 28 28 6 6 Hillside, Aughrim 25 25 5 4 Hollymount Nursing Home, Hollymount 22 22 25 12 Holy Family, Ballinasloe 33 33 49 40 Kiltomer, Ballinasloe 39 39 19 19 Lakelands, Loughrea 40 38 54 56 Little Flower Nursing Home, Ardrahan 31 31 19 22 Lough Corrib, Headford 30 25 49 34 Manor Court, Castlerea 32 25 37 41 Maryfield, Athenry 22 20 6 7 Meadowlands, Roscommon 30 24 8 9 Mountbellew Nursing Home 22 22 16 9 Moy Ridge House, Ballina 45 43 26 29 Mystical Rose, Claregalway 25 25 26 23 Nightingale, Ballinasloe 25 25 20 18 Oakwood, Ballaghaderreen 36 36 15 13 Old Convent, Elphin 35 18 30 31 Oranmore Nursing Home, Oranmore 36 34 44 46 Pilgrims Rest Nursing Home 34 33 35 22 Queen of Peace, Claremorris 37 33 23 21 Rosemount, Gort 40 35 22 12 Rushmore, Knocknarra 29 29 57 46 Sacred Heart, Spiddal 32 29 25 25 St Anne's, Charlestown 44 42 19 15 St Anne's, Loughrea 20 20 11 11 St Attracta's, Charlestown 54 54 24 19 St Columba's Nursing Home, Kilcolgan 30 22 32 26 St David's, Knocknacarra 15 15 5 5 St Theresa's, Salthill 24 17 11 7 Tearmainn Bhride, Athlone 30 27 10 4 The Hillcrest, Corrandulla 19 19 37 25 Vale View, Ballyleague 26 26 6 6 Villa Maria Del Mar, Barna 21 21 6 6 Total 1,510 1,386 1,178 976

Western Health Board Totals 2,909 2,665 4,401 4,221

38

Appendix 1

Questionnaire and Explanatory Notes

39

DEPARTMENT OF HEALTH & CHILDREN ANNUAL SURVEY OF LONG-STAY UNITS, 2001 EXPLANATORY NOTES PLEASE COMPLETE ALL QUESTIONS AS IT MAY NOT ALWAYS BE ACCURATE TO ASSUME A ZERO FOR A BLANK. NOTE 1 - CATEGORY The following definitions may be of assistance in distinguishing between private and voluntary nursing homes:- Private: A private nursing home is an institution which is run as a private business for the care and maintenance of dependent persons. As the term implies, these are nursing homes established by private individuals or by companies in the private sector which are run on a profit-making basis. Voluntary: "A voluntary nursing home is a home run by a charitable non-profit making organisation in which patients are not maintained for the personal profit of the proprietors". This includes all nursing homes run by religious orders as well as homes run by lay charitable organisations. NOTE 2 - BEDS NUMBER OF BEDS (Non-Respite): The total bed complement at 31 December 2001, excluding respite beds, of the unit should be indicated, unless the category Health Board District/Community Hospital has been ticked above in which case the number of beds refers to long-stay beds i.e. where the length of stay is greater than 30 days. This is to distinguish from non-long-stay beds in the hospital. NUMBER OF RESPITE BEDS: Respite beds are beds allocated for the planned admission of dependent persons for short periods of time in order to assist carers in their task of caring. If beds have been designated as such in the unit then their number should be entered here.

Please keep a copy of the completed questionnaire in case the Department of Health has any queries about the information you have provided and you need

to refer back to the form.

40

ACTIVITY INFORMATION

NOTE 3 - SECTION A The four questions in this section are seeking information on the numbers of patients in residence including occupants of respite beds at 31 December 2001, therefore the totals entered for Questions 1, 2 and 3 should be in agreement. NOTE 4 - LEVEL OF DEPENDENCY The following definitions should be used to classify all patients in residence at 31 December 2001 according to different levels of dependency:- Low Dependency: This category refers to people who need some support in the community and the more independent residents in residential accommodation who require little nursing care. They are usually independently mobile but may use a walking stick and have difficulty managing stairs. Medium Dependency: Person whose independence is impaired to the extent that he or she requires residential care because the appropriate support and nursing care required by the person cannot be provided by the community. Mobility is impaired to the extent that the person requires supervision or a walking aid. High Dependency: Independence is impaired to the extent that the person requires residential care but is not bed bound. The person may have a combination of physical and mental disabilities, may be confused at times and be incontinent. He/she may require a walking aid and physical assistance to walk. Maximum Dependency: People whose independence is impaired to the extent that he/she requires nursing care. The person is likely to be bed bound, require assistance with all aspects of physical care and may be ambulant but confused, disturbed and incontinent. NOTE 5 - SUBVENTION This question is applicable to Voluntary and Private units only. The two sub-sections are mutually exclusive so there should not be any overlap between them. Where appropriate, zeros should be entered. NOTE 6 - SECTION B The questions in this section relate to the unit's activity during the year. Question 1 refers to admissions during the year whereas Questions 2 and 3 refer to discharges and deaths. The total for Questions 2 should agree with the total of Question 3. Patients who occupied respite beds should be included in the totals. In long-stay units patients occasionally go home for weekends or short breaks. For the purposes of this survey these short absences are not to be regarded as discharges and admissions.

If you have any queries in relation to the completion of the questionnaire please contact Edel O’Connor at 01 635 4284 or Irene Connolly at 01 6354294,

41

Department of Health and Children Annual Survey of Long-Stay Units Year Ended 31 December, 2001

Please read attached explanatory notes before completing this form

Name of Home/Hospital: ___________________________________________ Address: ___________________________________________ ___________________________________________ ___________________________________________ Telephone Number: ___________________________________________

Category (tick one) See explanatory note 1



Health Board District/Community Hospital



Number of Beds…………. Number of Respite

Beds…………. (excluding Respite Beds) See explanatory note 2

Activity Information

42

A. Patients in Residence at 31 December, 2001 (including occupants of respite beds)

See explanatory note 3

1 - Number of Patients in Residence by Age and Sex

LESS THAN 40 YEARS

40 - 64 YEARS

65 - 69 YEARS

70 - 74 YEARS

75 - 79 YEARS

80 – 84 YEARS

85 YEARS AND OVER

TOTAL

Male

Female

Total

2 – Number of Patients in Residence Classified by Level of Dependency (See explanatory note 4)

Low Medium High Maximum Total

3- Number of Patients in Residence by Principal Medico/Social Status

Chronic Mental Illness

Chronic Physical Illness Convalescence/Rehabilitation

Mental Infirmity/Dementia

Physical Disability

Mental Handicap Social Reasons

Terminal Illness

Other (specify) Total

Please ensure above Totals agree.

4 - Number Of Patients In Residence In Private Or Voluntary Nursing Homes

Who Are In Receipt Of A Subvention From A Health Board (See explanatory note 5):

Under the Health (Nursing Homes) Act, 1990………………… or

Under Sections 26 Or 54 of the Health Act, 1970……………..

43

B. Admissions and Discharges During 2001 (Including Patients who Occupied Respite Beds) See explanatory note 6 1 - Number Of Patients Admitted During The Year By Source Of Admission

Community (E.G. Patient's Home)

Acute Hospital

Long-Stay Hospital/Home (Including Private Nursing Homes)

Other Sources (Specify)

Total

2 - Discharges and Deaths During the Year*

a. Number of Patients Discharged During the Year by Destination on Discharge

Community (E.G. Patient's Home)

Acute Hospital

Long-Stay Hospital/Home (Including Private Nursing Homes)

Number of patients who died during the year

Other Destinations (Specify)

Total

3 - Number of Patients Who Were Discharged or Died During the Year by Length of Stay*

Less Than 3 Months

3 To < 6 Months

6 Months To < 1 Year

1 To < 2 Years

2 To < 4 Years

4 To < 6 Years

6 To < 10 Years

10 Years & Over

* Please Ensure the Total for Q. 3 agrees with the Total for Discharges and Deaths in Q. 2.

Signature: _____________________________________ Date:_________________________ Unless otherwise advised by the Health Board, please return this completed form to Edel O’Connor or Irene Connolly, Room 8.40, Department Of Health & Children, Hawkins House, Dublin 2.

44

Appendix 2

Number of Responses by Health Board and Unit Category

45

Number of Responses by Health Board and Long-Stay Unit Category

HB Geriatric Home/ Hospital

HB Welfare Home

HB Community/ District Hospital

Voluntary Geriatric Home/ Hospital


Total

ERHA 12 5 2 30 58 107 Midland 7 1 4 3 21 36 Mid-Western 5 1 3 5 36 50 North-Eastern 10 0 3 4 30 47 North-Western 1 0 14 3 11 29 South-Eastern 7 8 0 9 39 63 Southern 5 5 18 5 40 73 Western 6 8 5 2 52 73 Total 53 28 49 61 287 478

long-stay activity statistics 2001 - core

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