An Open Letter to Mary Harney
Dear Ms Harney,
You, as Minister for Health and Children have responsibility for looking after the Health Service Executive and those hospitals that work within it. You are also the person to whom the Chief Executive, Prof. Brendan Drumm reports. I am but a HSE minion working in the large organisation.
Your executive constantly talk of new plans, cancer strategies, consolidation of services to improve patient care and centres of excellence in order to reach the gold standard. You yourself speak of the massive over staffing of the HSE and the need for job cuts. Prof. Drumm said only this week that the cutting back of front line services would be required in order to keep the HSE within budget this year.
Your executive last year kept bleeting out that there was an admissions day ward in Drogheda when the overcrowding of the A&E made headline news here. Yes, it’s very true, there is an admissions lounge there now, but it’s not much use when you have 41 people waiting and 6 beds in said lounge, but you don’t seem to notice that, you only see what you want to see.
You have implemented a 50% cut in overtime for Doctors and other staff within the HSE, you have removed training grants for Doctors and many other professionals within the service are finding it impossible to get funding or even the study leave to begin/continue further education. And yet, despite this you tell us that you’re going to make centres of excellence. You don’t need to be in the healthcare profession to realise that you need to have training in order to have centres of excellence.
Targets are set without the consideration of the implications. Sometimes it’s impossible to reach the theoretical number of patients per day and this is for one simple reason… Patients are human. Not every patient will be able to do everything you ask, not every patient can be seen in 5 minutes. Some may be more anxious than others, they may require you to take the time to talk to them. They may have one condition, but they may have other conditions that complicate there treatment.
Ms Harney, you seem to set a lot of things out, you talk a good talk, yet you don’t walk the walk, as someone who sees the day to day reality, me and the thousands of other HSE employees would all say the same. You don’t know what it’s like to work like we work. And so, I challenge you, Minister for Health and Children, to spend some time being one of us in the HSE. And i don’t mean turning up for a quick photo op like you so often do. None of this opening of a new scanner or unit and acting like you’ve done all the work and paid for it when it’s been the hard work of the hospitals foundations to get the equipment (Temple Street CT Scanner Fund for example). I mean a serious week in a hospital, I mean spending time in an A&E and seeing the overcrowding. I mean seeing how the job freeze in Physio/occupational therapy/ Speech and Language Therapy and allied professions has meant that people work close to breaking point. I mean seeing CT departments that work about 50% over capacity and where people can wait 6 months for an outpatient appointment because we don’t have the staff to do it any faster. I mean the fact that we don’t have enough neurosurgeons in the country per capita. Spend a week with an intern and see the sleep deprivation that they work through because that’s what’s expected. Because, quite frankly, I don’t think you have a leg to stand on right now. You don’t know us, and you don’t know what we do. You’re so far removed in your office that you make decisions without realising what it really means.
Come work with us, see what we do, and then tell us we’re over staffed and deserve pay cuts/ funding cuts and cuts to services. Because right now, I see a service close to the brink, and a staff ready to strike if you push us any further.
Regards,
Another HSE Minion