XN000022-1986-03-25 — Page 6

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TUESDAY, MARCH 25, 1986

(F) THERE SHOULD BE AN IMPROVED NURSING STRUCTURE, WITH ADDITIONAL RESPONSIBILITIES BEING PLACED ON NURSING STAFF WITH BETTER ARRANGEMENTS FOR TRAINING AND CAREER DEVELOPMENT. (PAGES 6-42 AND 6-43)

(૭)

THE CHIEF HOSPITAL ADMINISTRATOR SHOULD BE GIVEN AN ENHANCED ROLE IN HOSPITAL ADMINISTRATION. (PAGES 6-44 AND 6-46)

(H) ALL STAFF, WITH THE EXCEPTION OF SENIOR EXECUTIVES,

VAL SHOULD BE APPOINTED BY THE HOSPITAL, SUBJECT TO APPROVAL BY THE REGIONAL BOARD OF MANAGEMENT. (PAGE 6-46)

(1)

(J)

TO REDUCE OVERCROWDING, ADDITIONAL OBSERVATION BEDS SHOULD BE INTRODUCED ADJACENT TO ACCIDENT AND EMERGENCY DEPARTMENTS FOR WHICH PATIENTS WOULD NOT REQUIRE FORMAL ADMISSION BETTER SUPPORT SERVICES SHOULD BE PROVIDED IN ACCIDENT AND EMERGENCY DEPARTMENTS; THERE SHOULD BE A BETTER SYSTEM OF ALLOCATING PATIENTS TO UNITS WITHIN THE HOSPITAL; AND GREATER USE MADE OF TRANSFERS FROM ACUTE TO CONVALESCENT WARDS. (PAGES 7-11 TO 7-14)

TO IMPROVE THE WORKING ENVIRONMENT, STAFF ROLES AND RELATIONSHIPS SHOULD BE MADE CLEARER, THERE SHOULD BE MORE FLEXIBLE STAFFING AND EMPLOYMENT POLICIES DESIGNED TO MAKE BETTER USE OF SKILLED AND QUALIFIED STAFF. IMPROVED PROCEDURES FOR INTERSTAFF COMMUNICATION AND IMPROVED TEACHING AND RESEARCH FACILITIES. (PAGES 8-11 TO 8-20)

(K) OPPORTUNITIES FOR CONTRACT EMPLOYMENT AND/OR SESSIONAL

ARRANGEMENTS SHOULD BE PROVIDED TO SELECTED SENIOR CLINICIANS, AS WELL AS LIMITED RIGHTS OF PRIVATE PRACTICE FOR SPECIALIST DOCTORS IN THE NEW AUTHORITY. (PAGES 9-19 AND 9-20)

(L) THERE SHOULD BE EXTENDED ARRANGEMENTS FOR IDENTIFYING THE

AREAS OF MAJOR COST AND FOR DEMONSTRATING THAT VALUE HAS BEEN RECEIVED FOR MONEY SPENT. (PAGES 10-14 TO 10-16)

(M)

T

(N)

THE BASIS ON WHICH THE STANDARD BED DAY CHARGE IS CALCULATED SHOULD BE CHANGED FROM THE EXISTING NOTIONAL FOOD COSTS TO A BROADER BASE, AND OTHER CHARGES SHOULD BE INTRODUCED FOR HOSPITAL SERVICES. (PAGE 11-15)

THERE SHOULD BE PILOT SCHEMES TO INTRODUCE A NEW CLASS OF HOSPITAL BED WHICH WOULD BE OF A HIGHER STANDARD THAN A THIRD-CLASS BED BUT LESS COSTLY THAN THE PRESENT FIRST AND SECOND-CLASS BEDS A SURVEY SHOULD BE CONDUCTED TO ESTABLISH THE POTENTIAL MARKET FOR THIS TYPE OF HOSPITAL ACCOMMODATION. (PAGE 11-23)

/(0) IF THE