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Programme has continued to initiate and
develop important measures to improve
performance in relation to the safety
and efficiency of surgical delivery. It is
encouraging to see the planned move
towards integrated care programmes that
better reflect patient pathways, allowing
a more co-ordinated approach across
specialties which will further encourage
the evolution of more patient-centred
The National Clinical Programmes in
Surgery (NCPS), were pivotal to the
development and implementation of the
Irish Hospital Redesign Programme (IHRP)
in Tallaght Hospital. This programme is
supported by the Minister for Health Leo
Varadkar and the Acute Hospital Director
Mr Liam Wood, and has provided
valuable insights on cross-specialty
care. At individual hospital visits, NCPS
issued individual hospital data reports
and analyses from the national Hospital
InPatient Enquiry dataset.
The Productive Operating Theatre
(TPOT), a work stream of the NCPS,
wrote two TPOT improvement manuals
and delivered training workshops to 23
Irish hospitals in 2014/2015. RCSI hosted
the Health Pricing Office (HPO) Activity
Based Funding Conference in May 2015
with over 400 attendees from the HSE,
the Clinical Professions and Hospital
In April 2015, RCSI's Council endorsed
the launch of the National Quality
Assurance Intelligence System (NQAIS)
an online reporting tool which allows
hospital staff to review and analyse
their surgical performance on in-patient
Under the leadership of Mr Paddy Kenny
and Mr David Moore, the Orthopaedic
Surgery Programme will launch the Model
of Care for Trauma and Orthopaedic
Surgery by the Minister for Health Leo
Varadkar, in July 2015. The Model of Care
for Trauma and Orthopaedic Surgery has
been developed as a blueprint for the
future of the specialty, the largest and
busiest surgical specialty in Ireland, with
the objective of increasing the safety and
accessibility of trauma and orthopaedic
care to patients through the consistent
provision of streamlined trauma and
orthopaedic services across the country.
National Office of Clinical Audit (NOCA)
One of the many valuable initiatives
to emerge from the National Surgery
Programme, the National Office of
Clinical Audit (NOCA) is an essential
source for detailed, reliable data on
surgical outcomes and a vital support in
enabling surgeons to assess and address
professionalism levels.
As we enter a world of increased
health outcomes reporting, the value
of NOCA will only increase. It is vital
that the drivers of clinical outcomes are
analysed, understood and interpreted
to inform future best practice. NOCA
was established in 2012, through the
collaborative efforts of RCSI and the HSE
Quality Improvement Division, with the
specific purpose of creating sustainable
structures to develop and support clinical
audit nationally.
Led by Mr Ken Mealy, Clinical Director,
NOCA, has overcome many obstacles
since its launch and is now firmly
positioned as a credible enabler of
quality improvement. Its influential role
was further underlined when it hosted a
highly informative inaugural conference in
RCSI in May 2015.
Vascular Surgery
RCSI and the Surgical Affairs Department
welcomes the formal recognition by the
Medical Council of vascular surgery as
a specialty in its own right in Ireland.
It is an essential step in facilitating
the enhancement of vascular surgery
practice with consequent benefits for
patient care and enables us to bring our
structures here into full alignment with
those in vascular surgery in the UK. The
finalisation of a vascular surgery training
programme is currently underway, with
a view to the College welcoming its first
cohort of vascular surgery trainees in July
2016 pending its accreditation by the
Irish Medical Council.
Professional Competence Scheme (PCS)
Now well-established as a key support
tool for the surgical profession, the
PCS, run by the RCSI at the designation
of the Medical Council, is in its fourth
year. Under the leadership of Professor
Sean Tierney, the scheme helps both
surgical and emergency medicine
practitioners meet their regulatory
requirements for continuing professional
development. The College continues to
work closely with the Medical Council
to expand professional development
activity offerings that support enhanced
provision of essential lifelong learning
Professional Development Programme
The 2014/2015 Professional Development
Programme for non-consultant hospital
doctors, working in the fields of surgery
and emergency medicine, at RCSI
provides an expanded suite of technical
skills and human factors modules. The
Programme, now in its fourth year, is
funded by the HSE NDTP and is intended
to facilitate NCHDs within the public
health service, who are not on training
schemes, to maintain their professional
competence in line with Medical Council
requirements, and provides a structured
means of achieving external CPD credits.
It is vital that
the drivers of
clinical outcomes
are analysed,
understood and
interpreted to inform
future best practice.
Mr Conor Deasy, Consultant in Emergency Medicine,
Cork University Hospital addresses the RCSI Charter
Day meeting.