Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698136146297.pdf (Ireland)
Joint Committee on the Future of Mental Health Care Appendix to Submission from Mental Health Services Cork Kerry Community Healthcare 15th Jan 2018 Joint Committee on the Future of Mental Health Care Table of Contents CONTENT PAGE 1.

Population Details Cork Kerry Table 1a.

Population Details 2.

Details of Cork Kerry Community Health Services Table 2a.

Mental Health Teams Table 2b.

Mental Health Units Cork Kerry Table 2c.

Details of Other Approved Centres / Continuing Care Table 2d.
Community Residences and High Support Hostels Table 2e.

Staffing Adult Mental Health Team Versa A Vision for Change Table 2f.

Staffing CAMHS Teams Versa A Vision for Change 3.

Finance Table 3a Budget and Spend Cork Kerry Mental Health Services Table 3b Capital Expenditure Breakdown by Location and Year Table 3c.

Minor Capital Capital Expenditure Breakdown by Location and Year Table 3d 2017 SLA Agreements 4.

Staffing and Recruitment Table 4a.


Staff Employed (WTE) Mental Health Cork Kerry 2012 – 2017 Table 4b.

Staff Vacancies as at 31.12.2017 Mental Health Cork Kerry 5.

Activity Data Table 5a Activity Data Community Based Teams Table 5b Adult Mental Health Waiting Lists 2017 Table 5c Psychiatry of Later Life Mental Health (POLL) Waiting List Table 5c Activity Data CAMHS Waiting Lists 2017 Table 5d Inpatient Activity Data Adult Inpatient Admissions Table 5e Inpatient Activity Data Involuntary Admissions 6.
Development Funding 2013 – 2017 Table 6a.

Development Funding Posts for Mental Health Services Cork Kerry 2013 – 2017 2 2 3 3 4 4 5 6 7 7 7 8 10 10 10 11 11 11 12 12 13 13 14 14 Page 1 of 14 Joint Committee on the Future of Mental Health Care 1.

POPULATION DETAILS CORK KERRY Table 1a Population Figures Cork Kerry Population Total 168,542 0 – 18 years 19 – 64 years 65+ years Total 405,242 151,135 690,595 2.

DETAILS OF CORK KERRY MENTAL HEALTH SERVICES Table 2a.
Mental Health Teams Cork Kerry COMMUNITY BASED TEAMS Adult Community Mental Health Teams CAMHS Community Mental Health Teams Psychiatry of Later Life Rehabilitation Team Liaison Teams CAMHS Liaison Team Mental Health Intellectual Disability Homeless Team Home Based Treatment Teams CORK 10 8 4 2 (CUH, MUH) CUH planned for 2018 1 1 3 KERRY 5 2 1 1 UHK 2018 Acute Mental Health Units Cork Kerry There are a total of 137 acute beds in Cork Mental Health Services and 34 beds in Kerry Mental Health Services.
Page 2 of 14 Joint Committee on the Future of Mental Health Care Table 2b.

Acute Units Acute Mental Health Units Cork Kerry No of Beds Cork No of Beds Kerry 50 St Michaels Unit (SMU) Mercy 50 Adult Acute Mental Health Unit, CUH St Stephens Hospital 19 Centre for Mental Health Care and Recovery, Bantry 18 University Hospital Kerry (Sliabh Mis Unit) Total Acute Beds Adult Mental Health Service 137 Eist Linn Child and Adolescent Inpatient Facility Total Acute Beds Children and Adolescents 18 18 Table 2c.
Details of Other Mental Health Facilities Cork No of other Approved centres or Continuing Care 5 Units* Carraig Mor (Psychiatric Intensive Care Unit) Total Adult Beds in Other Approved Centres Community Residences and High Support Hostels - No of Residents - Number of Residential Places Day Centres / Day Hospitals 18 154 9 122 14 34 34 Kerry 1 40 4 51 7 *Continuing Care units provide 24hr Nursing Care for residents with enduring mental health illness who are unable to live in the community.
Community Residents and High Support Hostels Housing is an essential element of care for people with a mental illness, particularly for those with long-term mental illness.

Hospital and community services aim to work together as partners in the delivery of services to people with a mental illness.

They provide accommodation for people who do not need to be in hospital and who can live in the community but who requires 24-hour nursing care and support for a variety of reasons.
Some people may spend a period of time in a high support hostel and then, with support, move on to Page 3 of 14 Joint Committee on the Future of Mental Health Care independent community living.

Some community / high support hostels serve as respite areas for people who sometimes require this support.

There are thirteen rehabilitative focused community residences staffed by Mental Health Services; nine in Cork and four in Kerry.

Location and placement numbers are as follows: Table 2d.
Number of Placements in Community Residences and High Support Hostels Cork Kerry St. Colemans Gougane Barra Millfield House Carrickbrick Lodge Cois Alla Solas Nua Ard Realt Saol Nua Glenmalure 16 13 15 14 14 14 10 8 18 Teach an Churam HSH Rathmore Writers Grove HSH, Listowel Killarden House HSH Tralee Cherryfield House HSH Killarney Total 122 10 10 16 15 51 Page 4 of 14 Joint Committee on the Future of Mental Health Care Table 2e.
Staffing Adult Mental Health Community Teams Vis a Vis Vision for Change Recommended levels General Adult Community Service Total Pop Clinical WTE VFC WTE Oct 17 Targets GAP Bandon/Kinsale Bishopstown/Ballincollig Castleisland/Dingle City North East City North West City South East City South West Cobh Glenville Douglas/Carrigaline Fermoy Kanturk Killarney Killorglin/Iveragh Listowel Macroom Blarney Mallow Midleton Youghal Tralee West Cork Total 92.5%* 1.3 58.2% 73.5% 7.8 3.0 107.9% -0.9 102.3% -0.3 70.9% 76.5% 80.0% 71.0% 3.8 2.5 3.3 7.5 146.6% -6.6 135.7% -3.0 89.7% 87.8% 68.9% 69.2% 1.3 1.6 4.3 5.5 120.3% -3.4 63.1% 8.3 112.3% -1.3 110.6% -2.5 690,575 258.0 89.0% 32.0 This table shows that Cork Kerry Community Healthcare has 89% of the Community General Adult Staffing Levels as recommended in a Vision for Change.
Of note, this does not take into consideration vacancies on the ground due to maternity leave and sick leave.

Page 5 of 14 Joint Committee on the Future of Mental Health Care Table 2f.
Staffing CAMHS Teams Vis a Vis Vision for Change Recommended Levels Child & Adolescents Mental health Population Clinical WTE VFC Clinical Services City North Central Kerry Team 1 Kerry Team 2 North Cork North Lee East North Lee West South Lee / West Cork South Lee 1 South Lee 2 South Lee 3 Total 0 – 18 years Oct 2017 Targets WTE GAP The Table above shows that Cork Kerry Community Helathcare has 51.6% of the Child & Adolescent Staffing Levels as recommended in a Vision for Change Page 6 of 14 Joint Committee on the Future of Mental Health Care 3.
FINANCE Finance details for Cork Kerry Mental Health Services are outlined in table 3a.

Table 3a.

Year Budget Spend *Not yet available Budget and Actual Spend on Mental Health Services Cork Kerry 2015 € 2016 € 2017 € 2018 € 102,965,702 105,988,742 114,268,000 118,305,308 105,088,689 108,544,922 * ---- Table 3b.

Capital Expenditure Breakdown per Location and Year CUH Killarney University Hosp.
TOTAL 2012 2013 2014 2015 2016 2017 60,000 4,530,000 9,880,000 570,000 10,000 1,000 267,000 3,270,000 9,190,000 114,000 113,000 TOTAL 15,051,000 12,954,000 Kerry 50,000 700,000 1,240,000 6,000 52,000 254,000 2252000 110,000 5,497,000 14,390,000 9,766,000 176,000 368,000 30,307,000 Page 7 of 14 Joint Committee on the Future of Mental Health Care Table 3c Minor Capital Expenditure Breakdown by Location and Year Cork Kerry County Heatherside Hospital Mount Alvernia North Cork St Stephens Hospital West Cork / South Lee Residential Units North Lee Residences North Lee St Michael’s Unit North Cork Owenacurra Midleton Eist Linn CAMHS TOTAL CORK St Finan’s Hospital Kerry Residential Units Killarden House KERRY TOTAL SPEND 2012 € 2,945.33 79,308.16 224,908.75 2013 € -- 2014 € -- -- -- -- 477,747.33 42,408.64 -- 164,562.13 2015 € -- -- -- -- 2016 € -- 2017 € -- Total € 2,945.33 -- 41,599.68 -- 70,000.00 79,308.16 814,255.76 -- -- 206,970.77 -- -- -- -- -- -- 22,979.54 111,667.22 3,976.28 -- 138,623.04 -- -- -- -- -- 150,000.00 150,000.00 -- 70,000.00 70,000.00 -- 349,570.88 15,564.07 23,376.81 -- -- -- -- 665,289.00 111,677.22 -- 15,000.00 15,000.00 45,575.96 305,000.00 1,477,113.06 -- -- -- -- 257,441.33 161,572.70 -- 73,530.25 -- 38,940.88 135,603.39 257,441.33 161,572.70 135,603.39 -- -- 73,530.25 -- -- -- -- 15,564.07 515,921.09 135,603.39 667,088.55 CORK KERRY TOTAL SPEND Total Spend 2012 – 2017 388,511.76 135,603.39 922,730.33 273,239.92 119,106.21 305,000.00 (Shown below) €2,144.193M Page 8 of 14 Joint Committee
 on the Future of Mental Health Care Table 3d.
2017 Service Level Agreement’s Name of organisation Service Arrangement GrantAid Grand Total Cork Business Community Foundation Kinsale Youth Support Services Sli Eile Support Services Ltd Agreement 10,000.00 30,000.00 10,000.00 30,000.00 257,000.00 257,000.00 Arlington Novas Ireland Company LTD 50,000.00 50,000.00 Cork Mental Health Foundation 150,408.00 150,408.00 Grow In Irl 90,821.00 Irish Advocacy Network Company 20,474.00 My Mind Ltd 15,000.00 Northside Communicy Health Initiative 279,000.00 Cork Ltd Schizophrenia Association of Irl 302,408.00 Shandon Therapy Suicide Research Foundation Company 169,523.00 The Catholic Institute for Deaf People 23,587.00 The Next Step The Social & Health Education Project 90,000.00 99,093.00 22,500.00 90,821.00 20,474.00 15,000.00 279,000.00 302,408.00 99,093.00 169,523.00 23,587.00 22,500.00 90,000.00 Company TOTAL 1,025,813.00 584,001.00 1,609,814.00 Page 9 of 14 Joint Committee on the Future of Mental Health Care 4.
STAFFING AND RECRUITMENT Table 4a.
Staff Grade WTE Staff Employed Mental Health Cork Kerry 2012 - 2017 Dec-12 Dec-13 Dec-14 Dec-15 Dec-16 Nov-17 Consultants NCHDs Medical (other) & Dental Nursing Therapists (OT, Physio, SLT) Health Professionals (other) Management / Admin (III to VII+) Support Care Total Mental Health Cork Kerry Source: Health Service Personnel Census Staff Vacancies Mental Health Services Cork Kerry as at 31.12.2017 Table 4b.
Staff Grade Medical / Dental Nursing CAMHS Nursing Adult Health & Social Care Professionals Management / Admin General Support Staff Other Patient & Client Care Total Cork 0.5 2.0 12.0 6.0 0 0 4.0 24.5 Kerry Total 1.0 0 0 1.0 1.0 1.0 0 4.0 1.5 2.0 12.0 7.0 1.0 1.0 4.0 28.5 Page 10 of 14 Joint Committee on the Future of Mental Health Care 5.

ACTIVITY Community Activity Data Table 5a.


Activity Levels Community Based Teams YTD Adult Community Based Teams Psychiatry of Later Life Number of New/Re- Referrals Seen General Adult Mental Health (GAMHT) Number of New/Re- Referrals Seen CAMHS Community Based Teams Cork Number of New/Re- Referrals Seen Kerry Number of New/Re- Referrals Seen 844 333 859 317 Total Number of New/Re- Referrals Seen Cork Kerry *Notes: 2017 Activity Data not yet available.
Projections based on 11 month activity 1,177 1,176 Table 5b Community Mental Health Team Adult Community Mental Health Team (CMHT) Waiting Lists 2015 142 2016 388 2017 341* 4,050 4,201 3,992* 645* 266* 911* % offered app with 3 months 96.9% 72.5% 100.0% 99.2% 100.0% 89.9% 80.1% 81.4% 48.9% 94.3% 97.7% 99.4% 100.0% 100.0% 97.8% 92.7% Page 11 of 14 New/re-ref seen within 3 months 153 136 139 204 211 102 69 216 60 150 94 165 150 263 133 246 Bandon/Kinsale Bishopstown/Ballincollig Dingle/C’island/Tralee East City North East City North West City South East City South West Cobh/Glenville Douglas/Carrigaline Fermoy Kanturk Killarney East Killorglin/Iveragh Listowel Mallow Macroom/Blarney Joint Committee on the Future of Mental Health Care Midelton/Youghal Tralee West West Cork Total  Reference Divisional Report November 2017 176 255 542 3464 100.0% 100.0% 99.3% 93.3% Table 5c Poll Team Kerry POLL North Lee POLL South Lee Total Pyschiatry of Later Life (POLL) Waiting Lists New/re-ref seen within 3 months 13 137 146 296 % offered app with 3 months 100.0% 100.0% 87.1% 93.0% Table 5d.
CAMHS Team Cork North Central Kerry Team 1 Kerry Team 2 North Cork North Lee East North Lee West South Lee / West Cork South Lee 1 South Lee 2 South Lee 3 Child & Adolescent Mental Health (CAMHS) Waiting Lists (30/11/2017).

Total no.
Total no.

on waiting list for first appointment at end of each Month < 3 months 49 2 11 49 13 4 18 9 6 8 3-6 months 8 11 13 20 14 7 5 18 9 12 6-9 months 10 3 6 21 19 8 9 10 12 22 9-12 months 14 4 5 18 0 4 15 16 7 37 > 12 months 11 6 31 5 0 0 6 47 40 76 92 26 66 113 46 23 53 100 74 155 Page 12 of 14 Joint Committee on the Future of Mental Health Care Inpatient Activity Data Table 5e.
Total Adult Inpatient Admissions North Cork North Lee South Lee West Cork 2014 2015 2016 2017** 213 259 242 235 638 637 645 625 513 548 467 532 214 209 215 194 Kerry 542 474 428 437 Total Admissions Cork & Kerry 2120 2127 1997 2023 **2017 Activity Data not yet available.

Projections based on Q1 to Q3 activities 11 month activity Table 5e.
Total Involuntary Admissions North Cork North Lee South Lee West Cork 2014 2015 2016 2017** Totals 28 38 26 68 160 67 77 95 90 329 69 97 80 82 328 18 15 28 22 83 Kerry 46 50 50 55 201 Total Involuntary Admissions Cork & Kerry 228 277 279 317 1101 **2017 Activity Data not yet available.

Projections based on Q1 to Q3 activities 11 month activity Page 13 of 14 Joint Committee on the Future of Mental Health Care 6.
Development Funding 2013 - 2017 Table 6.a Medical / Dental Nursing Allied Health & Care Professionals 1.0 0.5 Management / Admin General Support Staff Other Patient & Client Care -- -- -- Development Funding Posts for Mental Health Services Cork Kerry 2013 to 2017 2013 Filled 2013 Unfilled 2016 Unfilled 2015 Unfilled 2014 Unfilled 2014 Filled 2017 Filled 2016 Filled 2015 Filled 2017 Unfilled 2.0 -- 5.6 3.0 0.25 1.65 -- 2.8 -- -- -- -- -- 6.0 2.5 3.0 -- -- 6.0 1.0 1.0 1.0 -- 8.0 1.0 -- -- -- -- -- -- -- -- -- -- -- 3.0 5.0 2.0 -- -- -- -- -- -- -- -- 2.0 1.0 6.5 -- -- -- Total 3.5 0 15.1 6.0 13.25 5.65 -- 12.8 -- 9.5 Page 14 of 14