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Profile of CUH Services

 

Specialties delivered at CUH

  • Cardiac Services (Heart) (Cardiology and Cardio-thoracic Surgery)
  • Neurosciences
  • General Surgery/Urology
  • Ophthalmology (Eye Surgery)
  • Emergency Medicine (A&E)and Trauma Services
  • Radiotherapy and Oncology
  • Orthopaedics
  • Gynaecology
  • General Medicine, including Medicine of the Elderly
  • National Marine Medical Consultation Service
  • Endocrinology/Diabetes
  • Gastroenterology
  • Nephrology (Renal Medicine)
  • Respiratory Medicine
  • Rheumatology
  • Haematology
  • Pain Relief
  • Paediatrics Services
  • Dental Surgery
  • Plastic & Maxillo Facial Surgery
  • Obstetrics
  • Neonatology

 


Emergency Medicine (A&E)

Accident & Emergency Services are currently provided by 3 hospitals in Cork city which treat approx 100,000 patients per annum with half that number being seen in Cork University Hospital.

 

Cancer Services, Haematology and Palliative Care

Cork University Hospital has been designated as one of 8 Cancer Centres nationally and the National Cancer Control Programme chaired by Prof. Tom Keane who has determined that Symptomatic Breast Cancer Services should be the first to transfer to these centres nationally. At the end of October 2008 the Kerry Service transferred to Cork University Hospital and discussions have now commenced on the transfer of a much larger service currently located in the South Infirmary Victoria Hospital to this hospital in mid 2009.

To accommodate this demand capacity is being significantly increased the Cancer Control Programme is to facilitate the construction of a dedicated Ambulatory Cancer Centre.  This is being planned in consultation with clinical, nursing and technical staff and will provide a very high quality Cancer Centre that will be unique in Ireland.

It is anticipated that lung and prostate cancer services will transfer in 2009.

 

Cardiac Services (Heart)

Construction commenced on a new Cardiac Renal Centre in July 2007 which is of sufficient scale (185 beds) to accommodate the concentration of Cardiology Services for Cork city and Renal services for the region.  The centre will be completed by mid 2009 and planning is currently underway for the phased opening with effect from the end of 2009 over what is likely to be a 9 month period.

 

Internal Medicine

The division provides the acute unselected medical on call service in CUH and the following Specialist Medical services supported by the wider multidisciplinary teams. Endocrinology/Diabetes, Gastroenterology/Hepatology, Infectious Diseases including STI services, Renal Medicine, Respiratory Medicine and Rheumatology.

 

The Endocrine / Diabetes department provides many services including pre-pregnancy, pregnancy, young person’s diabetic clinic and general endocrinology and pituitary. A comprehensive diabetic Day care service is delivered from our diabetic day care unit which is presently located in the Day procedures unit. There is also support for endocrinology patients in this unit.

Cork University Hospital secured €1million in 2006/2007 to enhance both Adult and Paediatric Cystic Fibrosis services in CUH.  A specialist Consultant Respiratory Physician took up his post in 2007 as clinical Lead for Adult Cystic Fibrosis Services and the adult cystic fibrosis Multidisciplinary team has been further enhanced with the appointment of 1 WTE Clinical Nurse Specialist, 0.5 WTE Senior Dietician, 1 WTE Senior Physiotherapist, O.5 Pharmacist.

 

General Surgery/Urology

The Division of Surgery / Urology provides diagnostic, therapeutic and surveillance services to the population of the south of Ireland in an academic environment with specific emphasis on surgical oncology, vascular surgery, urology and colorectal surgery. As part of the development of the CUH Cancer Centre, the Symptomatic Breast services for Cork & Kerry will be delivered from the CUH site.

Breast Cancer Care at CUH is committed to the highest quality of interdisciplinary care of patients with the diagnosis of cancer. The hospital provides a multidisciplinary specialty service that evaluates and cares for women with breast cancer utilizing the combined input of specialists from the following disciplines: surgery, medical oncology, radiation therapy, radiology, plastic surgery and pathology and aims to provide patients with the best possible care in a caring and responsive environment.

A new Breast Imaging Unit was opened in CUH in April 2007 which incorporates increased space offering patients greater privacy and comfortable surroundings and also includes a counselling room for patient support.

 

Neurosciences

There are currently 3 Consultant Neurosurgeons in Cork University Hospital which is the only public neurosurgical centre outside of Beaumont hospital.  The team is part of a larger multidisciplinary neuroscience team which provides a very broad range of neuroscience services and includes Neuroradiology, Neuropathology, Neurophysiology and Neurology in addition to Neurosurgery.

The Cancer Control programme has initiated discussions between Cork University Hospital and Beaumont Hospital in relation to the organisation of Neuro-oncology services and the option of having a single service with common protocols working on Cork University Hospital and Beaumont sites.

 

Cork University Maternity Hospital

In March 2007 Cork University Maternity Hospital opened which has 150 maternity beds and 50 specialist neo natal cots.  In 2008 there will be approximately 8,500 births which is a higher number than was originally provided for.  This is as a consequence of increased population numbers and economic prosperity and may reduce in 2009 with changes in the economy.

The bed provision for the Maternity Services are fully commissioned and the hospital is incrementally increasing the number of gynaecology theatre sessions with a view to fully commissioning 2 theatres within available resources. 

 

Outpatients Department Service

The Outpatients Department sees 125,000 patients per year in an environment that was planned in the mid 1960’s and is grossly inadequate in terms of ergonomics, comfort and limited patient privacy.  The increasing number of consultants (50% increase over 10 years) has put enormous strain on the Outpatients Department.

 

Pathology Service

There are 5 laboratories within the Pathology Department and the Executive Management Board has pursued a policy of obtaining Certified Pathology Accreditation (CPA) in respect of each of these laboratories. CPA adheres to international standards of accreditation for medical laboratories. Currently the Biochemistry, Microbiology,haematology and Histopathology departments are fully CPA accredited. Blood Bank services also have INAB accredition and maintained dual accreditation for a period. However as INAB accreditation is now mandatory for Blood Banks in Ireland, CUH blood Bank has maintained this standard. Cork University Hospital has now had all of its laboratories fully accredited by Certified Pathology Accreditation or INAB.

If these departments are successful in their application, Cork University Hospital will be unique in Ireland in having all of its laboratories fully accredited by Certified Pathology Accreditation.

 

Radiology (X-Ray)

A very significant capital investment of circa €20m has been made in the upgrading of the Radiology Department in recent years. The department is now highly equipped and excellent clinical appointments have been made over the past decade.  The Department has secured funding of €6.5m for the installation of one of only two public PET scanners which are at the leading edge of diagnostic work for cancer services. The other centre in St. James Hospital is proceeding in parallel with planning for the Cork University Hospital centre which will be commissioned in mid 2009.  This will significantly augment the delivery of cancer services in the southern part of Ireland.

In addition new radiology equipment such as the 64 slice CT scanner and investments made in the neurovascular laboratory have significantly enhanced the radiology infrastructure in the hospital and differentiates substantially from that which exists in other hospitals.

 

Renal Services

All Renal Services for Cork and Kerry are provided in Cork University Hospital by 3 Consultant Renal Physicians and a supporting team of nurses and technical staff. There are currently 140 patients receiving renal dialysis treatment in the hospital and a significant number of patients are being dialysed in the community using the Continuous Ambulatory Peritoneal Dialysis Programme (CAPD).  A satellite unit to treat patients from the Kerry area is located in Kerry General Hospital and is governed by the renal team at Cork University Hospital.  A National Renal Strategy is currently being finalised which will reinforce the role of Cork University Hospital as the centre in which this service will be provided in the future.