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Critical Care

The Critical Care Programme (CCP) is a collaborative multi-professional patient-centred initiative administered by National Clinical Programmes, Clinical Strategy and Programmes Directorate, HSE, in liaison with the Joint Faculty of Intensive Care Medicine of Ireland (JFICMI) and Intensive Care Society of Ireland (ICSI).

The aim of the Critical Care Programme is to improve the survival of critically ill patients.

To achieve this, the objective of the Critical Care Programme is critical care performance improvement by strengthening critical care capability. Capability domains include- information, process mapping, capacity planning, communication and engagement, and governance and leadership.

The principal priority of the Critical Care Programme is capacity maintenance and expansion in line with its Critical Care Model.

Some of the deliverables for 2017 are:

National Adult Critical Care Capacity Resource

  • Implementation of Model of Care for Adult Critical Care
  • Critical Care Nursing Integrated Career Pathway, Workforce Planning, Education and Training Framework
  • Intensive Care Medicine Workforce Planning

The Programme team is led by Dr. Michael Power, Clinical Lead, Ms Una Quill, Programme Manager, Mr. Derek Cribbin, Nurse Lead and includes representatives from multiple professions and specialties, such as critical care medicine, CSPD administration, surgery, emergency medicine and allied health professions.

A priority for the CCP is the implementation of a Model of Care for Adult Critical Care that will ensure that critical care services are available to all critically ill patients in a timely fashion regardless of the type of illness or geography. In other words, the right treatment at the right time in the right place. CCP has adopted the Recommendations in the Prospectus Report and has facilitated the implementation of a Hub-and-Spoke structure for the delivery of critical care services throughout the country. The Critical Care Programme Model of Care requires a dedicated Transport and Retrieval network. To this end CCP is working closely with other Programmes including Transport Medicine, Anaesthesia and Emergency Medicine to implement this.

CCP has adopted the JFICMI National Standards for Adult Critical Care Services 2011. In fulfilment of key objectives of the Critical Care Programme and the Joint Faculty of Intensive Care Medicine of Ireland (JFICMI), the National Office of Clinical Audit (NOCA) has established an Irish National Intensive Care Audit (ICU Audit).

The National ICU Audit is now collecting data in 6 hospitals, over 8 units; Beaumont Hospital, Mater Misericordiae University Hospital, Our Lady of Lourdes Hospital, Drogheda, Tallaght Hospital, University Hospital Galway and University Hospital Limerick. ICU Audit is currently under implementation in St James’s Hospital and University Hospital Waterford. Implementation in the remaining hospitals with significant ICU activity is due for completion by end of 2019.

For further information, please visit www.noca.ie

Intensive care medicine interfaces with a wide variety of other medical specialties and this is reflected in the range of work streams to which CCP contributes such as Critical Care Pathways for Obstetric PatientsSepsis, and Workforce Planning.

Clinical Strategy and Programmes Division