HSE Cavan/Monaghan Project “Service Without Walls” is nominated for the Health Services Excellence Awards 2021 in the “Improving Patient Experience” category.

The project "Service Without Walls" was an integrated approach to providing services for older persons across Cavan and Monaghan.   The project group comprised of Nursing and Allied Health professionals from acute services, at Cavan General Hospital, Older Person’s services and Primary Care services across the Cavan and Monaghan area.

An improved new referral and discharge communication process was implemented, linking acute and primary/community nursing teams. More short term care beds were made available in older persons services in the Lisdarn unit which is located adjacent to the Cavan General Hospital facilitating patients to recuperate in a non-acute hospital environment.

The bed reconfiguration has resulted in more options for patients including, sub-acute care, Rehabilitation, Palliative care, rehabilitation and Enablement. Prior to Lisdarn Centre providing this Service patients in the Pre-discharge Unit in Cavan General Hospital had an average bed stay of 26 days. This bed stay has reduced from 26 days to a bed stay of 17 days since the short term beds opened in Lisdarn Centre. 65% of patients in short term beds were discharged home and only 11% transferred to nursing home.

Rose Mooney, Service Manager said, “I am absolutely thrilled for the team to have been selected as a finalist in the Excellence in Healthcare National Awards, Improving Patient Experience category, and now in the shortlisting for the winner in this category.  At all times the team have kept the older person 'front and center' in every decision in relation to their care journey and the ethos developed as part of this project is now firmly embedded in our service. The project was not a once off project, it was a change of mind set developed and managed by the integrated multi-disciplinary team”.

The collaborative, inclusive and participatory nature of this project highlights strong leadership and commitment to exceptional patient care.  Humanity is at the centre of all care. This project has revolutionised the approach to care through patient and family engagement to promote care, compassion and trust with the system putting the person at the centre of every decision.

Rose Mooney, Services Manager added, “I want to acknowledge the hard work of every single team member as this project evolved, developed and came to fruition during the Covid pandemic. This service has changed the journey of many older people and has ensured that many are now discharged home with a confidence that they have gained through the work of the multidisciplinary team.” 

Last updated on: 16 / 09 / 2021