Region (constituent counties) | Population density (population per km2) | Service reconfiguration | Clinical governance | ED changes | GP out-of-hours care |
---|---|---|---|---|---|
North East (Meath, Louth, Cavan, Monaghan) | 54.6 | Region-specific plan partly implemented in 2006–20107 | No unified region-level structure | Two EDs reconfigured to local injury units. Some centralisation of trauma, coronary and stroke care | One regional cooperative in place |
Dublin North East (North Dublin City and County) | 1093 | No reconfiguration of services | No unified region-level structure | No changes | One regional cooperative in place, supplemented by doctor on-call service |
Dublin South (South Dublin and Wicklow) | 259.7 | Region-specific plan implemented in 20138 | No unified region-level structure | One ED reconfigured to local injury unit, reduced operating hours in another. Centralisation of trauma, coronary and stroke care to two hospitals but with limited differentiation and integration | Multiple cooperatives in place, supplemented by doctor on-call service |
Dublin Midlands (South-West Dublin, Offaly, Laois, Kildare, Westmeath, Longford) | 89.8 | Limited reconfiguration of services | No unified region-level structure | Some centralisation of trauma, coronary and stroke care | Multiple cooperatives in place across the region |
South East (Waterford, Wexford, Carlow, Kilkenny, South Tipperary) | 52.6 | Limited reconfiguration of services | No unified region-level structure | Some centralisation of trauma, coronary and stroke care | One regional cooperative in place |
South (Cork, Kerry) | 54.6 | Region-specific plan largely implemented in 2012–20139 | Region-wide structure established | Two EDs reconfigured to local injury units, with another closing. Single hub for acute coronary care, severe stroke and trauma cases, with support services provided at other centres | One regional cooperative in place |
Mid-West (Clare, Limerick, North Tipperary) | 46 | Region-specific plan largely implemented in 2009–201310 | Region-wide structure established | Three EDs reconfigured to local injury units. Centralisation of stroke, coronary and trauma at hub | One regional cooperative in place |
West (Galway, Mayo, Roscommon, Leitrim, Sligo, Donegal) | 31.1 | Some regional reconfiguration of services | Region-wide structure established | One ED reconfigured to local injury unit in 2011. Single hub for acute coronary care, severe stroke and trauma cases, with support services provided at other centres | Multiple cooperatives in place across the region |
ED, emergency department.