Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

Otorhinolaryngology Head & Neck Surgery: A model of care for Ireland

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An important role of NCPS is defining the standards of care that should apply to surgical care in Irish hospitals. To supplement previously published models of care (Model of Care for Acute Surgery, NCPS, 2013 and Model of Care for Elective Surgery, NCPS, 2011), the NCPS and Dr Vida Hamilton, National Clinical Advisor and Group Lead, Acute Operations HSE, launched “Otorhinolaryngology Head & Neck Surgery: a model of care for Ireland”, authored by Professor Michael Walsh, Clinical Advisor in Otorhinolaryngology, Head and Neck Surgery at NCPS. The document was launched at the NCPS Charter Day in February 2019.

According to Professor Deborah McNamara, NCPS Co-Lead: “The development of specialty models of care is the next step in defining best practice; it allows a deeper understanding of the range of activity delivered by specialist services and of areas where there are unmet needs. It is also an opportunity for each specialty in surgery to define how the multidisciplinary surgical workforce can best deliver the care required by Irish patients, taking into consideration the new ways of working that are now the standard of care. Improvement of surgical services will require specialties to consider new ways of working, including the migration of some procedures towards ambulatory treatment instead of inpatient care. New technology has the potential to change not only the diagnostic and therapeutic procedures that can be performed, but also the way that surgeons communicate with patients, interdisciplinary team members, colleagues in the community and their fellow surgeons. The starting point for the development of specialty models of care must remain the needs of Irish patients and our responsibility to ensure that these services are accessible, safe, equitable and of high quality.”

Prof. John Hyland, Co-Lead NCPS: “Models of care are an extension of existing practice in hospital and community care, and are essential for efficiency of service. System services to schedule rehabilitation, optimization of comorbidity management, and pre-operative anaesthetic assessment are all essential for modern practice, with efficient use of community, general practice and hospital facilities.”