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Emergency department overcrowding eases

A work-to-rule will begin at Galway University Hospital on 3 February
A work-to-rule will begin at Galway University Hospital on 3 February

The overcrowding crisis in hospital emergency departments has eased today with 363 patients waiting to be admitted to a bed.

Of these, 264 were on trolleys and 99 are on wards.

The hospitals most affected were Beaumont in Dublin with 34 patients waiting, Our Lady of Lourdes in Drogheda with 30 patients waiting, and University Hospital Limerick, with 27.

This day last week there were 563 patients waiting to be admitted to a bed, peaking at 601 the following day.

The figures were compiled by the Irish Nurses and Midwives' Organisation.

Meanwhile, INMO members at Galway University Hospital have voted unanimously for industrial action to highlight overcrowding in the emergency department there.

The INMO said the result was unanimous with 100% of those balloted voting yes.

It said a work-to-rule will begin on Tuesday 3 February.

Nurses will not perform any administrative, clerical or non-clinical tasks.

INMO Industrial Relations Officer Clare Treacy said: "INMO members are gravely concerned for the well-being of patients at the emergency department of Galway University Hospital.

"The level of overcrowding and staff shortages is impinging on nurses' ability to provide safe, quality care."

Nurses from the emergency department at Beaumont Hospital in Dublin protested last week over the "unsafe overcrowding situation" there.

Beaumont nurses said they will step up their action if the situation does not improve, initially with a work-to-rule from 27 January.

Separately, around 2,700 of the country's junior hospital doctors change or take up their six- or 12-month hospital rotation posts today.

The "changeover" occurs twice a year - on the second Monday of January and the second Monday of July.

The Health Service Executive says that the January changeover mostly involves interns and senior house officers and not around 2,500 registrar and specialist grades, who are generally in posts for 12-month contracts, from July to July each year.

As junior doctors need time to acquaint themselves with their new environment and staff, the processing of patients can be slower.

The HSE says that the recruitment of junior doctors for this changeover remains "somewhat fluid" in the early days of the new rotations, as a limited number of contracts await final stages of pre-contract requirements from non-consultant hospital doctors (NCHD).

It says today's changeover is consistent with recent years, whereby around 1% of NCHD posts are not filled.

However, the HSE insists there are no service implications for today's changeover as these are usually additional posts.

Speaking at the weekend on RTÉ Radio, Minister for Health Leo Varadkar said the changeover is always a difficult time for the health service.

The Irish Association for Emergency Medicine said that Monday is usually the busiest day for hospitals and it is not a good day for changing over junior hospital doctors.

The twice-yearly changeover dates were moved a few years ago from 1 January and 1 July to ease difficulties in hospitals.

There are over 5,250 junior doctor posts in the HSE and the number has increased in recent years to meet the EU working time directive.