Guide to Diabetes Services. Limerick, Clare and North Tipperary. Edition, April 11

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1 Guide to Diabetes Services, Clare and North Tipperary Edition, April 11 1

2 Contents Page HSE Community Services Community Dietetic Service 3 Podiatry Service 4 Retinal Screening Service 5 Health Promotion Services Smoking Cessation Service 6 Physical Activity Support 6 Patient Education Programme DESMOND (Type 2) 7 CODE (Type 2) 7 Berger Programme (Type 1) 7 Support Services Long Term Illness 8 Parents Support Group 8 Entitlement/Community Welfare Service 8 Domiciliary Care Allowance 9 Diabetes Federation of Ireland 9 NCBI Working with people with sight loss 9 Meter for Visually Impaired 9 Sharp Disposal 10 Additional Community Contacts for Diabetes 10 Diabetes Services Mid-Western Regional Hospital Diabetes Team 11 Clinics 12 Diabetes Services St. John s Hospital Team 13 Clinics 13 Diabetes Services Mid-Western Regional Hospital Ennis Team 14 Clinics 14 Diabetes Services Mid-Western Regional Hospital Nenagh Team 15 Clinics 15 2

3 HSE COMMUNITY SERVICES Community Dietetic Service Community and Dietetic Services provide group education plus, if indicated, one-to-one consultation to patients referred by GPs, PNs, PHNs or Area Medical Officers. Patients can self refer for structured education sessions. Referral forms and appointments available via: Sinead Glover/Anne Geary Community Dietician an Nutrition Service Slainte Health Information, Health Promotion, Spring Rice House, Pery Street, 061/ Fax: 061/ Dietetic Clinic in the following Health Centres: Abbeyfeale HC, Ballynanty HC, Glin HC, Kilmallock HC, Moyross HC, Carnegie HC, Newcastle West, Southill HC Clare Anne Griffin Community Dietetic and Nutrition Service HSE, Slainte Office, 065/ Francis Street, Ennis, Co Fax: 065/ Clare North Tipperary Kay Finn & Audrey Lyons Community Dietetic and Nutrition Service 067/46464/067/46477 Health Centre, Tyone, Nenagh, Co Tipperary 3

4 Community Podiatry Service Region awaiting the appointment of additional Podiatrists as per National Guidelines Awaiting new appointments Clare Chiropody/Podiatry Appointments, HSE-West, 065/ Ext / Health Centre, Bindon Street, Ennis, Co Clare Podiatry Clinic Locations in Clare Clinic Frequency Ennis-Health Centre, Bindon Street Daily Ennistymon Health Centre Twice Weekly Ennistymon Day Centre Weekly Kilrush Health Centre, Kilkee Road Weekly Scariff Health Centre Monthly Shannon Health Centre Monthly St. Joseph s Hospital, Ennis Weekly Podiatry Clinic Locations North Clinic Frequency Tipperary Brigitte Hayden provides these outreach 0504/21055 clinics: Hospital of Assumption Thurles Three clinics per week based at the Referrals are via GP or PHN Nenagh Day Care Centre Monthly Borrisokane Health Centre Monthly Roscrea Day Centre Monthly 4

5 Retinal Screening Service It is planned to offer a diabetic retinopathy screening service involving a digital photograph of the back of the eye (retina) to all diabetic patients in the coming years. An interim service is in place which offers clinical screening by the doctor who will oversee the diabetic retinopathy screening service in the future. This service is only available for patients of a small number of GP at the moment but all patients will be offered screening when the national diabetic retinopathy screening programme comes into place. Patricia Brewitt Retinal Screening Coordinator Ballynanty Health Centre 061/ Fax:061/ Clare North Tipperary Ophthalmic Appointments HSE-West Bindon Street Ennis Co Clare Dr Mark James 4 th Wednesday of the month in Tyone Health Centre (although some clinics take place in Borrisokane Primary Health Centre instead) Community Ophthalmology Nenagh Dr Brid de Gaulle 1 st Tuesday and 3 rd Fri every month Outpatients Department, Nenagh Hospital Referrals to: Eye Secretary, Kenyon Street, Nenagh, Co Tipperary Community Ophthalmology Thurles Dr Bernie Rowan 2 nd Mon and 4 th Wed every month held in the Health Centre, Parnell Street, Thurles Referrals to: St Mary s Health Centre, Parnell Street, Thurles, Co Tipperary 065/ Ext / Fax:061/ / /

6 HEALTH PROMOTION SERVICES Smoking Cessation Support All patients QUITLINE: Mon-Sun 8am-1- pm The Irish Cancer Society provides a free-phone helpline offering advice and support to people wishing to quit smoking Clare Health Promotion Services Health Promotion HSE West Slainte Office, Museum House, Francis Street, Ennis Ms Maria Gibbons HPH Co-ordinator 065/ Clients attending the clinic are offered an initial information session followed by a four week support programme. Clients who opt for telephone counselling are referred to the National Quit line service at / MWRH One to one consultations Wed &Thurs by self referral or referred by Health professionals North Tipperary Mary T. Burke Smoking Cessation Facilitator Ms Mary Killeen McCarthy HPH Coordinator 061/ /42365 One to one consultation An Exercise Referral Scheme in now running in conjunction with certain Leisure Centres in City Physical Activity Support/Exercise Referral Scheme Gemma Strachan GP Regional Co-ordinator Parkview House Pery Street 061/ gemma.strachan@hse.ie 6

7 STRUCTURED DIABETES EDUCATION PROGRAMMES IN THE HSE MID WEST (Free) DESMOND Diabetes Education& Self Management for On-going & Newly Diagnosed Type 2 diabetics Available to patients in, Clare and North Tipperary Anne Geary/Sinead Glover Clare Health Personnel Slainte Offices Ennis North Tipperary Eileen McGrath CNS Diabetes Nenagh Hospital Johanna Burke RGN Community Borrisokane HC Kay Finn Community Dietitian Tyone HC Annette Ridley RGN, Nenagh Hospital. Referrals to Annette Ridley, A/Risk Manager, Nenagh Hospital 061/ annem.geary@hse.ie Ph: 065/ Fax: 065/ Maryb.mcmahon@hse.ie annec.griffin@hse.ie annette.ridley@hse.ie CODE Community Orientated Diabetes Education (DFI) 4x2 hours sessions and a phone call at week 10 Local CODE facilitators: Sarah Fitzpatrick, CNS-Diabetes, MWRH Mary Norris, ACNM2 Diabetes St John s Hospital Anne O Sullivan, CNS Diabetes Care, CODE facilitator Mary O Halloran, Cardiovascular Nurse Facilitator Clare and North Tipperary CODE facilitator: Elaine Newell, Diabetes Federation of Ireland 061/ / anne.osullivan@stjohnshospital.ie 061/483442or 087/ / and wro@diabetes.ie Bergers Programme for Type 1 Diabetes patients St. John s Hospital 061/

8 SUPPORT SERVICES Long Term Illness Scheme Non-GMS patients with diabetes should patients with diabetes should apply for a Long Term Illness Card, whish will entitle them to free diabetes-related medication, devices and blood glucose monitoring strips. LTI application forms available from: Long Term Illness Section 061/ Community Care HSE West Raheen Business Park Ballycummin Avenue Clare Long Term Illness Section HSE West Medical Card Department Sandfield Centre Ennis Co Clare 065/ North Tipperary Long Term Illness Section HSE West Civic Offices Road Nenagh Co Tipperary 067/46627 Parents Support Group Clare/ Parents Support Group 071/ and wro@diabetes.ie Clare North Tipperary Entitlements/Community Welfare Service Community Welfare Service 061/ and HSE, PCCC St Joseph s Hospital Mulgrave Street Community Welfare Services 065/ HSE Sandfield Centre Ennis, Co Clare Community Welfare Services 067/31003 HSE, PCCC Friar s Court Nenagh Co Tipperary 8

9 Domiciliary Care Allowance This service is provided by the Department of Social Welfare. Parents of diabetic children (or any other condition) are entitled to apply for Domiciliary Care Allowance. 071/ In order to be considered medically eligible the following must be satisfied: the child has a severe disability requiring continual or continuous care and attention substantially in excess of the care and attention normally required by a child of the same age.. The Diabetes Federation of Ireland has a network of support branches throughout the country. The activities of the Federation include dissemination of non-judgmental advice and information through meetings, workshops, seminars and a quarterly magazine. Support through telephone communisation and meetings. Raising awareness of diabetes through running campaigns and lobbying on behalf with diabetes in areas where they are being discriminated. Clare Regional Branch Grainne Flynn Diabetes Federation of Ireland Western Regional Office Diabetes Federation of Ireland 071/ wro@diabetes.ie / clarebranchdfi@gmail.com NCBI Working with people with sight loss NCBI gives advice, information and support on aids which are available for the visually impaired and how to obtain them. /Clare/North Tipperary Unit 2&3 Parkview Court Lord Edward Street 061/ To order Blood glucose meters Meters for Visually Impaired Diabetes Department 061/ Mid-West Regional Hospital Dooradoyle All Diabetes Departments & GPs have access to these meters from: Parle & Hickey 01/

10 Sharps Disposal BD safe clips available on prescription. Sharps containers available from local Health Centres. Additional Community Contacts for Diabetes The Diabetes Services of the HSE West (, Clare and North Tipperary) are currently developing programmes to facilitate a more integrated approach to the delivery of diabetes care. Mary O Halloran Cardiovascular Nurse Facilitator HSE West Primary Care Unit Ballycummin Avenue Raheen Business Park Ph: 061/ Mobile: 087/ mary.ohalloran@hse.ie 10

11 Diabetes Services Mid Western Regional Hospital Diabetes Team Physician/Endocrinologist 061/ Dr James O Hare 061/ Professor of Paediatric Endocrinology Prof. Clodagh O Gorman 061/ Consultant Obstetrician 061/ Dr John Slevin Diabetes Nurses Ms Sarah Fitzpatrick 061/ CNS Diabetes Ms Anne Quinn 061/ CNS Diabetes-Paediatric Mary Norris 061/ ACNM2 Diabetes Ms Yvonne Moloney 061/ CMS Diabetes 086/ Biochemistry Dr Ned Barrett 061/ Consultant Biochemist Ophthalmologist Dr Mark James (Tues AM) Dr Marie Hickey-Dwyer Dr Catherine Cleary Dr Philip O Reilly Dr Catherin McCrann (Tues PM) Psychiatry Dr Valerie Switzer Senior Clinical Psychologist (adults only) Eileen Cullinane CNS Liaison Nurse (Psychiatry) Renal Services Dr Con Cronin Dr Liam Casserly Vascular Mr Paul Burke Prof Pierce Grace Mr Eamon Kavanagh Prof. Stewart Walsh 061/ / / / / / / / / / / / / Tissue Viability 061/ Administrative Services Adult Diabetes Clinical Appointments Paediatric Diabetes Clinical Appointments 061/ /

12 Diabetic Clinics Mid-Western Regional Hospitals Adult Clinics Nurse lead Assessment Clinic GP referrals to Dr O Hare Tuesdays morning OPD 3 Diabetes Adult Clinics Weekly clinics Wednesday OPD 1 Young Persons Diabetes Clinic 1 st Tuesday of the month OPD 1 Paediatric Clinics Every 2 nd Tuesday morning Pregnancy Clinics Pre-Assessment Clinic for Pre-existing diabetes CMS led clinic Monday morning Diabetes Obstetric Clinic Tuesday mornings Dr Slevin, Consultant Obstetrician Structured Group Education for Gestational Diabetes Tuesday evenings Diabetes in Pregnancy Clinics Tuesday mornings Dr Slevin Wednesday evenings Dr O Hare Pre-conceptual Care Clinic for women with Diabetes CMS Diabetes led. Thursday evening

13 Diabetes Services St John s Hospital Diabetes Team Diabetes Nurse Anne O Sullivan CNS Diabetes Care & 061/ CODE facilitator Medical Consultants Dr Cornelius Cronin 061/ Dr Eithne Mulloy 061/ Dr Liam Casserly 061/ Vascular Consultant Mr P Burke 061/ Dietician Aishling Collins 061/ Health Promotion Officer/Smoking Cessation Kim Coughlan 061/ Diabetes Clinics St. John s Hospital Diabetes Nurse run clinic on Tuesday for newly diagnosed patients and review patients. Code Programme for Type 2 Diabetes patients and Bergers Programme for Type 1 Diabetes patients are run throughout the year. Medical/Diabetes Clinic GP referrals made via Dr Cronin and Dr Mulloy. Dr Eithne Mulloy Wednesday PM Dr Cornelius Cronin Thursday AM Dr Liam Casserly 1 st Thursday PM of each month Vascular Clinic Alternative Friday of each month Veronica O Connor 061/ CNS Tissue Viability 13

14 Diabetes Service Mid-Western Regional Hospital Ennis Diabetes Team Consultant Physician Dr Mahfuzur Rahman 065/ Clinic held once a week every Thursday morning Nursing Staff 065/ Out Patients Department Reception Medical Secretaries OPD Ophthalmologist Ennis HC, Bindon Street Dr Mark James 2 nd Wed of the month Dr Collette Dalton Monday and Thursday 065/ / / / Vascular Surgeon Mr Eamon Kavanagh 065/ Health Promotion Officer/Smoking Cessation Carmel McInerney 065/

15 Diabetes Services Mid-Western Regional Hospital Nenagh Consultants Dr Haq (Special Interest in Diabetes) Dr Christine O Malley Dr MManus Moloney Dr S.F. Abbass Diabetes Team 067/ / / /31491 Diabetic Nurses Eileen McGrath, CNS, RPN Diabetes 067/42371 Bleep 036 Diabetic Clinics MWRH Nenagh Medical Clinics Monday afternoons and Wednesday mornings Nurse led Diabetic Clinic Tuesday afternoons CNS Diabetes drop in service for people with diabetes weekdays to Friday inclusive Retinal Screening Clinic Dr Mark James 4 th Wednesday of the month in Tyone Health Centre (although some clinics take place in Borrisokane Primary Health Centre instead) Health Promotion officer/smoking Cessation Mary Kileen-McCarthy 067/42365 Vascular Referrals Prof Stewart Walsh Clinic 2 nd and 4 th Thursday (mornings) each month Urology Referrals Mr Hugh Flood, Clinic every Monday afternoon 15

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