A chara, – I read with interest Dr Kieran Moore's rather dismissive tone towards his colleagues who are "co-ordinators" or "managers", questioning whether these staff members contribute to the assessment and treatment of patients, and if their roles are audited, defined and and evidence-based (May 26th).
First, it is rather disingenuous to suggest that a post within a hospital does not have a specific and clearly defined role, approved by human resources and available on the HSE website for inspection. Second, to suggest that an infection prevention and control co-ordinator, a cardiac rehabilitation coordinator, a transplant co-ordinator and falls management coordinator are not evidence-based and do not contribute to patient outcomes is also unfair. In fact, doctors are the largest culprits in poor hand hygiene. Third, adding another layer of bureaucracy with respect to a “Management Council” is just plain pandering to your readership. Yes, more clinical staff are needed in the healthcare system. However, a standardised approach to a particular condition, based on evidence and monitored regularly through audit or managed by experts in their field, is exactly what Irish patients should expect and deserve. – Is mise,
GARETH T CLIFFORD,
Priory Grove,
Stillorgan, Co Dublin.
Sir, – The announcement that the HSE is to eliminate the mandatory third-level requirement for top managerial posts (Home News, May 26th) is another appalling day for our patients and our health service. – Yours, etc,
Dr ANTHONY J REEVES,
Convent Lane,
Athy,
Co Kildare.