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Consultants ‘too slow’ as hospitals wait for Û12m in insurance money

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Date Published: {J}

BY CIARAN TIERNEY

Delays by consultants in ‘signing off’ claims against private health insurers are costing Galway city’s two public hospitals up to €12 million at a time they are under severe financial pressure.

It emerged this week that University Hospital Galway (UHG) and Merlin Park hospitals are owed €12m from private insurance companies such as the VHI, Aviva, and Bupa, much of it because highly-paid consultants are slow to process claims on behalf of the hospitals.

The Chairperson of the HSE Regional Forum (West), Cllr Padraig Conneely (FG), has described the delays in processing the claims as “financial negligence” and called for sanctions against specialists who are slow to do so within a specified time frame.

“At a time when Galway University Hospitals [UHG and Merlin Park] are financially cash starved, it is beyond belief that the West of Ireland’s major acute hospital is owed €12 million from private insurance companies,” said Cllr Conneely.

Cllr Conneely received confirmation of the money owed from the Health Service Executive (West) this week after raising the issue at a recent hospital committee meeting.

Given that on occasions dozens of patients have been forced to sleep on trolleys at UHG overnight, Cllr Conneely said it was astounding that some consultants were slow to process delays on behalf of the hospitals despite having no qualms about making claims on their own behalf.

“It is all down to the slowness of, and administrative problems with, some consultants,” Cllr Conneely told The Connacht Tribune. “Last year we had major financial problems and cut-backs across UHG. And yet there is €12 million available for work done if this problem could be sorted out between management and some consultants.

 

“Those consultants have the use of private beds in public hospitals and I think they are being very unfair. Their tardiness in ‘signing off’ on health insurance claims is leaving the hospitals with over-stretched finances.”

He called for sanctions to be introduced for consultants who fail to process claims on behalf of UHG within a specified time period such as 30 days. “It’s the public hospital system that’s paying the price, by being millions over budget,” he said.

Cllr Conneely said the consultants were able to treat private patients in Galway’s two public hospitals and management could then recoup costs from the health insurance companies.

But, before the hospital can make a claim, the consultants must ‘sign off’ on the relevant documentation. Cllr Conneely claimed that some consultants went weeks or even months without completing the documentation, despite making their own personal claims to the health insurers.

“There must be major changes in the way UHG does its business,” said Cllr Conneely. “Old working practices of consultants need to be urgently reviewed by management. This €12 million ‘black hole’ in the budget must be addressed.”

Galway in Days Gone By

The way we were – Protecting archives of our past

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A photo of Galway city centre from the county council's archives

People’s living conditions less than 100 years ago were frightening. We have come a long way. We talk about water charges today, but back then the local District Councils were erecting pumps for local communities and the lovely town of Mountbellew, according to Council minutes, had open sewers,” says Galway County Council archivist Patria McWalter.

Patria believes we “need to take pride in our history, and we should take the same pride in our historical records as we do in our built heritage”. When you see the wealth of material in her care, this belief makes sense.

She is in charge of caring for the rich collection of administrative records owned by Galway County Council and says “these records are as much part of our history as the Rock of Cashel is. They document our lives and our ancestors’ lives. And nobody can plan for the future unless you learn from the past, what worked and what didn’t”.

Archivists and librarians are often unfairly regarded as being dry, academic types, but that’s certainly not true of Patria. Her enthusiasm is infectious as she turns the pages of several minute books from Galway’s Rural District Councils, all of them at least 100 years old.

Part of her role involved cataloguing all the records of the Councils – Ballinasloe, Clifden, Galway, Gort, Loughrea, Mountbellew, Portumna and Tuam. These records mostly consisted of minutes of various meetings.

When she was cataloguing them she realised their worth to local historians and researchers, so she decided to compile a guide to their content. The result is For the Record: The Archives of Galway’s Rural District Councils, which will be a valuable asset to anybody with an interest in history.

Many representatives on these Councils were local personalities and several were arrested during the political upheaval of the era, she explains.

And, ushering in a new era in history, women were allowed to sit on these Rural District Councils – at the time they were not allowed to sit on County Councils.

All of this information is included in Patria’s introductory essay to the attractively produced A4 size guide, which gives a glimpse into how these Rural Councils operated and the way political thinking changed in Ireland during a short 26-year period. In the early 1900s, these Councils supported Home Rule, but by 1920, they were calling for full independence and refusing to recognise the British administration.

“I love the tone,” says Patria of the minutes from meetings. “The language was very emotive.”

That was certainly true of the Gort Rural District Council. At a meeting in 1907, following riots in Dublin at the premiere of JM Synge’s play, The Playboy of the Western World the councillors’ response was vehement. They recorded their decision to “protest most emphatically against the libellous comedy, The Playboy of the Western World, that was belched forth during the past week in the Abbey Theatre, Dublin, under the fostering care of Lady Gregory and Mr Yeats. We congratulate the good people of Dublin in howling down the gross buffoonery and immoral suggestions that are scattered throughout this scandalous performance.

 

For more from the archives see this week’s Tribunes here

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Galway have lot to ponder in poor show

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Date Published: 23-Jan-2013

SLIGO 0-9

GALWAY 1-4

FRANK FARRAGHER IN ENNISCRONE

GALWAY’S first serious examination of the 2013 season rather disturbingly ended with a rating well below the 40% pass mark at the idyllic, if rather Siberian, seaside setting of Enniscrone on Sunday last.

The defeat cost Galway a place in the FBD League Final against Leitrim and also put a fair dent on their confidence shield for the bigger tests that lie ahead in February.

There was no fluke element in this success by an understrength Sligo side and by the time Leitrim referee, Frank Flynn, sounded the final whistle, there wasn’t a perished soul in the crowd of about 500 who could question the justice of the outcome.

It is only pre-season and last Sunday’s blast of dry polar winds did remind everyone that this is far from summer football, but make no mistake about it, the match did lay down some very worrying markers for Galway following a couple of victories over below par third level college teams.

Galway did start the game quite positively, leading by four points at the end of a first quarter when they missed as much more, but when Sligo stepped up the tempo of the game in the 10 minutes before half-time, the maroon resistance crumbled with frightening rapidity.

Some of the statistics of the match make for grim perusal. Over the course of the hour, Galway only scored two points from play and they went through a 52 minute period of the match, without raising a white flag – admittedly a late rally did bring them close to a draw but that would have been very rough justice on Sligo.

Sligo were backable at 9/4 coming into this match, the odds being stretched with the ‘missing list’ on Kevin Walsh’s team sheet – Adrian Marren, Stephen Coen, Tony Taylor, Ross Donovan, David Kelly, David Maye, Johnny Davey and Eamon O’Hara, were all marked absent for a variety of reasons.

Walsh has his Sligo side well schooled in the high intensity, close quarters type of football, and the harder Galway tried to go through the short game channels, the more the home side bottled them up.

Galway badly needed to find some variety in their attacking strategy and maybe there is a lot to be said for the traditional Meath style of giving long, quick ball to a full forward line with a big target man on the edge of the square – given Paul Conroy’s prowess close to goal last season, maybe it is time to ‘settle’ on a few basics.

Defensively, Galway were reasonably solid with Gary Sice at centre back probably their best player – he was one of the few men in maroon to deliver decent long ball deep into the attacking zone – while Finian Hanley, Conor Costello and Gary O’Donnell also kept things tight.

For more, read this week’s Connacht Tribune.

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Real Galway flavour to intermediate club hurling battle in Birr

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Date Published: 23-Jan-2013

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