National Treasury Management

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SCA Remit Expands

The number of bodies under the SCA’s General Indemnity Scheme (GIS) has further increased, bringing the total number of bodies under the GIS to 144. This is as per State policy, as set out in the Public Financial Procedures; where the State is its own insurer and, as such, covers its own costs’ on a pay as you go basis. These new authorities include a number of Section 38 non-acute agencies. The SCA would like to extend their warmest welcome to these bodies who will now enjoy the benefits of the State’s GIS. This includes bespoke professional claims management functions supported by the SCA’s own team of solicitors. In addition they can avail of our Enterprise Risk Management services including advices, guidelines, risk network, seminars etc. They will also be provided with access to the National Incident Management System (NIMS).

5th World Congress on Clinical Safety, Harvard Medical School, Boston

Deidre Walsh and Ann Duffy, Clinical Risk Advisors, at the 5th World Congress of Clinical Safety, Harvard, Boston. Four oral presentations and eight posters were presented by the Clinical Risk team.

New Senior Management Appointments

Catherine Tarrant, Head of Clinical Claims and Siobhán Hayes Head of Litigation.

Catherine Tarrant was appointed Head of Clinical Claims at the SCA in July 2016.  A solicitor and accredited mediator, she leads the team of respected professionals that are responsible for the more than 3000 claims that are being managed under the Clinical Indemnity Scheme, with an estimated total value of almost €1.5 billion.

Since joining the Agency almost ten years ago, Catherine has managed clinical claims against several of the large teaching hospitals, including many high value and sensitive cases, for example brain injury and cancer misdiagnosis.  Her desire to protect the public purse and secure value for money for the Agency has secured a welcome reputation for robust negotiation on the price we pay for services and the price we pay on claims.

Siobhán Hayes was appointed Head of Litigation at the SCA in October 2016. She has over 20 years’ experience as a litigation solicitor and is a CEDR accredited mediator.

Her role is to lead the in-house team of solicitors who, working with SCA claims managers, defend public and employer liability claims brought against Delegated State Authorities. The in-house team has a special focus on sensitive and public interest and policy claims.

Siobhán trained in a small plaintiff litigation practice, and then spent some time in the Chief State Solicitors Office. She joined Arthur Cox in 1998 and worked in their busy litigation department until 2016, having been appointed a Partner in 2006.

WORKPOSITIVECI Update

Brought to you by the State Claims Agency (SCA), the Health and Safety Authority (HSA), CISM Network Ireland and supported by Employee Wellbeing Ltd, Work PositiveCI is a free, online, easy to use, innovative, confidential, psychosocial risk management process.

The Work PositiveCI process is aligned with the Psychosocial Risk Management European Framework (Prima-EF) and is the first psychosocial risk management process specific to critical incidents in Europe.

Pilot and validation

Overseen by the Enterprise Risk Management Section (ERMS), Work PositiveCI was piloted in 15 organisations, involving approximately 12,000 employees across a number of enterprises. Following the pilot, a successful validation analysis was undertaken by Innovation Ulster Limited/Ulster University. This involved a review of the process, the bespoke wellbeing measure and the relationships between critical incident specific responses, psychosocial working conditions and mental health.

Launch – www.workpositive.ie

The ERMS launched Work PositiveCI in March 2017 with structured guidance enabling organisations to develop an action plan to mitigate against workplace stressors, employee psychological wellbeing and critical incident exposure in the workplace.

International Critical Incident Stress Foundation (ICISF) 14th World Congress

Pat Kirwan, Deputy Director SCA will present on Work PositiveCI at the ICISF’s World Congress on Stress, Trauma & Coping in Baltimore in May 2017. This is an excellent opportunity to showcase the Work PositiveCI initiative on the world stage.

Quality Management System Accreditation

The SCA’s Claims and Administration Sections have recently successfully obtained certification from NSAI to the IS EN ISO9001:2008 Quality Management System standard. This is an extension of scope to the existing functions (Enterprise Risk Management Section and Operations function) that had previously been awarded certification by NSAI in 2008 and has retained since.

Enterprise Risk Management Recognition for the Defence Forces

In photo from left to right: Comdt Thomas Farrell (OC Gormanston, Defence Forces), Sgt Gerald O’Gorman (Unit Safety Officer, 30 Inf Bn, Kilkenny, Defence Forces), Fiona Kearns (Senior Enterprise Risk Manager, SCA), Comdt Noel Maher (Defence Force Safety Officer), Cpl Ross Hayden (Unit Safety Officer Air Corps Military Training College), Ciarán Breen (Director, SCA), Brig Gen Peter O’Halloran Assistant Chief Of Staff,  Capt Bronagh McMorrow (Unit Safety Officer CIS Group DFTC), Pat Kirwan (Deputy Director, SCA), Comdt Conor Ryan (Formation Safety Officer, DFTC), Paul Burke (Enterprise Risk Manager, SCA)

Defence Forces personnel being presented with certificates from the State Claims Agency in McKee Barracks in recognition of compliance with health and safety management system audit process.

Department of Agriculture, Food and Marine Farm Safety Day

In photo from left to right: Liam Walsh, Assistant Principal Officer, DAFM; Louise Gilligan, Enterprise Risk Manager, SCA; Anne Derwin, Assistant Secretary General, DAFM; Helen Gahan, Higher Executive Officer, DAFM

The Department of Agriculture, Food and Marine (DAFM) recently held a farm safety event at its veterinary research farm in Longtown, Co. Kildare. The DAFM carry out trials for crop varieties in the principal production areas of the country to assess varieties for characteristics of economic benefit to farmers. These trials are carried out on Department lands across the country and on a number of farms specially selected with the cooperation of Teagasc (the State Agricultural Advisory Service). Typically farming activities are carried out by approximately 50 DAFM staff employed across the country. The DAFM Health and Safety Section organised this event with the aim of educating and increasing awareness on health and safety to DAFM staff on a range of relevant topics whilst also providing the opportunity to meet and network with other colleagues. SCA Deputy Director Pat Kirwan presented at the event on incident reporting and the importance of same.

DSA Focus Group complete SCA Risk Management Workshops

Congratulations to the participants of the DSA Focus Group who successfully completed the SCA Risk Management Workshops held in 2016. Representatives from 11 Delegated State Authorities attended the workshops which addressed topics ranging from emergency planning to risk assessment techniques. DSAs represented were Dept. of Communication, Climate Action & Environment, Dept. of Education & Skills, Dept. of Finance, Dept. of Foreign Affairs & Trade, Dept. of Health, Dept. of Jobs, Enterprise & Innovation, Dept. of Transport Tourism & Sport, the National Gallery, the National Library, Waterways Ireland and the Workplace Relations Commission.

Pat Kirwan Re-appointed

Pat Kirwan, Deputy Director, Executive Head of Business, Risk and Operations in the SCA has been re-appointed to the Health Services Executive’s Risk Committee by the HSE’s Directorate.

Developments in Medication Safety

The Clinical Risk team have recently completed a 5 year review of medication-related finalised claims. The lessons learned from this review have helped inform an education and training session on medication safety which the team are currently rolling out to acute healthcare facilities. This session covers strategies to prevent medication errors as well as learning from incidents reported to, and claims managed by the SCA under the Clinical Indemnity Scheme (CIS).

Bursary Award

Dr Dubhfeasa Slattery, Head of Clinical Risk at the State Claims Agency, presenting the SCA bursary for best professional project submitted as part of the UCD Graduate Diploma in Healthcare (Risk Management and Quality) 2015/2016 to Dr Conor McCrystal for his project entitled ‘Monitored Dosage System (MDS) Dispensing in Community Pharmacy – Healthcare Solution or Medico-legal Liability?

Clinical Risk Research: Health Research Board Grants awarded

The Clinical Risk team, as clinical lead,  was awarded 1 of 2 national  Research Collaborative in Quality and Patient Safety and Health Research Board grants (value €280,000) to study the “Development of a multi-faceted approach to reducing and mitigating the risk of foreign object retention” in collaboration with Trinity College Dublin. Retained foreign objects are a significant cause of clinical claims.

Additionally the clinical risk team was awarded, in collaboration with UCC (Principle Investigator), RCPI and the Medical Council, a Health Research Board Partnership grant (value €240,000) to study “Enhancement of engagement with Medical Professional Competence Schemes” and why some  practising doctors in Ireland are non-compliant with their professional competence scheme, despite it being a legal obligation, and to explore potential links with medical practice and/or claims.

Open Disclosure – A National Programme between the SCA and the HSE

  • A collaboration between the SCA Clinical Risk Team and HSE has trained over 13,000 healthcare employees in Open Disclosure. Two hundred and twenty nine trainers are currently active nationally.
  • A recent HSE audit of the implementation of Open Disclosure in acute hospitals demonstrated its positive impacts and progress achieved. Further review of the impact of Open Disclosure on patients and staff will be undertaken.
  • The development of this national programme was presented at the 5th World Congress on Clinical Safety in Boston Harvard in September 2016.

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