The provision of acute inpatient care to the adult population of north Tipperary, which is in CHO 3, is provided between the acute unit in University Hospital Limerick, which has 50 beds, and the acute psychiatric unit in Ennis, which has 39 beds.
The 44 bed department of psychiatry based at St Luke's General Hospital, Kilkenny, is the designated approved centre for acute inpatient services for south Tipperary, which is in CHO 5. This enables all acute inpatient admissions for this CHO area to be managed at a single site. Referrals to St. Luke's are through a consultant psychiatrist who makes the clinical decision to admit based on the level of acute presentation or need. In addition to the department of psychiatry, a dedicated psychiatric liaison team operates out of the emergency department in St. Luke's. All service users presenting to the emergency department who require psychiatric assessment will receive that assessment within agreed timeframes in line with relevant guidelines. Onward referral pathways are agreed with all service users upon completion of psychiatric assessment in the emergency department. Pathways can include admission to an acute unit, referral to a relevant community mental health service team or referral back to a GP.
There are a range of other mental health services for adults in Tipperary. These include, for example, psychiatry of old age teams, non-acute beds, day hospitals and day centres. In addition, there are community mental health teams and high, medium and low-support community residences. In respect of those under 18, there are three CAMHS teams operating in Tipperary, one in north Tipperary and two in south Tipperary. The CAMHS acute units at Eist Linn in Cork and Merlin Park in Galway, which have a total of 42 beds, serve the Tipperary catchment area.
The HSE indicates that the south east community healthcare area has the second lowest rate of acute psychiatric bed provision. If this area were to be provided with the national average rate of bed provision, an additional 18 acute psychiatric care beds would be required. Evolving demographic pressures have recently led to over-occupancy at the departments of psychiatry at both St. Luke's General Hospital Kilkenny and University Hospital Waterford.
The Deputy will be aware that I met local delegations on several occasions over recent months to discuss current and future provision of mental health services in Tipperary, including reviewing bed capacity. I also visited mental health facilities in south Tipperary in February last. Further to my correspondence of 11 May with the chief officer of CHO 5, the south east mental health service management team met a delegation of local representatives and discussed in detail all issues concerning the delivery of mental health services in Tipperary, including the potential for additional acute psychiatric beds across the south east community healthcare area. South east community healthcare mental health services has also engaged with HSE estates on the potential to develop psychiatric inpatient beds at the four acute hospital sites in the region.
I will continue to monitor the development of all mental health services in Tipperary, particularly in the context of progressing new service developments agreed under the HSE service plan and through additional investment for mental health provided by Government.