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History
Clinical
Specialties
Linkages to Other Hospitals
Teaching and Training
History
The
Children's Hospital was founded in 1872 in a house at
9 Upper Buckingham Street by a group of charitable people
led by a Mrs. Eileen Woodlock. The hospital commenced
with eight beds and in the first year of operation there
were 104 patients admitted and a further 1,768 seen
in the out-patients department. There was a steady increase
in activity in the first years prompting the governing
committee in 1876 to invite The Irish Sisters of Charity
to take over the complete running of the hospital. On
2nd. July 1876 the order took over the hospital with
four sisters initially.
In
May 1879 the lease on 9 Upper Buckingham Street expired
and it became necessary to seek alternative accommodation.
A bequest from a Mrs. Simpson enabled the sisters to
purchase 15 Upper Temple Street, the formerly residence
of the Earl of Belamont for ,2,500 and on 17th. June
1879, the new hospital was formally opened with 21 beds.
Over the following years adjoining houses were purchased
including no. 14, the residence of the Parnell family
while in 1884/85 the chapel was built. By 1886 there
were 70 beds in use and solid medical foundations were
laid by two eminent physicians, Dr. John McVeagh and
Dr. Thomas More Madden.
The
hospital soon established a role in training of sick
children's nurses with recognition in 1885 and the opening
of a training school in 1893. In 1898 there were 90
beds in use and in the early years of this century further
property was acquired. A new operating theatre was opened
in 1904 and was continuously upgraded over the years
until replaced in 1981. 1908, Lady Martin bequeathed
her house and land at Cappagh to The Irish Sisters of
Charity and the order decided to fill a long felt need
as a convalescent home for The Children's Hospital.
It continued in use until 1924 when it became St. Mary's
Orthopaedic Hospital which it has continued up to this
day. By 1911 there were five physicians and four surgeons
on the staff and what is now the surgical out-patients
was opened on 3rd. February 1915.
The
1920's saw the dawning of the newly independent state
but it was not until the early 1930s before the further
development of The Children's Hospital commenced
with
the inauguration of the Irish Hospitals' Sweepstake.
Extensive adaptation of the old Georgian buildings
took
place, St. Patrick's Dietetic Ward was opened and a
dietician trained in Vienna employed. The Physiotherapy
Department, a new X-Ray Department, the Milk Kitchen
and a new Plaster Theatre were all built during the
1930s. On 8th. December 1939 the St. Michael's block
was blessed and formally opened. Going back to 1937,
the three houses between the hospital and St. George's
Church were acquired and in the early 1950s St. Joan's
Nurses Home was erected on the site.
The
years of the Second World War brought a halt to further
expansion and were difficult years for the hospital
with shortages of many important supplies. However with
the war ended expansion resumed and another storey was
added to the St. Michael's block to give the hospital
a 25 bed neonatal unit. The sorely felt loss of the
convalescent facilities at Cappagh was made up in 1946
when a Georgian house and land off Merino Road was purchased
to become St. Anthony's Hospital. Between 1954-56 a
two storey purpose built 56 bed ward block was built
there.
The
tremendous post war expansion in medical knowledge brought
many changes as indeed changes in the relationship between
the health service and the state. All these were successfully
met and the 1960s dawned with further developments in
prospect. In 1959 the work of St. France's Clinic commenced
in the field of Child Psychiatry, Psychology, Hearing
and Speech and in 1965 a new purpose built St. France's
Clinic was opened. In 1964 a new Assembly Hall was opened.
However, possibly the most significant development of
that period was the inauguration of the national new-born
screening programme for a number of inherited conditions.
This arose out of pioneering work already underway in
the hospital in the treatment of children with this
condition. This work has expanded to become the national
centre for the screening of treatment of these conditions
with its special laboratories and dedicated ward and
OPD unit.
The
assistance of the Variety Club of Ireland enabled the
present X-Ray department (1971) and Clinical Laboratories
(1977) to be built and finally in 1981 with Variety
Club and Department of Health Funding, the opening of
the new Theatre Suite of three modern theatres.
With
the future development of the hospital in mind, a policy
of acquiring adjacent properties was put in hand in
the 1960s and subsequently in conjunction with the hospital's
architects, proposal formulated for the redevelopment
of the hospital. The need for redevelopment was finally
accepted by the Department of Health and on 29 April
1982 the Project Team met for the first time. Their
Planning Brief was published on 22 May 1984 and accepted
by the Department. This envisaged the staged redevelopment
of the site which would result in virtually a new purpose
built paediatric hospital. Unfortunately, the severe
cutbacks in the health service of 1987 resulted in the
suspension and subsequent abandonment of this plan.
In 1988, following a reassessment of the hospitals position
and after consultation with the Mater Hospital, it was
decided that The Children's Hospitals best future lay
in a move to the Mater Campus.
During
the 1980s, many new consultants joined the hospital
staff and the process of sub-specialisation accelerated.
Hospital activity, recovered after the 1987 cutbacks
and settled down at its present levels and while there
has been no major increase in the number of patients
attending, there has been major advances the range and
complexity of treatment available.
The
1990s saw many new developments including the building
of St. Ultan's Metabolic Unit and the conversion of
St. Brigid's Ward to a dedicated Metabolic Ward. The
old convent on the top floor was converted into a Neurology
Unit complete with remote telemetry and digital EEG
monitoring and recording. In the area of Out-Patients
the old 1971 vintage prefab housing the medical clinics
was demolished and replaced by a large two storey extension
to the surgical out-patients which itself was extensively
refurbished. All of the wards at this stage have been
upgraded and redecorated and within the last few years
an extension of the Audiology Unit has been commissioned
as also has a new laboratory for the National Meningococcal
Reference Laboratory which was set up at the request
of the Department of Health.
This
brings us up to the present day with construction of
the new Casualty and Day Ward well advanced, funding
for the new hospital on the Mater Campus secured and
planning for the latter firmly established. Undoubtedly,
the Mater development of the 21st. Century Paediatric
Hospital is the most exciting prospect since our foundation.
Clinical
Specialties
The
following listing profiles the main specialties and
departments (statistics 1999)
| Specialty/Dept.
|
No.
of Consultants |
No.
of Admissions |
No.
of OPD
Attendances |
| Accident
& Emergency |
1 |
|
49487 |
| Anaesthesia
|
6 |
5607 |
|
| Arthritis |
1 |
|
84 |
|
Cardiology
|
1 |
1 |
285 |
| Chemical
Pathology |
1 |
|
|
| Dental
Surgery |
1 |
26 |
30 |
| Dermatology
|
1 |
27 |
1426 |
| Endocrinology
|
1 |
55 |
544 |
| ENT
|
3 |
1633 |
4003 |
| Genetics
|
1 |
|
133 |
| Gynaecology
|
1 |
1 |
27 |
| Haematology
|
1 |
|
|
| Histopathology
|
1 |
|
|
| Infectious
Diseases |
1 |
|
333 |
| Metabolic
|
3 |
281 |
1849 |
|
Microbiology
|
1 |
|
|
| Neonatology |
5 |
14 |
27 |
| Nephrology
|
1 |
|
|
| Neurology
|
2 |
346 |
2000 |
| Neurosurgery |
1 |
1 |
87 |
| Oncology
|
2 |
|
21 |
| Ophthalmology
|
2 |
465 |
6496 |
| Orthodontics
|
1 |
|
48 |
| Orthopaedics |
3 |
1396 |
10450 |
| Paed.
Surgery |
3 |
1765 |
2878 |
| Paed.
Medicine |
4 |
3019 |
4040 |
| Paed.
- Developmental |
1 |
2 |
380 |
| Plastic
Surgery |
2 |
872 |
2264 |
| Psychiatry
|
5 |
2 |
1042 |
| Radiology
|
3 |
|
|
| Renal |
1 |
64 |
977 |
| Urology
|
2 |
243 |
697 |
|
Vascular
(appointed Jul 2000)
|
1 |
|
|
| Other
|
|
1 |
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Linkages
to Other Hospitals
The
following lists linkages to other hospitals through
shared consultant posts:
| Mater: |
Orthopaedic
Surgery
Urology
Ophthalmology
ENT
Psychiatry
Radiology
Plastic Surgery
Anaesthetics
Haematology |
| Rotunda: |
Neonatology
Paed. Neurology
Microbiology
Orthopaedics
Radiology
Histopathology
Chemical Pathology |
| Beaumont: |
Paed.
Neurology
Paed. Neurosurgery
Paediatric Medicine
Nephrology
ENT |
| St.
Vincent's Hospital: |
Urology |
| Central
Remedial Clinic: |
Orthopaedics
Physical Handicap
Paed. Neurology |
| Cappagh
Orthopaedic: |
Orthopaedics
Anaesthetics |
| Our
Lady's, Crumlin: |
Paed.
Surgery
Oncology
Cardiology
Paed. Neurosurgery
Infectious Diseases
Paed. Neurology
Genetics
Chemical Pathology
Metabolic Diseases |
|
National
Maternity:
(Holles
St.)
|
Neonatology
Paed. Medicine
Radiology
Ophthalmology |
| EHB: |
Psychiatry |
| Daughters
of Charity: |
Developmental
Paediatrics
Orthopaedics |
| St.
Michael's House: |
Developmental
Paediatrics
Orthopaedics |
| St.
James Hospital: |
Orthodontics |
| The
Coombe Hospital: |
Ophthalmology
|
Teaching
and Training
Junior
Hospital Doctors
The Children's University Hospital is linked to both
the Royal College of Surgeons in Ireland and University
College Dublin for undergraduate and postgraduate training.
The Professor of Paediatrics at R.C.S.I. is based in
Temple Street, and UCD has an Associate Professor of
Paediatrics here.The
following training rotas exist:
| Medical
SHO: |
6
months - Rotunda or National Maternity
6 months - Mullingar or Our Lady of Lourdes
1 year - Temple St. |
| Medical
Registrar: |
1
year - National Maternity, Holles Street
1 year - Our Lady of Lourdes, Drogheda
1 year - Temple St. |
| ENT
Registrar/SHO: |
Irish
Training Committee in Otorhinolaryngology, Head
and Neck Surgery. Rotation for two posts for six
months each. |
| G.P./SHO: |
RCSI
Vocational Training Committee for General Practice.
Two GP training posts for six months. |
| Surgical
SHO: |
Dublin
Regional Surgical Training Committee. Three posts
for six months. |
Paediatric
Nursing
The hospital's nurse training school trains nurses for
the Higher Diploma in Nursing Studies (Sick Children's
Nursing) and the hospital is linked to University College
Dublin. There are 100 students in training at any one
time.
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