‘A Two-Tier Siloed Approach To The Long-Term Care Of Older People’


Minister for Health Stephen Donnelly at the publication launch of the COVID-19 Nursing Homes Expert Panel Report.

This afternoon.

The COVID-19 Nursing Homes Expert Panel Report has been published.

As of July 14, 79% of all notified deaths from COVID-19 occurred in the over 75 age group and deaths in nursing homes (985 cases) represented 56% of total deaths (1,748 cases) in Ireland.

From the report:

‘The COVID-19 public health emergency has shown some of the many strengths of Irish society. It has also shown some weaknesses.

We have a two-tier healthcare system and a two-tier siloed approach to the long-term support and care of older people which favours referral to long-term care settings as opposed to promoting a wider range of home care options. We owe it to our older population and ourselves to do better.’


During the crisis, leadership and timely decision-making became overwhelmed due to a vacuum of clear guidance, mixed messaging, a lack of access to clinical expertise and resources (oxygen, infusion pumps, PPE).

A submission from academic nursing who took part in the ‘call to arms’ felt that for the vast majority of nursing homes there was no direct clinical governance; GPs’ mainly focused on managing their individual patients either in person or virtually. COVID-19 very quickly exhausted existing governance and escalation pathways.

Read here

More as we read it.

Previously: Left To Die: Nursing Home Timeline

Sam Boal/Rollingnews


Sponsored Link

1 thought on “‘A Two-Tier Siloed Approach To The Long-Term Care Of Older People’

Comments are closed.

Sponsored Link