St James’s discharge prize poster
Deputy Buckley condemned St. James’s Hospital for offering prizes to speed patient discharge and said proper step-down care was missing. The Taoiseach said the poster had been withdrawn, it was not national policy, and the cash-prize approach was inappropriate.
Page 58 of the programme for Government indicates the Government's support of timely patient discharge from hospitals. Unfortunately, in many cases, the step-down facilities or home help hours are not available for doctors to discharge patients into the most appropriate care setting, with doctors always discharging patients who are medically fit for discharge where a proper care setting is available. Anybody who says otherwise is lying. This is why it is totally outrageous that St. James's Hospital is offering cash prizes for discharge of patients, which is sick behaviour. I have a flyer indicating that there is a €250 prize for the most improved use of the discharge lounge and the medical team sending most patients to a discharge lounge will receive another prize of €250. Surely this behaviour should be investigated as it is totally inappropriate and dangerous.
Comment on this
I thank the Deputy for the question. I understand St. James's Hospital has withdrawn the poster and it was certainly not a national policy. I understand that this was specific to the hospital and it accepts that, at best, it was a clumsy idea. People who listened to Ms Phil Ní Sheaghda and Professor Patrick Plunkett on the radio this morning explaining how discharge lounges work and why they are a good idea would have a better understanding as to what was attempted with this. However, offering cash prizes was not appropriate. They were not even cash prizes as the money was meant for teams rather than any individual staff member.