Fionnola Kelly

• Trinity College Dublin

Introduction Each year, the National Ambulance Service (NAS) attends many patients who receive a working diagnosis of trauma but do not meet the full inclusion criteria for the Major Trauma Audit (MTA), hereafter referred to as non-major trauma. This study aims to profile the key characteristics of patients who experience non-major trauma. Methods...

Purpose: To describe the impact of COVID-19 on hip fracture care during the first 6 months of the pandemic. Methods: A secondary analysis of 4385 cases in the Irish Hip Fracture Database from 1st June 2019 to 31st August 2020 was conducted. Results: Hip fracture admissions decreased by 15% during the study period (p < 0.001). Patient character...

TARN NOCA Report 2020

Background The mean and median age of major trauma continues to increase for a mean of 36 years in the 1990's to 59 and 61 years respectively in 2016 and 2017. The age planning of major trauma has important implications for healthcare planning. Methods The major trauma audit was established by the National Office of Clinical Audit (NOCA) in 2013 a...

Internationally, changes are advocated in the support available to persons with intellectual disability. Socially inclusive personalized arrangements are intended to replace congregated and segregated day services. The study examines the changes in the provision of day services within Ireland over a 5‐year period when new policies were being promot...

Background: Ireland has a growing population of adult persons living with family carers, thereby increasing the demand for residential places. Simultaneously, government policy aimed to reprovision residents living in congregated settings but at a time when funding was curtailed due to the economic crisis. This study examines the movements of peop...

Accessible summary In Ireland school leavers with intellectual disabilities were tracked over a 10‐year period from 2004 to 2014. Nearly half were no longer known to services after 10 years. In the 5 years after leaving school, most young adults went to either training centres or to care centres. After 10 years, most were placed in care centres. Fe...

Aims To identify whether clinical information routinely collected and recorded on clinical files is available for the identification of metabolic syndrome and to assess the prevalence of risk factors for the syndrome in a sample of people with intellectual disabilities (ID) and mental illness treated with antipsychotic medication. Methods: A retr...

Background: Small-scale community accommodation is the preferred alternative internationally to the institutional and congregated services that previously dominated residential care for persons with intellectual disability. The strategies required for changing to new service models are not well researched. Method: The National Intellectual Disab...

Children with intellectual disabilities are more likely than non-disabled children to live away from their families. Internationally, the aspiration is for them to live at home or in alternative family placements. This study uses national data on over 700 children from the Republic of Ireland to monitor their living arrangements over a ten-year per...

Purpose The move from congregated living arrangements to more homely, community‐based accommodation is a policy objective in many developed countries but its implementation is rarely monitored. This paper aims to address this issue. Design/methodology/approach The National Intellectual Disability Database in Ireland provided the data to explore th...

Abstract A cohort of nearly 11,000 persons was traced over 8 years to determine those who had moved from family care and those who had remained. The majority (85%) continued to live with families, and, for two thirds (67%), no future move was deemed necessary. The 2 main predictors of moving were as follows: A need had been previously recorded and...

This paper reports the findings of a national study of the variations in the provision and correlates of respite breaks to families. Background.  Internationally, respite breaks are a major support service to family carers, demand for which often exceeds supply for persons with an intellectual disability. Hence, the length of breaks available to fa...

Background Respite or short breaks are frequently sought by parents and demand for them usually exceeds their availability. Methods Using data from a national database in Ireland of around 16 000 persons living with family carers, the availability of overnight respite provision was monitored over an 8-year period along with the recorded needs for s...

Accessible summary• In Europe many children are living in lone parent households. These families often require extra support.• This study used information from a national database of people with intellectual disabilities for the years 1996, 2001 and 2006.• We found that there are now many more lone parents, particularly for children and young peopl...

This study describes a national data audit of the National Intellectual Disability Database (NIDD). The NIDD is a national information system for intellectual disability (ID) for Ireland. The purpose of this audit was to assess the overall accuracy of information contained on the NIDD, as well as collecting qualitative information to support the im...

Background The involvement of both public and private sectors in the provision and financing of health care in Ireland has been described as an extraordinary symbiosis (Barrington, 1987). The government's latest health strategy acknowledged that this co-existence of public and private care has contributed to a "'two-tier' element" with consequent i...