ANNUAL REPORT - NMBI...An Bord Altranais Nursing Board An Bord Altranais, as required by the Nurses...

ANNUAL REPORTAN BORD ALTRANAIS REPORT OF THE YEAR 2010

An Bord AltranaisNursing Board


Presidential Review 2

Education and Training 5

Administration 20

Regulation – Fitness to Practise and Registration 22

Auditor’s Report and Financial Statements 31

Appendix 1 – An Bord Altranais Board Members 42

Appendix 2 – Board Committees 45

Appendix 3 – Board Representation on External Committees 55

Appendix 4 – An Bord Altranais Organisation Chart 57

Appendix 5 – Higher Education Institutions and Associated 58

Healthcare Institutions

Contents


2 AN BORD ALTRANAIS ANNUAL REPORT 2010

It gives me great pleasure to inform you that

during 2010 the Board and Executive discussed

the detailed responses made in 2008 and 2009

to the draft Heads of Bill for the proposed

new Nurses and Midwives legislation, with the

Department of Health and Children on a number

of occasions. Throughout these discussions the

Board expressed its commitment to working with

the Minister and her officials in developing the

new legislation. The Board welcomes the stated

objective of the new legislation to protect the

public through the promotion of high standards

of education, training, practice and professional

conduct.

Statutory Instrument, S.I. No. 3 of 2010. Health

(An Bord Altranais) (Additional Functions) Order

2010 gave An Bord Altranais responsibility to

accredit Advanced Nurse Practitioner (ANP) and

Advanced Midwife Practitioner (AMP) posts and

to provide for the registration of individuals in

the new Divisions of the Register known as the

Advanced Nurse Practitioner Division and the

Advanced Midwife Practitioner Division. In 2010

An Bord Altranais established a Committee for

Advanced Practice to fulfill the new functions

assigned to it in S.I. No. 3 of 2010 which was

signed on 4th June into Nurses Rules 2010 by

the Minister of Health and Children. The revised

Rules included amendments to allow for the

introduction of the new Divisions of the Register,

the Registered Advanced Nurse Practitioner

(RANP) and the Registered Advanced Midwife

Practitioner (RAMP) Divisions of the Register.

The Rules also included a new section on the

accreditation of ANP and AMP posts. Included in

the Rules is a provision for the Board to remove

a person from the ANP/AMP Divisions of the

Register or to remove approval of an ANP/

AMP post.The Committee comprises seven

members of An Bord Altranais and four members

of the National Council for the Professional

Development of Nursing and Midwifery. The

National Council continued to provide support

and expert advice to services and individuals in

the development of advanced practice roles. It

is extremely encouraging and positive to report

that of the 95 Persons and 58 posts which had

already been processed by the National Council

for the Professional Development of Nursing and

Midwifery the Committee of An Bord Altranais

had registered 33 applicants as Advanced Nurse

Practitioner, 1 applicant as an Advanced Midwife

Practitioner and had accredited 41 Advanced

Nurse Practitioner posts.

Presidential Address

3

I am pleased to report that the Practice

Standards for Nurses and Midwives with

Prescriptive Authority first published in April

2007 was revised in response to the evaluation

of nurse and midwife prescribing. The second

edition was approved by the Board of An Bord

Altranais at its meeting on the 16th of September

2010. The revised guidance document was a

result of commissioned research and project work

undertaken by the School of Nursing, Midwifery

and Health Systems, UCD, in consultation with

registered nurse prescribers (RNPs) and other

stakeholders on behalf of An Bord Altranais

through funding provided by the Health Service

Executive (HSE). The revised guidance includes

three new standards focusing on the clinical

decision making process, communication and

history taking, and documentation. There is

also further clarification on the authority of the

RNP to prescribe licensed medications for an

unauthorised indication (previously known as

off-label prescribing). New appendices on the use

of abbreviations, relevant legislation, guidelines,

policies and standards and resources are

included in this second edition. These standards

and supporting appendices will assist RNPs in

maintaining safe and accountable prescribing

practices and required to be integrated into all

education programmes preparing nurses and

midwives as registered nurse prescribers.

Furthermore, I am delighted to announce

that all Nurses and Midwives who are

registering their primary nursing and midwifery

qualification with An Bord Altranais will now

receive Guidance for First Time Registrants

(Nurses and Midwives) June 2010 as part of

their registration confirmation documentation.

This guidance document introduces the new

registrant to An Bord Altranais and its many

regulatory responsibilities and details what is

expected of the registered nurse or midwife. The

five main topics addressed in this publication

are Registration, Clinical Practice, Language

Competence, Responsibilities to Students and

Junior Colleagues for Education and Training

and Fitness to Practise. Each of these sections

contains specific information to assist the newly

qualified nurse or midwife in becoming familiar

with various regulations and practices. An

abbreviated listing of An Bord Altranais guidance

publications and department contact details

are included for easy access and referral. This

publication should also be of interest to nurses

and midwives working with new registrants who

were previously students or were registered

practitioners from overseas. The publication has

been distributed to each new registrant since

September 2010.

At its meeting on the 19th of April 2010, the

Board of An Bord Altranais approved Practice

Standards for Registered Midwives (2010)

working in Ireland. The Practice Standards for

Registered Midwives (2010) replaced An Bord

Altranais Guidelines for Midwives, 3rd edition

(2001). Ms. Miriam O’Callaghan, RTE Presenter,

launched the Practice Standards on the 16th

June 2010 in An Bord Altranais. The launch was

attended by members of the Board, Midwifery

Committee, Directors of Midwifery, stakeholders

involved in the developing of the Practice

Standards. Each Midwife received a postal copy.

The Standards came into force on the 1st July

2010.

In January 2010, the Health and Social Care

Regulatory Forum announced the publication

of the Framework for Public & Service User

Involvement in Health and Social Care Regulation

in Ireland. The forum of Chief Executives

(chaired by Dr. Eugene Donoghue) presented

the framework to the Minister for Health and

Children and received supportive expressions

regarding their collaborative work.

In 2010 the Education Department continued

with the ongoing schedule of site visits and

course approvals. The Nursing Careers Centre

(NCC) continued to play a significant role in

promoting nursing as a career. I am pleased to

report that in 2010 a total of 9,014 individuals

applied for 1,570 places on the various nursing

programmes, including 2,280 mature applicants.

A major challenge for An Bord Altranais continues

to be the numbers of nurses and midwives on

the Register maintained by An Bord Altranais. In

2010 the Board received 2,858 applications for

registration, compared with 2,670 applications

in 2009. Of this, the number of applications from

non EU applicants increased from 302 in 2009

to 409 in 2010, the number of EU applications

received increased from 455 in 2009 to 497

in 2010 and the number of Irish applications

increased from 1,913 received in 2009 to 1,952

in 2010. This is an overall increase of 7%. The

number of nurses on the Boards active register

now stands at 67,415 compared to 68,483 in

2009. The number of nurses and midwives on

the inactive register rose from 21,021 in 2009 to

23,115 in 2010.

The Board continues to process increasing

numbers of Fitness to Practise applications. In

2010 the Board received 59 new applications and

carried over a further 19 applications from 2009.

Of these 63 cases were dealt with and 15 cases

were still under consideration at the end of the

year. The cost of processing Fitness to Practise

cases is significant and continues to be monitored

by the Board

I wish to acknowledge our continuing close

working relationship with the Department of

Health and Children and in particular the Nursing

Policy Division. I very much appreciate the co-

operation and expert assistance we received

from the National Council for the Professional

Development of Nursing and Midwifery, Health

Service Executive, Voluntary Hospitals, Nursing

and Midwifery Planning and Development Units

and the Higher Education Authorities.

My final thanks go to the Chief Executive Officer

and all his staff at An Bord Altranais for their work

in administering the affairs of the Board with

great professional competency.

Anne Carrigy

President of An Bord Altranais.



An Bord Altranais, as required by the Nurses

Act 1985 continues to promote high standards

of professional education, training and practice

and professional conduct among nurses and

midwives to ensure the protection of the public,

throughout 2010. In the Education and Training

functions assigned to it, it has continued to

prescribe the manner in which and the conditions

under which the registration/degree programme

for General, Psychiatric and Intellectual Disability

Divisions of the Register of Nurses since 2002,

and a Children’s and General Nursing (Integrated)

programme and Midwifery programme since

2006 are provided. The concern of An Bord

Altranais in the protection of the public

acknowledges the issue of quality in education,

actual clinical practice of nurses and midwives

and the need for practice to be grounded in

appropriate current evidence.

In keeping with its responsibility for protecting

the public the Board continues its commitment

to the effectiveness and efficiency of its approval

processes. The Board through its quality of

education framework continued its monitoring

and evaluation role of standards in practice

for the education and training of nurses and

midwives throughout 2010.

An Bord Altranais operationalises this process

through the Nurses Rules (2010) made under the

Nurses Act, 1985 setting standards to be adhered

to in the education and training of nurses and in

their continuing education as registered nurses.

The rules provide for the approval of higher

education institutions and of hospitals and health

care institutions providing training to ensure that

valuable clinical and theoretical experience is

provided. The various aspects of the regulatory

functions being carried out are illustrated as

follows:

Site visits to healthcare institutions and linked third level institutions

Under Section 34 of the Nurses Act, 1985

the Board is required to satisfy itself as to

the adequacy and suitability of hospitals and

institutions for nurse education and training at

least once every five years.

On-site visits to Higher Education Institutions

and Healthcare Institutions are required as a

component of determining “the suitability of

third level institutions and health care institutions

in respect of educational programmes leading

to registration” (Requirements and Standards

for Nurse Registration Education Programmes,

February 2005).

Education and Training

The focus of the site visit through a partnership

approach is to:

• Assessthatallstatutoryandregulatory

requirements of An Bord Altranais and

the European Directives are met.

• Assesstheeffectivenessandefficiencyof

the curriculum structures, processes and

outcomes

• Assessthequalityandappropriatenessof

the educational experiences

In 2010 site visits were conducted at the

following:

• DundalkInstituteofTechnologyand

associated Healthcare Agencies for

Programmes in:

General Nursing

Psychiatric Nursing

Midwifery

Intellectual Disability Nursing

• DublinCityUniversityandassociated

Healthcare Agencies for Programmes in:

General Nursing

Psychiatric Nursing


Children’s Nursing

Children’s and General Nursing

• UniversityofLimerickandassociated

Healthcare Agencies for Programmes in:

General Nursing

Psychiatric Nursing


Pre-Registration Honours Degree Courses – curriculum documents

The following pre-registration curriculum

documents, following consideration by the

Education and Training Committee and the

Board of An Board Altranais were approved

in 2010:

• DublinCityUniversity

Bachelor of Science in Nursing (General)

Bachelor of Science in Nursing (Intellectual

Disability)

Bachelor of Science in Nursing (Psychiatric)

Bachelor of Science in Nursing (Children &

General)

• UniversityofLimerick



Disability)


• WaterfordInstituteofTechnology



Disability)


• NationalUniversityofIrelandGalway


International


2010 Annual Reports

Annual Reports related to registration

programmes of Nurse Education and Training

were received and adopted from the following

colleges in respect of approved programmes and

monitoring of conditions:

Athlone Institute of Technology

Dublin City University

Dundalk Institute of Technology

Galway-Mayo Institute of Technology

Institute of Technology Tralee

Letterkenny Institute of Technology

National University Ireland Galway

St Angela’s College

Trinity College Dublin

University College Cork

University College Dublin

University of Limerick

WaterfordInstituteofTechnology.

Annual Reports for Midwifery Registration Programmes were received and adopted from:


National University Ireland Galway





Post Registration Courses

The Board approves post-registration education

courses for nurses and midwives, divided into two

categories:

Post-Registration Category I Courses

Post Registration Category I courses include

in-service education, seminars, study days,

conferences and continued professional

development (CPD) programmes that are not

accredited by an academic awarding body,

university or college.

An Bord Altranais revised the policy and

guidelines to education programme developers

and providers intending to submit short

education and learning programmes for An Bord

Altranais approval during 2010. These courses are

considered central to the continued development

and maintenance of knowledge, skills and

competencies for practice within a rapidly

changing health care environment. All learning

should support the concepts of critical thinking,

reflective practice, problem solving and lifelong

learning in professional practice.

In 2010 An Bord Altranais approved 373 Post

Registration Category 1 courses.

Post-Registration Category II Courses

Post-Registration Category II courses are

specialist education courses for nurses and

midwives that support practice development and

service need and exclude those which lead to

registration. These courses are considered by the

Education and Training Committee and approval

is granted if programmes meet the criteria of the

Education and Training Committee.

7

The following Post-Registration Category II courses were approved in 2010:


Higher Diploma in Behaviours that Challenge

(Adult and Children Intellectual Disability Service)


Bachelor of Nursing Studies

Centres of Nursing and Midwifery Education, Blanchardstown and Tullamore, HSE

Certificate in Nurse Authority to Prescribe

Ionising Radiation (X-Ray)

Royal College of Surgeons in Ireland

Post Graduate Diploma/Master of Science in

Nursing – Pain Management


Nursing – Infection Prevention/Control Nursing


Nursing – Practice Nursing


Nursing – Respiratory Care in Nursing Practice

Post Graduate Certificate in Nursing/Midwifery –

Advanced Practice


Bachelor of Midwifery Studies

Post Graduate Diploma/Master of Science –

Dementia

Post Graduate Diploma Specialist Nursing –

Emergency Department Nursing


Intensive Care


Orthopaedics

Post Graduate Diploma Specialist Nursing – Renal

Post Graduate Diploma Specialist Nursing – Peri

Operative


Cardiovascular Nursing


Master in Science Nursing Studies

Post Graduate Diploma - Acute and Enduring

Mental Health Problems

Post Graduate Diploma -Cardiac and Intensive

Care Nursing

Post Graduate Diploma - Emergency Nursing

Post Graduate Diploma - Gerontological Nursing

Post Graduate Diploma -Neonatology and

Multiple and Complex Disabilities (Intellectual

Disability)

Post Graduate Diploma - Perioperative Nursing


Graduate Diploma/Master of Science -

Palliative Care

Graduate Diploma/Master of Science –

Care of the Older Person


Graduate Diploma/Master of Science Nursing:

Psychosocial Interventions in Mental Health


Palliative Care


Rehabilitation of the Older Person


Adult Respiratory Care


Intellectual Disability Studies



Peri-Operative Care


Midwifery Studies


Adult Nursing

Post-Registration Courses leading to additional Registration


Master of Science in Nursing (Advanced Practice)

Prescribing Pathway

Requirements and Standards for Post Registration and Continuing Competence Nursing and Midwifery Education Programmes – Incorporating the National Framework of Qualifications

A new set of Requirements and Standards

for Post-Registration Nursing and Midwifery

Education Programmes –Incorporating the

National Framework of Qualifications were

approved by the Board of An Bord Altranais

at its meeting held on the 17th June 2010.

These requirements and standards represent

a major revision to guidance for education

providers in relation to continuing and post-

registration education and training. The

document provides comprehensive guidance and

replaces the previous An Bord Altranais policy

in this area. This document is now available for

download on the website and was distributed to

all major stakeholders. An implementation date

of September 2011 was established.

An Bord Altranais National Conference

The National Conference entitled Patient Safety:

Regulating to Safeguard the Patient was held

on the 18th May 2010 in Dublin. Two hundred

and seventy two individuals’ applications were

accepted to attend and 194 delegates attended

on the day.

Ms. Mary Harney, Minister for Health and

Children, gave a welcome introduction. Speakers

presented papers on a wide range of topics

ranging from theoretical considerations for

patient safety to practical examples for increasing

patient safety in the clinical setting.

European Council of Nursing Regulators (FEPI)

TheFEPIExecutiveBoardandWorkingPolicy

Group meetings took place on 15th March 2010

in Brussels. An Bord Altranais hosted the FEPI

WorkingGrouponEducation,Trainingand

Competencies on Monday 17th May in An Bord

Altranais followed by the FEPI General Assembly

onWednesday19thMay.TheRepublicofSerbia

made an application for full membership of FEPI

which was accepted. The Minister for Health and

Children, Ms. Mary Harney T.D., hosted a dinner

for guests in Farmleigh House. A seminar on

European affairs was held on Thursday 20th May.

The meetings were represented by colleagues

from Italy, Greece, Belgium, Serbia, UK, Romania,

Croatia and USA.

9

Library

The Library continued to provide the following

services:

• BritishNursingIndex(BNI)andCINAHL

databases via the internet plus online access

to the Cochrane Library and PubMed.

• Referenceservicesfornursesandmidwives

studying, practising or seeking information

for interview preparation.

• DocumentsupplyviatheBritishLibraryand

the Irish Healthcare Library network to staff.

The Library responds to telephone queries

and requests and the following activities were

processed in 2010:

Journal Articles /Staff requests (Copied): 1370

Enquiries (Phone) 1349

Post-outs (ABA publications) 869

Interlibrary loans (requested by 296

Irish Health Care Libraries)

Nursing Careers Centre

The Nursing Careers Centre (NCC) was set up

under the management of An Bord Altranais in

November 1998. Its main functions relate to:

• Assessmentofmaturecodeapplicantsto

nursing/midwifery

• Promotionandmarketingofnursing/

midwifery as a career

• Provisionofinformationtoregisterednurses

and midwives.

In carrying out its functions, the NCC

continues to work closely with a number of key

stakeholders, including: the Department of

Health and Children; the health care sector; the

Public Appointments Service (PAS); the Central

Applications Office (CAO); the higher education

institutions (HEIs); the Institute of Guidance

Counsellors (IGC); the nursing promotion and

marketing liaison group set up by the NCC, and

others from time to time.

The NCC carries out its work in an open and

transparent manner, with efficient and clear

communication as its keynotes, and with due

cognisance to the principle of cost effectiveness.

The NCC communicates with the key

stakeholders in reviewing its processes.

Applications to nursing/midwifery places

The number of applications to nursing in 2010

continued to be high, with a total of 9014

individual applicants for 1,570 places. The

breakdown of applications and places (which

includes applications for more than one place)

was as follows:

General nursing 6565 for

applications: 860 places

Psychiatric nursing 3036 for

applications: 290 places

Intellectual disability 2025 for

nursing applications: 180 places

Midwifery applications: 2629 for

140 places

Children’s and general 2352 for

nursing (integrated): 100 places

Total mature applications

(23 years of age or over on

1st January 2010 and not

presenting education results): 2280

Total standard applications

(presenting education results,

regardless of age): 7927


Ratio of applicants to places in 2010

General 8:1

Psychiatric 11:1

Intellectual disability 11:1

Midwifery 19:1

Children’s and general (integrated) 23:1

Mature code applicants

Mature code applicants remained high. Of the

2223 mature code applicants who were called

for written assessment, 1040 were successful and

were called for interview. 522 were successful

at interview and placed on an order of merit

list for each course for which he/she applied.

The selection process for the mature code

competition including the written assessment

and interview was completed on 21 May 2010.

There were an unprecedented number of

applications this year, with 2223 applications the

highest to date. Based upon recommendations

of the Report on The Evaluation of the Selection

Process for Mature Code Nursing/Midwifery

(presented to the Board in November 2009), it

was decided that only a 2:1 ratio of applicants

to places should be invited to interview. This

is in line with best practice in recruitment and

selection. This resulted in 659 applicants as there

are approximately 336 places allotted to mature

candidates. Of these, 498 applicants passed, 134

failed, 27 DNA (did not attend) for interview.

According to the recommended process of the

Public Appointments Service this reflects good

practice for interview and selection as the failure

rate for 2010 was 20% compared to 11% over

many years previous and a reduction in the

DNA’s. (Not everyone on the order of merit lists

received an offer of a place).

There was a quota of places for mature code

applicants: 15% of places in general nursing; 35%

in psychiatric nursing; 35% in intellectual disability

nursing; 20% in midwifery; and 15% in children’s

and general (integrated). Offers commenced

in July 2010 and a small number of additional

interview were conducted for places in Psychiatric

and I.D. Nursing.

Changes to the selection process for Mature Code Applicants

The Nursing Careers Centre and the Public

Appointments Service conducted an evaluation

of the selection process used for mature code

applicants to pre-registration programmes in

nursing/midwifery over the past 10 years. This

report was presented to the Board in November

2009. On consideration of the evaluation

report’s findings, the Board decided to augment

the current assessment test and to cease the

requirement for the interview of mature code

applicants for 2011 onwards. The written

assessment which currently comprises three tests

will now comprise four tests. This fourth test

called a job simulation exercise will assess the

interpersonal skills of the candidate, normally

assessed through interview. A project plan

between the Nursing Careers Centre and the

Public Appointments Service was established for

the development of the job simulation exercise,

which took place in March 2010. All mature

applicants who pass the written assessment test,

will be placed on the order of merit list for each

mature course code for which he/she has applied.

11

Marketing and promotion of nursing/midwifery as a career

The NCC pursued an active marketing and

promotional campaign in 2010, despite a reduced

budget. Since its inception, the NCC has carried

out continuous marketing and promotion of

nursing/midwifery as a career. Activities include:

• Theproductionanddisseminationofhigh-

quality promotional materials, including

stands, posters, and publications

• ThedevelopmentofacomprehensiveNCC

website

• Effectiveliaisonwithkeystakeholdersin

the HEIs and health care sector, including

meetings to address many policy issues

• Effectivecommunicationwithguidance

counsellors

• ParticipationattheHigherOptions

Conference

Provision of information to registered nurses and midwives

In 2010, three editions of Nursing/Midwifery:

Career Development. Post-Registration Courses

were published. This publication outlines the

various post-registration education opportunities

for registered nurses and midwives. It includes

sections on:

• Coursesleadingtoanadditionalregistration

• CourseswithAnBordAltranaisapproval

(Category 2)

• Returntopracticecoursesfornursesand

midwives

• Financingofcourses

• Contactdetailsofallrelevantorganisations.

Practice Standards and Guidelines for Nurses and Midwives with Prescriptive Authority

The Practice Standards for Nurses and Midwives

with Prescriptive Authority first published in April

2007 was revised in response to the evaluation

of nurse and midwife prescribing. The second

edition was approved by the Board of An Bord

Altranais at its meeting on the 16th of September

2010. The revised guidance document is a result

of commissioned research and project work

undertaken by the School of Nursing, Midwifery

and Health Systems, UCD, in consultation with

registered nurse prescribers (RNPs) and other

stakeholders on behalf of An Bord Altranais

through funding provided by the Health Service

Executive (HSE).

The revised guidance includes three new

standards focusing on the clinical decision making

process, communication and history taking, and

documentation. There is also further clarification

on the authority of the RNP to prescribe licensed

medications for an unauthorised indication

(previously known as off-label prescribing). New

appendices on the use of abbreviations, relevant

legislation, guidelines, policies and standards and

resources are included in this second edition.

These standards and supporting appendices

will assist RNPs in maintaining safe and

accountable prescribing practices and required

to be integrated into all education programmes

preparing nurses and midwives as registered

nurse prescribers.


Guidance for first time registrants (Nurses and Midwives)

Nurses and Midwives who are registering their

primary nursing and midwifery qualification

with An Bord Altranais will now receive

Guidance for First Time Registrants (Nurses and

Midwives) June 2010 as part of their registration

confirmation documentation. This guidance

document introduces the new registrant to

An Bord Altranais and its many regulatory

responsibilities and details what is expected of

the registered nurse or midwife.

There are 5 main topics addressed in the

publication:

• Registration,

• ClinicalPractice,

• LanguageCompetence,

• ResponsibilitiestoStudentsandJunior

Colleagues for Education andTraining,

• FitnesstoPractise

Each of these sections contains specific

information to assist the newly qualified nurse

or midwife in becoming familiar with various

regulations and practice. An abbreviated listing

of An Bord Altranais guidance publications and

department contact details are included for easy

access and referral.

Guidance for First Time Registrants should also

be of interest to other nurses and midwives

working with new registrants who were previously

students or were registered practitioners from

overseas. The publication was distributed to each

new registrant in September 2010.

Competence Assessment Tool for Nurses Educated & Trained Overseas & guidance on the provision of adaptation & assessment to nurses from overseas (Public Health Nurse)

This document was initially brought to the

Registration Appeals Committee on the 5th May

2010 for review and was approved at the Board

meeting in June. This was sent to all Directors of

Public Health Nursing.

Practice Standards for Midwives

At its meeting on the 19th of April 2010, the

Board of An Bord Altranais approved Practice

Standards for Registered Midwives (2010)

working in Ireland. The Practice Standards for

Registered Midwives (2010) replace An Bord

Altranais Guidelines for Midwives, 3rd edition

(2001). Miriam O’Callaghan launched The

Practice Standards on the 16th June 2010 in An

Bord Altranais. The Standards came into force on

the 1st July 2010. The launch was attended by

members of the Board, Midwifery Committee,

Directors of Midwifery, stakeholders involved in

the developing of the Practice Standards. Each

Midwife received a postal copy.

Advanced Nurse Practitioners and Advanced Midwife Practitioners

An Bord Altranais established a Committee for

Advanced Practice to fulfill the new functions

assigned to it in S.I. No. 3 of 2010 and signed on

4th June into Nurses Rules 2010 by the Minister

of Health and Children.

The Committee determines if a nurse or midwife

meets criteria for registration in the ANP or

AMP Division of the Register. It is also charged

with determining if a Post meets the criteria

of the National Council for the Professional

Development of Nursing and Midwifery and

should be accredited by An Bord Altranais as an

13

ANP or AMP Post. The Committee considers and

recommends to the Board if a post or ANP or

AMP no longer meets the criteria of the National

Council.

The Committee comprises seven members of An

Bord Altranais and four members of the National

Council for the Professional Development of

Nursing and Midwifery. Representing An Bord

Altranais are Ms. Mary Godfrey (Chair), Ms.

Pauline Treanor, Mr. John Murray, Ms. Virginia

Pye, Ms. Ann Sheehan, Ms. Cathryn Lee,

and Ms. Orla O’Reilly. The National Council

representatives are Ms. Valerie Small, Ms. Aveen

Murray, Ms. Mary Brosnan and Mr. Brendan

Byrne.

The National Council continued to provide

support and expert advice to services and

individuals in the development of advanced

practice roles.

Publication of the Framework for Public and Service User Involvement in Health and Social Care Regulation in Ireland

In January 2010, the Health and Social Care

Regulatory Forum announced the publication

of the Framework for Public & Service User

Involvement in Health and Social Care Regulation

in Ireland. The forum of Chief Executives

(chaired by Dr. Eugene Donoghue presented

the framework to the Minister for Health and

Children and received supportive expressions

regarding their collaborative work.

International Visits to An Bord Altranais

Nursing Division, Health Policy Bureau, Ministry of Health, Labour and Welfare, Japan

The Chief and the Deputy Director of the Nursing

Division, Health Policy Bureau, Ministry of Health,

LabourandWelfare,Japan,Ms.KonoeSekine

and Mrs. Yoko Shimada visited An Bord Altranais.

They met with executive staff members and

Ms. Sheila O’Malley, Chief Nursing Officer of

the Department of Health and Children. Topics

discussed centred on Ireland’s approach for

introducing prescriptive authority for nurses

and midwives and advanced/expanded roles for

nurses and midwives.

Australian Nursing and Midwifery Council

Australian Nursing and Midwifery Council

representatives, Ms. Karen Cook, Chief Executive

Officer and Ms. Angela Brannelly, Director and

Chairperson of the Nursing and Midwifery Board

of the Northern Territory also met with An Bord

Altranais Chief Executive Officer, Chief Education

Officer and Professional Officer to discuss

professional and regulatory issues for nurse

practitioner nurse/midwife prescribing and the

changes occurring internationally for nurses and

boards of nursing.


Conference Presentations

Name: Dr. Anne-Marie Ryan

Conference: Council of Nursing and Midwifery, Cyprus and the Cyprus University of Technology

Department of Nursing

Location: Cyprus

Title: Nursing Competencies and the Bologna process


Conference: 29th Annual International Nursing and Midwifery Research Conference 2010

Location: Royal College of Surgeons in Ireland

Title: Managing the Continued and Evolving Professionalisation of Nursing


Conference: St. James’s Hospital Care of the Older Person Nursing Conference

Location: St. James’s Hospital

Title: Professional Guidance for Nurses working with Older People


Conference: The National Qualifications Authority of Ireland and the Higher Education

Authority Conference: National Qualifications Frameworks and the European Overarching

Supporting Lifelong Learning Frameworks: in European Education and Training.

Location: NQAI

Title: Reactions to Issues: European Directives and qualifications framework.


Conference: Order of Nurses, Midwives and Medical Assistants in Romania

Location: Romania

Title: The Autonomy of the Nursing Profession in the European Union”.

15

An Bord Altranais representation on external Committees/Groups


Committee: National Steering Committee on Home Births


Committee: Advisory Board for Irish Centre for Nursing and Midwifery History, UCD


Committee: ICNWorkinggroupforCredentialing


Committee: HIQA, Health Technology Assessment Programme Advisory Group

Name: Thomas Kearns

Committee: National Mental Health Project Steering Group

Name: Ms. Maria Neary

Committee: Florence Nightingale Centenary 2010 Steering Group

Name: Denise Carroll

Committee: Health and Social Care Regulatory Forum – Communications Network Sub-group

Name: KathleenWalsh

Committee: HIQA, Social Services Inspectorate’s External Reference Group

Name: KathleenWalsh

Committee: Patient First Initiative, Medication Safety Forum


External Consultations

An Bord Altranais participates with external bodies on a large number of matters relating to nurses/

midwives and the practice of nursing and midwifery. As part of this participation with external bodies, An

Bord Altranais participates in consultations through written submissions. During 2010 An Bord Altranais

responded to a large number of consultations:

Submission: Pharmaceutical Society of Ireland

Subject: Non-Prescription medicinal products Containing Codeine: Draft guidance for Pharmacists

on safe supply

Date: 11th January 2010


Subject: Consultation on Draft Interim Accreditation Standards for level 9 Masters degree awarded

on the successful completion of the National Pharmacy Intership Programme Version 8

of 09.08.2010.

Date: 15th September 2010


Subject: Draft Guidelines for Sourcing, Storage and Disposal of Medicinal Products within

a Retail Pharmacy Business

Date: 24th September 2010

Submission: Mental Health Commission

Subject: Consultation on the Code of Practice on the Mental Health Act 2001

Date: March 2010

Submisson: Law Reform Commission

Subject: Children and the Law: Medical Treatment

Date: 8th April 2010

17

Submission: National Hospital Orginisation

Subject: 2010 Review of Code of Practice for Healthcare Records Mangament (part 2 Standards)

Date: 27th April 2010

Submission: CORU, Health and Social Care Professionals Council

Subject: Draft Standards for Education and Training, version 6

Date: 15th June 2010

Submision: ENDA, European Nurse Directors Association

Subject: Code of Ethics


Submission: HSE

Subject: Code of Practice for decontamination of reusable invasive medical devices


Submission: European Commission

Subject: Experience Report on EU Directive

Date: 25th August 2010

Submission: Teaching Council

Subject: Consultation on Draft Consultation Document: Guidelines and Criteria for the

Accreditation of Teacher Education Qualifications (Further Education) Version 1.

Date: 13th October 2010


Submission: HIQA, Health Information and Quality Authority

Subject: National Standards for Safer Better Healthcheck

Date: 4th November 2010

Submission: Mental Health Commission

Subject: Vision for Mental Health Nursing

Date: 9th November 2010

19


The Auditors Report and the Financial Statements

for the year ended 31st December, 2010, appear

at page 31. The Income and Expenditure Account

for the year to 31st December, 2010 shows a

surplus on ordinary activities of c333,322. This

compares with a deficit of c152,130 for the

previous year.

There is a decrease in Income of c715,513 from

2009 to 2010 and this is mainly attributable to:

• Adecreaseofc270,174 in Annual Retention

Fee Income in 2010 from 2009, which is

mainly due to the decrease in the number of

nurse and midwives on the Active Register.

• Adecreaseofc91,392 in Verification Fee

Income in 2010 over 2009,

• Adecreaseofc392,000 in the income for the

Nursing Careers Centre.

• Othermiscellaneousincomewhichisused

to facilitate projects undertaken by An Bord

Altranais showed a decrease of c5,746 in the

amount received in 2009.

There is a decrease in Expenditure of c1,200,965

from 2009 to 2010 and this is mainly attributable

to:

• AnoveralldecreaseinAccommodationcosts

of c72,654 in 2010 from 2009.

• Therewasadecreaseinthecostsrelated

to projects undertaken by the Education

Department in 2009.

• Adecreaseinthecostsassociatedwiththe

Newsletter

• Adecreaseinthecostsinvolvedforthe

Nursing Careers Centre

• FitnesstoPractisecostsshowedadecrease

of c536,940 over 2009. This decrease can

be attributed to the level of activity in the

number of inquiries held during 2009 and

the number of High Court proceedings which

were undertaken by nurses against An Bord

Altranais which resulted in increased legal

costs.

The current year surplus is reflected in the

financial position of An Bord Altranais as at 31st

December, 2010, and the net worth of An Bord

Altranais increased by c333,322 in the year.

Administration


Premises

In 2006, An Bord Altranais completed the

purchase of a new corporate premises as

18/20 Carysfort Avenue, Blackrock, Co. Dublin.

The move to the new premises has proved

highly successful. It provides excellent work

accommodation for staff and also provides

excellent meeting room facilities catering for all

the needs of the Board and of the committees.

Internet

An Bord Altranais website, www.nursingboard.ie

contains a comprehensive range of information

and documents, including published guidance

documents, annual reports and newsletters.

Projects are ongoing, to increase the information

and services provided on the website.

Partnership

The Partnership Committee, which was

established in An Bord Altranais in 2000, was

set up under the auspices of the National Health

Service Partnership Form and is comprised of

representatives of management, staff, IMPACT

and the INO.

Health and Safety

The Partnership Group oversees health and

safety issues. In 2010, as in previous years, An

Bord Altranais continued its efforts to ensure the

safety, health and welfare of its employees and

visitors to the organisation.

Prompt Payment of Accounts Act, 1997

An Bord Altranais has been prompt in the

payment of its creditor accounts and the

requirements of the Act do not pose any problem

for the Board.

Staff changes

A number of staff retired from An Bord Altranais

in 2010, notably the Chief Executive Officer,

Dr.EugeneDonoghue.Wewouldliketowish

them well in their retirement. A number of staff

left An Bord Altranais in 2010 to pursue other

opportunities.Wewouldliketothankthemfor

their commitment and service and to wish them

every success in their future careers.

21


Fitness to Practise

Fitness to Practise activity is governed by the

provisions of Sections 38 – 46, Part V of the

Nurses Act, 1985.

Sections 38 – 41 relate to applications for

Inquiries, the conduct of inquiries, Board

consideration of inquiry reports and sanctions.

Applications for inquiry may be on the grounds of

(a) alleged professional misconduct and/or

(b) alleged unfitness to engage in nursing

practice by reason of physical or mental

disability.

Possible sanctions:

- Advise.

- Admonish.

- Censure.

- Attachment of conditions. Requires

confirmation by the High Court.

- Suspension. Requires confirmation by the

High Court.

- Erasure. Requires confirmation by the High

Court.

Section 42 relates to individuals convicted of

offences triable on indictment.

Section 44 relates to applications to the High

Court, in the public interest, for an Order

suspending registration.

Trends

The number of applications for Inquiries was

broadly similar to previous years. The number of

registrants who are the subject of an application

for Inquiry remains low as a percentage of the

total number of registrants. In 2010 it equated to

less than 0.1% of those on the Active Register.

Table I summarises the level of fitness to practise

activity vis-à-vis the number of registrants over

the last twelve years.

RegulationFitness to Practise and Registration


Number of application considered:

• 19applicationscarriedoverfrom2009

• 59newapplicationsconsideredin2010

bringing a total of 78 applications considered

Of the 78 applications considered:

• In23cases(37%),theCommitteedecidedto

hold an Inquiry;

• In39cases(63%),theCommitteedecided

that an Inquiry was not warranted;

• 15caseswerestillunderconsiderationatthe

end of 2010:

• In1casethematterwasdealtwithbythe

Board pursuant to Section 42 of the Nurses

Act, 1985.

Table I: Fitness to Practise Activity 1999 – 2010

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Active Register 50,940 57,072 57,059 58,981 60,774 62,639 65,639 65,415 67,245 68,614 68,483 67,415

New 9 16 19 27 21 32 42 45 71 75 67 59 Applications for Inquiry

Inquiries 3 4 7 7 5 15 18 19 22 34 19 21 commenced

Duration of 1 1-4 1-5 1-2 1-5 1-8 1-4 1-6 Inquiries - Days

Applications 2 0 5 6 3 8 12 12 14 23 9 12 to High Court to confirm sanctions

Appeals to 0 0 0 0 0 1 1 0 0 2 2 0 High Court

Consideration 1 1 6 8 6 9 23 17 13 14 re Section 44

Application 0 0 1 2 4 3 4 6 11 6 5 6 to High Court re Section 44

Consideration 1 0 0 0 2 1 1 2 re Section 42

Application 0 0 0 0 1 0 0 0 2 1 0 2 to High Court re Section 42

23

Summary of Inquiries held

1 Manager & Board Drug/Alcohol abuse √ √ (a) 1 Censure & Conditions

2 Manager & Board Drug/Alcohol abuse √ √ (a) 1 Censure & Conditions

3 Manager Drug/Alcohol abuse √ √ (a) & (b) 1 Erasure

4 Manager & Board Clinical practice/Competence Behaviour √ √ (a) 3 Erasure

5 Manager & Board Clinical practice/Competence √ (a) 1 Nil

6 Manager Drug/Alcohol abuse √ √ (a) 1 Advised & Conditions

*7 Manager Clinical practice/Competence √ (a) 4 * Erasure

8 Board Behaviour/Drug/Alcohol abuse √ √ (a) 3 Erasure

9 Board Behaviour √ (a) 3 Erasure

10 Manager Clinical practice/Competence √ (a) 1 Censure

11 Board Behaviour √ (a) 1 Erasure

12 Manager Clinical practice/Competence √ (a) 1 Advised

13 Manager & Board Clinical practice/Competence Behaviour √ √ (a) & (b) 4 Erasure

14 Manager & Other Clinical practice/Competence Behaviour √ (a) 6 Admonished

15 Manager Clinical practice/Competence √ (a) 2 Admonished

16 Manager Drug/Alcohol abuse √ √ (a) & (b) 1 Erasure

17 Manager Drug/Alcohol abuse √ √ (a) 1 Censure & Conditions

Manager – 14 Clinical practice/ All 17 9 cases (a) only - 35 Erasure 8 Competence – 8 cases. cases 14 cases Suspension 0 Censure/Conditions 3 Public - 0 (a) & (b) Advise/Conditions 1 Board – 7 Behaviour – 6 cases - 3 cases Admonish/Conditions 0 Other 1 Drug/Alcohol abuse – 7 cases Conditions only 0 Censure only 1 Admonish only 2 Advise only 1 No Sanction 1

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• Inquirynumber7commencedin2008,

continued in 2009 and concluded in 2010.

• Inquirynumber8and9wereheldtogether.

• Inquiry13–thereweretwoseparate

applications for an Inquiry into Nurse No. 13

and they were held together.

• Inquiry14-thereweretwoseparate

applications for an Inquiry into Nurse No. 14

and they were held together.

• Afurther5Inquiriescommencedin2010

but had not concluded by year end. These

Inquiries were held together.

Nurses with Conditions attached to the retention of their names in the Register.

The monitoring of the Conditions attached to the

retention of a nurse’s name in the Register is a

function of the Board.

In it’s continuing of monitoring of such nurses

during 2010, the Board removed the Conditions

attached to the retention of the names of two

nurses.

Section 44 applications

The Board, where it is of the opinion that it is in

the public interest, may make an application to

the High Court, so that during a specified period

of time, a nurse’s name does not have effect in

the Register.

In 2010, the Board considered 14 such

applications

•● Insix cases the Board decided to proceed

with an application to the High Court. In four

of these cases the Order was confirmed by

the High Court and in two cases the Court

accepted an undertaking from the nurse.

●•●Intwo cases the Board accepted an

undertaking from the nurse not to practice

nursing and the Board did not proceed with

an application to the High Court.

●•●Insix cases the Board decided not to

proceed with an application to the High

Court.

Section 42 applications

Under Section 42 of the Nurses Act, 1985,

where a nurse is convicted of an offence triable

on indictment, the Board may decide that the

name of such person should be erased from the

Register of Nurses.

There were two cases considered by the Board

in 2010 under this section of the Act. The Board

decided to apply to the High Court for an Order

pursuant to Section 42 of the Nurse’s Act, 1985,

and Orders were granted.

Publication

Details of individual cases are published on the

An Bord Altranais website at www.nursingboard.ie

25

Registration – Annual Statistics 2010.

The Register is maintained by An Bord Altranais in accordance with both provisions of the Nurses Act, 1985

and the Nurses Rules, 2010.

Statistics as of the 31st December, 2010, with comparative figures from 2009.

Summary

As of 31st December, 2010 there were a total of 90,530 individuals registered with 122,334 qualifications.

Active file: 67,415 individuals with 90,185 qualifications.

Qualifications Registered

Active Active Inactive Inactive Total Total Total

2009 2010 2009 2010 2009 2010

General 57,219 56,266 17,774 19,376 74,963 75,642

Psychiatric 9,801 9,491 3,283 3,749 13,084 13,240

Children’s 4,077 4,043 1,128 1,209 5,205 5,252

Intellectual Disability 4,358 4,467 777 842 5,135 5,309

Midwifery 12,808 12,444 5,084 5,566 17,892 18,010

Nurse Prescriber 134 238 1 1 135 239

Public Health 2,439 2,414 721 806 3,160 3,220

Tutor 571 581 182 198 753 779

Adv Nurse Practitioner 0 38 0 0 0 38

Adv Mid Practitioner 0 1 0 0 0 1

Other 218 202 387 402 605 604

Total 91,625 90,185 29,307 32,149 120,932 122,334

Nurses Registered

Active Inactive Total

2009 68,483 21,021 89,504

2010 67,415 23,115 90,530

2009●-2010 -1,068 +2,094 +1,026

2009●-2010 ●1.6% ●10% ●1.2%


Inactive File

An Bord Altranais maintains an Inactive File of nurses who are not engaged in the practice of nursing in

Ireland.

2009 2010

Retired 8,410 9,549

Unemployed 906 994

Career Break 2,107 2,212

WorkingAbroad 5,679 6,172

Other 3,919 4,188

Total 21,021 23,115

Number of applicants for registration

Many individuals apply to have their name registered in more than one Division of the Register.

Number of Number of Number of Number of

Applications Applications Applications Applications

- Ireland -EU - Non EU

2009 1,913 455 302 2,670

2010 1,952 497 409 2,858

2009-2010 ●39 ●42 ●107 ●188

2009-2010 ●2% ●9% ●35% ●7%

Comparative figures for total EU application & Non EU applications excluding Irish applications received for period January to December 2010

2009 Total EU/Non EU applications received 757

2010 Total EU/Non EU applications received 906 20%

Educationally assessed applications

European Union trained applicants not entitled to direct registration under the provisions of EU Directive

2005/36/EC, plus non-European Union trained applicants for registration with An Bord Altranais are

educationally assessed by An Bord Altranais. From January 2010 to December 2010 a total of 534 files from

28 countries were educationally assessed.

27

Number of newly registered qualifications

Ireland Ireland EU EU Non-EU Non-EU Total Total

2009 2010 2009 2010 2009 2010 2009 2010

General 913 899 324 238 140 45 1,377 1,182

Psychiatric 330 271 43 26 8 1 381 298

Children’s 81 62 7 8 1 0 89 70

Intellectual Disability 176 182 7 3 1 0 184 185

Midwifery 158 217 43 14 6 0 207 231

Nurse Prescriber 85 110 0 0 0 0 85 110

Public Health 124 68 3 2 1 0 128 70

Tutor 23 25 1 1 0 0 24 26

Adv Nurse Practitioner 0 38 0 0 0 0 0 38

Adv Mid Practitioner 0 1 0 0 0 0 0 1

Total 1,890 1873 428 292 157 46 2,475 2,211

Country of Training of new EU registrants

Country – 2009 Country – 2010

1st: United Kingdom = 277 1st: United Kingdom = 211

2nd: Poland = 37 2nd: Poland = 16

3rd: Italy = 20 3rd: Lithuania = 13

4th: Germany = 15 4th: Spain = 10

5th: Portugal = 13 5th: Germany = 9

14 other countries 13 other countries

Country of Training of new non-EU registrants

Country – 2009 Country – 2010

1st: India = 71 1st: India = 13

2nd : Australia & Philippines = 17 each 2nd Philippines = 11

3rd : New Zealand = 9 3rd United States = 5

4th : Nigeria, South Africa & USA = 8 each 4th Australia, New Zealand & Nigeria = 4 each

5th : China = 3 5th = South Africa, Kenya, China, Canada = 1 each

7 other countries 0 other countries


Registration Appeals

Appeals 2009 2010

Overall number of Appeals 68 28

Appeal against Refused registration 44 21

Appeal against Prescribed adaptation and assessment 19 7

Appeal against Failed adaptation 5 0

Number of appeals meetings held 6 5

Average appeals files per meeting 12 6

In the appeals considered in 2010, 89% resulted in no change being made to the original decision. In the

remaining 11% a decision was made in favour of the applicant as a result of new information received in

support of the applicant’s appeal.

Certificate of Current Professional Status Requests (Verification requests)

Certificates of Current Professional Status (CCPSs) are issued on behalf of nurses/midwives who may wish

to register abroad. CCPSs are sent directly from An Bord Altranais to the equivalent Competent/Regulatory

Authority in the country/state where the nurse/midwife is seeking registration. A nurse/midwife may apply

for more than one CCPS of registration in any given year.

• 1,356 individuals made a total of 1,575 CCPS requests in 2010.

NOTE: A CCPS request does not necessarily equate to travel. A separate CCPS is issued for each Division

of the Register.

Country CCPS breakdown Number of requests Number of requests – 2009 – 2010

Australia 1,963 415

Canada 410 166

United Kingdom 630 829

United States of America 84 81

New Zealand 61 54

Other countries 45 30

Total 3,193 1,575

29

Registration of Advanced Nurse Practitioners / Advanced Midwife Practitioners

Statutory Instrument, S.I. No. 3 of 2010. Health (An Bord Altranais) (Additional Functions) Order 2010

gave An Bord Altranais responsibility to accredit Advanced Nurse Practitioner (ANP) and Advanced

Midwife Practitioner (AMP) posts and to provide for the registration of individuals in the new Divisions of

the Register known as the Advanced Nurse Practitioner Division and the Advanced Midwife Practitioner

Division.

The Nurses Rules, 2010 were signed by the Minister for Health and Children on 4th June, 2010. The

revised Rules included amendments to allow for the introduction of the new Divisions of the Register,

the Registered Advanced Nurse Practitioner (RANP) and the Registered Advanced Midwife Practitioner

(RAMP) Divisions of the Register. The Rules also included a new section on the accreditation of ANP and

AMP posts. Included in the Rules is a provision for the Board to remove a person from the ANP/AMP

Divisions of the Register or to remove approval of an ANP/AMP post.

Out of a total of 95 Persons and 58 posts that already went through the National Council for the

Professional Development of Nursing and Midwifery the following note the number processed through An

Bord Altranais up to and including 31st December 2010.

33 applicants registered as Advanced Nurse Practitioner.

1 applicant registered as an Advanced Midwife Practitioner.

41 Advanced Nurse Practitioner posts were accredited.



Auditor’s Report and Financial Statementsfor Year 2010

Auditor’s Certificate to An Bord Altranais 32

President’s Statement on the systems of Internal Financial Control 33

Code of Practice for the Governance of State Bodies 34

Income and Expenditure Account 35

Balance Sheet 36

Cash Flow Statement 37

Accounting Policies 38

Notes to the Financial Statements 39

Schedules to Accounts 41

Published in accordance with Section 21 of the Nurses Act, 1985

Auditor’s Certificate to An Bord Altranais

Introduction

I have audited the financial statements on pages 31 to 41.

Respective Responsibilities

The Board is responsible under section 21 of the Nurses Act, 1985, for the keeping of proper books of

accounts and the preparation of the financial statements.

It is my responsibility, as auditor to form an independent opinion, based on my audit, on those statements

and to report that opinion.

Basis of Opinion

I conducted my audit in accordance with approved auditing standards. An audit includes examination, on

a test basis, of evidence relevant to the amounts and disclosures in the financial statements. I planned and

performed my audit so as to obtain all the information and explanations which I considered necessary to

provide sufficient evidence to give reasonable assurance that the financial statements are free from material

misstatement.

Opinion

In my opinion the financial statements give a true and fair view of the state of the Board’s affairs at 31st

December 2010 and of its income and expenditure and cashflow for the year ended on that date.

I have obtained all the information and explanations which I considered necessary for the purposes of my

audit. In my opinion, proper books of accounts have been kept by the Board and the financial statements

are in agreement therewith.

Anne (N) Brennan, FCPA

Local Government Auditor

20th December 2011.


President’s statement on the systems of internal financial control

On behalf of the Board of An Bord Altranais I acknowledge that the Board is responsible for ensuring that

an appropriate system of internal financial control is maintained and operated. These systems can only

provide reasonable and not absolute assurance against material error. The following key procedures have

been put in place by the Board and are designed to provide effective internal financial control:

Appropriate control environment

There are clearly defined management responsibilities and the work of the management team is overseen

by the Boards sub-committees. The Board has approved documentation, which sets out the responsibilities

of the President, the Board, sub committees of the Board and the Chief Executive Officer. The Chief

Executive Officer is responsible for the implementation of internal controls, including internal financial

controls.

Identify business risks and evaluate financial implications

The management team is responsible for the identification and evaluation of significant risk. The Chief

Executive Officer makes reports on significant changes to the Finance and General Purposes Committee

and the Board. The Board prepares a three-yearly Strategic Plan, which sets out the objectives for the

Board and includes objectives to address known business risks.

Major information systems

The Board approves the Annual Income and Expenditure budget. The Finance and General Purposes

Committee and the Board separately consider and review key financial information on a quarterly basis

including actual costs against budget for the year to date, forecast projection of the year end position and

key statistical information.

Monitoring the effectiveness of internal financial controls

In 2004 the Board agreed an Internal Audit Charter and established an Audit Committee. The Audit

Committee appointed an internal auditor in early 2005. In accordance with its Terms of Reference the Audit

Committee report to the Board on matters arising from both the Internal and External audit reports.

I confirm that there has been a review of the effectiveness of the systems of internal financial controls.

There was no failure or weaknesses that resulted in material losses, contingencies or uncertainties in 2010,

which require disclosure in the financial statements or the auditor’s report on the financial statements.

Anne Carrigy


33

Code of Practice for the Governance of State Bodies

I wish to confirm that An Bord Altranais is complying with the Code of Practice for the Governance of State

Bodies. The Board has adopted an Internal Audit Charter and Terms of Reference for the Audit Committee,

which was established in 2004. In accordance with the Code of Practice I wish to confirm that:

• Allappropriateproceduresforfinancialreporting,internalaudit,procurementandassets’disposalsare

being carried out;

• Astatementonthesystemofinternalfinancialcontrolisincludedwiththefinancialstatementsinthis

report;

• CodesofBusinessConductforBoardmembersandemployeeshavebeenputinplaceandadheredto;

• GovernmentpolicyonthepayoftheChiefExecutiveOfficerandallofficersoftheBoardisbeing

complied with;

• AnBordAltranaisdoesnotpayfeestoBoardmembersbutdoesreimbursetravelexpensesin

accordance with public sector guidelines;

• Therearenosignificantpostbalancesheeteventstoreport;

• TheGuidelinesfortheAppraisalandManagementofCapitalExpenditureProposalsarebeing

complied with;

• TheBoard’sobligationsundertaxationlawsarebeingcompliedwith.

Anne Carrigy



2010 2009 Notes f€ f €

Income

Annual Retention Fee 5,154,557 5,424,731

Registration Fee 441,773 392,161

Verification Fee 86,523 177,915

Nursing Careers Centre 200,000 592,000

Superannuation Contributions 4 138,945 144,758

Other Income 81,742 87,488

Total Income 6,103,540 6,819,053

Expenditure

Accommodation Costs Schedule 1 517,163 589,817

Staff Costs Note 5 2,800,461 2,862,798

Other Administration Costs Schedule 2 834,739 959,108

Fitness to Practice 942,401 1,479,342

Library 29,781 33,702

Newsletter 193,237 264,262

Projects Schedule 3 79,400 83,271

Nursing Careers Centre Schedule 4 79,945 307,940

Depreciation 293,087 390,943

Total Expenditure 5,770,217 6,971,183 Surplus / (Deficit) on Activities 333,322 (152,130)

Income and Expenditure Account for the year ended 31 December 2010

Mrs. Anne Carrigy Deirdre Hogan

President Acting Chief Executive Officer

35

2010 2010 2009 2009 Notes f€ f f f€

Fixed Assets 1 17,584,931 17,870,456

Current Assets

Cash at Bank and in Hand 3,112,606 2,787,806

Debtors and Prepayments 165,713 214,770

Stock 2,702 3,817

3,281,023 3,006,393

Current Liabilities

Amounts falling due 2 (a) (3,241,715) (3,408,299) within one year

Net Current Assets / (Liabilities) 39,308 (401,906)

Non-Current Liabilities

Amounts falling due 2 (b) (4,004,925) (4,182,558) after one year

13,619,314 13,285,992

Represented By

Accumulated Fund 13,285,992 13,438,122 a

Surplus/(Deficit) on Activities 333,322 (152,130) 13,619,314 13,285,992

Balance Sheet at 31 December 2010




2010 2009 f€ f

€

Net Cash Inflow/ 509,997 134,689

(Outflow) from Ordinary Activities

Net proceeds from sale of property - -

Payments to acquire fixed assets (7,563) (58,326)

Net Cash Inflow / (Outflow) 502,434 76,363

Total Income 502,434 76,363

Notes To Cash Flow Statement

2010 2009 f€ f €

1. Reconciliation of Operating Surplus to Net Cash Inflow

Operating Surplus/(Deficit) 333,322 (152,130)

Depreciation Charge 293,088 390,943

(Increase) / Decrease in Stock 1,114 4,620

(Increase) / Decrease in Debtors 49,057 (52,000)

Increase / (Decrease) in Creditors (166,584) (56,744)

Net Cash Inflow/(Outflow) 509,997 134,689 from Ordinary Activities 2. Analysis of Changes in Cash and Cash Equivalents During Year

Balances at start of year (1,394,752) (1,471,115)

Net Cash Inflow / (Outflow) 502,434 76,363

Balances at end of year (892,318) (1,394,752)

3. Analysis of Cash and Cash Equivalents shown in Balance Sheet

31 Dec 2010 1 Jan 2010 Change f€ f f Cash at Bank and In Hand 3,112,607 2,787,806 324,801 Asset Financing (4,004,925) (4,182,558) 177,633

(892,318) (1,394,752) 502,434

Cash Flow Statement for the year ended 31 December 2010

37



Accounting Policies

1. Accounting Convention

The financial statements have been prepared under the historical cost convention.

2. Fixed Assets - Depreciation

Depreciation is provided for at the rates stated below which are estimated to reduce the assets to

realizable values by the end of their useful life.

Freehold Premises Straight line over 50 years

Freehold Land No Depreciation

Equipment and Fittings 10% Straight line

Computer Equipment 25% Straight line

Computer Software 10% Straight line

Telephone Equipment 10% Straight line

CBRE valued the Boards premises at 18/20 Carysfort Avenue at c12,000,000 exclusive of VAT and net

of purchasers as of 31/12/07. This valuation was appointed as follows: site with value of c4,900,00 and

buildings with value of c7,100,000. In order to give a true and fair view of the value of the premises in its

entirety the decision was taken to apportion VAT and the costs of acquisition between site and buildings in

the same proportion.

3. Leased Assets

Fixed assets which are financed by way of financial leases are capitalised in accordance with Statement of

Standard Accounting Practice 21. Depreciation of these assets is calculated so as to write off the cost of

the assets over the period of the lease.

4. Stock

This consists of badges stock and is valued at cost.

5. Library

No value has been placed on books and periodicals in the Library. Expenditure is written off in the year in

which it occurs

6. Fees Receivable

All Income / Fees receivable are accounted for as they are received.


Notes to the Financial Statements for the year ended 31 December 2010

1. Fixed Assets (a) Total Fixed Assets Premises Equipment Computer Computer Telephone Total & Fittings Software Equipment Equipment f f €f €f €f f€ € €

Cost or Valuation

1 January 2010 18,443,685 181,216 554,711 653,073 97,263 19,929,948

Additions 0 0 7,563 0 0 7,563

Disposals - - - - - - At 31 December 2010 18,443,685 181,216 562,274 653,073 97,263 19,937,511

Accumulated Depreciation At 1 January 2010 915,582 66,627 379,499 632,584 65,560 2,059,492

Charge for year 247,576 18,122 15,304 5,318 6,768 293,088

Depreciation on Disposals - - - - - -

At 31 December 2010 1,163,158 84,389 394,803 637,902 72,328 2,352,580 Net Book Value at 31 December 2010 17,280,527 96,827 167,471 15,171 24,935 17,584,931

Net Book Value at 31 December 2009 17,528,103 114,949 175,212 20,489 31,703 17,870,456

2. Creditors 2010 2009 f f

(a) Amounts falling due within one year

Trade Creditors and Accruals 347,307 684,258

Fees Received in Advance 2,894,408 2,724,041 3,241,715 3,408,299

(b) Amounts falling due after one year

IIB Bank Mortgage 4,004,925 4,182,558

4,004,925 4,182,558

39

3. Bank Borrowing

IIB Bank holds a first fixed charge over 18/20 Carysfort Avenue, Blackrock, Co. Dublin. The Board

financed the development of the premises in Blackrock by way of short term bank debt which was

repaid from sale of 31/32 Fitzwilliam Square, and long term debt.

4. Superannuation Contributions

No Provision has been made in respect of benefits payable under the Local Government

Superannuation Scheme as the liability is underwritten by the Minister for Health and Children.

Contributions from employees who are members of the schem are credited to the income and

expenditure account when received. Pension payments under the scheme are charged to the income

and expenditure account when paid. Only those superannuation payments which fall due to be

paid in the current year of account are charged to the current income and expenditure account.

No charge is made to the current income and expenditure in respect of any liability for pension

payments, which fall due in later years.

Permanent staff of An Bord Altranais are members of the Local Government Superannuation

scheme. Contributions are deducted from salaries at eh rate of 5% in respect of Pensions and 1.5%

in respect of Orphans Scheme. Pensionable staff appointed after 6th April, 1995 are liable to pay

Class A rates of PRSI and superannuation contributions of 3% of pensionable renumeration plus 3.5%

of net pensionable renumeration. Superannuation Contributions include monies to be recouped

from previous employers of six pensioners, relating to periods of service with these employers.

5. Staff Costs

Staff costs include c254,763 (2009- c64,105) paid as retirement and lump sums to former members.

6. Nursing Careers Centre

The Department of Health and Children has assigned responsibility for the recruitment an selection

of candidates for entry to nurse training to An Bord Altranais who established the Nursing Careers

Centre to manage the process.

7. Prompt Payment of Accounts

An Bord Altranais is covered by the Prompt Payemnt Act, 1997. The Act requires the Board to

pay for goods and services by the prescribed payment date and if it fails to do so, pay an interest

penalty. There is also a requirement to include details of payment practices in the Board’s Annual

Report. During 2010, An Bord Altranais complied in all material respects with the provisions of the

Act.

8. Reserves

Accumulated Reserves at 31 December, 2010 amount to c13,619,314 (2009- c13,285,992) and

represent the Accumulated Fund and the General Reserve.


2010 2009 f€ f

Schedules

1. Accommodation

Mortgage Interest 122,035 160,469

Cleaning 62,056 63,40

Insurance 37,357 36,207

Light and Heat 38,360 50,015

Repairs and Maintenance 257,355 279,724

Total 517,163 589,817

2. Other Administration Costs

Travel and Subsistence 138,922 156,946

Telephone 34,661 43,108

Postage 141,997 217,660

Printing and Stationery 147,567 157,616

Staff Training and Recruitment 21,741 33,791

Professional Fees 135,669 151,620

Bank Interest and Charges 45,284 40,175

Computer 105,397 93,046

Miscellaneous 63,502 65,146

Total 834,740 959,108

3. Projects

Conferences and Promotions 14,437 15,2930

Education Projects - 45,011 49,978

European Federation of Nursing Professions 19,952 18,000

Total 79,400 83,271

4. Nursing Careers Centre

Recruitment Expenses 66,585 261,640

Local Appointments Commission 13,361 46,300

Total 79,946 307,940

Schedules To Accounts for the year ended 31 December 2010

41


Appendices 1An Bord Altranais Board Members

Mr. John Murray

Community Mental Health Nurse Brook House, Cork Rd, Waterford Vice President

Clinical Practice – Psychiatric Nursing

Mrs. Anne Carrigy

Director Serious Incidents Management Team Health Service Executive Dr Steeven’s Hospital, Dublin 8 President

Administration – General Nursing

Mrs. Jacqueline Burke

Nurse Tutor School of Nursing, Midwifery and Health Systems University College Dublin.

Training – General Nursing

Mrs. Deirdre Duffy

Public Health Nurse Health Centre, Glenside Road, Wicklow

Clinical Practice – Public Health Nursing

Ms. Aine Enright

Clinical Nurse Manager Cheeverstown House Ltd.Dublin 6W.

Clinical Practice –Intellectual Disability Nursing

Ms. Louise Gallagher

Midwifery Tutor School Of Nursing & Midwifery Trinity College, Dublin 2.

Training – Midwifery

Ms. Marie Gilligan

Head Of Client Services Sisters of La Sagesse Services Cregg House, Sligo.

Administration – Intellectual Disability Nursing

Ms. Mary Godfrey

Nurse Tutor Director, Centre for Children’s, Nursing Education, Our Lady’s Children’s Hospital, Crumlin, Dublin 12.

Training – Paediatric Nursing

Ms. Mary Kenneally

Staff Nurse Lakeview Psychiatric Unit, Naas Hospital, Co. Kildare

Clinical Practice –Psychiatric Nursing

Ms. Maureen Kington

Clinical Practice Development Co-ordinator, National Maternity Hospital, Holles Street, Dunlin 2.

Clinical Practice – Midwifery

Ms. Cathryn Lee

Clinical Nurse Manager University College Hospital, Galway.

Clinical Practice – General Nursing


Mr. Gerard Maguire

Nurse Tutor School of Nursing & Midwifery, Trinity College, Dublin 2.

Training – Psychiatric Nursing

Mr. John McCardle

Assistant Director of Nursing Donegal Mental Health Service, Tirconnail House, St. Conal’s Hospital, Letterkenny, Co. Donegal

Administration – Psychiatric Nursing

Ms. Orla O’Reilly

Nurse Tutor School of Nursing, Dublin City University, Dublin 9.

Training – Intellectual Disability Nursing

Ms. Virginia Pye

Director of Public Health Nursing Health Centre, Longford Road, Mullingar, Co. Westmeath

Administration – Public Health Nursing

Ms. Siobhan Quirke

Staff Nurse St. Finbarr’s Hospital, Douglas, Cork

Clinical Practice – General Nursing

Ms. Pauline Treanor

Director of Midwifery Rotunda Hospital Dublin 1.

Administration – Midwifery

Ms. Cathriona Molloy

Patient Focus Unit 1A, Sky Business Centre, Plato Business Park, Damastown Industrial Estate, Dublin 15.

General Public Interest Representative

Mr. Tony Morris

Principal Officer Nursing Policy Division Department of Health and Children Dublin 2.

Department of Health and Children Representative

Ms. Jacinta Mulhere

Clinical Nurse Specialist Intellectual Disability Services, Peamount Hospital, Newcastle, Co. Dublin

Appointed Nurse

Dr. Robert Burns

Consultant Psychiatrist St. Stephen’s Hospital Glanmire, Cork.

Registered Medical Practitioner – Psychiatric Nurse Training Hospital

Mr. Richard Dooley

Network Manager South Eastern Hospital Group, Health Service Executive, Lacken, Dublin Road, Kilkenny

Health Service Executive Management Representative

Mr. Tim Kennelly

Chief Executive Officer St. John’s Hospital, St. John’s Square, Limerick.

Non-Health Board Hospital Representative

Ms. Ann Sheehan

General Public Interest Representive

General Public Interest Representative

Ms. Sheila Sugrue

Nursing Advisor Nursing Policy Division Department of Health and Children, Dublin 2.

Department of Health and Children Representative

Awaiting Appointment

Registered Medical Practitioner

Registered Medical Practitioner - General Training Hospital

Ms. Eimear McAuliffe

Assistant Director of Public Health Nursing Health Service Executive, Dublin Mid-Leinster Local, Health Office, Tivoli Road, Dun Laoghaire, Co. Dublin

Representative from the Field of Education

Ms. Áine McHugh

Nurse Tutor, School of Nursing, Midwifery and Health Systems, University College Dublin

Representative of Third Level Education Establishments Involved in the Education and Training of Nurses

Dr. Peter McKenna

Consultant Obstetrician/ Gynaecologist Rotunda Hospital, Dublin 1.

Registered Medical Practitioner – Midwifery Training Hospital

43

Board Meeting Attendance 2010

Board Member 21/1 10/2 11/2 2/3 12/4 19/4 16/6 17/6 5/8 15/9 16/9 13/10 17/11 18/11 8/12 Total (15)

AnneCarrigy • • • • • • • • • • • • 12

JohnMurray • • • • • • • • • • • • • • • 15

AineEnright • • • • • • • • • • 11

OrlaOReilly • • • • • • 6

TonyMorris • • • • • • 7

SheilaSurgue • • • • 4

PaulineTreanor • • • • • • • • • 9

MaureenKington • • • • • • • • • • 10

BobbyBurns • • • • • • 6

CathrynLee • • • • • • • • • 9

TimKennelly • • 2

DeirdreDuffy • • • • • • • • • • 10

MaryKenneally • • • • • 5

JacintaMulhere • • • • • • • • • • • 11

CathrionaMolloy • • • • • • • • • • • 11

SiobhanQuirke • • • • • • • • • • • 11

EimearMcauliffe • • • • • • • • • • • • 12

MaryGodfrey • • • • • • • • • • • • • • • 15

JohnMccardle • • • • • • • • • • • • 12

GerardMaguire • • • • • • • • • • • • 12

RichardDooley • • • • 4

JacquelineBurke • • • • • • • • • • • 11

MarieGilligan • • • • • • • • • • 10

AineMchugh • • • 3

VirginiaPye • • • • • • • • • • • 11

LouiseGallagher • • • • • • • 7

Peter Mckenna 0

AnnSheehan • • • • • • • • • • • • 12

Derek Greene 0

EamonBreathnach • 1


Ms Surgue resigned from the Board in May 2010

Mr Kennelly resigned from the Board in May 2010

Mr Greene was appointed to the Board in October 2010

Dr Breathnach was appointed to the Board in October 2010

Ms Gallagher was on maternity leave from October 2010


Registration Appeals Committee

Terms of Reference:

• ToconsiderAppealsfromapplicantstothe

Register who have been informed that they

are not eligible to be registered as they do

not meet with the requirements of the Board

for registration under the Nurses Rules, 2010;

• Todetermineoutcomesofappealsin

accordance with Board policy.

Committee Members

Anne Carrigy - Chairperson

John Murray

Pauline Treanor

Maureen Kington

Aine McHugh

Siobhan Quirke

Eimear McAuliffe

Mary Godfrey

Caitriona Molloy

Appendices 2 Board Committees

2nd 6th 3rd 22nd 30th 7th Total No. Board Member Feb Apr June July Sept Dec Meetings 6

Anne Carrigy • • 2

John Murray • • • • • 5

Pauline Treanor • • • 3

Maureen Kington • • • • • 5

Siobhan Quirke • • • • • 5

Eimear McAuliffe • • • • • 5

Aine McHugh • • 2

Mary Godfrey • • • • 4

Caitriona Molloy • • 2

Audit Committee

Terms of Reference:

1. Establishment

1.1. The Board of An Bord Altranais shall

establish a standing Committee to be known

as the Audit Committee, in accordance with

the terms of Section 13 (1) of the Nurses

Act, 1985.

1.2. The Board shall review the constitution

and terms of reference of the Committee

periodically, as appropriate.

1.3. The Committee shall meet at least twice a

year.

2. Membership

2.1. Members of the Committee shall be

members of the Board.

2.2. The Committee shall consist of a minimum

of 6 members, one of whom shall be the

President of the Board or in the Presidents

absence the Vice-President. The quorum for

meetings shall be 3.

2.3. The Board shall appoint a member of the

Board, other than the President and Vice-

President, to act as Chairperson of the

Committee.

2.4. In matters of accountability the Chief

Executive Officer, shall attend meetings of

the Committee.

2.5. Membership of the Committee shall be

included in the annual report.

3. Scope and Definition of Activities

3.1. The Committee shall ensure that effective

systems, financial controls and procedures

are in place and operating, to enable An

Bord Altranais operate in an orderly, efficient

and value--for-money manner.

3.2. The Committee shall have:

• Authorityandtheresourcesto

investigate any matters within its

terms of reference;

• Fullaccesstoinformation;and

• Authoritytoobtainexternalprofessional

advice and to invite relevant experts to

attend meetings if necessary.

4. External and Internal Audit

4.1. The external auditor and the internal auditor

shall be invited to attend meetings of the

Committee at least once a year, without staff

of the Board present, to discuss the annual

audit of the Board’s financial accounts and

internal audit matters.

4.2. The Committee shall ensure that there is

an appropriate internal audit function, as

specified under the Board’s formal Charter

for Internal Audit, to ensure that An Bord

Altranais is fully compliant with all internal

audit requirements under the Code of

Practice for the Governance of State Bodies.

4.3. The Committee shall periodically consult

with the external auditor regarding the

operation, resourcing and work programme

of the internal audit function.

4.4. The internal auditor shall report directly to

the Committee and shall also have access to

the President of An Bord Altranais and the

Chairperson of the Committee.

4.5. The Committee shall ensure that the

independence of the internal and external

audit functions is maintained.

4.6. The internal auditor shall act on behalf of

the Board in carrying out internal audits

and no operational area or level within the

organisation shall be precluded from internal

audit review.


5. Reporting to the Board

5.1. The Committee shall report and make

recommendations to the Board on:

External audit reports and requirements;

Internal audit reports and requirements;

6. Confidentiality

6.1 A Committee member shall not, without the

consent of the Board, disclose confidential

information obtained by him/her, or as a

result of having performed, duties as a

member of the Committee.

Committee Members

*Tim Kennelly – Chairperson

** Derek Greene

Anne Carrigy

Ann Sheehan

Richard Dooley

John McCardle

Virginia Pye

Pauline Treanor

* Mr Kennelly –

resigned from the Board in May 2010

** Mr Derek Greene –

joined the Board in October 2010

Committee Attendances

Board Member 11th February

Tim Kennelly •

Anne Carrigy •

John McCardle •

Richard Dooley

Ann Sheehan •

Pauline Treanor •

Virginia Pye •

Education and Training Committee

Terms of Reference

• Establishtheprofessionalrequirementsand

standards for nurse and midwifery education

programmes including programmes leading

to Registration;

• Provideanapprovalprocesstodetermine

that third level institutions and health care

institutions meet the requirements and

standards for the provision of programmes

leading to Registration;

• Monitorandevaluatestandardsinpractice

for the education and training of nurses and

midwives;

• Satisfyitselfastothesuitabilityofan

institution to provide nursing and midwifery

education approved by the Board;

• Satisfyitselfastothestandardsoftheoretical

and practical knowledge required for

Registration with the Board;

• Ensurethattherequirementsrelating

to education and training of nurses and

midwives for Registration satisfy the minimum

standards specified in any Directive or

Regulation adopted or made by the Council

of European Communities which relates

to qualifications required by nurses and

midwives to secure Registration;

• Satisfyitselfastotheadequacyandsuitability

of post registration courses for nurses and

midwives provided by bodies recognised by

the Board for that purpose;

• Engageinresearchintotheeducationand

training of nurses and midwives, including the

formulation of experimental curricula and the

evaluation of existing programmes;

• Maintainstatisticalrecordsrelatedtoattrition

from programmes and collate and present

such records for the purposes of manpower

planning to the Department of Health and

Children;

47

• Ensurethrougheducationandtrainingthat

protection of the public is set in standards

which ensure public confidence in nurses and

midwives;

• Monitoron-goingchangesinservicedelivery

and assess the impact of such change on

pre-registration education syllabi and the

assessment of competencies to enter the

Register of Nurses;

• Provideguidancetotheprofessioninrelation

to educational issues;

• Supportthecontinuingprofessional

development of nursing and midwifery

through publications, seminars and

conferences;

• Provideaqualityassurancemechanism

in partnership with service providers and

education providers;

Membership of the Education and Training Committee

• Thecommitteeshallbesetuponthe

commencement of a Board’s term of office

for the duration of the Board;

• ThenumberofmembersoftheCommittee

shall not exceed 17 including the President

and the Vice- President;

• Membershipshallincludeatleast11

members of An Bord Altranais and no

more than 5 places will be reserved for

representatives of the third-level colleges 4 of

whom should directly be involved in offering

pre-registration nursing and/or midwifery

programmes. The other position would be

reserved for the representative of ‘third level

educational establishments’ or ‘a person

who is experienced in the field of education’

appointed by the Minister for Health and

Children to An Bord Altranais;

• The3memberstobeappointedfrom

the third-level colleges’ constituency will

comprise representation of the Universities

and the Institutes of Technology involved in

pre-registration education on a pro-rata basis

of students within the particular educational

sector;

• Membershipofthecolleges’constituencywill

be invited through the representative bodies

of the Heads of the Colleges decided by the

representative bodies;

• MembershipfromAnBordAltranais

representing each of the divisions of the

Register of Nurses includes 3 representatives

each of education, management and

practice;

• 1memberappointedtorepresentthe

Directors of Centres for Nurse/Midwife

Education;

• 1memberappointedtorepresentthe

Directors of Nursing and Midwifery Planning

and Development Units;

• ThequorumfortheCommitteeshallbe5;

• Thecommitteeshallmeetatleastfourtimes

a year.

Committee Member

Board Member External Appointments Appointments

Anne Carrigy Chairperson Pauline Coughlan

Louise Gallagher Teresa Lee

JohnMurray MaryWynne

Aine McHugh Maura Pidgeon

Marie Gilligan

Jacqueline Burke

Mary Godfrey

Mary Kenneally

Aine Enright

Virginia Pye

Sheila Sugrue

Gerard Maguire


Ethics Committee

Terms of Reference

• ToregularlyreviewAnBordAltranais

guidelines taking cognisance of ethical

principles and to further develop these

guidelines if necessary to ensure high

professional standards;

• Toprovideguidancetotheprofession

relating to ethical conduct and behaviour;

• ToprovideaforumandguidancetoAnBord

Altranais, to the profession and to those

who require it, in relation to ethical conduct,

practice and research;

• Todevelopapositionstatementfor

consideration by the Board in respect of

ethical issues, as the need arises, that affect

the public, the profession and the Board,

encompassing professional dilemmas and

bioethical issues.

Membership of the Ethics Committees:

• TheEthicsCommitteeshallbeaseparate

committee of the Board;

• MembershipoftheEthicsCommitteeshall

not exceed eleven and shall be determined

by the Board at its first meeting;

• Twoexpertmemberstobeappointed;

• TheEthicscommitteeshallinclude

representation of the public interest;

• ThequorumfortheEthicsCommitteeshall

be five.

49

Jan Mar May July Oct Total No. Board Member 2010 2010 2010 2010 2010 Meetings 5

Anne Carrigy • • 2

Aine Enright • • • • 4

Sheila Sugrue • N/A N/A N/A 1

John Murray • • • • 4

Mary Kenneally 0

Mary Godfrey • • • • 4

Gerard Maguire • • 2

Jacqueline Burke • • • • • 5

Aine McHugh • • • 3

Maire Gilligan • • • 3

Virginia Pye • • • 3

Louise Gallagher • • 2

Committee Member

Board Member Appointments External Appointments

Anne Carrigy Chairperson Alan Kearns

Tony Morris Catherine O’Neill

Jacinta Mulhere Paul Murray

Mary Godfrey

Aine Enright

Gerard Maguire

Jacqueline Burke

Peter McKenna


Board Member’s attendances at meetings of Ethics Committee

21 18 9 21 Total No. Board Member 2010 2010 2010 2010 Meetings 4

Ms.AineEnright • • • • 4

Ms.MaryGodfrey • • • 3

Ms.JacquelineBurke • • • • 4

MrGerryMaguire • • 2

Dr Peter McKenna 0

MsAnneCarrigy • • 2

Ms Ann Sheehan 0

Ms Cathriona Molloy 0

Mr Tony Morris 0

MsJacintaMulhere • • • • 4

Finance and General Purposes Committee

Terms of Reference

• RecommendtotheBoardtheremuneration

and conditions for the post of Chief Executive

Officer;

• AuthorisevariationsintheAnnualBudget

where overall budget provision is exceeded;

• Monitorincomeandexpenditureandfurnish

a progress report to each meeting of the

Board;

• SubmitdraftAnnualReportandAccounts

for consideration by the Board with a view to

publication;

• MakerecommendationstotheBoard

in relation to borrowings or overdraft

requirements;

• MakerecommendationstotheBoardin

relation to the scale of fees to be charged

under Section 25 of the Act;

• OverseetheapplicationoftheFreedomof

Information legislation in An Bord Altranais;

• OverseetheoperationoftheNursingCareers

Centre;

• Makedecisionsinrespectofotherfinancial

matters which the Chief Executive Officer

presents to it;

• Approvemajorcapitalexpenditure.

Committee Members Attendances – 2010

51

10th 29th 24th 15th 28th 17th Total No. Board Member Jan Mar May Sept Sept Nov Meetings 6

AnneCarrigy • • • 3

AineEnright • • • • 4

Tony Morris 0

TimKennelly • 1

JohnMurray • • • • • • 6

JohnMcCardle • • • • • 5

SiobhanQuirke • • • • • • 6

CathrynLee • • • • 4

RichardDooley • • 2

GerardMaguire • • • • • 5

JacquelineBurke • • • • • 5

AnnSheehan • • • • 4

PaulineTreanor • • • 3

Midwifery Committee

Terms of Reference

• Provideadviceandrecommendationstothe

Education and Training Committee and to the

Board with regard to issues concerning the

education of midwives;

• Consideranyissuespertainingtothe

registration of midwives and scope of

professional midwifery practice that are

brought to the attention of the committee

for consideration and which may require the

Board to issue guidance to the profession;

• Reviewandrevise,onathree-fiveyearly

basis, all An Bord Altranais publications

pertaining to midwives and midwifery

practice.

Membership of the Midwifery Committee:

• Thecommitteeshallbesetuponthe

commencement of a Board’s term of office

for the duration of that term of office;

• Themembershipofthecommitteeshall

include the following:

1. The President of the Board.

2. The elected member of the Board

representing midwives engaged in the

administration of midwifery.


representing midwives engaged in

midwifery education.


representing midwives engaged in clinical

practice in midwifery.

5. One appointed member of the Board

representative of the interest of the

general public.

6. The Midwifery Advisor in the Department

of Health and Children.*

7. A midwife representative of third level

educational institutions engaged in the

education of midwives.*

8. A midwife engaged in independent

domiciliary midwifery practice.* (As

recommended by the Report of the

Commission on Nursing).

• Thechairpersonofthecommitteeshallbe

the President of the Board;

• Thequorumformeetingsofthecommittee

shall be four.

* As provided for in Section 13 (3) of the

Nurses Act, 1985.


Board Members Attendances at Committee Meetings

18th 29th 15th Total No. Board Member 2010 2010 2010 Meetings 3

AnneCarrigy • • 2

CaitrionaMolloy • • • 3

MaureenKington • • 2

PaulineTreanor • • 2

LouiseGallagher • • 2

SheilaSugrue • • N/A 2

Fitness to Practise Committee

Terms of Reference

• TheFitnesstoPractiseCommitteeisformed

under Section 13(2) of the Nurses Act, 1985,

to carry out the functions of the Board under

Part V (Fitness to Practise) of the Act in

relation to fitness to practise of nurses.

53

Committee Members Attendances – 2010

Total No. Board Member Feb Mar May Jun July Sept Oct Nov Dec Meetings 6

PaulineTreanor • • • • • • • • 8

MaureenKington • • • • • • • 7

OrlaO’Reilly • • • • • • • 7

BobbyBurns • • • • 4

CathrynLee • • • • • • 6

DeirdreDuffy • • • 3

JohnMurray • • • • • • • • 8

MaryKenneally • • • • • 5

JacintaMulhere • • • • • 5

CaitrionaMolloy • • • • • • 6

SiobhanQuirke • • • • • • 6

EimearMcAuliffe • • • • • • 6

MaryGodfrey • • • • • • 6

JohnMcCardle • • • • • 5

JacquelineBurke • • • • 4

AineMcHugh • • 2

MaireGilligan • • • • • • • • 8

AnnSheehan • • • • • 5

Board Expenses 2010

Expenses Hotel Total

AineMcHugh ●c1,117.18 ●c1,117.18

DrBobbyBurns ●c3,783.22 ●c660.00 ●c4,443.22

AnneCarrigy ●c2,981.86 ●c2,981.86

RichardDooley ●c484.19 ●c484.19

Deirdre Duffy c163.54 ●c163.54

LouiseGallagher ●c65.25 ●c65.25

MarieGilligan ●c7,733.17 ●c110.00 ●c7,843.17

MaryGodfrey ●c1,546.34 ●c1,546.34

JacquelineBurke ●c220.92 ●c220.92

MaryKenneally ●c1,562.38 ●c1,562.38

MaureenKington ●c770.98 ●c220.00 ●c990.98

CathrynLee ●c3,617.57 ●c550.00 c4,167.57

GerryMaguire ●c4,256.88 ●c220.00 ●c4,476.88

EimearMcAuliffe ●c562.38 ●c562.38

JohnMcCardle ●c4,356.72 ●c1,540.00 ●c5,896.72

CathrionaMolloy ●c6,299.78 ●c110.00 ●c6,409.78

JacintaMulhere ●c1,902.35 ●c1,902.35

JohnMurray ●c9,809.40 ●c4,650.00 ●c14,459.40

OrlaO’Reilly ●c394.52 ●c394.52

VirginiaPye ●c1,752.76 ●c440.00 c2,192.76

SiobhanQuirke ●c7,418.93 ●c2,170.00 ●c9,588.93

AnnSheehan ●c5,607.73 ●c1,430.00 ●c7,037.73

PaulineTreanor ●c109.58 ●c109.58

Total ●c66,517.63 ●c12,100.00 ●c78,617.63



Board Representation on External Committees

Board of Faculty of Nursing and Midwifery, RCSI

Representative: Dr Anne Marie Ryan

Crisis Pregnancy Agency Consultative Committee

Representative: Ursula Byrne

National Council for the Professional Development of Nursing and Midwifery

Representatives: Anne Carrigy

Nursing & Midwifery Research Committee


ConjointNIGEWTD+Nursing+MidwiferyExpertGroup


FEPI President

Anne Carrigy

FEPIWorkingGroupinNursingEducationTrainingandCompetences

Representative and Chair: Dr Anne Marie Ryan

Accreditation Committee, Pre Hospital Emergency Care Council

Representative: Ursula Byrne

Advisory Group for the Dementia Services Information and Development Centre

Representative: Thomas Kearns

Department of Health and Children Practice Development Steering Committee


HSE – Resource & Implementation Group on Nurse and Midwife Prescribing


Appendices 3Board Representation on External Committees

ConjointEuropeanWorkingTimeDirectiveGroup


Medical Council

Representative: Anne Carrigy

Forum for Healthcare Regulators

Representative: Dr Eugene Donoghue

HealthServiceExecutiveWorkingGroupontheManagementofViolenceandAggressionintheWorkplace


HIQA - National Quality Standards Group (Standards for Services for people with disabilities)

Representatives: Aine Enright and Orla O’Reilly

National Health Consultative Forum 2010

Representative: Anne Carrigy and Eugene Donoghue

National Steering Committee on Home Births


Advisory Board for Irish Centre for Nursing and Midwifery History, UCD


ICNWorkinggroupforCredentialing


HIQA, Health Technology Assessment Programme Advisory Group


National Mental Health Project Steering Group


Florence Nightingale Centenary 2010 Steering Group

Representative: Ms. Maria Neary

Health and Social Care Regulatory Forum – Communications Network Sub-group

Representative: Denise Carroll

Committee:HIQA, Social Services Inspectorate’s External Reference Group

Representative:KathleenWalsh

Patient First Initiative, Medication Safety Forum

Representative:KathleenWalsh



Appendices 4An Bord Altranais Organisation Chart

Eugene DonoghueCHIEF EXECUTIVE OFFICER

David O’FlynnDIRECTOR OF OPERATIONS

IT Department

CEO OfficeADMIN/FITNESS TO

PRACTICE

RegistrationDepartment

Accounts Dept

EducationDepartment

Services

Deirdre HoganDEPUTY CEO

Ray BonarADMINISTRATIVE OFFICER

REGULATION

Anne-Marie RyanCHIEF EDUCATION OFFICER

Noel MoloneyADMINISTRATIVE OFFICER

Shay BarryGRADE IV

Helen GoodmanADMINISTRATIVE OFFICER

Linda HanniganSTAFF OFFICER

Mary-Rose KielyGRADE IV

Shelia McGuinnessGRADE IV

Eric FitzpatrickGRADE IV

Jean McGowanCLERICAL OFFICER

Tara HoltonCLERICAL OFFICER

Gwen ByrneSTAFF OFFICER

Ann O’BrienGRADE IV

Mary DoyleGRADE IV

Orla CoadyCLERICAL OFFICER

Miriam ArthurCLERICAL OFFICER

Margaret TynanCLERICAL OFFICER

Lynne KavanaghCLERICAL OFFICER

Maria NearyEDUCATION OFFICER

Thomas KearnsEDUCATION OFFICER

Judith FoleyEDUCATION OFFICER

Kathleen WalshPROFESSIONAL OFFICER,STANDARDS OFPRACTICE ANDGUIDANCE

Denise CarrollCAREERS ANDCOMMUNICATIONSOFFICER

Caroline OldhamSTAFF OFFICER

Veronica O’RourkeSTAFF OFFICER

Lisa MurphyRussellCLERICAL OFFICER

Desmond BellSTAFF OFFICER

Mary FosterGRADE IV

Tommy St LedgerPORTER

Sean PrestonPORTER

Board of An Bord Altranais

Eugene DonoghueCHIEF EXECUTIVE OFFICER

Deirdre HoganDEPUTY CHIEF EXECUTIVE OFFICER AND

ACTING DIRECTOR OF OPERATIONS

IT Department

CEO OfficeADMIN/FITNESS TO

PRACTISE

RegistrationDepartment

AccountsDepartment

EducationDepartment

Services

Library

Catherine RooneyLIBRARIAN

Library

Ursula ByrneACTING DIRECTOR OF REGULATION

Sinead LeacyADMINISTRATIVE OFFICER

REGULATION

Anne-Marie RyanCHIEF EDUCATION OFFICER

Administration

Gillian CampbellSTAFF OFFICER

Mary FlynnGRADE IV

Richard BrennanCLERICAL OFFICER

Administration

Chart As at 31st December, 2010


Appendices 5Higher Education Institutions and Associated Healthcare Institutions

Higher Education Institutions Approved for Pre-Registration Honours Degree Programmes at 31st December 2009




Galway-Mayo Institute of Technology

Institute of Technology, Tralee

Letterkenny Institute of Technology

National University of Ireland Galway

St. Angela’s College, Sligo


University College Cork (NUI)

University College Dublin (NUI)


WaterfordInstituteofTechnology

Associated Healthcare Institutions for Schools of Nursing/Midwifery Approved at 31st December 2009

General Nursing

Adelaide Hospital, Dublin

Meath Hospital, Dublin

Beaumont Hospital, Dublin

Bon Secours Hospital, Cork

Cork University Hospital

Mercy University Hospital

South Infirmary – Victoria University Hospital

Connolly Hospital, Dublin

Letterkenny General Hospital

HSEMidWesternRegionalGeneralNursing

Services - Regional Hospital Limerick

Mater Misericordiae University Hospital, Dublin

HSE Dublin North East General Nursing Services -

Our Lady of Lourdes Hospital, Drogheda

Portiuncula Hospital, Galway

St James’s Hospital, Dublin

St Michael’s Hospital, Co. Dublin


St Vincent’s University Hospital, Dublin

Sligo General Hospital

Kerry General Hospital, Tralee

HSE Midland Area General Nursing Services

Galway University Hospitals

HSE South Eastern Regional General Nursing

Services-WaterfordRegionalHospital

Mayo General Hospital


St Joseph’s Intellectual Disability Services, Dublin

Daughters of Charity Intellectual Disability

Services, Dublin

St John of God, North East Services & HSE

Dublin North East Intellectual Disability Nursing

Services

Intellectual Disability Services, Donegal

Cregg House, Sligo

St Anne’s, Moore Abbey, Co. Kildare

Stewart’s Hospital Services Limited, Dublin

COPE Foundation, Cork

Daughters of Charity, St Vincent’s Centre, Co.

Limerick

HSE South Eastern Region & Voluntary

Intellectual Disability Nursing Services

Psychiatric Nursing

HSE Midland Area Psychiatric Nursing Services

St Ita’s Psychiatric Nursing Services, Co. Dublin

St Vincent’s, Fairview, Dublin

HSE Dublin North East Psychiatric Nursing

Services

HSEWesternAreaPsychiatricNursingServices,

Mayo

HSE Southern Psychiatric Nursing Services, Kerry

Donegal & Sligo/Leitrim Mental Health Services

HSEWestPsychiatricNursingServices,Galway

HSESouth&WestDublin,Kildare,Wicklow

Mental Health Services

St Patrick’s Hospital, James’s Street, Dublin

HSE South Psychiatric Nursing Services, Cork

St John of God Hospital, Stillorgan, Co. Dublin

HSEMidWesternRegionPsychiatricNursing

Services

HSE South Eastern Region Psychiatric Nursing

Services

Children’s & General Nursing (Integrated)

The National Children’s Hospital, Dublin

Our Lady’s Children’s Hospital, Dublin

Children’s University Hospital, Dublin

Cork University Hospital

Midwifery

CoombeWomen’sandInfantsUniversity

Hospital, Dublin

National Maternity Hospital, Dublin

HSE Dublin North East Maternity Services - Our

Lady of Lourdes Hospital, Co. Louth

Rotunda Hospital, Dublin

St Munchin’s Regional Maternity Hospital,

Limerick

HSE South - Cork University Maternity Hospital

University College Hospital, Galway

59

ANNUAL REPORT - NMBI...An Bord Altranais Nursing Board An Bord Altranais, as required by the Nurses...

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