Reid departure preceded by rows over Navan hospital

Paul Reid, outgoing chief executive of the Health Service Executive: Sources on all sides are insisting his departure was not prompted by controversy over the plans to close Navan hospital's emergency department. Photograph: Brian LawlessPaul Reid’s announcement he is leaving his role as Health Service Executive chief executive was preceded by fractious exchanges over the future of emergency services in Our Lady’s Hospital, Navan.

While sources on all sides insisted his departure was not prompted by controversy over the plans to close Navan’s emergency department, The Irish Times has learned that teams from the HSE and the Department of Health clashed over the move. Mr Reid and Minister for Health Stephen Donnelly were party to exchanges over the plan in the middle of last week, sources said.

Nonetheless, the face-off now threatens to overshadow the last six months of his tenure. Mr Reid is understood to be firmly of the conviction that the plan should go ahead due to concerns about patient safety held by senior medics. But there are misgivings in Government over the capacity of nearby hospitals to handle patients coming from Navan.Mr Donnelly sought a written note after meeting medics at Our Lady of Lourdes Hospital in Drogheda, which was received on Monday.

A HSE spokeswoman said it had planned for the extra resources required, and was engaging through “established governance” structures. “It is now necessary that patients who are unstable or seriously ill are brought to the right hospital, first time, rather than to a hospital that cannot provide them with the urgent care they need, risking poor outcomes for these patients.”

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