John Hennessy, Primary Care National Director, HSE


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The Development and networking of Irish Primary Care Medical Services

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John Hennessy, Primary Care National Director, HSE

  1. 1. Future Plans for Primary Care John Hennessy, National Director, Primary Care 13th November 2013
  2. 2. Introduction  24th July 2013 – New Directorate Established  Primary Care Division – Primary Care, Social Inclusion, Oral Health, PCRS, Medicines Management & Civil Registration  Commissioning Environment
  3. 3. Future Population Projections
  4. 4. Core Principals of Primary Care   To improve the health and wellbeing of the population by:  providing the healthcare that people need;  delivering high quality services;  getting best value from health system resources; and  keeping more people healthy for longer. Ensure that we have a good Primary Care service  - strong on safety and quality  - highly responsive to patients and clients in its design and delivery  - strong on productivity and value for money – and can demonstrate this  - well integrated and aligned with specialist services  - flexible, efficient and proactive
  5. 5. The shift from acute: Overview of the Preferred Health System Internal hospital processes are optimised to support high quality care, reduce patient delay and maximise use of the bed stock The nature, capacity and availability of responsive community based services is configured to avoid unnecessary admissions to acute care and to facilitate earlier discharge and a return to independence Patients are involved in their own care of minor, acute and long term conditions – with professionals providing a supportive, advisory, educational and skills training role Acute Care Acute Care Acute Care Primary, Community Primary, Community Primary, Community and Continuing Care and ContinuingCare Continuing Care Self Care Self Care Self Care No Care Requirement No No Care Requirement Care Requirement There is an emphasis on illness prevention, early detection and early intervention
  6. 6. Future Plans for Primary Care       Lifestyle factors & Socio-economic status Move from an illness model to health and wellbeing model. Chronic Disease Management and primary diagnostics Primary Care Centres Corporate and Clinical governance arrangements Universal Access
  7. 7. 2014 Priorities         Providing for Demographic Pressures and growth in Medical Cards and Local Demand-led Schemes. Introduction of free GP care for 0-5 year olds Targeted investment - Chronic Illness management Reducing costs – in areas like generic prescribing for drugs and medicines and introducing reference pricing for commonly prescribed products. Improving the Primary Care Infrastructure in the form of better Primary Care Centres and ICT enabled communications. Extending the coverage of Community Intervention Teams to facilitate hospital avoidance and resolve delayed discharge problems. Facilitating the discharge of complex patients Improving access to primary diagnostics
  8. 8. Conclusion  Causes of ill health  Inequity  More balanced model of healthcare  Move activity  Create right environment – model and governance.