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Dr Ambrose Mc Loughlin

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Strategic Framework for Reform of the Health Service

Strategic Framework for Reform of the Health Service


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  • 1. Strategic Framework for Reform of the Health Service Dr Ambrose Mc Loughlin Secretary General Department of Health 1
  • 2. Context of changeDriving the changes with a major cost reduction agenda and higher demands for public services 2 2
  • 3. The Visiona single tier healthsystem, supported by universalhealth insurance, where accessis based on need, not income 3
  • 4. There is a PlanHealth and Well Financial reform Service Reform Structural Reform Being 4
  • 5. Principles of Reformed SystemKeeping People Equity Quality HealthyRegulation and Patient- EmpowermentPatient Safety centredness Efficiency and Effectiveness Dr. Ambrose Mc Loughlin, Secretary 5 General, department of Health
  • 6. The Time FrameQ1 2013 Q3 2013UHI: UHI: Preliminary paper ppublished in February.  Policy appraisal of UHI Models will be completed. UHI Design Team to be establishedMoney Follows the Patient: Money Follows The Patient: Policy paper published in Febuary & stakeholder consultation  Policy proposals will be developed for introduction process commenced. HSE Project Manager and HSE National Leads for Pricing, of case based charges for private patients in Commissioning and Hospital Support will be assigned and MFTP public hospitals. Oversight Group will be established External State of Readiness Report for roll-out of MFTP will be Review of HSE Integrated Service Areas: completed  Review to be completed to (i) ensure maximumPermanent Scheme of Risk Equalisation: alignment between all service providers at local In place in January. level (ii) review executive management and government arrangements and (iii) inform newHospitals: structures for the delivery of Primary Care. Report on Hospital Groups and Smaller Hospitals Framework will be submitted to Government shortly.Q2 2013 Q4 2013UHI: UHI: Paper on Macro Level Funding Flows will completed.  Policy papers will be completed on (i) Basket of Services Legal Appraisal of UHI Models will be completed. and (ii) Funding & Financial Support Services. Money Follows The Patient:Money Follows The Patient:  Detailed Implementation Plans progressed for ‘go live’ from National Casemix Conference to be held in April as key 2014. element of stakeholder consultation. Shadow Based Budgeting to commence. VHI:  Regulatory status of the VHI will be addressed in line withExtension of Free GP Care to Persons with Prescribed ECJ ruling.Illnesses: Bill to be published. Health Information Bill: 6  Preparation work completed to allow publication of Bill.
  • 7. The Process Programme Systems Management Reform Office Function Programme • Department of • HSE Board HealthProgramme Management & Collaboration Strengthens Capacity to Move Swiftly 7
  • 8. Patients First Healthy Ireland A Framework for ImprovedHealth and Wellbeing Patient SafetyA Whole of Government Approach26/03/2013 Agency 8
  • 9. The Plan is Working• This year to date 14.7% less patients waiting on trolleys compared to 2012• No of adults waiting more than 9 mths for inpatient and day case surgery was down to 86 at end of December 2012• No of children waiting over 20 weeks was down to 89 at end of December 2012• No of patients waiting over 13 weeks for routine GI endoscopy was down to 36 at end of December 2012 • THIS IS REAL PROGRESS 9
  • 10. Building the FoundationLegislative Reform Health Service (Executive) Governance Bill 2012 The Health (Pricing and Supply of Medical Goods) Bill 2012 Health Amendment Bill (No 3) Return of vote to Department of HealthLegislative ReformPolicy Papers Money Follows the Patient Policy Paper Published 15 February 2013 The Path to Universal Healthcare Published 15 February 2013 10
  • 11. We can Show Results Structural Reform The Establishment of Hospital Groups as a Transition to Hospital Trusts Groups Securing the Future- Framework for Smaller Hospitals HSE Directorate Structure underway ISA Review about to commence Financial Reform The roll-out of a comprehensive financial management system is a priority for the Department and the HSE in 2013. Shadow Funding will commence in 2013 with go-live in 2014 New Risk Equalisation Scheme approved by European Commission Dr. Ambrose Mc Loughlin, Secretary26/03/2013 11 General, department of Health
  • 12. Real ReformReforming Primary Care • Introduction of a new contract for GP’s emphasis on chronic disease management • Bill to allow for extension of free GP care to persons with prescribed illness due to be published later this year. • €20 million available to recruit front line primary care teams (250 posts) • Major capital plan to be announced by Minister shortly. Will provide for 43 Primary Care Centres by various means. • New Paediatric Hospital underway 12
  • 13. Real ReformReforming Social & Continuing Care • A National Implementation Framework for the Value for Money Review of Disability Services Published in February 2013 and Oversight Board established • € 70m allocation to strengthen community based mental health services • National Positive Ageing Strategy to be published shortly • Single Assessment Tool for Older People in development • Review of Nursing Home Support Scheme to start shortly • Review of the status of Public Nursing Homes by HSE complete and will form the basis of future proposals to maximise the number of units retained within existing resources 13
  • 14. Outcomes for All Faster Fairer Access to Hospitals Free Access to GPAffordability Care Improved Health and Well being Better Improved Management Quality of Chronic and Safety More Illness People Cared for in their Homes 14
  • 15. Conclusion Most comprehensive reform since foundation of State Good progress to date the reforms are working We need to build on our success Dr. Ambrose Mc Loughlin, Secretary26/03/2013 15 General, Department of Health

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