Frank dolphin hse chairman's speech to national healthcare conference 2011


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Dr. Frank Dolphin HSE Chairman address the National Healthcare Conference on March 24th 2011 in Dublin.

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Frank dolphin hse chairman's speech to national healthcare conference 2011

  1. 1. National Healthcare Conference 2011 Dr. Frank Dolphin Chairman HSE
  2. 2. <ul><li>2 out of every 5 people have medical cards </li></ul><ul><li>Over 1.1m presentations to our 33 Emergency Departments </li></ul><ul><li>In 2010 we treated over 1.3 million patients in our hospitals </li></ul><ul><li>10,000 older people received a Home Care Package </li></ul>
  3. 3. <ul><li>Over 11 million home help hours were provided to 54,011 clients </li></ul><ul><li>74,418 babies delivery safely in 2010 -26% by caesarean </li></ul><ul><li>17,249 patients received orthodontic treatment </li></ul><ul><li>GP out of hours services dealt with almost 900,000 contacts </li></ul>
  4. 4. <ul><li>There were 5,727 children in care in Ireland, the majority of which (89%) were cared for by foster carers. and 8% are in residential care and the legal fees for this alone cost us in the region of 18 million </li></ul><ul><li>Life expectancy for men is 0.7 years greater than the 2007 EU average (76.8), while for women it 0.5 years higher (81.6). </li></ul><ul><li>Of the 108,000 HSE employees 48% are employed in primary and community services, 45% work in acute hospitals  3% work in national corporate services such as finance, procurement, HR etc, and the remaining 4% are in other service areas such as the National Cancer Control Programme, pre hospital care services. </li></ul>
  5. 5. <ul><li>Some real progress has been made </li></ul><ul><li>In 2010 over 1.3 million patients were treated in hospital. </li></ul><ul><li>This represents a 4% increase over 2009 i.e. almost 50,000 more patients treated while reducing bed capacity by 1% </li></ul>
  6. 6. <ul><li>A major theme of the HSE’s Service Plan 2011 is the implementation of the national clinical programmes </li></ul><ul><li>For 2011 we are budgeted to reduce our costs by €680m while doing everything not to impact on the front line </li></ul>
  7. 7. Total Reductions €962m Total Increases €279m Net adjustment €683m 13,456.7 Total 10.5 57.0 36.0 -17.0 -55.0 -2.3 56.4 Other Adjustments National Cancer Screening Service- transfer Superannuation Clinical Indemnity Scheme (States Claims Agency) Long-Stay Repayments Scheme Pandemic Dormant Accounts Funding for priority areas -200.0 Non Pay Procurement -90.0 -152.0 29.0 -21.5 Pay Recruitment Moratorium Exit Programme Additional pension costs due to exit package 4% levy on pensioners 90.0 -424.0 Additional Medical Cards Reductions Community (Demand led ) Schemes 14,139,64 2010 Gross Current Estimate € m
  8. 8. <ul><li>The number of people over the age of 65 is projected to increase from over 500,000 now to over 1.3million in the next 30 years </li></ul>
  9. 9. <ul><li>Primary Care Teams - provide services for over 2.8 million people, with 2,615 HSE staff members and over 1,300 GPs participating. </li></ul>
  10. 10. <ul><li>The effects of alcohol accounts for: </li></ul><ul><li>over 10% of all general inpatient hospital costs, </li></ul><ul><li>14% of psychiatric hospital costs, </li></ul><ul><li>7% of GP costs </li></ul><ul><li>Up to 30% of emergency department costs. </li></ul>
  11. 11. <ul><li>For 2007, the total costs imposed by alcohol on the public health care system were estimated at €1.2 billion (CMO 2010) </li></ul><ul><li>That is more than we spent on mental health services last year !!!! </li></ul>
  12. 12. National Healthcare Conference 2011 Dr. Frank Dolphin Chairman HSE