1. Dr Tadhg Crowley
Healthcare Conferance 2013

2.  Forprimary care to work we need
activity,people ,systems, and infastructure
 Forintegrated primary care we need this
system to have a dynamic equilbrium with
secondary and teriary care

3.  Chronic disease management
 Radiology
 Minor Surgery
 Colonoscopys
 A and E
 Inter referral

4.  Who work is in the primary care team
 Who pays them
 How does it fuction?
 meetings

5.  IT
 STANDARDS

6.  In 2006...it was all about buildings
 Recession comes and it 2012 it’s about
teams

7.  Copd..finnish model...750 million
 Drug savings...300 million
 Diabetes...300 million
 Minor surgery
 Radiology...100 u/s saved 52000 euro
 Retinopathy screening 500...100,000 euro
 Mirena 1800 vs 80 in primary care

8.  10% GDP PERCENT TO 18% BY 2025
 1/3 OF EUROPE’S POPULATION OVER 60 BY
2025
 61% of Irish adults ( 18-64 years ) are
overweight or obese

9.  GOVERNMENT
 HSE
 DOCTORS
 MEDIA

10. 1.NOT TALKING TO STAKEHOLDERS
2.NO GP ON SDU
3.MONEY NOT FOLLOWING THE PATIENT
4.STILL THINKING IN SILOS
5.NO SERVICES TO PRIMARY CARE
6. 5 YR CYCLES
7. EMPEROR WITH NO CLOTHES..
8. CHRONIC DISEASE MANAGEMENT RATHER
THAN MEDICAL CARDS FOR EVERYONE

11.  CEREBRUS...3 HEADS
 RECENT SERVICE PLAN DID NOT MENTION
GP’S ONCE
90 PERCENT OF THE POPULATION WITHIN 5
YEARS
98 PERCENT SATISFACTION RATING
SAME DAY SERVICE

12.  ORTHRUS...2 HEADED BEAST...CEREBRUS
BROTHER
 CONSULTANTS AND GP’S UNWILLING TO
CHANGE SILO MENTALITY
 UNWILLING TO CHANGE WORK PRACTICES

13.  PREOCCUPATION WITH SALARIES
 NO ANALYSIS OF PROMISES FOR GOVERNMENT
 LITTLE ANALYSIS OF FAILURES OF POLICY

14.  GP’S LOOK AFTER THE PATIENT FROM
CRADLE TO GRAVE IN A MEASURED AUDITED
STANDARDISED WAY
 PRIMARY CARE TEAMS TO BE EMPLOYED
 RESOURCE AND TASK TRANSFER FROM
SECONDARY CARE
 PROCEDURES TO BE CARRIED OUT AS MUCH AS
POSSIBLE IN PRIMARY CARE
 HOSPITAL BUDGETS TO BE BASED ON PRIMARY
CARE DELIVERY