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From Groups to Trusts 
Reforming the Health Service 
Bill Maher 
Group CEO, WNWHG 
9th October 2014
In the Beginning.... 9th January 2012 
Galway & Roscommon 
University Hospitals Group Midwest Hospitals Group
And then came the Higgins Report
Bringing Three New Additions 
Hospital Level Beds Staff 
Letterkenny 
General Hospital 
3 318 1367 
Sligo 
Regional Hospital 
3 318 1329 
Mayo 
General Hospital 
3 306 985
The Group Today 
Sligo Regional Letterkenny General 
Mayo General 
Galway University 
Hospitals 
(UHG & MPUH) 
Roscommon 
Portiuncula
The Journey Continues.... 
• Minister Announces Group 
chairs - January 2014 
• DG announces the 6 Group 
CEOs - September 2014
The 
Magnificent 
Seven 
Mr Bill Maher 
RCSI Hospitals Group, 
Dublin North East 
Mr Gerry O' Dwyer 
South / South West 
Hospitals Group 
Mr Maurice Power 
West / North West 
Hospitals Group 
Ms Mary Day 
Ireland East Hospitals 
Group 
Dr Susan O’ Reilly 
Dublin Midlands 
Hospitals Group 
Ms Colette Cowan 
University of Limerick 
Hospitals 
Ms Eilish Hardiman 
Children’s Hospital Group
WNWHG and All Groups Operate in 
Challenging Times 
• Everything is done in real time – no 
“slo mo”, no “instant reply”... 
• As we work towards reform, our 
patients need our care every 
minute, every day 
Category 2014 Target 
Births 10,223 
Day cases 153,288 
ED Presentations 195,843 
Inpatients 109,448 
Outpatient 519,603 
UCC 4,276 
Nearly 1 Million Patient 
interactions per year, 
2,720 every day 
• Unlike the private services, we 
cannot close for refurbishment
We have to deal with the odd crisis
Building Blocks 
• Build Sound Governance 
• Establish our Board 
• Establish our Directorate 
Structure 
• Empower our People 
• Develop our Structures 
• Integrate our Group
Governance Established 
Board of Directors 
Group Executive Council 
(Chair CEO) 
Board Committees 
1. Finance 
2. Audit 
3. Patient Safety 
4. Strategic Manpower 
Planning 
Medicine 
Directorate 
Perioperative 
Directorate 
Womens and Childrens 
Directorate 
Diagnostics 
Directorate 
Group Management 
Team 
( Chair COO) 
Group Finance 
Committee 
Group ICT 
Committee 
Group Estates 
Committee 
Group Employment 
Control Committee 
Performance 
Improvement Team 
Clinical Directors 
Forum 
(Chair GCD) 
Group Quality & Patient 
Safety Committee 
Scheduled Care 
Group 
Unscheduled Care 
Group 
Cancer Strategy 
Group 
Medical HR Forum 
CEO 
HSE 
Nursing Professional 
Council 
( Chair GDONM) 
Strategic Nursing & 
Midwifery Forum 
Maternity Services 
Strategic Group 
Patient Council 
Specialist Nurse & 
Midwife Advisory Group 
Advanced Nurse /Midwife 
Practitioner Forum 
Chief Academic 
Officer
Launch of Our Patient Council
Implementing HIQA Standards 
Quality 
Dimensions 
Capacity and 
Capability Dimensions
Launch of Our Healthy Ireland Plan
Launch of Our HR Strategy 
1 
Recruiting and 
retaining 
the best 
2 
Positive Employee 
Relations 
3 
Training and 
development 
4 
Engagement, 
Performance and 
Listening 
6 
Systems and 
Infrastructure 
5 
Team Work – 
supporting 
Directorates and 
Business Units
Developed Small Hospitals Framework
Our Next Board Meeting in Public
Legislation Summit 27th June
Developing our Brand 
“Each Hospital Group must agree a new name 
by which it is known” (Higgins Report Feb 2013)
Dublin North East & 20% of time 
• Leaving WNWHG will be hard 
• Looking forward to Dublin North East 
• Working closely with Dr. Tony O’Connell 
• Developing MOU 
• Supporting new Legislation 
• Supporting development of Groups 
• Launching the Group CEO Forum
A message to my New Colleagues 
“CEOs of the world; 
you have nothing 
to lose but your 
chains, you have a 
world to win, unite! Karl Marx
A Message for the Audience 
Change will not come if we wait 
for some other person or some 
other time. 
We are the ones we have been 
waiting for. 
We are the change that we seek. 
Barack Obama

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Bill Maher, Group CEO, Saolta Health Care Group

  • 1. From Groups to Trusts Reforming the Health Service Bill Maher Group CEO, WNWHG 9th October 2014
  • 2. In the Beginning.... 9th January 2012 Galway & Roscommon University Hospitals Group Midwest Hospitals Group
  • 3. And then came the Higgins Report
  • 4. Bringing Three New Additions Hospital Level Beds Staff Letterkenny General Hospital 3 318 1367 Sligo Regional Hospital 3 318 1329 Mayo General Hospital 3 306 985
  • 5. The Group Today Sligo Regional Letterkenny General Mayo General Galway University Hospitals (UHG & MPUH) Roscommon Portiuncula
  • 6. The Journey Continues.... • Minister Announces Group chairs - January 2014 • DG announces the 6 Group CEOs - September 2014
  • 7. The Magnificent Seven Mr Bill Maher RCSI Hospitals Group, Dublin North East Mr Gerry O' Dwyer South / South West Hospitals Group Mr Maurice Power West / North West Hospitals Group Ms Mary Day Ireland East Hospitals Group Dr Susan O’ Reilly Dublin Midlands Hospitals Group Ms Colette Cowan University of Limerick Hospitals Ms Eilish Hardiman Children’s Hospital Group
  • 8. WNWHG and All Groups Operate in Challenging Times • Everything is done in real time – no “slo mo”, no “instant reply”... • As we work towards reform, our patients need our care every minute, every day Category 2014 Target Births 10,223 Day cases 153,288 ED Presentations 195,843 Inpatients 109,448 Outpatient 519,603 UCC 4,276 Nearly 1 Million Patient interactions per year, 2,720 every day • Unlike the private services, we cannot close for refurbishment
  • 9. We have to deal with the odd crisis
  • 10. Building Blocks • Build Sound Governance • Establish our Board • Establish our Directorate Structure • Empower our People • Develop our Structures • Integrate our Group
  • 11. Governance Established Board of Directors Group Executive Council (Chair CEO) Board Committees 1. Finance 2. Audit 3. Patient Safety 4. Strategic Manpower Planning Medicine Directorate Perioperative Directorate Womens and Childrens Directorate Diagnostics Directorate Group Management Team ( Chair COO) Group Finance Committee Group ICT Committee Group Estates Committee Group Employment Control Committee Performance Improvement Team Clinical Directors Forum (Chair GCD) Group Quality & Patient Safety Committee Scheduled Care Group Unscheduled Care Group Cancer Strategy Group Medical HR Forum CEO HSE Nursing Professional Council ( Chair GDONM) Strategic Nursing & Midwifery Forum Maternity Services Strategic Group Patient Council Specialist Nurse & Midwife Advisory Group Advanced Nurse /Midwife Practitioner Forum Chief Academic Officer
  • 12. Launch of Our Patient Council
  • 13. Implementing HIQA Standards Quality Dimensions Capacity and Capability Dimensions
  • 14. Launch of Our Healthy Ireland Plan
  • 15. Launch of Our HR Strategy 1 Recruiting and retaining the best 2 Positive Employee Relations 3 Training and development 4 Engagement, Performance and Listening 6 Systems and Infrastructure 5 Team Work – supporting Directorates and Business Units
  • 17. Our Next Board Meeting in Public
  • 19. Developing our Brand “Each Hospital Group must agree a new name by which it is known” (Higgins Report Feb 2013)
  • 20. Dublin North East & 20% of time • Leaving WNWHG will be hard • Looking forward to Dublin North East • Working closely with Dr. Tony O’Connell • Developing MOU • Supporting new Legislation • Supporting development of Groups • Launching the Group CEO Forum
  • 21. A message to my New Colleagues “CEOs of the world; you have nothing to lose but your chains, you have a world to win, unite! Karl Marx
  • 22. A Message for the Audience Change will not come if we wait for some other person or some other time. We are the ones we have been waiting for. We are the change that we seek. Barack Obama