From Groups to TrustsReforming the Health Service

Bill MaherGroup 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

Galway University Hospitals

(UHG & MPUH)

Mayo General

Sligo Regional Letterkenny General

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 DayIreland East Hospitals Group

Dr Susan O’ ReillyDublin 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

Group Executive Council (Chair CEO)

Board of Directors Board Committees1. Finance2. Audit3. Patient Safety4. Strategic Manpower Planning

Medicine Directorate

PerioperativeDirectorate

Womens and ChildrensDirectorate

DiagnosticsDirectorate

Group Management Team

( Chair COO)

Group ICTCommittee

Group EstatesCommittee

Group Employment Control Committee

Performance Improvement Team

Group FinanceCommittee

Clinical Directors Forum

(Chair GCD)

Group Quality & Patient Safety Committee

Scheduled CareGroup

Unscheduled CareGroup

Cancer StrategyGroup

Medical HR Forum

CEO

HSE

Nursing Professional Council

( Chair GDONM)

Strategic Nursing &Midwifery Forum

Maternity Services Strategic Group

Specialist Nurse &Midwife Advisory Group

Patient Council

Advanced Nurse /MidwifePractitioner Forum

Chief Academic Officer

Launch of Our Patient Council

Quality Dimensions

Capacity and Capability Dimensions

Implementing HIQA Standards

Launch of Our Healthy Ireland Plan

Launch of Our HR Strategy

1Recruiting and

retaining the best

2Positive Employee Relations

3Training and development

4Engagement,

Performance and Listening

5Team Work – supporting

Directorates and Business Units

6Systems and Infrastructure

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