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Healthcare Reform: What Next?
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Healthcare Reform: What Next?
West/North West Hospital Group
Fergal LynchDeputy Secretary General
Department of Health
9 October, 2014
Context
Health Reform is a major agenda item for Government
Change in timetables for some elements – not a reversal of the reform programme
Some progress made and much more to be done
Locate the debate on Hospital Groups in the wider context of health reform
Vision for Future SystemSingle-tier systemAccess based on need, not ability to payUniversal coverage of primary and hospital
care (primary care free at point of use)
Best health outcomes for available resourcesTreat patients at the lowest level of
complexity that is safe, timely, efficient and as close to home as possible.
Vision Statement
To develop an efficient and effective single-tier health service which promotes equitable access to high quality care on the basis of need.
Reform Agenda Future Health promises major reforms
Health and Wellbeing Healthy Ireland to co-ordinate cross-cutting programme
across whole of Government
Service reform Develop primary care as first point of contact Phased extension of free GP care to whole population Better programmes of chronic disease management Action on waiting lists and waiting times Licensing of healthcare facilities
Reform Agenda Future Health promises major reforms
Structural reform New health structures Hospital groups, leading to independent hospital trusts Purchaser/provider split and commissioning
Financial and capacity reform UHI funding model based on competing insurers Single tier of access to replace ‘two-tier’ access Money Follows the Patient Reform PHI market Information
Where are we now?
Healthy Ireland to advance the agenda on Health and Wellbeing
HSE Directorate structure Primary and Community Care structures
developed SDU and waiting times Hospital Groups policy Framework on Smaller Hospitals
Where are we now?
Money Follows the Patient policy and implementation process
White Paper on UHI Transfer of HSE Vote Reforms in Private Health Insurance market eHealth Strategy Unique Identifiers legislation Health Information Bill Licensing legislation
Recent Developments Minister reviewed and adjusted timeframes
for implementation of UHI funding model and health structures
Substantial health reform projects (above) to be advanced in the meantime
More work to be done on the ‘what’ and ‘when’ of UHI
Work continues on health structures – a major piece of work on what ‘map’ of Irish healthcare will look like
Next Steps
Key priorities for next 18 months identified Health Statement of Strategy and HSE
Corporate Plan Costing of UHI and further examination of
the right approach for Ireland Vital to pursue agenda of structural reform,
including that of Hospital Groups within it