1 / 17

Reflections on Healthcare in Ireland: Transforming Public Services

Mr. Michael Scanlan, Secretary General of the Department of Health and Children presents reflections on healthcare in Ireland, focusing on the transformation of public services, health reform, new economic realities, and personal insights.

sbeckner
Télécharger la présentation

Reflections on Healthcare in Ireland: Transforming Public Services

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Reflections on Healthcare in IrelandPresentation by Mr Michael Scanlan, Secretary General, Department of Health and Children to the HMI/IHM Joint Leadership Event 15 May 2009

  2. Outline • “Transforming Public Services” • Health reform • New economic realities • Personal reflections

  3. Transforming Public Services • OECD Review • Task Force • TPS

  4. TPS - Themes • Services not processes • Behaviour not structures • From Taoiseach to nurse, teacher, etc. • Clarity of purpose and performance

  5. TPS - Performance • “clearly articulated targets in terms of service outputs and outcomes” • External validation of systems to measure and report outputs • “..neither the centre nor other parts of the public service will have the resources to sustain both input and outcome/output focussed reporting systems”

  6. TPS - Information • “relevant, accurate and timely service information is critical in all areas ..and can in itself be a major driver of change” • “Collecting sharing and publishing performance related information will empower the citizen and those delivering the service” • The public service must be empowered to share and re-use the significant amounts of data at its disposal • Consideration should be given to imposing a statutory duty on public bodies to share information except in defined circumstances

  7. TPS - Citizen centric • “..complex policy issues require the active participation of citizens as active agents for change in order to achieve the desired policy outcome” • “The increased adoption of case working approaches across professional, technical, administrative and sectoral boundaries..”

  8. TPS - “Our people” • “..must empower leaders at all levels if we are to capture local creativity and entrepreneurship” • “Identification and mainstreaming of good practice from local innovation is particularly weak..” • Shared identify, values, goals, etc. • Greater mobility, re-deployment and flexibility

  9. Health reform - structures • A single organisation to deliver health services nationwide because there were too many agencies involved in delivering health services with the result that, very often, it was not entirely clear who was responsible for what. • Clear accountability structures and modern financial management systems to allow key decision makers in the health service to link activities with budgets and, thus, to evaluate the effectiveness of their decisions.

  10. Health reform - enablers • Service Plan • Funding and employment control • Information • Patient safety • Service user involvement • Agencies

  11. Health reform – what do we want • Health outcomes • “Shift left” • Integration

  12. Health reform: Define what we want? • To promote and protect the health and wellbeing of children and families. • To enhance the quality of life of older people and to support them in their homes and communities for as long as possible and, where this is not possible, to provide them with access to appropriate residential accommodation.

  13. Health Reform - the good/not so good • Cancer • Vision for Change • A&E and acute hospitals

  14. The new economic realities • An incredible rate of change • Economy, efficiency, effectiveness but also affordability • A golden opportunity or a high risk time? • Stay true to medium term objectives • Health - an investment or a cost?

  15. How might we do better? • Measure what we produce • Question what we produce and how • Define what we want • Nothing wrong with a “hard nosed business approach” • Celebrate success • Work together – integration, connectivity, cohesion • More management

  16. Quo Vadis? • We have come a long way but we must and can do better • Information and transparency • Centralise standards but decentralise delivery • Can’t “boil the ocean” but can do everything better

  17. And finally • Its hugely complex but very simple - the key challenge facing the entire public service, from the Taoiseach and Government to front-line staff like nurses, teachers and gardaí is to deliver better services for the public within whatever resources we have.

More Related