View
214
Download
1
Category
Preview:
Citation preview
1
Health Service Reform:Implications for the
Disability SectorPresentation to NFPBA
25th July 2005
James O’GradyNational Manager for Disability Services
2
Health Board Structure1970 - 2004
• The health board system had a number of key features:
–Complex and fragmented structure
–Lack of standardization and coordination across system
–Local decision-making and involvement
3
Need for Health Service Reform Programme
• A number of reports were major drivers of the reformed health system:
–Brennan Report
–Prospectus Report
–Hanly Report
4
Need for Health Service Reform Programme
• Need to streamline and consolidate fragmented system
• Demarcation of roles between policy arm and executive arm of health service
• Enhanced lines of accountability• More integrated Human Resource, Information
Communications Technology & Finance functions
• Need for continued emphasis and focus on consumer needs
5
CEO
Office of CEO
Communication
Service
Governance
Director of PCCC
Director of NHO
Director of HR
Director of Finance
Director of
Shared Services
Director of CMOD
Director of ICT
Director of Population
Health
Director of Corporate
Affairs
Structure and Functions of HSE
6
Structure and Functions of PCCD
Director PCCC
Asst. Director- Contracts
Asst. Director – Planning, Monitoring &
Evaluation
Nat. Care Group Manager –
Primary Care
Nat. Care Group Manager
– Children & Families
Nat Care Group
Manager - Disabilities
Nat. Care Group
Manager – Older People
Nat. Care Group Manager –
Chronic Illness
Nat. Care Group Manager –
Mental Health
Nat. Care Group Manager – Social
Inclusion
7
Structure and Functions Of PCCD
Director of PCCC
Asst. Director -
West
Asst. Director – Dublin/NE
LHO LHO LHO
Asst. Director -
South
Asst. Director – Dublin/ ML
LHO LHO LHO LHO
LHO
8
Structure and Functions of National Disabilities Care Group
Nat. Manager of Disabilities Care
Group
Director of PCCC
Asst. Directors – Regions:
West
South
Dublin/North East
Dublin/Mid Leinster
Local Health Office
Local Health Office
Consultative Fora
9
PCCC Model• PCCC model will be person centred, with
following key elements:– Strong national direction regarding
implementation of policy and planning– Devolved local decision making with regard
to service delivery– Regional co-ordination to ensure
consistency of approach– Individual service user, their families and
communities involved in planning & design of services in their area
10
PCCC Model
• Primary Care Teams will form substantial basis of PCCC delivery
• Some Care Groups e.g. Disabilities, Children & Families, Mental Health and Older People contain significant element of specialist need and provision
• Design of final structure and processes should reflect this feature
11
Disability Strategy 2004
• Disability Strategy 2004 comprises Disability Bill, Education for Persons with Special Educational Needs, Act and Sectoral Plans of 6 government departments
• Disability Strategy will appreciably influence targeting of resources in future
• Disability Strategy will involve allocation of dedicated multi-annual funding over next 5 years
• Will also shape future design of service delivery• Dedicated PCCC structure will be in place to effect
delivery of Disability Strategy
12
Challenges• How to ensure inclusion of service
users and families in service design
• Development of alternative models of service delivery
• Review of framework for service design & provision, including further enhancement of consultative fora
• Development of strategic alliances with statutory and community bodies
13
Transitional Commitments
• Regional Consultative Committees will be retained in present form until end 2006
• HSE commitment to existing levels of service delivery
• Development funding for 2005 will be implemented in the coming month
Recommended