opening statement to the: joint oireachtas committee on health · 2019-10-23 · opening statement...
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Opening Statement to the:
Joint Oireachtas Committee
on Health
by
Laura Magahy
Executive Director, Sláintecare Programme Implementation Office
23rd October 2019
Contents
One Year into Implementation
Action Plan Update
Implementation Analysis
Next Steps
Dependencies
Governance(one year into implementation)
Sláintecare Implementation GovernanceQ3/4 2018
Q1 2019
Q2 2019
Q3/4 2019
Sláintecare Oversight
Sláintecare
Implementation
Advisory Council
Joint Oireachtas
Committee 2018 Sláintecare Programme
Implementation Office
Sláintecare High
Level Delivery
Board
Action Plan Update (at September 2019)
Workstream 1
Service Re-Design and
Supporting Infrastructure
Workstream 2
Safe Care, Co-ordinated
Governance & Value for Money
Workstream 3
Teams of the Future
Workstream 4
Sharing Progress
4.5
Communicat-
ions &
Recognising
Success
Programme
1.3 Service
Re-design
Framework Programme
1.1 Data
Research and
Evaluation
Programme
1.5
E-Health
Programme
1.2 Population
based
Planning Programme
1.4 Capital
Planning
Implementation
Programme
4.3 Evaluation
Framework &
Reporting
Progress
Programme
4.1 Citizen
& Staff
Engagement &
Empowerment
Programme
4.2 Sláintecare
Implementation
Programme
Office &
Governance
Programme
4.4 Integration
Fund &
Sláintecare
Budget
Management
Programme
3.3 Culture
Change and
new ways of
Working
Programme
3.1 Workforce
Planning
Programme
3.5 Future
Intelligence /
Influencers
Programme
3.2 Training
Pipeline and
new ways of
Training
Programme
3.4 Innovation
/ Capacity
Building
Programme
2.3 Public and Private Partners Programme
2.1 Geoalign
-ment and
RICO’s
Structure Programme
2.5 Financing
Reform Programme
2.2 Corporate and Clinical Governance Programme
2.4Eligibility / Entitlement Programme
Sláintecare Q3 Deliverables
114 deliverables to September
2019
93% on track with 7% having
minor challenges (to be delivered before year-end)
On Track, 106,
93%
Minor Challenge,
8, 7%
January to September 2019 Status
Overview of Deliverables
On Track Minor Challenge
Significant Challenge On Hold
Implementation Analysis
Foundational Decisions
Six new Regional Health Areas
New HSE Board & CEO in place
GP Contract
Enhanced Nurse Contract agreed
National Clinical Programmes Review and Recommendations
Multi-annual commitment to recruiting staff in the community
Dialogue Forum to strengthen relationship with Voluntary providers
Enablers put in place Implementation Oversight group for role of Public Health Doctors
Postgraduate Medical Education Strategy Forum
IHI Office
E-pharmacy governance
Housing Options for our Ageing Population implementation group
Elective Hospital Oversight Group
Clinical Lead for Trauma
Single Assessment Tool
Budget 2020
Budget 2020 and Sláintecare, including..
Amount 2020 Funding Areas
€10 million Enhanced
Community Fund
(€60 million in 2021)
Up to 1,000 therapists, nurses and other frontline staff to care for people in the
community, including advisers for people with Dementia. This will allow us to treat
people in the community, closer to their own homes, reducing community waiting
lists.
€20 million Integration
Fund
Scaling successful projects for:
-Engagement and Empowerment of People in the Care of their own health
-Moving care from the hospital to the community
-Care of Chronic Diseases and Older Persons
€12 million Care
Redesign Fund
Care redesign - providing care at the least form of complexity, in accordance with the
clinical care programmes, to people in the right location.
Citizen and Staff Engagement
Working together, across the system
MECC Phlebotomy
Diagnostics
Public health
AmbulanceRehabilitation
Integrated care
programmes
Podiatry
OptometryDietician
Social prescribing
Pharmacy
Mental Health
Family
Community health
workers
Ambulatory Care
Emergency Community Response
Specialist HSCPs
GP
Social Groups
Exercise groups
Dental
Physiotherapy
Social care & social workers
Informal & Voluntary support
Palliative Care
Hospitals
Self- Care
Speech & Language TherapistOccupational
Therapist
-Quarterly Action Plan Progress Reports
-Committee Attendances
-Briefings
-Staff Engagement Fora
-Values in Action Movement
-Conferences and Briefings
-Healthy Ireland Joint Initiatives-Health Reform Alliance Event -Consultation Events
Elected Representatives Healthcare Staff
Citizens
Citizen and Staff Engagement
Integration Fund
Integration Fund
477 applicants122 successful projects
● Promote the engagement and empowerment of citizens in the care of their own health
● Scale and share examples of best practice and processes for chronic disease management and care of older people
● Encourage innovations in the shift of care to the community or provide hospital avoidance measures
A few sample projects
Jigsaw OnlineAn e-mental platform by Jigsaw, the National Centre for Youth Mental Health.
Epilepsy IrelandDeveloping a Pathway of Community Care Supports for People with Epilepsy in Ireland
ALONEBConnect
Supporting older people to age at home: Linking healthcare, social care and community care together using technology and services
The Asthma Society
Beating Breathlessness
A personalised nurse-led instant
messaging service delivered
through the WhatsApp platform
Cork/Kerry Health and Wellbeing Community Referral
Croí, West of Ireland Cardiac Foundation
‘MySláinte’ community lifestyle
programme
Diabetes care in the Mid-WestA Podiatry led pathway for timely provision
of footwear and orthotics in the community
FITT Teams in Mullingar, Wexford, and West Wicklow/SVUH
And others… 300 staff within the Integration Fund projects
Next Steps
Eligibility and Entitlement
Eligibility & Entitlement Next Steps
• Submit Memo to Government on de Buitléir Report
• Develop roadmap for Universal Access
• Establish Interdepartmental Group on eligibility and entitlement
• Citizens Assembly?
Access and Capacity
Sláintecare Action Plan 2020 – 2022
WS 1 - Service ReDesign & Supporting Infrastructure HSE -Sláintecare Joint Implementation Office
Regional Integrated Care Areas (RICAs)
Programme
Capacity – Access Programme
e-HealthWorkforce
PlanningData, Research &
Evidence
Enabling Programmes
WS 3 – Teams of The Future
WS 4 – Sharing ProgressWS 2 – Co-ordinated
Governance and Value for Money
Eligibility and Entitlement Programme
Corporate and Clinical Governance Programme
Financing Reform Programme
Training Pipeline Programme
Future Intelligence /Influencers Programme
Integration Fund/Innovative
Services Programme
Oversight –Reporting –Communications
Evaluation Frameworks Programme
Policy & Support Programmes
Implementing the Capacity Plan -creating more Access
Key Projects for 2020-2021
Healthy Living:1. Scale patient empowerment integration fund programmes2. Implement Housing Options for our Ageing Population
Enhanced Community Care:1. Recruit 1000 new frontline community staff2. Implement alternative paths for unscheduled care & diagnostics3. Procure Shared Care Record
Hospital Productivity Improvements1. Optimise usage of existing hospital beds 2. Decide locations of elective hospitals and procure design teams
Regional Integrated Care Areas
Regional Integrated Care Areas
Implementing Regional Integrated Care AreasCo-design of service delivery
Develop 6 Integrated Regional Plans
Conduct regional population profiling & mapping of existing resources/services
Designate national/regional services
Decide capacity planning requirements/targets per region
Healthy Living Enhanced community care Hospital productivity improvement
Assess regional population needs
Allocate budget per region
Set up six regional planning teams
Host regional stakeholder engagement
Establish enablers (E-health, capital & workforce planning) per region
Design optimum pathways of care per region
Regional population profiling and segmentation - Example
Dependencies
Dependencies
Maintaining all-party support
Government continuing to take key strategic decisions
Resourcing the decisions
Continued stakeholder buy-in
Thank you
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