HSE National service plan 2008
| dc.contributor.author | Health Service Executive (HSE) | |
| dc.date.accessioned | 2013-10-30T12:58:52Z | |
| dc.date.available | 2013-10-30T12:58:52Z | |
| dc.date.issued | 2007-11 | |
| dc.identifier.uri | http://hdl.handle.net/10147/304770 | |
| dc.description | This executive summary sets out the key priorities and objectives of the National Service Plan (NSP) of the Health Service Executive (HSE) for 2008. Our priorities are (1) to direct the provision of care away from acute settings where appropriate and towards services in the community; (2) for those who require care in acute settings, to provide service in line with best international standards, treating the maximum number of patients on a day case rather than inpatient basis; (3) to deliver services within our Vote and within our employment ceiling. Delivering services within Vote for 2008 We have a total resource of €14.1 billion in 2008 (excluding capital). The service levels in this NSP are those we can deliver based upon the funds available to us for 2008 through Vote 40 of the Oireachtas. Value for money (VFM) will continue to be a key focus. We plan to deliver €280m of savings through more efficient and effective management of our resources. This NSP and supporting financial framework includes these target VFM savings. We will have in place robust monitoring and control processes for 2008 to ensure that this NSP is delivered within the Vote from the Oireachtas. There will be a full performance review at the end of each month to address any emerging variances from Vote and other trends. We will not commence or continue developing any new services until we have completed a comprehensive Quarter 1 review to ensure that we stay within Vote in 2008. The exceptions to this include older people services and primary care services, as additional monies have been provided for these areas. Human Resource Management Control of employee numbers is critical to successful delivery of the Service Plan 2008 within Vote. Employment levels in 2008 will not be allowed to grow beyond authorised levels. Any recruitment in 2008 will be within the national employment ceiling. Health Status of the Population Ireland has the largest population growth rate in the EU at an annual average rate of 1.6% between 1996 and 2006. According to the 2006 census there were 4,234,925 people living in the Republic of Ireland, compared with 3,917,203 in 2002. This represents an increase of 317,722 (8.1%) in four years. Births have increased by 1,146 per year on average. In addition, the proportion of births to single mothers has risen from 26% in 1997 to 33% in 2006. This rate of growth, and the nature of it, has placed significant pressure on existing maternity and personal and social services. The increase in population in the 65+ year age group impacts particularly on demand for our services. Our service response to this group will be crucial. SERVICE DELIVERY Primary, Community and Continuing Care (PCCC) Services Our priorities for PCCC are to provide a local point of access to a range of health and personal social services, to enhance services in the community, to provide timely care in appropriate settings and to direct the provision of care away from acute and institutional / residential care and towards services in the community. We will continue to realign the current model of fragmented service delivery towards multidisciplinary Primary Care Teams (PCT) serving populations of approximately 8,000 people. PCCC’s service deliverables for 2008 are framed to ensure delivery within resources, the achievement of financial break-even and the strengthening of efficiency measures to achieve VFM whilst prioritising service delivery areas. A concerted focus will be placed on service reconfiguration to provide cost reductions on the one hand and the expansion of service on the other. PCCC will continue to provide core services such as 8,500 clients in receipt of Home Care Packages, with a throughput in excess of 10,500, 11.7 million home help hours, over 800,000 contacts to GP out-of-hours services, 25,000 disability day care services, 3,327 foster care places, 30.7 mental health inpatient places per 100,000 population and 7,000 monthly methadone treatment places. In addition, PCCC will prioritise the following:• Recruitment of staff for 87 Primary Care Teams providing clinical services to their local populations • A further 606 Public Fast Track Beds for Older Persons. • Provision of allied health professionals, strengthening the make-up of Home Care Packages to meet the needs of complex cases to avoid admission to, and support early discharge from, acute hospitals. • Provide additional defined residential places for persons with intellectual disabilities. • Progress development of Child and Adolescent psychiatric services including more inpatient beds. • Further development of palliative care in areas such as specialist inpatient services, specialist care in acute general hospitals and specialist services in the community / home care. | en_GB |
| dc.language.iso | en | en |
| dc.publisher | Health Service Executive (HSE) | en_GB |
| dc.subject | HEALTH SERVICES AND THEIR MANAGEMENT | en_GB |
| dc.title | HSE National service plan 2008 | en_GB |
| dc.type | Report | en |
| refterms.dateFOA | 2018-08-23T09:01:12Z |
