Oireachtas Joint and Select Committees

Wednesday, 16 November 2016

Select Committee on the Future of Healthcare

Health Service Reform: Hospital Groups

9:00 am

Ms Mary Day:

I do not have a role. That is a good point because, in fairness, it is not all about the structure. It is about the pathway and how the money flows with the patient in regard to the delivery of the care within that pathway. What we are doing within the group is working with the general practitioners on identification. We have actually put some initiatives in place in this regard. For instance, there is movement in certain areas. In Kilkenny, in particular, the emergency department is very much a GP-led service. One comes in with one's GP letter and one is triaged by one's general practitioner. The general practitioner is one's senior clinical decision-maker. With regard to the budgetary piece, it is a separate stream that comes from primary care positions.

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