Oireachtas Joint and Select Committees

Wednesday, 30 November 2016

Select Committee on the Future of Healthcare

Health Service Reform: HSE

9:00 am

Mr. Tony O'Brien:

It is clinical management within mental health, as prescribed in A Vision for Change, with an executive clinical director at its heart. Those teams have 14 geographical boundaries for reasons that are laid out in A Vision for Change.

Regarding the Chairman's larger questions on confidence and geography, in addressing the CHOs, we ensured that they could be grouped in a way that corresponded with regional assembly boundaries, which in turn are groups of local authority boundaries, in recognition of the fact that, when one considers health in its widest sense, there is considerable crossover and a need for correlation between local health services, local authorities and local Garda boundaries. This significant issue was taken into account. From a structural point of view, particularly on the community side, there would be no impediment to organising along those regional lines if that was desired.

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