Oireachtas Joint and Select Committees

Thursday, 27 June 2019

Public Accounts Committee

Health Service Executive Financial Statements 2018
2017 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 38 - Department of Health
Chapter 16 - Control of Private Patient Activity in Acute Public Hospitals

9:00 am

Mr. Paul Reid:

It does. It is not a model we would design the way it is, to state the obvious. There are six hospital groups plus the children's hospital group. Then there are nine community healthcare organisations. Sláintecare sets out a different path to have single integrated care organisations. As the Secretary General pointed out earlier, that is a process the Minister is working through in terms of bringing proposals or outlining proposals for Government. Only one area is aligned by hospital group and community group. That is not the way we want it for the future.

If one hospital group is dealing with two or three community groups, it can be difficult. Notwithstanding that, there are good examples, as I said earlier, of the acute organisations working closely with community organisations at local level, which is where we see better impacts. However, the system we have is not how we would have designed it organisationally.

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