Oireachtas Joint and Select Committees

Wednesday, 1 March 2023

Joint Oireachtas Committee on Health

Sláintecare Implementation: Centre for Health Policy and Management, Trinity College Dublin

Dr. Bridget Johnston:

Population-based resource allocation, PBRA, is a mechanism that will underpin the regions. There is no point in the regions without the regional models of allocation because that is the way we can respond to the needs and ensure there is equitable allocation. One of the main points in terms of implementation is that the key lesson internationally is the co-design, bringing people on from the beginning and having transparent governance, structures and reporting around that are key to getting to stakeholder engagement and buy-in. It is a major change to how things are done right now. We fund what we have always funded and we continue to do it that way in these block grants. To get people into major system change it is important open the doors and be honest and transparent quickly. We need to be nimble, update the model as it goes, accept the limitations of the data and work through it with people.

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