Oireachtas Joint and Select Committees

Wednesday, 22 March 2023

Joint Oireachtas Committee on Health

Health Service Executive: Engagement with Chief Executive Officer

Mr. Bernard Gloster:

There are two ends from which one approaches that. The first is that if we come back to the principles of some of what we will try to achieve in a regional context, we would try to achieve a balance of evidence-based resource allocation as opposed to the historical models that have been used heretofore. Population needs assessment, population analysis, public health analysis and health intelligence all feed into that. There are no quick solutions to populating the rehabilitation in all the places we would like to provide it. Apart from the obvious issue of resources, there is the issue of the available skill set. Community neuro-rehabilitation is a multidisciplinary intervention. It is very effective when it works well but an entire focus in the rehabilitation strategy as part of the overall response to the population in each of the proposed six regional health areas would, perhaps, be the mechanism by which we can fully call out what the deficits are and then, at least, see what the plan is to address them.

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