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 three quick points to make on that. I am in my job two and a half weeks. By next week, I will have finalised with the Department my view of the proposed implementation pathway to RHAs. That is how quickly I intend to move on this. That is the first point. The second point, which will be no secret or surprise to anybody, is that driving integration is not just about the structure of the HSE but also about the single point of accountability, the single line of sight and giving the appropriate authority to that person. We would achieve a fundamental step change if we had six regional chiefs in place, without all the rest of the design being perfectly worked out. Six people integrating and running the totality of the existing service, with responsibility and authority around things like budgets-----

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