Oireachtas Joint and Select Committees

Wednesday, 20 March 2024

Joint Oireachtas Committee on Health

HSE National Service Plan 2024: Discussion

Ms Kate Killeen White:

I can take up a number of the points raised about more general matters, including chronic disease. The enhanced community care programme is continuing to roll out across the entire system. There are significant patient contact numbers set out in the national service plan for our community specialist teams, to include our older persons programme and our chronic disease programme. They are set out in the national service plan. The intention is to embrace a home-first approach to service provision and, it is hoped, in time to avoid emergency department and hospital admissions. Those teams are starting to bed down and reach a level of maturity where we can see outcomes from the development of those teams and they will continue. The chronic disease team stretches into diabetes, which the Deputy referenced.

With regard to children, the disability roadmap includes the need to prioritise adherence to and productivity with the national access policy. That national access policy crosses the spectrum of service delivery from primary care to disability and CAMHS. We have already touched on disability services and the new service development investment in our disability services, to include ongoing and targeted recruitment into our CDNTs. However, that has to work hand in hand with resourcing our primary care teams and continuing to develop our CAMHS services in order that the spectrum of service delivery, as well as referral processes and pathways, is more seamless for children and their families. Within that context we will continue to develop clinical and service improvement programmes for young people and support the continued implementation of the CAMHS hub model of care, to work hand in hand with our primary care and disability services.

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