Oireachtas Joint and Select Committees

Wednesday, 28 September 2016

Select Committee on the Future of Healthcare

Management of Chronic Care Illness: Discussion

9:00 am

Dr. Brian Osborne:

I was the GP clinical lead for the paediatrics programme from 2011 to 2013 when there was engagement. Paediatrics, as a programme, was a little different because it is a generality in itself. We did some good work and came up with algorithms about how issues should be managed in the community, in the emergency department and in outpatients so that everybody is singing from the same hymn sheet. There was, however, in various programmes, single disease focus and also they were more consultant-led with a little GP input as opposed to a collaborative altogether approach. Where GPs are caring for 90% of this in the community, the consultant opinion mattered more. That was the view with regard to the programmes at the time.