Michael D Higgins (Galway West, Labour)
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Question 119: To ask the Minister for Health and Children if the new integrated regional structures have been implemented in the Health Service Executive which are designed to provide closer co-operation between primary, community and hospital services; and if she will make a statement on the matter. [25902/10]

Mary Harney (Dublin Mid West, Independent)
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The HSE has worked closely with my Department to implement changes to drive operational performance and accountability at local level, to provide clinical leadership to improve quality and standards and to deliver hospital and community services in a fully integrated way. Significant changes have already taken place nationally across the HSE, with the introduction of the Quality and Clinical Care and the Integrated Services Directorates. A Regional Director of Operations has been appointed for each of the four regions. The HSE is currently finalising plans for the sub regional structures to ensure the integration of primary, community and hospital services and is in discussions with my Department about this matter.