Is it time to wind up the HSE?

Ulster-Lad

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Is it time to wind up the HSE? The HSE has been a disaster since in's inception. We see where the trolley watch figures have doubled and we are winding up A&Es and hospitals across the country.

Still the HSE looks to be over budget again this year. A hiring freeze has been in place to no avail. All we are doing is losing trained staff to emigration.

Do you believe the system would be better managed by bringing back the Regional Health Boards?
 


jimmyfour

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Oct 10, 2007
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Is it time to wind up the HSE? The HSE has been a disaster since in's inception. We see where the trolley watch figures have doubled and we are winding up A&Es and hospitals across the country.

Still the HSE looks to be over budget again this year. A hiring freeze has been in place to no avail. All we are doing is losing trained staff to emigration.

Do you believe the system would be better managed by bringing back the Regional Health Boards?
It would be better managed by removing all managers.
 

antsrathcam

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First of all I don't work for the HSE or have any interest in it.

But what is the alternative?

The health boards were a joke. Parish-pump politicians spoofing and claiming expenses.

Galway Advertiser Archive

If you download this you will find the ex-chairman of the WHB, FF's Val Hanley resigning in protest at.....the smoking ban.

A councillor, property developer, vintner, and non-irish speaking member of údarás na gaeltachta.

Is that who you want running the health system?
 

cry freedom

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Would this work?
Let us assume that the proposed 8 centers of excellence around the country is a good model. [I personally think that the north west is unfairly treated in these proposals but that is another story!]
Would it be a good idea to form 8 health boards based on these centers of excellence and responsible for the provision of care within their catchment areas.
That way each year a report on each area would highlight the success [or otherwise] of each board and the people responsible would have nowhere to hide.
In addition, scrap the HSE and drastically slim down the Dept of Health.
 

LeDroit

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You're not allowed to make civil servants redundant so what's the point? The Labour Court confirmed that they have jobs for life so even if you closed the HSE you'd still have to pay them. The unions run the country lads not the democratically elected govt.
 

cry freedom

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You're not allowed to make civil servants redundant so what's the point? The Labour Court confirmed that they have jobs for life so even if you closed the HSE you'd still have to pay them. The unions run the country lads not the democratically elected govt.
Maybe if the IMF did come in it would be a blessing in the long run if it broke the power of those corrupt unions and other vested interests.
This whole country needs a good physic.
 

antsrathcam

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Would this work?
Let us assume that the proposed 8 centers of excellence around the country is a good model.
Would it be a good idea to form 8 health boards based on these centers of excellence and responsible for the provision of care within their catchment areas.
That way each year a report on each area would highlight the success [or otherwise] of each board and the people responsible would have nowhere to hide.
Why would you form a health board around a centre of excellence?

What other country does this?

The whole point of "centres of excellence" is that they are comparable to other national and international centres; not that they are answerable to local politicians, who more often than not have no training in health and are pushing local vested interests (trying to get health boards to rent certain properties, trying to get certain people employed, trying to get smoking bans lifted to improve pub business etc.)
 

madbeatch

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May 26, 2009
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there is a need to join the dots in our health service that is link GP / out of hours / A&E / hospital services and improve communication between each service area. there is a lot of duplication within the HSE that could be drastically slimmed down, staff could be redeployed within the civil service to fill gaps elsewhere such as the recent surge in social welfare applications. the department of health is more or less defunct and shows no accountability in health so could be abolished / amalgamated into health service.
 

pujols

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Maybe if the IMF did come in it would be a blessing in the long run if it broke the power of those corrupt unions and other vested interests.
This whole country needs a good physic.
Where has the IMF ever come in and taken over the running of a country? Ever?

Their ultimate sanction is to turn off the lending tap.

I do not believe that there is any authority anywhere, that allows the Bretton Woods institutions to substitute themselves for a legitimately elected government and subvert the democratic will of the people.

If they can do this, then please tell me how.
 

organiser

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At a minimum the HSE has to be reorganised. Bringing back the old Health Boards is not the answer either. Personally I think the Health system has to be organised around working seven days a week. Not the individuals but the system has to work every day. The hospitals have to "operate" seven days a week. There is no point to closing operating theatres early on a Friday afternoon and reopening them again late on Monday morning.

Several layers of management also need to be removed. There are several little things that would make a quick improvement.
..Give gestational diabetics an automatic green book.
..emphasise the "service" part of Health service.
..remove the 50c prescription charge.
..get long stay hospital patients into nursing homes where possible.
..operating theatres to be open 7 days a week.
..get rid of the 70/30 consultant contracts. Over 50% of us have insurance. The consultant contracts should be 50/50.
..review the dental medical card contracts. The present dental system is a mess.
..penalise those who miss appointments without due cause.
..there are many more that I could list here. Many of the changes require re-organisation rather than heaps of money.
 

escoline

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Mar 19, 2010
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The HSE as a concept is ok. It is poorly managed. Too many of the Health board managers were left in place with poorly defined jobs if any.
 

Merovingian

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The HSE as a concept is ok. It is poorly managed. Too many of the Health board managers were left in place with poorly defined jobs if any.
+1
They are not managers. They are administrators. The HSE is over administered, under managed
 

The Field Marshal

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Is it time to wind up the HSE?
That organisation is so wound up its own arsehole that you cannot put the clock back.

Start again from a blank sheet with the proviso that only half the total current numbers be employed with all compulsory redundancies to occur in the mid to upper management sections.
 

im axeled

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admni needs to looked at by a team from either the us or australia
the 50 cent pharmacy charge be changed to 1.50
gp visits to be charged at 5.00, with a max monthly charge.
an old fashioned time and motion survey to be undertaken in all hospitals, by two different teams one from the eu the other from canada
then having the political will to bring enforce the changes demanded by the survey teams
 

Merovingian

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Apr 27, 2010
Messages
1,584
admni needs to looked at by a team from either the us or australia
the 50 cent pharmacy charge be changed to 1.50
gp visits to be charged at 5.00, with a max monthly charge.
an old fashioned time and motion survey to be undertaken in all hospitals, by two different teams one from the eu the other from canada
then having the political will to bring enforce the changes demanded by the survey teams
Not a bad idea. 5.00 too lwo for the GPs. At that level you'll have to wait to see your GP as I've had to do when living in the UK. I like the same day availability of my GP here but the 50euro is too high for many. Time in motion would be a howl. Docs would love it..others not so much....
 
D

Dylan2010

The HSE is a self seving organisation as are the senior medical staff who see the service as their personal fiefdom. Imagine if you had to bring your car back to a garage 3 times in a week to see three different mechanics about a related mechanical problem. by the third visit you'd tell them to go F*** themselves and you wouldnt pay them , yet this is regular practice in what passes here as a health system.
 


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