HealtH Matters 55
rEFOrm
HSE moving to new
SERVICE DElIVERY MODEl
our organisation is moving to adopt a new model of service delivery that will support the integration of
hospital and community-based services. damien Mccallion, Integrated Services Programme Director,
reports on progress to date.
t
he Hse is continuing to develop a Care is essentially delivered at four levels: care is being introduced. this approach
model of service delivery that will 1. Primary Care Teams (7,000 – 10,000 is designed to enable significant
support the integration of hospital and population) improvements in patient access in the short
community-based services. The model 2. Community Health & social Care term with sustainable and more affordable
is designed to ensure that patients and Networks (30,000 – 50,000) healthcare in the longer term. the objective
clients are more likely to receive the type 3. Integrated Service Areas (100,000 – is to bring about results that will increase
and quality of care they need, when they 350,000) quality of life, reduce demand on services
need it and in the most appropriate setting 4. Tertiary Acute Services (500,000 plus) and reduce bed days.
and from the most appropriate health see diagram of service Delivery Model. Ultimately, the international evidence
professional or team of health professionals. suggest that the most effective
this emphasis is reflected in the 2010 national PrograMMeS oF Care improvements in health and social care
Hse service Plan that stresses the shift It is widely accepted that Chronic come by focusing on the processes that
of care from hospital to community and Disease management will be one of the deliver patient care. this will be a primary
an increase in the provision of day care in major challenges in the coming years focus of these programmes of care.
hospitals. It is also reflected in the approach for our health and social care system. Clinical Care Programmes will be headed
to some of our community based services, a programmatic approach to improving up by Clinical Care Programme Directors
for example in Mental Health.
Working within an integrated model,
staff will be able to focus on the totality
of needs of the patient and client. there
will be a strong focus on effective working
relationships across various services
designed to ensure that our patients
and clients receive the care they need
supported by teams of health professionals.
Implementation is already underway and
recent work has simply served to ensure
that the respective elements are brought
together. examples would include our
primary care strategy, the Vision for Change
programme in mental health, recent review
of childcare structures, development of
clinical directors and the various hospital
reconfiguration programmes.
Key is ensuring that hospital and
community-based services primarily focus
on populations in defined catchment areas
to help ensure a more integrated service for
the patients and clients in those areas.
HM Iss6.1 p1-70.indd 55 12/03/2010 15:16:49
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