Tuesday, 26 February 2013

Questions (633)

Billy Kelleher


633. Deputy Billy Kelleher asked the Minister for Health if, in view of the fact that Scotland and New Zealand, countries of similar population to Ireland, have experienced difficulties with independent hospital trusts, he considers this to be an appropriate model to follow here; and if he will make a statement on the matter. [9613/13]

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Written answers (Question to Health)

In preparing the Report on the Establishment of Hospital Groups as a Transition to independent Hospital Trusts, consideration was given to a wide breadth of international and national academic literature and reviews on relevant issues such as hospital reform, quality healthcare provision, financial management of healthcare, academic health linkages and organisational reform. As part of this work, cognisance was taken of the findings of the comparative review carried out by the Health Research Board (HRB) of independent hospital trusts in a number of countries and the factors identified as contributing most to successful trusts. These considerations, and the comprehensive consultation process undertaken with stakeholders, have informed the development of recommendations on the formation of specific groups and arrangements for the management and governance of all groups. These recommendations have been considered and endorsed by a Strategic Board composed of representatives with national and international expertise in health service delivery, governance and linkages with academic institutions.

Lessons learnt from other jurisdictions as well as the learning gained from the operation of the hospital groups will be taken on board in creating the legislative framework for hospital trusts here. The intention is, of course, that the trusts and the reformed health system within which hospital trusts will operate will be designed in a way that best suits Irish requirements and this will be done in a way that seeks to avoid difficulties encountered in other jurisdictions.