Disability Federation of IrelandNational ConferenceNovember 21-22nd 2007

Working together for the future

Ger Reaney

Local Health Manager

Looking to the future

Role of voluntary organisations in innovation and shaping the future

Identifying needs Raising awareness Initiating service responses No. and range of voluntary organisations in

Ireland Participation of people with disabilities in

voluntary organisations

Looking forward

What the future might look like Enrolled in local primary care teams Inter-disciplinary teams with shared file Majority of service needs met by PCTs In other cases PCTs arrange and manage

care Primary care teams will have ready access to

information and support as required on particular conditions

What the future might look like Effective joint working between primary

care team and specialist providers (may be in voluntary sector)

Modern spacious accessible buildings Accessible public transport Comprehensive assessment of health and

education needs

Getting to the Future -PCCC Transformation programme

Structures and systems (over the years) that reflect the growing complexity of skills and expertise that is needed,

but this has at times led to fragmented services and created a difficult journey for the service user as they try to access different services

Aims of PCCC Transformation Programme

Aim is that users can easily access (as close to home as possible)

a broad spectrum of health and social care services through their

local primary care team, delivering easy to navigate Integrated Pathways of Care

Majority of service needs met by PCTs In other cases PCTs arrange and manage care

How Will the New Model of Service Delivery Work ?

Primary Care Team: majority of services will be provided by core members of the Primary Care Team

Health and Social Care Network: Where the Team forms the opinion that a user has a complex set of needs requiring input from more specialised staff

Acute Hospital Network: Sharing of resources and service provision between Hospitals, Networks and Teams

Primary Care Teams

Opportunity for engagement with local community

Contribution of voluntary sector to shaping of Transformation Programme

Need to maintain quality, specialist knowledge and expertise in transition to new system

Primary Care Teams

Mapping exercise – 566 primary care teams

Population of 7000 – 10000 per team Included in Towards 2016 and in

Programme for Government Population based approach to health care

National disability strategy

Multi-annual investment programme Disability Act EPSEN Act Sectoral plans

Disability Act

822 applications to 31/10/07 Standardised approach to assessment of

need Not influenced by availability of resources

of services Report on unmet need for government

The Future - Challenges

Standards, HIQA Complaints process under Health

Act 2004 Recommendations in C & AG

report Access to appropriately qualified

staff Increasing expectations v scarce

resources Increasing role for private sector Emerging service interventions

Working together at present - Co-ordinating committees

Model of partnership working Forum for service user involvement in

service planning and prioritisation Variable effectiveness Needs alignment to new HSE structures Working group established

Working together at present

Framework of engagement between HSE and voluntary sector at national and local level

Partnership approach to current issues Working groups around adult day services,

congregated settings, implementation of disability act, etc.

Early intervention services Shared posts

Working together – in the future

Opportunities for increased levels of collaboration

Transformation programme Need to provide PCTs with specialist

information, expertise and support Challenge in reaching 566 teams

Working together – making it happen – statutory organisations

Leadership Promote joint working Commitment Information and awareness of range and role of

voluntary organisations Recognise complementary roles, skills and expertise Management framework Ensure clarity re roles, remit, boundaries and protocols

Working together – making it happen – voluntary organisations Looking to the future Awareness of environment, Impact of mainstreaming Identify strengths Commitment Take initiative Clarify mission….advocacy, information, support, health

services, social care services, etc.

In Conclusion

Invite you to continue your engagement at national and local level to ensure that health services in the near future promote the inclusion and well being of people with disabilities to the maximum.

Thanking You Ger ReaneyLocal Health Manager, HSE

Disability Federation of IrelandNational ConferenceNovember 21-22nd 2007

Working together for the future

Ger Reaney

Local Health Manager