Health Service - reinventing the wheel

Dannyboy83

PPARS was before my time but this gave my the jist of it
http://www.irishhealth.com/article.html?id=8661

4 years overdue and hundreds of millions over budget, or so I've read.
It seems we tried to reinvent the wheel. And screwed up badly.




I saw the new plans for the health service today, the faircare UHI system.
http://www.irishexaminer.com/breakingnews/ireland/cabinet-approves-plan-to-overhaul-hse-533040.html

My first thought was that there seems to be little involvement from the Dutch.
Is it going to be a case of our government trying to 'reinvent' the wheel as usual? (and making a balls of it, as usual)
Why not just bring in the experts from Holland?

Delancey

This so-called re-organistion of the HSE is akin to the '' huge changes '' made to FAS , changes which amounted to little more than a new name ( FAS is now called SOLAS btw ).
With the same people in charge nothing will change....:rolleyes:

woodoo

Dannyboy83 wrote: »

PPARS was before my time but this gave my the jist of it
http://www.irishhealth.com/article.html?id=8661

4 years overdue and hundreds of millions over budget, or so I've read.
It seems we tried to reinvent the wheel. And screwed up badly.

PPARS is still in operation i think.

Sleepy

It's about all the minister is able to do at present to be fair. Can't see anyone letting him off the hook to make the necessary redundancies and large scale reform required, they're all too afraid of the unions.

dissed doc

Dannyboy83 wrote: »

....

My first thought was that there seems to be little involvement from the Dutch.
Is it going to be a case of our government trying to 'reinvent' the wheel as usual? (and making a balls of it, as usual)
Why not just bring in the experts from Holland?

You've raised two interesting points which will undoubtedly be entirely ignored and is a key matter in how the Dutch system works:


The Dutch system is heavily regulated, and if you are paying income tax and employed, you must pay for health insurance. My opinion in Ireland is that only around 30-40% of the working population will be targetted and a large portion will be exempted - much higher than in NL. No different to the property tax or income tax (compare a salary of e.g., 25k in Ireland, NL or Germany and see the income tax differences. Ireland is incredibly low tax for this group).

Secondly, the Dutch have incredibly comprehensive computer systems that integrates between services. For example, prescriptions can be emailed to pharmacies, patient reports can be sent electronically to GPs, etc., . All time is accounted for - meetings, and patient time (and very very comprehensively broken down - new appointments, review appointments, which employees (doctors, or whoever) were present). It allows pretty efficient audit. In Ireland, people will scream at being logged in this way. They will instead implement some sort of crazy UK type of beaurocracy with a a tag in and tag out system for doctors and every other group will be exempted, if it ever gets to that level.

We will end up with NHS style big brother protocol droids running things and US style restricted health care access for those lucky enough to be earning 40k+. Half the country will continue to pay nothing and not care.

The third point I'll add is culturally the Dutch work on a consensus driven model - not a hierarchically structured one like the UK or US. It is fundamentally different in society and also how administration works as there is no feudal-society type lord almighty at the top who directs clipboard mandarins and other serfs of varying Level 7.5 serf abilities.