What would you do to sort out the HSE?

blackcard · 20-12-2015 05:30PM #1

We have had a succession of Ministers for Health from Mary Harney to Brian Cowen to Michael Martin to Leo Varadkar. We have thrown billions at the Health Service. Any time I am in a hospital, I have found staff to be hard working and professional. But we still have patients on trolleys and long waiting lists. I would say that there is no ideological differences between the various parties as to the type of service we should provide. What would you do to sort out the Health Service?

The Randy Riverbeast · 20-12-2015 05:32PM

Same way I would fix the trolley issue. Charge thousands for medical treatment. That way there are less people, its better funded and the poor will die off.

Ken. · 20-12-2015 05:44PM

Pay the managers/non medical people what we pay a nurse and pay a nurse what we pay managers/ non medical people.

The Backwards Man · 20-12-2015 05:44PM

Scrap it and bring back the health boards.

The Backwards Man · 20-12-2015 05:46PM

ken wrote: »

Pay the managers/non medical people what we pay a nurse and pay a nurse what we pay managers/ non medical people.

I was going to say pay them what they're worth but I suppose we can't have the managers starve either. :P

wendell borton · 20-12-2015 05:51PM

The Randy Riverbeast wrote: »

Same way I would fix the trolley issue. Charge thousands for medical treatment. That way there are less people, its better funded and the poor will die off.

I already thought that was official FG policy.

Means Of Escape · 20-12-2015 06:17PM

Put the new children's hospital to be in the midlands rather than Dublin on 30 acres where the whole country can have easier access to its kind if needed

Make every citizen contribute something to their future medical needs rather than it bring free.

blackcard · 20-12-2015 06:20PM

ken wrote: »

Pay the managers/non medical people what we pay a nurse and pay a nurse what we pay managers/ non medical people.

That might be the right thing to do but we would end up with a more expensive HSE

Fleawuss · 20-12-2015 06:46PM

It cannot be done by any political party that hopes to be re-elected.

Taxburden carrier · 20-12-2015 06:50PM

Allow workers that can't or won't do the job they're being paid for be sacked.

suicide_circus · 20-12-2015 06:52PM

Give it back to the nuns!

strandroad · 20-12-2015 06:58PM

Invest in 2nd level clinics to ease the pressure on hospitals. Hospitals are now dealing with everything above GP level, it's not a sustainable use of specialised resources.

Manage staffing levels better to reduce costly overtime and agency staff dependency.

Create a central patient database across all levels of care, with medical and prescription history etc. to reduce administration and patients taking up beds waiting for their test results to arrive.

There's this massive pressure on resources due to preventable conditions caused by obesity, smoking, alcohol etc but I honestly have no idea how to tackle that. People just seem to want to eat and drink themselves into an early grave, it just costs a lot in the process.

Earthhorse · 20-12-2015 07:00PM

I don't understand the HSE or the problems facing our health system and I don't think most people do either or the problem wouldn't be so bad.

Having said that a fairly safe bet is identify highly paid people doing next to nothing, get rid of them and use the excess funds to better pay the staff and invest where it needs it, in any failing organisation.

stimpson · 20-12-2015 08:18PM

Free GP care for all and medical cards only for those that actually need them (chronic and terminal cases only)

Specialun · 20-12-2015 09:12PM

Accountability

c_man · 20-12-2015 09:23PM

What would you do to sort out the HSE?

I don't really know what needs to be done exactly, and how this could be implemented. It seems like such a mess. But given the scenario and the constraints of the thread idea, I'd start with the following

1 - Select a group of doctors, admins and experts in the area.
2 - Give them 18 months to start a program with some initial deliverables. We want the best possible health care, lowest waiting times etc etc
3 - Failure to meet the targets and they'll all be taken out and shot.
4 - Repeat with new group of experts if necessary.

Eugene Norman · 20-12-2015 09:23PM

We're I health minister i'd ask high level managers in the HSE to provide a plan to fix the issue. They can ask for more money but the costs must be justified. If the plan is useless they are fired

Jimoslimos · 20-12-2015 09:25PM

Means Of Escape wrote: »

Put the new children's hospital to be in the midlands rather than Dublin on 30 acres where the whole country can have easier access to its kind if needed

Yes, remind me where the vast majority of children live in this country?

Could you also factor in the cost, not just of the hospital, but in providing adequate infrastructure (roads, railways, accommodation etc) so people can reach some sh1thole in the middle of nowhere to get medical attention or indeed work there?

blackcard · 20-12-2015 09:27PM

Eugene Norman wrote: »

We're I health minister i'd ask high level managers in the HSE to provide a plan to fix the issue. They can ask for more money but the costs must be justified. If the plan is useless they are fired

Didnt they try something like that with Brendan Drumm?

Keith186 · 20-12-2015 09:34PM

They could have a mandatory visit to the GP once a year (or two years at lower ages) where they nag you about eating healthier and doing more exercise kind of lecture tailored to the individual. If you don't go to that, you don't qualify for free treatment in hospital. Could improve general health by being more preventative.

20-12-2015 09:35PM

Employ the qualified staff that is needed open up the wards that are close in all the hospitals and create a on call home medical care group that can call on people who their GP at the moment has to send to hospitals for check ups and other minor cases like a change of dressing and others that can easily be done by the home medical care group, of course all of this will probably cost extra money so bring in a low cost health contribution program that is affordable by all.

Jawgap · 20-12-2015 09:42PM

1. Bring in a proper compulsory redundancy scheme to get rid of the the deadweight.

2. Re-organise, and close most of the units/sites - every poxy little town doesn't have to have a hospital.

3. Develop and apply unified coherent IT and Data strategies and invest in technology

4. Bring in proper managers (on fixed term contracts) to run the service and empower them to do so, reward and sanction based on outcomes, not outputs or processes

5. Introduce a strong primary care focus

Superhorse · 20-12-2015 09:48PM

As someone who worked in the HSE and walked away from a well paying job for life with a decent future pension I have to say it can't be fixed. I went in to the job from the private sector and literally was stunned at the waste and lack of accountability from top to bottom. I just couldn't work in that environment for any longer as it is sole destroying. Also the health service is being let run into the ground as a means of "encouraging" people to sign up for private health cover and that has been the policy of the last two governments.

thee glitz · 20-12-2015 10:27PM

Jimoslimos wrote: »

Yes, remind me where the vast majority of children live in this country?

Not Dublin?

Could you also factor in the cost, not just of the hospital, but in providing adequate infrastructure (roads, railways, accommodation etc) so people can reach some sh1thole in the middle of nowhere to get medical attention or indeed work there?

Would it cost more to build a hospital down the country? There are already roads, motorways even, and railways in place. Accommodation too in many places. Many thousand people spend hours commuting to and from Dublin every day, and not out of any love of the place. Providing services and creating jobs outside of there would be widely welcomed.

quickbeam · 20-12-2015 10:32PM

Get the Scandanavians to come in and run it for us.

While we're at it, can we ask them to run the whole country for us?

c_man · 20-12-2015 10:36PM

quickbeam wrote: »

While we're at it, can we ask them to run the whole country for us?

*groan* look can all the people who continually hark on about how great Scandinavia is, move to one of their countries? A surprisingly few amount of them do. I wonder why...

maudgonner · 20-12-2015 10:37PM

EHS

quickbeam · 20-12-2015 10:39PM

c_man wrote: »

*groan* look can all the people who continually hark on about how great Scandinavia is, move to one of their countries? A surprisingly few amount of them do. I wonder why...

Actually, there's a very good chance I will.

Jimoslimos · 20-12-2015 10:43PM

thee glitz wrote: »

Not Dublin?

I should have said population density.

Regardless my point stands.

thee glitz wrote: »

Would it cost more to build a hospital down the country? There are already roads, motorways even, and railways in place. Accommodation too in many places. Many thousand people spend hours commuting to and from Dublin every day, and not out of any love of the place. Providing services and creating jobs outside of there would be widely welcomed.

It wouldn't cost more to build. It most definitely would cost more to run, and you're living in cloud cuckoo land if you think the infrastructure and services are adequate in the midlands to support it.

I'm all for developing areas outside of Dublin, but just plonking a big hospital in the middle of nowhere isn't the right way to go about it.

c_man · 20-12-2015 10:45PM

quickbeam wrote: »

Actually, there's a very good chance I will.

Ha! Well good for you. You'd be the first I've ever heard of doing so, during the crash all the main proponents of the Nordic model I knew from college fuked off to Oz, Canada and the UK. I just knew one guy who got a job in Finland. Threw it in after six months saying they were the most boring, alcoholic nation and he'd go daft.

Ken. · 20-12-2015 10:47PM

Even outside Dublin a bit would have done. Somewhere between Citywest and Naas. There's lots of greenfield sites and the closer to Citywest means you just have to add a bit to the already existing Luas line.

What would you do to sort out the HSE?

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