Good Practice in Cross-Border Cooperation in the Irish Border Region ‘Cross-Border Cooperation for Health & Well Being’ 20th June 2017 Canal Court Hotel,

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Presentation transcript:

Good Practice in Cross-Border Cooperation in the Irish Border Region ‘Cross-Border Cooperation for Health & Well Being’ 20th June 2017 Canal Court Hotel, Newry Tom Daly, HSE & Director General CAWT

CAWT Partners Republic of Ireland Health Service Executive West and Dublin North East - border counties Northern Ireland Southern Health and Social Care Trust Western Health and Social Care Trust Health and Social Care Board Public Health Agency

CAWT - What we do Enable health services to be more accessible within border areas Attract EU funding to support the development of ‘additional’ services, based on local need Innovate – pioneer new ways of delivering health services and improving health and social care on a cross border basis

Our work on EU-funded projects EU Special Support Programme for Peace and Reconciliation (€6 million) 1996 to 2000: 7 project areas inc. acute hospital services, ambulance services, primary care, health promotion etc. EU INTERREG IIIA and PEACE II (€12.02 million) 2002 to 2008/9: 44 projects across spectrum of health and social care EU INTERREG IVA (€30 million) 2009 – 2014/15: 12 cross border of health and social care services Other On-going: NPP/Erasmus/Leonardo collaborative projects EU INTERREG VA – 2016 – 2020 Letter of Offer - €26m Project with Scotland - €13m

Achievements Over 40,000 patient/clients Health outcomes improved for many beneficiaries Significant investment in building capacity and early intervention approaches Strengthening of cross border relationships and networks Cross border implementation of programmes and services Barriers to two different health systems overcome Infrastructure for delivering cross health in place Strong partnerships with community and voluntary and other public services Significant mainstreaming has taken place Stimulation of ideas on future cross border health and social care activity

Cross border health: impact and reach of services Project Disability / Citizenship Outcomes for Children Social Inclusion GUM services Obesity Acute Services Older People Autism Alcohol Diabetes Eating Disorders Cross border Mobility

“Embedded” Services Oral – Maxillo Facial Surgery (North West) PPCI Service (North West) North West Cancer Centre (North West) All Island Paediatric Cardiac Surgery Service

North/ South - Today Belfast Agreement NSMC DHSSPS/ DoH CAWT 1992 Service Level Agreements NSMC Significant networks DHSSPS/ DoH Some “embedded” Service arrangements North/ South - Today CAWT 1992 “New” All-Island Paediatric Congenital Cardiac Surgical Service 1996 → (€48m EU) “New” Emergency Cardiology Service “New” €60m + Radio-therapy Unit EU Interreg V (€53m)

LEARNING Barriers can be overcome. Solutions can be found. Quality Services can be provided. A North/South or Cross-Border solution is not always the answer but where it is, it can be made work well ENDS