Health and Wellbeing Healthy Ireland in the Health Services Health Service Executive Programme for Health Service Improvement Quarterly PMO workshop 13th September, 2017 Sarah McCormack, National Programme Lead Healthy Ireland

Healthy Ireland Framework 2013– 2025 A Framework for improved health and wellbeing 2013 – 2025.

Will refer to our new minister and junior minister xxx for health promotion

What is Healthy Ireland? Increase the proportion of people who are healthy at all stages of life Reduce health inequalities Protect the public from threats to health and wellbeing Create an environment where every individual and sector of society can play their part in achieving a Healthy Ireland Improving Health and Wellbeing in Ireland

Improving Health and Wellbeing in Ireland Why Healthy Ireland? 49% of Irish people over 50 have one chronic disease and18% have more than one 1 in every 10 people over 50 years of age has diabetes The major chronic diseases; diabetes, cardiovascular and respiratory disease will increase by 20% -30% in the next 5 years 1 in 5 of all of us will experience mental health problems in our lifetime 36,000 new cases of cancer are diagnosed each year Improving Health and Wellbeing in Ireland

Chronic Disease Chronic disease accounts for 76% of deaths, 80% of GP consultations, 40% of admissions, 75% of bed days and 55% of hospital expenditure in Ireland 6 6 6 6 6

Chronic Disease is largely preventable 7 7 7 7 7

Healthy Ireland A Framework for improved health and wellbeing 2013 – 2025. Healthy Ireland in the Health Services 2015 - 2017.

Healthy Ireland in the Health Services National Implementation Plan 2015 – 2017 Focuses on the biggest risk to our population’s health – the burden of chronic disease Capitalises on our large size, workforce and relationships with service users Builds on what we are already doing –– bringing people together Will use exciting external partnerships and structures Focuses on what will make this sustainable over 5 – 10 years

Healthy Ireland in the Health Services Implementation Plan 2015 - 2017 Three Strategic Priorities Best Assets ………... Workforce Health & Wellbeing Opportunities to embed approach through ………… Health Service Reform Our Biggest Challenge ………… Chronic Disease Prevention & Management

Strategic Priority: Health Service Reform Structural Reform Financial Reform Knowledge, Information and e-health Clinical Care Integrated Programmes and Models of Care National Policy Priority Programmes Corporate Plan 2015–2017 Opportunities to embed approach through ………… Health Service Reform Improving Health and Wellbeing in Ireland

Strategic Priority: Health Service Reform Our Biggest Challenge ………… Chronic Disease Prevention & Management Making Every Contact Count Selfcare Management Support Improving Health and Wellbeing in Ireland

Remarkable reach available to the healthcare system each year 4.6m people 1.8m have medical cards 70,000 babies born 3m clinical consultations 10.3m home help hours 20m prescriptions GP visits 20m 1.43m procedures Dental visits 1.3m 1.2m ED visits 5m Public Health Nurse contacts 290,000 Emergency Calls

Strategic Priority: Staff Health & Wellbeing 108,000 staff working in 2,594 workplaces Create healthy environments – smoke-free, healthy eating and encourage physical activity Create a culture of HI champions within the health service and retired staff Include staff as target group in social marketing campaigns Develop staff health & wellbeing strategy Best Assets ………... Workforce Health & Wellbeing Improving Health and Wellbeing in Ireland

Implementing the strategies Improving Health and Wellbeing in Ireland

Healthy Ireland in the Health Services 126 Actions/Projects 66 national level 60 actions at Hospital/CHO level 7 - Smoking 11 - Healthy eating 5 - Physical Activity 6 - Alcohol 10 - Wellbeing and Mental Health 14 - Healthy Childhood 7 - Positive Ageing Improving Health and Wellbeing in Ireland

Planning the Implementation National Projects = 66 H&WB the owner for 25 H&WB Supporting/Dependence on 41 60 Projects for CHO and Hospital Groups Improving Health and Wellbeing in Ireland

Enabling Implementation Each Hospital Group and CHO to develop their HI Implementation Plans 4 Hospital Groups plans now launched DML to launch plan in October 9 CHOs developing their plans in parallel ( 5 year Plan) Improving Health and Wellbeing in Ireland

Implementation Governance Structure Steering Group Healthy Ireland Lead

4 Step Methodology Establish Steering Group Deliver communication sessions Do AS IS Stock take to identify good practices Write and publish the plan

Standardisation – National Support A set of national actions are being identified for inclusion in all CHO Plans (via NPPPLs / NCGAL etc) Two Pillars in the plan Workforce Health & Wellbeing The Services we provide

Improving Health and Wellbeing in Ireland PHSI – PMO Resource Improving Health and Wellbeing in Ireland

Improving Health and Wellbeing in Ireland

Monitoring and Reporting Monthly Report to Leadership Team (via Dr Stephanie O’Keeffe and PHSI) circulated to the H&WB SMT and HI Advisory Group Monthly Performance Assurance Report H&WB Quarterly HSE HI National Advisory Group Quarterly H&WB Governance Groups Quarterly report to Department of Public Expenditure and Reform via Department of Health Quarterly Operational Plan Monitoring update Quarterly Hospital Groups Steering Groups CHO Steering Groups NPPPLs Implementation Groups Other key stakeholders as required

Monitoring and Reporting 2017 H&WB Operational Plan HI in the Health Services Implementation Plan To meet a number of report requirements (PAR) HI Projects standard report

Lessons Learned Size of the projects Complexity of projects Dependencies Timelines and deliverables Getting the time to PLAN Challenge of doling and management – PMs. Challenge - Minimise repetition – input progress once for many reporting requirements PM practices need to support the process not an entity in itself.

Concerns Project Vision Reporting

Health and Wellbeing Healthy Ireland in the Health Services Health Service Executive Programme for Health Service Improvement Quarterly PMO workshop 13th September, 2017 Sarah McCormack, National Programme Lead Healthy Ireland