1. 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

2. 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

3. 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

4. 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

5. 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

6. 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

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

8. 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)

9. 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