1. 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

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

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

4. 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

5. 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

6. 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

7. Chronic Disease is largely preventable7 7 7 7 7

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

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. Implementing the strategies
Improving Health and Wellbeing in Ireland

16. 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

17. 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

18. 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

20. Implementation Governance Structure
Steering Group
Healthy Ireland Lead

21. 4 Step Methodology Establish Steering Group Deliver communication
sessions
Do AS IS Stock
take to identify
good practices
Write and
publish the plan

22. 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

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

24. Improving Health and Wellbeing in Ireland

25. 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

26. 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

27. 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.

28. Concerns
Project Vision Reporting

29. 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