What happens next
Our meeting went well, with just under 50 delegates attending. Many thanks to all those of you who struggled through the snow to it, and my sympathy to those who couldn’t make it. I’ve added the slides from each speaker here. I also recorded the presentations. For obscure reasons two of these recordings worked, and two did not, but the ones which worked will be up shortly.
We have now prepared a final report from the meeting which is here. This started as a set of notes from each working group, which Anthony Staines drafted into a document which was sent around twice for review by the speakers and contributors. Many thanks to all. The Irish Times also published an opinion piece based on this work.
Implementing Social Health Insurance in Ireland by Anthony Staines and contributors is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
List of speakers and links to their slides
- Prof. Peter Groenewegen – The 2006 Health Insurance Reform in the Netherlands – introducing universal coverage
- Dr. Steve Thomas – Challenges facing the adoption of SHI in Ireland
- Prof . Orla Hardiman – Life in the Acute Hospital sector
- Dr. Martin White – Paying for General Practice, the Past and the Future
|Date||Monday December 6th|
|Time||10am to 4pm|
|Location||Jury's Inn, Custom House Quay, Dublin.|
How can we deliver a fair, affordable health care system to the Irish public?
The woes of the Irish health services are well known. There has been an endless series of bad news stories from the service. The more fundamental issues are also well understood. Recent books by Sara Burke, Maeve Ann Wren, and Maeve Ann Wren and Dale Tussing have identified the issues with great clarity. In addition, two recent reports on resource allocation, one from Anthony Staines and colleagues in DCU and a blockbuster from Frances Ruane and colleagues in the ESRI have explored the financing of the Irish system in great depth.
Our health care system is, we believe, fundamentally flawed, and further tinkering around the edges will get us nowhere. A radical revision of how we deliver, pay for and organize health care is needed; a system which eliminates, once and for all, the two-tier system of health care; a system which puts patients at the heart of the service; a system which builds out from primary care.
The most coherent policy proposal made, so far, is to introduce some form of Social Health Insurance. Recent work from Stephen Thomas, Samantha Smith, Charles Normand and colleagues in TCD, funded by the Adelaide Hospital Society has outlined the feasibility and the affordability of SHI in Ireland. We now wish to consider some of the practical implications of doing this.
Supported by the DCU School of Nursing, I’ve arranged a one day seminar on implementing SHI in Ireland. Work with us to identify the problems, and find some of the solutions, in a one day interactive workshop, with talks from leading national and international experts.
|9:30||Registration and Coffee|
|10:00||Prof. Peter Groenewegen|
Director of NIVEL
|The 2006 health insurance
reform in the Netherlands: implementing universal coverage.
|10:30||Dr Steven Thomas,|
|Resource Allocation and the Irish Health Services.|
|10:45||Dr. Martin White|
|Paying for General Practice, the past and the future.|
|11:00||Prof. Orla Hardiman,|
consultant neurologist, Beaumont
|Acute care services and integrated care – a way forward|
|11:15||Question and Answer Session|
|11:45||Briefing for the afternoon workshops|
|Primary Care and General Practice
Acute Hospital Care
Long Term Care
Raising and allocating resources
All participants will receive a briefing pack before the meeting, to allow you to bring yourself up to date on the issues facing us. We will start the day with talks from our four speakers.
- Prof. Groenewegen is the director of NIVEL, the leading Dutch health services research institute, and has had a major influence on the implementation and evaluation of SHI in the Netherlands.
- Dr. Steven Thomas, is a health economist and policy analyst working in the Department of Global Health, TCD. He has done extensive work on the feasibility of social health insurance in the Irish health service.
- Dr. Martin White is a leading Irish GP, with a practice in Co. Meath.
- Prof , Orla Hardiman is a consultant nerologist, and a HRB clinical Scholar, with many years experience working in, and trying to improve, the Irish health services.
Then we will split into smaller working groups, covering Primary Care and General Practice, Acute Hospital Care, Long Term Care, Mental Health, Raising and allocating resources, each of which will report back to a final plenary session. A report from the meeting will be published, but will be circulated to all participants for comments first.
- The Irish health system European Observatory report
- Here you will find a detailed description of the Irish health services
- The Netherlands health system European Observatory report
- Here you will find a detailed description of the Netherlands health services.
- Evaluation of the Health Insurance Act
- Here is an evaluation of the recent changes in the Netherlands, by Peter Groenewgen and colleagues.Please read this!!
- Adelaide Hospital Society 1 : Social Health Insurance, Options for Ireland 2006
- This is the first in set of reports from Steve Thomas and Charles Normand.
- Adelaide Hospital Society 2 : Social Health Insurance, Further Options for Ireland 2008
- This is the second report, written by Steve Thomas, Charles Normand and Samantha Smith
- Adelaide Hospital Society 3 : Effective Foundations for the Financing and Organisation of SHI in Ireland 2010
- This is the third report, written by Steve Thomas, Padhraig Ryan and Charles Normand
- Adelaide Hospital Society 4 : Policy Paper 2010
- This is the (short) policy paper drawing on the work of the other papers. Please read this!!