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Service Delivery<br />
Community Healthcare<br />
Primary Care<br />
Introduction<br />
The development of primary care services<br />
is a key element of the overall health<br />
reform programme. A decisive shift to<br />
primary care in the Irish health system is<br />
required to bring about improvements to<br />
the health and wellbeing of the population<br />
and better integrated health services. The<br />
key objective is to achieve a more<br />
balanced health service by ensuring that<br />
the vast majority of patients and clients<br />
who require urgent or planned care are<br />
managed within primary and community<br />
based settings, while ensuring that<br />
services are:<br />
• Safe and of the highest quality<br />
• Responsive and accessible to patients<br />
and clients<br />
• Highly efficient and represent good value for money<br />
• Well integrated and aligned with the relevant specialist services.<br />
2017 Budget<br />
Primary care services include primary care teams (PCTs), community healthcare network services, general<br />
practice, schemes reimbursement, social inclusion and palliative care services.<br />
€m<br />
2016 Budget<br />
€m<br />
Primary Care 808.1 777.3<br />
Social Inclusion 133.3 129.9<br />
Palliative Care 76.5 75.6<br />
Sub-total 1,017.8 982.7<br />
PCRS 2,560.7 2,555.6<br />
Local Demand-<br />
Led Schemes<br />
249.6 246.6<br />
Sub-total 2,810.4 2,802.3<br />
Total 3,828.2 3,785.0<br />
Full details of the 2017 budget are available in Appendix 1<br />
Table 3, pages 55-56<br />
PCRS budget figures take account of the Framework Agreement<br />
with IPHA<br />
Priorities and priority actions 2017<br />
Improve quality, safety, access and responsiveness of primary care services to support the<br />
decisive shift of services to primary care<br />
• Deliver integrated care programmes for chronic disease prevention and management in primary care<br />
• Strengthen and expand Community Intervention Team (CIT) / Outpatient Parenteral Antimicrobial<br />
Therapy (OPAT) services<br />
• Consolidate the provision of ultrasound and minor surgery services in primary care sites and expand<br />
provision of direct access to x-ray services within existing resources<br />
• Strengthen governance arrangements to support packages of care for children discharged from<br />
hospital with complex medical conditions to funded levels<br />
• Implement the recommendations of the GP Out of Hours, Primary Care Eye Services and Island<br />
Services Reviews<br />
National Service Plan 2017 20
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