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} Cover Story<br />

CUTTING EDGE<br />

INNOVATION<br />

By Martin Vella<br />

Talking about one of the people in Malta with the clea<strong>res</strong>t vision on how the future of healthcare looks<br />

like, what we have managed to accomplish with digitization, and what yet must be done to improve<br />

the state of health of all Maltese, Deputy Prime Minister and Minister for Healthcare Dr Chris Fearne is<br />

always looking for ways to improve the healthcare system and making it work for all. In this interview he<br />

tells us about opportunities and challenges lying ahead, and how we can be ready to meet them.<br />

Talking about one of the people in<br />

Malta with the clea<strong>res</strong>t vision on how<br />

the future of healthcare looks like,<br />

what we have managed to accomplish<br />

with digitization, and what yet must be done<br />

to improve the state of health of all Maltese,<br />

Deputy Prime Minister and Minister for<br />

Healthcare Dr Chris Fearne is always looking<br />

for ways to improve the healthcare system and<br />

making it work for all. In this interview he tells<br />

us about opportunities and challenges lying<br />

ahead, and how we can be ready to meet them.<br />

MBR: Malta’s healthcare system is ranked<br />

very highly, coming in amongst the top ones<br />

in Health International Indices. What are<br />

the defining aspects of the system?<br />

CF: Malta’s public health system delivers a<br />

comprehensive basket of health services to<br />

all citizens for free. The system is consistently<br />

placed amongst the top ones in the world.<br />

Lancet, probably the best medical journal,<br />

currently places us in the top ten.<br />

Maltese citizens enjoy one of the highest life<br />

expectancies in Europe, a very good gauge<br />

of our citizens’ health and the quality of our<br />

health services. More specifically, the country<br />

is doing very well according to many of the<br />

indicators of communicable disease and child<br />

development. After many years facing a host<br />

of issues such out of stock medicines and long<br />

waiting lists for appointments and surgeries,<br />

there is now a strong political commitment to<br />

provide a healthcare system that is accessible<br />

to all, of high quality, safe and sustainable.<br />

6 } Issue 10<br />

Scoring so high on Health Indices is a direct<br />

<strong>res</strong>ult of the competence and dedication<br />

of our entire staff, government’s everincreasing<br />

investment in the health sector<br />

and the effective leadership and vision of our<br />

management team.<br />

MBR: Mental health strategy and dementia<br />

– what are your policies and how are they in<br />

line with our ethos and social values?<br />

CF: We have just recently published a mental<br />

health strategy covering 2020-2030. Through<br />

it we will be modernizing current policy,<br />

refurbishing and strengthening our existing<br />

infrastructure and fol<strong>low</strong>ing a clear road map<br />

to achieve and p<strong>res</strong>erve mental well-being.<br />

For decades, mental health was grossly<br />

underfunded and kept in the shadows of other<br />

health services. This government has been and<br />

will continue to be determined to do everything<br />

to turn this round. With an investment of €6.4<br />

million this year alone, Mount Carmel Hospital<br />

will be undergoing a radical transformation and<br />

refurbishment. Its wards are being equipped with<br />

modern facilities and to the highest standards.<br />

The strategy emphasises the shift from<br />

hospital to community care, thus providing<br />

more accessible care and preventing patient<br />

institutionalisation. At the same time, a site for<br />

an acute 100-120 psychiatric patient facility on<br />

Mater Dei grounds has been identified.<br />

Mental health clinics will be placed in primary<br />

care settings, thereby integrating mental and<br />

physiological care.<br />

Four years ago it was estimated that over 6000<br />

people were suffering from dementia. This<br />

amounted to 1.5 per cent of the population<br />

and is projected to reach 3.5 per cent by 2050.<br />

This demographic will bring about a significant<br />

demand not only on the health and social<br />

care services but on society as a whole. The<br />

National Strategy for Dementia in the Maltese<br />

Islands (2015-2023) is aiming to implement a<br />

number of measu<strong>res</strong> in various management<br />

and care areas. Its key objectives include<br />

increasing awareness and understanding<br />

of the condition, timely diagnosis and<br />

intervention and staff development. This<br />

strategy also aims to promote an ethical<br />

approach to dementia management and care.<br />

It also provides patients and their care givers<br />

with the necessary psychological support. The<br />

ultimate objective is to maximise the quality of<br />

life in the circumstances of both patients and<br />

their carers.<br />

MBR: Can you provide some insights into<br />

the local healthcare system, the Ministry’s<br />

main policy priorities and the continued<br />

efforts to improve quality of life for Maltese<br />

citizens?<br />

CF: The key to an excellent health service<br />

is a strategy that keeps patients’ needs at its<br />

centre. For instance, we launched a national<br />

diabetes strategy which widened the range of<br />

free medicines, bolstered the distribution of<br />

free diabetes sticks and created a new ward for<br />

patients with complications in their legs and<br />

feet. We also launched a national cancer plan,<br />

opened a new oncology hospital and added

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