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Ben RHM II - LZG.NRW

Ben RHM II - LZG.NRW

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ regional national local Cancer Society Radiology, pathology, surgery, oncology (Guidelines) Screening centre Central Invitation and recall Breast Cancer Screening (Szabolcs-Szatmár) SCREENING Local government Government Ministry Of Health National Public Health And Medical Officers’ Service NPHMOS Concreted Action against Breast cancer Physicians, Hospitals, - 150 - National Breast Workgroup National Public Health And Medical Officers’ Service County Institute Diagnostical and Medical Units women GPs Personal invitation, information, Group travel organising, patientcare patients Nyíregyháza, 2005.03.21. National Institute Of Oncology Law On Cancer Registry National Health Insurance Fund SURVEILLANCE supervision Cancer Registry CARE Breast Team Supervision, quality management

Benchmarking Regional Health Management II (Ben RHM II) ___________________________________________________________________________________________________________________________________________________________________ 5.2.8 Ireland (Dublin/Mid-Leinster and Dublin/North-East Regions) 38 1. Policy in relation to breast cancer screening is decided at national government level through the Department (Ministry) of Health & Children, e.g. the timing of the fi- nal rollout of the national programme now due to be achieved in 2007. 2. The Health Service Executive (HSE) was legally established with effect from 1 st January 2005 as a result of a major structural reform of the Irish health service. It has replaced the Eastern Regional Health Authority and all eleven of the former Health Boards and has also absorbed or taken responsibility for, a number of former semi- state health agencies. It has also taken over responsibility for the executive type func- tions of the Department (Ministry) of Health & Children, which will now concentrate on policy matters. In addition to its policy role, the Department had also been involved in some executive work and this will now be the responsibility of the HSE. A number of national directorates have been created, including a National Hospitals Office, a directorate of Primary, Community and Continuing Care (PCCC Care), and a directorate of Population Health. The detailed sub-structures under the HSE are still evolving. On its establishment the Chairman of the HSE has indicated that “ Ireland will have a single, unified health service with devolved and empowered decision making at local level …The regional offices will be responsible for performance management, translating national policies through the local areas and gathering and relaying information on a regional basis. Interaction with local communities and their public representatives will also be a key function. Hospitals and local structures for primary, community and continuing care will report to national directorates. This model of service delivery will bring decision making closer to the patient/client through the Local Health Offices.” The HSE is responsible for the delivery of all hospital and primary care services for breast cancer patients with the exception of those primary treatment services provided directly by the BreastCheck programme to those patients diagnosed as a result of the mammography-screening programme. 3. The National Cancer Registry, governed by a Board set up by legislation, conducts surveillance. This Board and the National Cancer Registry is expected in the future to report to a new body, the Health Information and Quality Authority (HIQA), which has also been more recently legally established under the health service reform 38 Author: Kieran Hickey, Health Service Executive, Dublin - 151 -

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