Review of acute hospital services in the Mid - Health Service Executive

Review of acute hospital services in HSE Mid-West
An action plan for acute and community services
In summary, these national transformation priorities are setting a direction of travel in which
more care is provided at home or as close to home as possible, and that when patients do
need acute hospital services, they will receive high quality care that is integrated with local
services and provides best value.
Review of acute hospital services in the Mid-West
The HSE commissioned Horwath Consulting Ireland Ltd and Teamwork Management
Services Ltd to undertake a review of acute hospital services in the HSE Mid-West, using
recognised international best practice as the comparator. We were asked to conduct our
study on an independent ‘fact-finding’ basis, as opposed to undertaking a process of ‘formal’
consultation with all interested parties.
Our primary objectives of this review, therefore, are to:
• Assess the appropriateness or otherwise of current acute hospital services in the Mid-
West;
• Define what these services need to look like in the future if they are to be in a position to
deliver services in line with international best practice standards;
• Determine the optimal supporting governance structure for these acute services; and
• Draw up an action plan to move safely from today’s model of care to the best practice
model of care.
Review of PCCC and its interface with acute care
To ensure full integration of the acute and the community aspects of the HSE Transformation
Programme, the original brief was extended to examine those elements of the PCCC
services that directly relate to the acute hospital sector. We are now also required to report
on:
• Estimating the future resources that PCCC will need if they are to reach their full potential
for helping patients avoid acute admission to hospital or be safely discharged from
hospital at an earlier stage in their recovery; and
• Identifying the PCCC actions required to achieve their full potential, and integrating these
actions into the overall action plan for delivering the new strategy for acute services in the
Mid-West.
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