Editorial

The perpetual circle of health restructuring

Not long after the appointment of a new HSE CEO and board, and another round in what seems to be the never-ending process of internal reorganisation, the announcement was made that the health service would be divided into six regional areas. The division is based on recommendations in the Sláintecare Report, which called for the…

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Lack of continuity at top of HSE threatens quality improvement

Institutional memory is the collective knowledge and learned experiences of a group. It is a way for an institution to connect what has worked well in the past, with what could work well in the future. Losing key staff members with in-depth familiarity of a given area poses a threat to the continuity needed for…

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Challenging negative attitude towards general practice

Towards the end of Somerset Maugham’s coming of age classic Of Human Bondage (1913), the lead character Philip Carey is placed with a GP as a newly-qualified doctor. The GP in question, Dr South, is elderly and irascible. One of the chief subjects of his scorn are the young doctors who come to work as…

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Art of the interview

It has been difficult to escape the Maria Bailey debacle in recent weeks. Alongside the resignation of Theresa May as British Prime Minister and the European election results, the Fine Gael TD’s lawsuit against the Dean Hotel in Dublin for alleged injuries, following a fall from an indoor swing, has dominated the news agenda at…

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Heading the HSE — holding a tiger by its tail

If you were to become head of the HSE, what is the first thing you would do? Taking over such a large and complex organisation makes the need to prioritise essential. To an extent, the priorities of the new HSE Director General (DG) Mr Paul Reid have been set for him by the Executive’s precarious…

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Where now for the NAGP?

In the previous issue, our editorial sought to strike an optimistic note. The new deal for general practice promised an end to cuts associated with the FEMPI era. The optimism was evident at the IMO AGM, where the new deal was positively greeted. For the first time in a long while, the future looks bright…

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The end of the beginning?

In his inaugural address as IMO President Dr Padraig McGarry referred to the new GP deal as the “end of the beginning”. He was talking, of course, about the end of FEMPI, and the potential that this offers for a new dawn for general practice. As chair of the IMO GP Committee, he was a…

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Worrying trends confirmed before IMO AGM

The new Medical Workforce Intelligence Report, published by the Medical Council, confirmed trends that will come as no surprise to anyone who has followed the recruitment and retention problems in the health service. For every two hospital consultants retaining registration in 2018, there were three NCHDs retaining registration. Of note, 4,141 of the 7,687 NCHDs…

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The expansion of public health

Over the past two issues of the Medical Independent, we have devoted significant coverage to the theme of public health. In the previous issue (4 April), Niamh Cahill examined the implications of the Crowe Horwath report on public health doctors and whether the specialists will be finally accorded the status of ‘consultant’. In this issue,…

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Raising awareness of policy debates

Awareness weeks play an important role in increasing the public’s knowledge of a particular disease or medical issue. Patient advocates and health professionals also use these opportunities to relay messages to politicians about what needs to be done in a particular area. While raising public awareness might sound straightforward, the issues involved can be complex.…

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