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The recommendation, which was made in HIQA’s submission to the Committee on the Future of Healthcare, states this would drive quality and performance improvement, be based on high-quality information, and ensure accountability and value for money.
“Many of the major problems currently evident in our health and social care system, for example the ineffective use of public funds, service inefficiencies, inadequate planning, and poor oversight of service performance, could be addressed through the introduction of a strong commissioning model,” according to the submission.
“Good commissioning puts people using services first and, at a local level, involves them, their families, and carers in the decisions that affect them. It empowers people to have choice and control over their care and treatment as a means to secure improved care and better outcomes. Effective commissioning arrangements at both local and national levels not only ensure that services are designed and delivered to meet the needs of individuals and communities, but also instil a culture of accountability in the health and social care system.”
HIQA also recommends the best available data and evidence should be used in the introduction of any model of universal healthcare.
“Health technology assessment would be the ideal tool to define what treatments and interventions should be included in the health basket,” the submission states.
Other recommendations include the need to modernise the healthcare infrastructure by developing and sufficiently resourcing eHealth and ICT strategies and to introduce national safeguarding legislation that acknowledges the State’s responsibility to protect the most vulnerable in society and provides all health authorities with explicit powers of investigation and prosecution.