An early version of the regional health areas (RHA) implementation plan was “not sharp enough” and lacked reference to the functionality between primary and secondary care, heard the RHA advisory group.
At the group’s meeting on 24 March, it was noted that responsibility for RHA implementation in the HSE had “been taken directly under the CEO’s office”. Mr Bernard Gloster, who became HSE CEO in early March, “has strong views on RHA substructures and envisages a scaled-back [HSE] centre,” according to meeting minutes seen by the Medical Independent (MI).
The advisory group heard that the RHA implementation plan was “still not sharp enough in relation to the HSE centre and the structures around RHAs”. There needed to be more reference to the health service providers outside of Hospital Groups and Community Healthcare Organisations.
“There is a lack of reference to the functionality between primary and secondary care. There needs to be a clear vision for integrated care at local level,” added the minutes.
The Government has committed to commencing RHA implementation next year.
The finalised implementation plan has since been approved and published.