Sign up now for ease of access to The Medical Independent, Ireland’s most frequently published medical newspaper, delivering award-winning news and investigative reporting.

  • receive the eCopy two days prior to the printed edition.
  • can partake in our online MCQs.
  • can enter our online sports quiz.


Medicalindependent.ie is Ireland's only investigative medical news website for doctors, healthcare professionals and anyone with an interest in health issues.

Established in 2010, along with its sister publication The Medical Independent, our stated aim is to investigate and analyse the major issues affecting healthcare and the medical profession in Ireland. The Medical Independent has won a number of awards for its investigative journalism, and its stories are frequently picked up by national digital, broadcast and print media. The Medical Independent is published by GreenCross Publishing.

Address: Top Floor, 111 Rathmines Road Lr, Dublin 6

Tel: 353 (01) 441 0024

GreenCross Publishing is owned by Graham Cooke.

You are reading 1 of 2 free-access articles allowed for 30 days

Pandemic showed importance of ‘devolving’ authority to frontline

By David Lynch - 21st Feb 2022 | 129 views

The recent 18th National Health Summit heard calls for the health service not “to return to type” and to build on “positive” changes during the pandemic. 

“Why was the system agile? It was because the traditional system, which was about the centre having all the authority and the frontline consultant and staff having the accountability and responsibility, well that system shifted overnight,” Dr Gabrielle Colleran, Consultant Paediatric Radiologist and IHCA Vice-President, told the online conference. 

Dr Colleran said the Covid crisis saw some “authority transferred to frontline staff… we designed care pathways, we re-imagined the way we provided care in an agile way”. 

“It really showed us the importance of devolving that authority to the frontline. Because what we saw before is when the control is really central and bureaucratic, it can be really hard to deliver improvements and deliver change. 

“Speaking from a consultant’s perspective, when you have the responsibility and accountability, but you don’t have the authority to issue changes and improve things, that is extremely frustrating and it does lead to burnout and leads to people leaving.” 

In this context Dr Colleran highlighted the importance of the planned six regional health authorities. 

She also said that “some aspects” of the use of telemedicine during the pandemic “really works”. 

However, according to Dr Colleran, bed capacity remained a serious challenge. 

“We in the IHCA say we need around 6,000 new beds,” she said. “Those beds will have to have the appropriate specialists, nursing staff….” She warned we are “careering towards a million people” on waiting lists. 

Dr Sara Burke (PhD), from the Centre for Health Policy and Management, School of Medicine, Trinity College Dublin, told that conference that much of the “universal nature of the response” of the health service to the pandemic was in line with the vision of Sláintecare. 

“We saw a system that responded agilely if not perfectly in all cases,” said Dr Burke. “But it did really well overall. Really important new pathways and trajectories for patients emerged so that they could get better access to care. 

“But I think it is important to take into account the amount of care that wasn’t accessed… we are reaping the downside of that now with those waiting lists in hospitals and also the community.” 

She warned there was “a very real risk that the system reverts to type”. 

“That we go back to doing what we did before rather than spring-boarding on the strengths that we have seen.” 

Leave a Reply

Latest
Latest Issue
medical news
The Medical Independent 19th May 2022

You need to be logged in to access this content. Please login or sign up using the links below.

Most Read