Frank dolphin hse chairman's speech to national healthcare conference 2011

National Healthcare Conference 2011

Dr. Frank DolphinChairman

HSE


• 2 out of every 5 people have medical cards

• Over 1.1m presentations to our 33 Emergency Departments

• In 2010 we treated over 1.3 million patients in our hospitals

• 10,000 older people received a Home Care Package


• Over 11 million home help hours were provided to 54,011 clients

• 74,418 babies delivery safely in 2010 -26% by caesarean

• 17,249 patients received orthodontic treatment

• GP out of hours services dealt with almost 900,000 contacts


• There were 5,727 children in care in Ireland, the majority of which (89%) were cared for by foster carers. and 8% are in residential care and the legal fees for this alone cost us in the region of 18 million

• Life expectancy for men is 0.7 years greater than the 2007 EU average (76.8), while for women it 0.5 years higher (81.6).

• Of the 108,000 HSE employees 48% are employed in primary and community services, 45% work in acute hospitals 3% work in national corporate services such as finance, procurement, HR etc, and the remaining 4% are in other service areas such as the National Cancer Control Programme, pre hospital care services.


• Some real progress has been made

• In 2010 over 1.3 million patients were treated in hospital.

• This represents a 4% increase over 2009 i.e. almost 50,000 more patients treated while reducing bed capacity by 1%


• A major theme of the HSE’s Service Plan 2011 is the implementation of the national clinical programmes

• For 2011 we are budgeted to reduce our costs by €680m while doing everything not to impact on the front line


€m

2010 Gross Current Estimate 14,139,64

Additional Medical CardsReductions Community (Demand led ) Schemes

90.0-424.0

PayRecruitment MoratoriumExit ProgrammeAdditional pension costs due to exit package4% levy on pensioners

-90.0-152.029.0-21.5

Non PayProcurement

-200.0

Other AdjustmentsNational Cancer Screening Service- transferSuperannuationClinical Indemnity Scheme (States ClaimsAgency)Long-Stay Repayments SchemePandemicDormant AccountsFunding for priority areas

10.557.036.0-17.0-55.0-2.356.4

Total 13,456.7

Total Reductions €962mTotal Increases €279mNet adjustment €683m


• The number of people over the age of 65 is projected to increase from over 500,000 now to over 1.3million in the next 30 years


• Primary Care Teams - provide services for over 2.8 million people, with 2,615 HSE staff members and over 1,300 GPs participating.


The effects of alcohol accounts for:

• over 10% of all general inpatient hospital costs,

• 14% of psychiatric hospital costs,

• 7% of GP costs

• Up to 30% of emergency department costs.


• For 2007, the total costs imposed by alcohol on the public health care system were estimated at €1.2 billion (CMO 2010)

• That is more than we spent on mental health services last year !!!!


Dr. Frank DolphinChairman

HSE

Health & Medicine

Frank dolphin hse chairman's speech to national healthcare conference 2011