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Bengoa review: Radical health care shake-up unveiled Bengoa review: Radical health care shake-up unveiled
(35 minutes later)
A radical shake-up of Northern Ireland's health and social care system to make it fit for the 21st Century is being unveiled. A radical shake-up to make Northern Ireland's health and social care system fit for the 21st Century has been unveiled.
Health Minister Michelle O'Neill is setting out a 10-year plan to improve a system at "breaking point". Health Minister Michelle O'Neill has set out a 10-year plan to improve a system at "breaking point".
She is listing 18 time-specific actions based on the Bengoa Report. She outlined 18 time-specific actions based on the Bengoa Report.
The report does not mention hospital closures, but services within the trusts will have to meet criteria to prove they are viable and to stay open.The report does not mention hospital closures, but services within the trusts will have to meet criteria to prove they are viable and to stay open.
The report has three goals - transforming the health service; reconfiguring services and instituting immediate change. Opposition politicians have questioned the lack of details in the plans.
The report has three goals - transforming the health service, reconfiguring services and instituting immediate change.
'No quick fix''No quick fix'
It was commissioned by Stormont ministers seeking advice on how to improve services, cut waiting lists and care for an aging population.It was commissioned by Stormont ministers seeking advice on how to improve services, cut waiting lists and care for an aging population.
The aims of the report, Systems, Not Structures, include delivering: The priorities outlined in Ms O'Neill's 10-year plan, Delivering Together, include:
The health system in Northern Ireland "has not changed quickly enough to meet the demands and needs of the population", Ms O'Neill told MLAs. Northern Ireland's health system had not changed quickly enough to meet the needs of the population, Ms O'Neill told MLAs.
"Our current delivery models have had a negative impact on the quality of care. The current model is unsustainable. "Our current delivery models have had a negative impact on the quality of care," she said. "The current model is unsustainable.
"If we continue as we are now, the system in 10 years would need 90% of the entire Executive budget.""If we continue as we are now, the system in 10 years would need 90% of the entire Executive budget."
The minister said the report did not offer "a quick fix". The minister said her report did not offer "a quick fix".
'No Big Bang''No Big Bang'
"We have an opportunity for a 'fresh start', supported by the Executive - not just the will of one minister or one department," she said."We have an opportunity for a 'fresh start', supported by the Executive - not just the will of one minister or one department," she said.
"There is total agreement across the Executive that this needs to be done. Changing the health system is the right thing to do, it's the right time to do it and it is right for the people who use it. "There is total agreement across the Executive that this needs to be done.
"This change will be planned, managed, incremental- this is not a 'Big Bang'. "This change will be planned, managed, incremental - this is not a 'Big Bang'.
"Meaningful change does not happen overnight- this will take time, money and the support of staff, those who use our health and social care services as well as the support of government." Meaningful change did not happen overnight, said Ms O'Neill, and would require time, money and the support of government, staff and those who use our health and social care services.
Mrs O'Neill said that by early next year, a plan to tackle waiting lists would be drawn up. Mrs O'Neill said a plan to tackle waiting lists would be drawn up by early next year.
By Spring, there would be investment to ensure every GP practice has a named district nurse, health visitor and social worker, she said.By Spring, there would be investment to ensure every GP practice has a named district nurse, health visitor and social worker, she said.
Further support for looked after children - children for whom the state has taken on parental responsibility - would be in place by late 2017, she added.Further support for looked after children - children for whom the state has taken on parental responsibility - would be in place by late 2017, she added.
MIchelle O'Neill said she is also keen to explore new roles for example, advanced nurse practitioners and physician associates. Michelle O'Neill said she was also keen to explore new roles such as advanced nurse practitioners and physician associates.
She is increasing the number of GP training places to 111. Next year, there will be 12 additional places and there will be 14 extra the following year. She is increasing the number of GP training places to 111. Next year, there will be 12 additional places, with 14 more the following year.
Opposition MLAs have criticised the health minister's response to the Bengoa report, with Ulster Unionist health spokesperson Jo-Anne Dobson questioning the lack of detail in the minister's vision.
The SDLP's Mark H Durkan said a "spectre of doubt" hung over the plans.
'Ambitious, and wholly necessary''Ambitious, and wholly necessary'
Professor Rafael Bengoa, chair of the expert panel behind the report, said Northern Ireland's health and social care system faced "a stark choice".Professor Rafael Bengoa, chair of the expert panel behind the report, said Northern Ireland's health and social care system faced "a stark choice".
"It can either resist change and see services deteriorate to the point of collapse over time, or embrace transformation and work to create a modern sustainable service that is properly equipped to help people stay as healthy as possible and to provide them with the right type of care when they need it," he said."It can either resist change and see services deteriorate to the point of collapse over time, or embrace transformation and work to create a modern sustainable service that is properly equipped to help people stay as healthy as possible and to provide them with the right type of care when they need it," he said.
"We have tried to produce a report that will make a practical contribution to implementing change and which will support the minister's ambitious, and wholly necessary, roadmap to reform."We have tried to produce a report that will make a practical contribution to implementing change and which will support the minister's ambitious, and wholly necessary, roadmap to reform.
"Transformation will not be simple, but the panel has no doubt that Northern Ireland has both the people and the energy to deliver a world class health and care system.""Transformation will not be simple, but the panel has no doubt that Northern Ireland has both the people and the energy to deliver a world class health and care system."