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Bengoa review: Ambitious health care shake-up unveiled | Bengoa review: Ambitious health care shake-up unveiled |
(35 minutes later) | |
An ambitious plan to make Northern Ireland's health and social care system fit for the 21st Century has been unveiled. | An ambitious plan to make Northern Ireland's health and social care system fit for the 21st Century has been unveiled. |
Health Minister Michelle O'Neill said the 10-year plan would improve a system at "breaking point". | Health Minister Michelle O'Neill said the 10-year plan would improve a system at "breaking point". |
Its 18 time-specific action points are based on recommendations from a government-appointed panel. | Its 18 time-specific action points are based on recommendations from a government-appointed panel. |
Hospital closures are not mentioned, but services will have to meet criteria to prove they are viable, she said. | Hospital closures are not mentioned, but services will have to meet criteria to prove they are viable, she said. |
Opposition politicians have questioned the lack of details in the plan, which is not costed. | Opposition politicians have questioned the lack of details in the plan, which is not costed. |
'No quick fix' | 'No quick fix' |
Northern Ireland's health system had not changed quickly enough to meet the needs of an ageing population, and was unsustainable, Ms O'Neill told MLAs. | Northern Ireland's health system had not changed quickly enough to meet the needs of an ageing population, and was unsustainable, Ms O'Neill told MLAs. |
"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." |
Her plan sets out a range of priorities, including a focus on keeping people healthy in the first place, and a new model of care involving a team of professionals based around GP surgeries. | |
The proposals set out in the report, Delivering Together, include: | |
The minister said her plan did not offer "a quick fix". | The minister said her plan did not offer "a quick fix". |
"This change will be planned, managed, incremental - this is not a "Big Bang," she said. | "This change will be planned, managed, incremental - this is not a "Big Bang," she said. |
Meaningful change would require time, money and the support of government, staff and those who use our health and social care services, she added. | |
Analysis: Chris Buckler, Ireland correspondent, BBC News | Analysis: Chris Buckler, Ireland correspondent, BBC News |
This is a report with recommendations. But they are broad in their ideas and their ambitions. | This is a report with recommendations. But they are broad in their ideas and their ambitions. |
And certainly, at this stage, many are lacking in detail and questions remain on how they will be funded. | And certainly, at this stage, many are lacking in detail and questions remain on how they will be funded. |
Read more here. | Read more here. |
First Minister Arlene Foster said the plan represented a challenge the Executive was going to meet head on. | First Minister Arlene Foster said the plan represented a challenge the Executive was going to meet head on. |
Deputy First Minister Martin McGuinness added that change was required, and "the only question is whether it will happen in a controlled, planned fashion or unfold out of control". | Deputy First Minister Martin McGuinness added that change was required, and "the only question is whether it will happen in a controlled, planned fashion or unfold out of control". |
But opposition MLAs criticised the proposals, with Ulster Unionist health spokesperson Jo-Anne Dobson questioning their lack of detail. | But opposition MLAs criticised the proposals, with Ulster Unionist health spokesperson Jo-Anne Dobson questioning their lack of detail. |
The SDLP's Mark H Durkan said a "spectre of doubt" hung over the plans, while TUV leader Jim Allister said they were merely "recycling of a great plethora of fine words". | The SDLP's Mark H Durkan said a "spectre of doubt" hung over the plans, while TUV leader Jim Allister said they were merely "recycling of a great plethora of fine words". |
'Ambitious, and wholly necessary' | 'Ambitious, and wholly necessary' |
A review into Northern Ireland's health service was commissioned in January by Stormont ministers seeking advice on how to improve services, cut waiting lists and care for an aging population. | A review into Northern Ireland's health service was commissioned in January by Stormont ministers seeking advice on how to improve services, cut waiting lists and care for an aging population. |
Professor Rafael Bengoa, chair of the expert panel behind the review, said Northern Ireland faced "a stark choice". | Professor Rafael Bengoa, chair of the expert panel behind the review, said Northern Ireland 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," 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," he said. |
"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." |