HSE Governance Arrangements 2013

– Health Service Directorate formally established and replaces existing Board of HSE –
– Tony O’Brien formally appointed as Director General of HSE –
– Directorate members announced –
– Regional Directors of Performance and Integration (RDPIs) announced –

New Governance arrangements announced for Health Services

As part of Future Health, the Government’s reform programme for the Irish health service, the Minister for Health, James Reilly T.D., signed into effect a number of changes to the governance arrangements of the Health Service Executive (HSE). These changes take effect from Thursday 25 July 2013.

Amongst the changes to governance announced is the disestablishment of the existing Board of the HSE and the formal establishment of the Health Service Directorate. In effect, the Directorate will replace the Board of the HSE.

Director General Designate of the HSE since July 2012, Tony O’Brien, has also been formally appointed by Minister Reilly as Director General of the HSE and Chairman of the Directorate.

A number of National Directors have also be appointed to the Directorate by Minister Reilly. These include Laverne McGuinness, Chief Operating Officer and Deputy Director General; Tom Byrne, Chief Financial Officer; John Hennessy, Director Primary Care, Ian Carter, Director Acute Hospitals; Pat Healy, Director Social Care; Stephen Mulvany, Director Mental Health; and Stephanie O’Keeffe, Director Health and Wellbeing.

The Integrated Services Directorate (ISD) of the HSE, which currently has responsibility for the delivery of all health and personal social services across the country including hospital, primary, community and continuing care services, will cease to exist. Responsibility for service areas currently within ISD transfers to the newly established Service Divisions. This process will allow the HSE to move towards a commissioning environment within a Healthcare Agency. The newly established role of Chief Operations Officer will have primary responsibility for overall performance management across the entire service, for service planning, and for ensuring that services are delivered in an integrated and co-ordinated way across all areas.

In parallel with these changes, four Regional Directors for Performance and Integration (RDPIs) have been appointed. These are David Walsh, HSE Dublin Mid Leinster; Angela Fitzgerald, HSE Dublin North East; Gerry O’Dwyer, HSE South; and Gerry O’Neill, HSE West.

The RDPIs will play a key role in the performance and integration of services at regional level, and ultimately will act as commissioning/contract managers within the Healthcare Agency. They will also, on an interim basis, take on the full range of delegated operational responsibilities currently held by the Regional Directors for Operations (RDOs), reporting directly to the relevant National Director for individual service areas.

Mr. Tony O’Brien, Director General of the HSE said: “The governance changes announced today are a further important step in the reform programme for the Irish health services which sees a more accountable architecture being put in place for the many important services that we deliver to so many people throughout the country. These changes follow other recent significant developments in health including the announcement of the six hospital groups.”