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HSE risks ‘inability to pay’ staff

01 May 2015

Computer systems failure could lead to an inability to pay staff and suppliers, a top level HSE document has warned.

“Lack of connectivity between different information technology systems remains a risk for the HSE. Failures may occur due to inadequate information technology development and maintenance in key business support areas,” concluded the Executive’s Corporate Risk Register, approved by the HSE’s Leadership Team recently and seen by IMT.

A lack of a clear and effective governance framework and arrangements for the health service could result in a “lack of appropriate oversight, accountability and system failures”, the HSE’s Risk Register warns.

Another significant risk the HSE faces relates to the capacity of the health system to deliver adequately on the requirement for services for older people, due to the absence of significant capital investment to bring public long-stay residential care facilities in line with HIQA standards.

Work will be carried out in conjunction with HSE Estates to assess the capital works now required in the 1,100 locations that are subject to inspection, in line with HIQA standards. There is a further risk that patients will not be treated in an appropriate location due to delays in processing and funding for the Fair Deal scheme, the Risk Register warns.

A lack of investment in IT in the health system could lead to risk of lack of delivery of “connected health services”, while risks associated with health service realignment change programmes and transitional arrangements were also highlighted in the report.

A further risk associated with effectively managing Service Level Agreements with section 38/39 agencies was also stressed, and thus the Executive has now called for “ministerial support and a realignment of service delivery models to match funding and staffing”.

The register also cites current demand for acute hospital care exceeding capacity, with the resulting overcrowding in departments, poor patient experience times and ambulance delays. Action was required in regard to unscheduled care and the National Clinical ED programme, it pointed out, while also identifying a need to ensure bed capacity for the “winter season”.

gary.culliton@imt.ie

paul.shinnors

Click here to view the full article which appeared in Irish Medical Times