It’s unions but people won’t like to hear it. Any radical change would be stopped by unions.
I have family members working for the HSE in office roles and they say it’s soft, no pressure, no chance of getting sacked.
The role of unions is to protect against companies taking advantage. They are not to squeeze out the maximum benefits to the detriment of the organisation.
BREAKING NEWS!!!! Fire is indeed hot!
In other news, water is wet
It’s the same problem throughout the public sector.
Bad management in the private sector mean’s businesses don’t survive – that’s the difference.
The issue I think is that there is no incentive to change. People who take risks, or try to implement changes, are not supported and blamed for anything that happens because of the change. The system promotes the mediocre who keep their head down.
I don’t see any easy fix unfortunately.
So I wanted to remove a small mole. I called few private clinics, all of them told me that I need a GP reference. Okay, I call my GP, they charge me 60 euros upfront and tell me that they sent my reference to a local hospital where I need to get a check up. I get a letter from a hospital in a month or so saying that I am on a waiting list.
I forgot about the whole situation. Just remembered few weeks ago, called the hospital and they told me that I am no longer on a waiting list and I need to do it all again because they changed something internally how the waiting lists work. Did anyone contact me to let me know this? No. What did I pay for? Okay, half of it was reimbursed by my insurance but jesus how inconvenient all of it.
HSE is doing a lot for the Ukrainian war effort by assisting patients with acute problems from Ukraine. No mention of that ..
It will never be fixed. HSE during the boom was place for the government politicans to put their family into jobs.
It’s part of the big trough of corruption that permeates FF & FG politics.
Em it’s probably more parish pump politics
It’s particularly bad in the IT department. They could save so much time and money if they invested in a functional IT system but the management would still manage to fuck it up somehow.
I know 3 people that work in 2 different HSE hospitals as porters, admin and the likes. They work a 4 day week and get paid for 5. It’s a “wink wink” arrangement with their managers, and the managers of course do it. Apparently everyone that’s not a nurse is at it.
I get that the HSE is over staffed with management and administration staff, and that thinng those numbers would be hard because of the unions. Still no, from my perspective as someone whose family has seeing various specialist within the HSE I can see a huge pile of things that could be changed to save money and make the service work better without laying people off.
For example, the amount of inconsistencies between the way different services run their appointments and referral processes.
Different hospitals running different appointment in systems, and even within the same hospital I’ve experienced different departments handling appointments completely different to other departments. There is no centralisation of this sort of stuff which just causes inefficiencies. It wouldn’t be the hardest thing in the world to say that anyone availing of HSE services should have all their appointments arranged on a central HSE appointment database.
And the same goes for record keeping, even though it would be a bit more trickier to implement. One of my children has been attending a CHI hospital for some heart tests. The hospitals main computer system and and even it’s paper records department has absolutely no no indication that my son was there for those tests. This is because the department concerned handles its own appointments and record keeping opting out of the hospitals centralised system. What the fuck sort of bulshit is that?
There is a lot of fairly straightforward business process improvement stuff they could do to make the service run considerably more efficiently, but no one wants to do it.
Never forget the following. To encourage us to pay for private health care, the public health care service must be kept in a dubious and inefficient state.
Brendan Howlin’s after his sting as health minister, explained that the Government, he said, “really required the public system to be inferior. Why else, if it was first rate, would people pay for a private system?”
The service being bad is the goal, because it encourages you to go private.
Management is the problem you say? Better hire more managers in that case.
/s
I wonder how many people read the article and know that one of the proposed solutions is to spend more money on management.
Health outcomes and life expectancy versus health care spending per capita
The HSE should be broken up. Patients should be treated by hospitals, whether private, public or non-profit where they compete on price + outcomes. I don’t see the need for this very large bloated organization.
They need to take some sort of private audit to the entire HSE. It’s rotten to the core, full of management and not enough ground staff. Management trying to make more paperwork and bollocks for the ground staff so that they themselves have something to do for the day.
HSE, just like NHS, are completely obsolete systems that need to be build from scratch
The maternity department in the Coombe has pregnant women at all stages of pregnancy wait in a queue to be check-in. Something as simple as a ticketing machine would let them sit down at least. Everytime we go in there are admin errors though too, wrong files handed over, errors on files, really fundamental stuff too.
Re the “water is wet” debate which takes place in comments below: if water is not wet, then how can the wetness of wet t-shirt competitions be explained!!! Got yee didn’t I 🤠
So many people are utterly naive on this issue.
People enter admin in the public sector for the security and pension.
Given this, they are easily co-opted in to the “insider culture” and don’t rock the boat.
The public sector exists ultimately to provide the above-mentioned security to those within it…essentially it is tenure for life with half pay after retirement.
Given the above is incontrovertibly true what possible reason would any insider have to challenge or change it since the reason why they are there in the first place is the security the bloated inefficient beast provides.
No minister or government will make noticeable change. It simply is not in the nature of the beast.
Yes. That’s it.
I work as a community pharmacist. When people present me with a hospital prescription the volume of admin is absolutely insane, and God forbid you got a doctor that has prescribed something incorrectly or does not exist in this country.
Believe it or not a large proportion of times your GP will get absolutely 0 notification that you attended hospital especially if you were in A&E. Unless I forward to your GP your hospital letter alot of the time it never even happened. I don’t understand as something as basic as an online patient profile can’t exist in a country that is supposed to be one of the leading IT centres of the world
27 comments
It’s unions but people won’t like to hear it. Any radical change would be stopped by unions.
I have family members working for the HSE in office roles and they say it’s soft, no pressure, no chance of getting sacked.
The role of unions is to protect against companies taking advantage. They are not to squeeze out the maximum benefits to the detriment of the organisation.
BREAKING NEWS!!!! Fire is indeed hot!
In other news, water is wet
It’s the same problem throughout the public sector.
Bad management in the private sector mean’s businesses don’t survive – that’s the difference.
The issue I think is that there is no incentive to change. People who take risks, or try to implement changes, are not supported and blamed for anything that happens because of the change. The system promotes the mediocre who keep their head down.
I don’t see any easy fix unfortunately.
So I wanted to remove a small mole. I called few private clinics, all of them told me that I need a GP reference. Okay, I call my GP, they charge me 60 euros upfront and tell me that they sent my reference to a local hospital where I need to get a check up. I get a letter from a hospital in a month or so saying that I am on a waiting list.
I forgot about the whole situation. Just remembered few weeks ago, called the hospital and they told me that I am no longer on a waiting list and I need to do it all again because they changed something internally how the waiting lists work. Did anyone contact me to let me know this? No. What did I pay for? Okay, half of it was reimbursed by my insurance but jesus how inconvenient all of it.
HSE is doing a lot for the Ukrainian war effort by assisting patients with acute problems from Ukraine. No mention of that ..
It will never be fixed. HSE during the boom was place for the government politicans to put their family into jobs.
It’s part of the big trough of corruption that permeates FF & FG politics.
Em it’s probably more parish pump politics
It’s particularly bad in the IT department. They could save so much time and money if they invested in a functional IT system but the management would still manage to fuck it up somehow.
I know 3 people that work in 2 different HSE hospitals as porters, admin and the likes. They work a 4 day week and get paid for 5. It’s a “wink wink” arrangement with their managers, and the managers of course do it. Apparently everyone that’s not a nurse is at it.
I get that the HSE is over staffed with management and administration staff, and that thinng those numbers would be hard because of the unions. Still no, from my perspective as someone whose family has seeing various specialist within the HSE I can see a huge pile of things that could be changed to save money and make the service work better without laying people off.
For example, the amount of inconsistencies between the way different services run their appointments and referral processes.
Different hospitals running different appointment in systems, and even within the same hospital I’ve experienced different departments handling appointments completely different to other departments. There is no centralisation of this sort of stuff which just causes inefficiencies. It wouldn’t be the hardest thing in the world to say that anyone availing of HSE services should have all their appointments arranged on a central HSE appointment database.
And the same goes for record keeping, even though it would be a bit more trickier to implement. One of my children has been attending a CHI hospital for some heart tests. The hospitals main computer system and and even it’s paper records department has absolutely no no indication that my son was there for those tests. This is because the department concerned handles its own appointments and record keeping opting out of the hospitals centralised system. What the fuck sort of bulshit is that?
There is a lot of fairly straightforward business process improvement stuff they could do to make the service run considerably more efficiently, but no one wants to do it.
Never forget the following. To encourage us to pay for private health care, the public health care service must be kept in a dubious and inefficient state.
Brendan Howlin’s after his sting as health minister, explained that the Government, he said, “really required the public system to be inferior. Why else, if it was first rate, would people pay for a private system?”
The service being bad is the goal, because it encourages you to go private.
Management is the problem you say? Better hire more managers in that case.
/s
I wonder how many people read the article and know that one of the proposed solutions is to spend more money on management.
Can I refer you all to data is beautiful here on Reddit for a comparable
https://www.reddit.com/r/dataisbeautiful/comments/w5a653/oc_does_healthcare_spending_correlate_with_life/?utm_medium=android_app&utm_source=share
Health outcomes and life expectancy versus health care spending per capita
The HSE should be broken up. Patients should be treated by hospitals, whether private, public or non-profit where they compete on price + outcomes. I don’t see the need for this very large bloated organization.
They need to take some sort of private audit to the entire HSE. It’s rotten to the core, full of management and not enough ground staff. Management trying to make more paperwork and bollocks for the ground staff so that they themselves have something to do for the day.
HSE, just like NHS, are completely obsolete systems that need to be build from scratch
The maternity department in the Coombe has pregnant women at all stages of pregnancy wait in a queue to be check-in. Something as simple as a ticketing machine would let them sit down at least. Everytime we go in there are admin errors though too, wrong files handed over, errors on files, really fundamental stuff too.
Re the “water is wet” debate which takes place in comments below: if water is not wet, then how can the wetness of wet t-shirt competitions be explained!!! Got yee didn’t I 🤠
So many people are utterly naive on this issue.
People enter admin in the public sector for the security and pension.
Given this, they are easily co-opted in to the “insider culture” and don’t rock the boat.
The public sector exists ultimately to provide the above-mentioned security to those within it…essentially it is tenure for life with half pay after retirement.
Given the above is incontrovertibly true what possible reason would any insider have to challenge or change it since the reason why they are there in the first place is the security the bloated inefficient beast provides.
No minister or government will make noticeable change. It simply is not in the nature of the beast.
Yes. That’s it.
I work as a community pharmacist. When people present me with a hospital prescription the volume of admin is absolutely insane, and God forbid you got a doctor that has prescribed something incorrectly or does not exist in this country.
Believe it or not a large proportion of times your GP will get absolutely 0 notification that you attended hospital especially if you were in A&E. Unless I forward to your GP your hospital letter alot of the time it never even happened. I don’t understand as something as basic as an online patient profile can’t exist in a country that is supposed to be one of the leading IT centres of the world