Audit warns thousands of unsuitable workers may have permanent health service jobs

25 comments
  1. > The HSE’s failure to assess the performance of new recruits during probationary periods means potentially thousands of unsuitable workers are getting permanent jobs in the health service, an internal audit has warned.

    > A report by HSE auditors found only 1,320 out of 4,695 new employees hired by the HSE in the greater Dublin region had a probation record – the equivalent of almost three in every 10 new staff.

    > It said the audit’s findings meant the HSE had no record as to whether the majority of new employees had performed satisfactorily before their probation period had expired.

    > …

  2. We’ll never be able to fix the HSE without the introduction of modern working practices, including holding people responsible for their work (or lack of it), and I don’t think the appetite is there with the public to do this. I’m not talking about the front-line workers, I’m talking about the layers of admin staff and “management” who hide behind them. A health service needs management, but the stats would suggest that we should be getting a far better level of service for the level of resources we are providing. Simply pouring more and more tax money into a pit is not the answer.

    Put simply, people need to be let go if they are not doing their job. And people who want to implement change should be rewarded.

  3. I looked at a HSE job recently in IT and the salary was about half of what you’d get in the private sector, you have to wonder why someone would work for half pay.

  4. Think I remember a story where HR in a major hospital were unable to say how many employees the hospital had, i think they either didn’t keep those records or weren’t able to find out…

  5. Performance management and outright abolition of unions (or just ignore them completely) is the answer for anyone who wants to improve the public or civil services.

  6. So we don’t know whether the HSE’s individual contributors passing probation are competent or not, but we do know for sure that their managers who can’t be arsed to evaluate them are clearly not doing their jobs, so maybe the sacking of “unsuitable” employees should start there…

  7. If this was the case in the private sector the business would have went under long ago… Hence why you need to PIP’s in place…

  8. This was an internal audit. It’s a bad sign for an organisation when even their investigations of themselves are this disappointing.

  9. I’m not saying this because she’s my ex-wife but she’s a high grade in the HSE and in no way qualified.

    Her (now retired) mother got her the job after the leaving and has just failed upwards all the way. Partly because she knows where the bodies are buried and partly because she is on first name terms with Varadkar.

  10. Yet if you mention that some of the public service is not fit for purpose you are public enemy number one. Billions of euro are dumped into the HSE and there is no accountability, and this proves it

  11. I’ve heard the Irish health services described as less of a health system, and more of a money redistribution system. Eg: pensions, urban ≥ rural.

  12. The government are not alone in HSE failings..

    Gotta stop this narrative of the government are to blame alone. There is incompetence, poor management, poor training, trade unions, TDs and local councillors doing pothole politics and legacy contracts. There is zero point putting more money into it until it is torn down and rebuilt.

    Alongside a very clear tax to benefit plan. Where does my tax go.

    Finally, we need a significant mindset change to realise that paying taxes for a health system is worthwhile providing we see the above rebuild put in place.

    I base my opinion on 7 years of working in clinical trials and patient advocacy and 30 years as a non-medical consultant working across the HSE and NHS.

  13. A 16 year old girl died on a trolley in Limerick before Christmas. If you are in the health service and you are robbing a living, you are an accessory to manslaughter in my eyes and I hope you get everything you deserve.

  14. What an absolute fucking shit show, and this is an internal report? Wow. How the hell does this even get to this point. HR are getting dragged over the coals….

    – No centralized oversight and monitoring framework of probation controls

    – No probation period even opened for 2/3 new hires (5000 employees)

    – No formal formal performance evaluation was identified

    It even outlines that local HR managers don’t even bother evaluating performances of new entrants… like what the fuck are you doing then?

  15. Lots of dangerous “doctors” with dubious credentials in the system. Mistaking ankles for elbows, not knowing what an obstetrician is etc. some were even struck off in the U.K. and hired here.

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