Finance focus 'deviates from quality of care'
The "major focus" on the HSE's financial performance "deviates attention from quality of care", Dr Philip Crowley has warned.
The head of the HSE's National Quality Improvement (QI) Team also said the health delivery system is "under significant pressure and is very reactive to immediate events".
Mr Crowley's briefing for new HSE director general Paul Reid says a "command-and-control leadership approach disempowers staff and restricts front-line improvement and problem solving". He also notes: "Patients are not adequately involved in how we run our health services."
Mr Crowley says the level of harm reported in the Irish health service is comparable to other developed countries at "around 12pc". But he adds that there is "considerable room for improvement and similarly while the interactions of most patients and service users is positive, a significant minority report a negative experience".
"All of this places pressure on staff in all services and may create work environments where it is difficult to do your best job," he says, adding the QI team is addressing such issues and is in the final stages of designing a strategic plan for 2019-2021.
Mr Crowley says the work is aimed at developing a health service primarily focused on quality of care, a culture of safety, system awareness and improvement, building capability in the delivery system, and promoting collective leadership.