The HSE, originally established to modernize healthcare, is now criticized for its productivity and effectiveness as it prepares for CEO Bernard Gloster's departure next March. Minister Jennifer Carroll MacNeill acknowledges Gloster's dedication while highlighting the need for systemic change. However, past attempts at reform have proven ineffective, with many arguing that a cultural shift rather than structural change is essential. There is concern regarding the value taxpayers receive relative to healthcare expenditures, underscored by issues such as stagnant clinical session numbers despite increased funding for services.
The biggest problem that needs addressing is poor productivity. What is required is a cultural shift and a willingness to take on vested interests.
The HSE has often been the scapegoat for failings in healthcare and has found its future under serious doubt with calls for systemic changes.
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