Revised rostering/extended working day
Roster changes have been introduced across the sector to facilitate the ongoing delivery of safe, efficient and cost effective quality services. Some examples include:
- Nursing roster changes have been introduced in virtually every setting throughout the country in order to maintain service and activity levels in the context of reduced staffing levels and increased financial constraints.
- Service-wide roster changes have been implemented in the Radiography Service and the Medical Laboratory Service with staff now being rostered between 8am and 8pm from Monday to Friday. These reforms are delivering €2.5m and €7.5m respectively in annual savings.
- Agreement reached with staff in St. Michael’s House on extended working day which covers over 1,500 workers and aims to save over €3m by 2014.
- In the Central Mental Hospital roster changes have resulted in the removal of regular in -built overtime, giving rise to estimated annual savings of €1m.
- Non-Consultant Hospital Doctor (NCHD) rosters: implementation of individual rosters for NCHDs based on activity levels involving 245 staff inTallaght Hospital. Individual weekly rosters are being assigned to each NCHD to match service needs and to streamline payment of overtime.
Redeployment/re-assignment has been key to enabling the health service to meet the challenges of reducing budgets and staff numbers. An estimated 4,500 staff were redeployed/re-assigned during the second year of the Agreement. Examples include:
- Acute Hospital Services: over 600 staff were involved in relocating services in Cork city.
- 133 staff have redeployed from across the HSE to the centralised Medical Card processing centre in Finglas.
- In February 2012 all laboratory services in Louth County Hospital, Dundalk, amalgamated with services at Our Lady of Lourdes Hospital Drogheda. A range of both clerical and technical grades were redeployed from Dundalk to Drogheda as part of this initiative (e.g. medical scientists, clerical staff and laboratory attendants).
Centralisation of services/shared services
- Procurement services in the HSE now operate on the basis of a Single National Procurement Model. This has given rise to verified pay and efficiency savings of approximately €82m.
- Centralisation of all medical card processing in Finglas was completed in July 2011. This has improved service quality and reduced administration costs (move to on-line, faster turnaround time, improved access). A backlog of applications which stood at 57,962 in January 2012 was reduced to 4,517 by April 2012.
- Support services are being centralized across the sector, for example, Dublin South Central has amalgamated its administration functions.
Reconfiguration and reorganisation of services
- Major reforms are underway in Clinical Care Programmes, particularly within the acute hospital system, mental health services, services for older people and disability services, for example, a new Special Delivery Unit was established to remove obstacles that prevent patients being seen and treated quickly. The Agreement has secured staff co-operation and flexibility for progressing this programme.
- Mental health, childcare and services for the elderly have been reconfigured, enabled by the Agreement and its redeployment provisions.
In addition, more information is also available on the website of the Health Sector Implementation Group www.hse.ie/eng/services/news/crokepark/).