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'Snip' report wields huge axe on health
[Posted: Thu 16/07/2009 by Niall Hunter, Editor www.irishhealth.com]
An Bord Snip Nua has proposed swingeing cuts in health spending of the order of €1,230 million, which, if implemented will have a huge impact on health service users and staff.
Many of the measures will hit the pockets of all health service users, including public patients.
The cuts include:
* Reducing health staff numbers by 6,168 within the HSE and Department of Health.
* A €5 medical card/long term illness scheme prescription charge.
* Revising the income guidelines for the medical card scheme to the basic rate of social welfare (jobseekers' allowance) and that all non-medical allowances and HSE discretion are removed and replaced with a variable allowance based on medical needs.
* A major increase in hospital charges to patients, eg a new A&E charge of €125.
* A 20% charge increase for private beds in public hospitals.
* Mandatory protocols requiring hospitals and doctors to prescribe generic medicines and value-for-money hi-tech treatments.
* An increase in the threshold for the drug payments scheme to €125 a month.
* Means testing for homecare packages.
* Reduce Department of Health staff by 10% and €300 million earmarked in HSE staff savings.
* Individuals to contribute more to nursing home care from their own residence under new Fair Deal scheme.
The report on public service was drawn up by a working group under economist Colm McCarthy.
Among other changes in health services it proposes are restricting the National Treatment Purchase Fund to private facilities in Ireland and abroad, and merging a number of health "quangos", including the Ombudsman for Children into the Office of the Ombudsman and the Health Insurance Authority into the Financial Regulator.
The report also proposes holding an open competition for provision of services under the General Medical Services (medical card) scheme.
It also proposes savings in the area of agencies and organisations in the disability and mental health fields.
In other areas, the "snip" report proposes a 5% cut in social welfare payments.
* Health staff payments and numbers to be cut...http://www.irishhealth.com/article.html?id=15827
* 'Unsustainable growth in medical cards'...http://www.irishhealth.com/article.html?id=15828
* Call for end to GP contracts...http://www.irishhealth.com/article.html?id=15829
* Elderly to pay more for care...http://www.irishhealth.com/article.html?id=15830
The full report is available at...http://www.finance.gov.ie/
See also A 'snip' too far for health?...http://www.irishhealth.com/article.html?id=15836
|Anonymous Posted: 20/07/2009 14:00|
The E125 A&E charge is an absolute disgrace and will lead to people staying away from A&E when they need to go. It would be justiable if we had a 24 hour GP service but we don't. When poeple stay away who need treatment, the get sicker and eventually require longer stay in hospital, which costs the HSE ewven more. Likewise from an increase in the DPS threshold - it hits the mosgt vulnerable the hardest. Similar with an increase in the cost of private beds in public hospitals. This will push up the cost of health insurance and push more people onto a public system which cannot cope.
|anony Posted: 21/07/2009 00:32|
They dont have a clue - these bloody experts. What are they trying to do - sink us totally?
|MichaelH Posted: 05/08/2010 20:18|
I was not going to reply to this but alas I could not, with out replying. As I see it (and I will be very brief which is unusal for me)The HSE is without a doubt going backward's in order to fill the purse so they can in the future,and I mean future? not this generation, but our grandchildern's,(if our health is compromised we might not have any grandchildern)?Only if the purse is over flowing (looking at what's going on)will we see a different, more workable Health system, that will take care of our young and elderly. Sadely a lot of us (my family and your's) except the very rich will be dead from lack of care, or should it be (who give's a care)I think it is the business men and women, and this new stupid Gouvermental departments that are making the patients pay for their mistakes!It is the usually suffer now and be happy later, well later is to late!It has being going on for years, they show you a new hospital or ward (just to stop us moanin but they never tell you what did they close down to make those new wards etc.Penny pinching is not going to keep us alive.That is why more and more people are turning to complementry or alternative medician.Prove's that we are going back in time. Also they keep going back on their word??? Take the glasses off and see your neibours suffering,and think of why our Doctors and Nurses trained so hard for it certaintly wasn't the get rich quick scheme, they way they are treated it would not supprise me if they up'ed and left the country, O' sorry the very poor Country. They soon will be asking Bono to rais the money for the HSE like he has done in other poor Countries. Now that was short?Wasn't it.
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