Tony O’Brien: We need health governance that is closer to the point of care
Trying to micro-manage a complex health and social care delivery system simply doesn’t work
In my last column in these pages, I mentioned that every former chief executive or director general of the HSE had pursued the goal of decentralising “control” within the organisation and how, in turn, each of these efforts had ultimately been undermined by either a failure by governments to follow through with required support and action, or through ongoing policy vacillation which substituted one set of incomplete changes for another new set.
Each attempt to ...