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

14th November, 2021
Tony O’Brien: We need health governance that is closer to the point of care
‘Trying to centrally control or 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.

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