Tony O’Brien: Time for hard decisions on our outdated health service

Much of the treatment is to a very high standard, but executing a real shift in the way the service works will call for hard decisions from politicians, writes HSE chief Tony O’Brien

Tony O’Brien speaking at the MacGill Summer School in Glenties, Co Donegal, last week Picture: North West Newspix

Iwas asked to talk last week about “our dysfunctional health service” at the MacGill Summer School. Of course, this is an assertion we hear made so often.

I want to be clear with you from the outset that, while I was never a great fan of the HSE concept, I disagree with the populist and simplistic sentiment that our entire health service is dysfunctional.

What is often forgotten in certain elements of media ...