Transforming Your Care

In June 2011, the Minister for Health, Social Services and Public Safety, Edwin Poots, MLA, announced that a Review of the Provision of Health and Social Care (HSC) Services in Northern Ireland would be undertaken.

The Review was to bring forward recommendations for the future shape of services and provide an implementation plan. The Review brief was to ensure maximum engagement with the public, clinical and professional leaders, health and social care organisations and stakeholders in the voluntary, community, private and independent sectors.

The Review concluded that there was an unassailable case for change to respond to growing & ageing population, increase in Chronic Conditions and to plan for future population health needs.

Twelve major principles for change, which should underpin the shape of the future model proposed for health and social care were identified:

  1. Placing the individual at the centre of any model by promoting a better outcome for the service user, carer and their family.
  2. Using outcomes and quality evidence to shape services.
  3. Providing the right care in the right place at the right time.
  4. Population-based planning of services.
  5. A focus on prevention and tackling inequalities.
  6. Integrated care – working together.
  7. Promoting independence and personalisation of care.
  8. Safeguarding the most vulnerable.
  9. Ensuring sustainability of service provision.
  10. Realising value for money.
  11. Maximising the use of technology.
  12. Incentivising innovation at a local level.

Following from this, the Review considered and presented the methodology to make the change in a phased manner. This initially describes a financial remodelling of how money is to be spent indicating a shift of £83million from current hospital spend and its reinvestment into primary, community and social care services.
It goes on to describe as integral the need for transitional funding of £25million in the first year; £25million in the second year; and £20 million in the third year enable the new model of service to be implemented.
In conclusion, the Review reiterates that change is not an option. It re-affirms there are no neutral decisions and there is a compelling need to make change. The choice is stark: managed change or unplanned, haphazard change.

Further information can be found by following the link to the Transforming your Care website http://www.transformingyourcare.hscni.net/

The South Eastern Trust has responded and is progressing projects in 9 Workstreams for Trust Programmes of Care as follows:

  1. Long-Term Conditions Management 
  2.  Acute Reform
  3. Social Care Reform
  4. Staff Productivity
  5. Improving Prescribing Effectiveness
  6. Non-pay expenditure
  7. Health and Wellbeing and Early Intervention
  8. Children’s Services
  9. Adults Services

Projects have been identified within each of the Programmes of Care, with progress being monitored within each workstream and reported to Senior Management through Executive Programme Management Board (EPMB).

In addition, Trust representatives are fully involved in the development and work that is being organised through Integrated Care Partnerships (ICP’s).


For more information please contact:

The Performance Improvement and Commissioning Department
Home 6
Ulster Hospital, Dundonald

Telephone: (028) 9056 1392