The conference focuseed on next steps for health and social care policy and delivery in Northern Ireland.
It was a timely opportunity for stakeholders and policymakers to discuss priorities following the Health Minister’s announcement of key initiatives including a forthcoming three-year Strategic Plan for Health and Social Care, focusing on stabilisation, reform and delivery to achieve better outcomes for patients and service users, due to be published this autumn. We are pleased to have been able to include a keynote session with the Minister for Health, Mike Nesbitt MLA.
Sessions in the agenda considered the recently published plan, Hospitals: Creating A Network For Better Outcomes, as it undergoes consultation, which aims to change the way health care services are provided across Northern Ireland by reorganising the healthcare estate and hospital network.
Delegates examined the implementation and outlook of the Health and Wellbeing 2026: Delivering Together plan, produced in response to Dr Rafael Bengoa’s 2016 report looking at the best configuration for health and social care services, with Dr Bengoa having returned to Northern Ireland in October with the aim of refocusing healthcare reform, and highlighting the urgent need for sustained funding. There was also a focus on strategies for reducing health waiting times, one of the Northern Ireland Executive’s immediate priorities in its Draft Programme for Government 2024-2027. This also came after the recent Budget, in which the chancellor announced a record £18.2bn for the Northern Ireland Executive, with an additional £1.5bn through the Barnett formula to support investment in areas including health and social care.
We are also pleased to have been able to include further keynote sessions with: Liz Kimmins MLA, Chairperson, Committee for Health; Dan West, Chief Digital Officer, Department of Health, NI; and Maria McIlgorm, Chief Nursing Officer, Department of Health, NI.
Sessions discussed priorities for funding allocation and practical steps to alleviate healthcare pressures, such as the roll-out of Multi-Disciplinary Teams (MDTs) and the implementation of Elective Care Centres, and how digital tools could improve care quality and timeliness. The Live Better initiative was also examined, which aims to tackle health inequalities by bringing targeted health support to the communities that need it most, including for services like health screening and vaccinations, mental health support, and blood pressure and cholesterol checks.
The agenda included a focus on workforce priorities, including staff retention, workloads, pay parity, and support for training and upskilling. Delegates also examineed strategies for tackling issues in general practice after a record number of surgeries handed back contracts in 2023, including the Royal College of General Practitioners NI’s recent A Workforce Fit for the Future retention plan.
Overall, areas for discussion included:
- service reconfiguration and hospital reorganisation:
- plans to redesign hospital services outlined in the Hospitals: Creating A Network For Better Outcomes plan, currently subject to consultation
- impact on the workforce, patients and other stakeholders - considering future funding priorities
- workforce development and challenges:
- approaches to supporting and upskilling staff - investment in leadership and training - lessons from MDTs
- strategies to improve retention, specifically in primary care - managing workloads - priorities for reducing pressure and workload on individuals - increasing morale
- the future role, involvement and impact of community in service delivery
- digital innovation: opportunities for expanding e-health solutions to enhance service delivery and efficiency - improvements in data management, collection and integration
- reducing waiting times and easing capacity pressures:
- addressing discrepancies between Type 1 and Type 2 emergency departments in meeting four-hour targets
- enhancing patient flow and addressing appointment cancellations - protecting patient safety during treatment delays
- Elective Care Centres: building on the implementation of Elective Care Centres and day procedures - impact on planned care waiting times - plans to manage demand for elective procedures
- health inequalities:
- the Live Better initiative and priorities for tackling disparities - providing health support in communities most in need - focus on preventative measures
- increased uptake of health screening and vaccinations - improving health literacy - addressing inequalities created by waiting lists - considering the impact of Stormont suspension
All delegates were able to contribute to the output of the conference, which will be shared with parliamentary, ministerial, departmental and regulatory offices, and more widely. This includes the full proceedings and additional articles submitted by delegates. As well as key stakeholders, those that attended include officials from DoH; DoF; and DBT, UK.