29:
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was announced in 2018. £12.3 million is for pharmacists in practices. In May 2018 a £100 million Health and Social Care transformation funding package was announced, including £5 million for Multi
Disciplinary Teams in two areas initially, each of about 100,000 people, which will involve the establishment of practice-based physiotherapists, mental health specialists and social workers working alongside doctors and nurses.
2290:
737:
month-by-month". Cancer patients presenting via emergency departments have the lowest survival rates. 74% of the 4316 patients who died from cancer in 2015 were admitted to emergency departments during the last year of their lives. Only 85% of suspected breast cancer patients were seen within the target period of a fortnight.
673:
problem particularly in rural areas. Information technology systems may not be compatible and patient confidentiality hinders the sharing of information. Health services are free but social care is means tested. But, "the greatest difficulties lie in the different cultures and values of health and social care."
749:
Northern
Ireland said the crisis boiled down to "workload and workforce" issues. Nearly one-in-five of the total population were on hospital waiting lists. For a hip replacement patients can wait between five or six years to be assessed, and up to another five years for the operation. In February
762:
The
Northern Ireland Electronic Care Record, developed from 2013, was extended to community optometrists in July 2019. Cloud21 (British) and Tegria (American) were engaged in 2022 to deliver the Encompass programme which will have a fully-integrated electronic health and care record across acute
736:
described the statistics as, "shocking and extremely worrying". Monteverde said emergency departments are unable to give the highly specialised care cancer patients need and that just 55% of
Northern Irish cancer patients begin treatment within the 62-day target, and the number was, "deteriorating
603:
voted to start collecting undated resignations from
Northern Ireland GPs in January 2017 in protest against the underfunding of general practice in the province. Less than 60% were collected. There was a decline in partners take-home pay in 2016/17, to £90,500. An investment package of £22 million
672:
in 2015, "integration has failed to address a reliance on hospitals and institutional care, which is significantly greater than elsewhere in the UK." He said that there are various reasons for this. It is difficult to get resources out of acute care without closing buildings, which is a political
707:
In 2018, hospital performance in the province was worse than the rest of the United
Kingdom. All the five trusts failed their targets for A&E, cancer and routine operations for the whole of 2017–18. The Northern Ireland Audit Office reported in December 2018 that "the health and social care
515:
into several groups and one agency. These are the
Planning and Resources Group, Strategic Planning and Modernisation Group and Primary, Secondary and Community Care Group and the five professional groups. The department's executive agency responsible for the oversight, coordination and overall
703:
more than 20% of patients waited more than 4 hours in A&E departments, and sometimes 30%. About 16% of the population were on a waiting list, compared with around 7% for the rest of the UK. More than 64,000 of them, around a quarter, had been waiting over a year for their first outpatient
611:
in 2018, backed by four local GP practices and the health board. It was to incorporate scanning facilities, a minor surgery suite, a pharmacy, out-of-hours consultations and community healthcare partnerships, with the possibility of developing supported living accommodation for older people.
544:
Trusts are the statutory bodies responsible for the management of staff, health and social care services on the ground and have control their own budgets. The 19 health and social services trusts were merged into six health and social care trusts, which became operational on 1 April 2007.
684:
was used to reduce waiting lists for routine surgery. In
September 2015 the Northern Ireland Health and Social Care Board admitted that waiting lists for surgery had grown and that they did not have the money to pay either NHS providers or the private sector to bring them down.
595:
produced a plan to install a named district nurse, health visitor and social worker in every practice. 54 pharmacists were to start in practices in
December 2016 with one in every practice by 2021, with the number of GP training places to increase to 111.
731:
As of 2019, one in five
Northern Irish cancer patients received their cancer diagnosis while attending an emergency department, because some patients wait too long on hospital lists and get taken to an emergency department instead. Heather Monteverde of
507:
and five Health and Social Care Trusts which are responsible for the delivery of primary, secondary and community health care. The act also established five local commissioning groups which work in parallel with the health and social care trusts.
719:
accounting for more than 25% of the 800 homeless deaths in the UK. Northern Ireland's population of 1.9 million is 2.8% of the UK total. The BBC reported in 2019 the case of a woman with multiple health problems who moved from County Armagh to
1657:
782:
502:
The Health and Social Care (Reform) Act (Northern Ireland) 2009 led to a reorganisation of health and social care delivery in Northern Ireland, reducing the number of organisations involved. This Act established the
615:
In 2019 a £26,760,000 increase in funding for GPs was provided under the new contract. which is to support the recruitment of advanced nurse practitioners, practice-based pharmacists and other staff to support GPs.
495:, and then transferred to four health and social services boards, along with responsibility for social care. The pattern of local government in the region was of 26 single-tier local authorities which, apart from
1603:
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451:, patients simply walk in, state their name and date of birth, are given treatment and then leave. Patients are unaware of costs incurred by them using the service. It is sometimes called the "
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1390:
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were to be phased out by April 2010, being first reduced to £3.00 in January 2009. This was widely accepted by the then four main parties of the Northern Ireland Executive plus the
708:
system, as currently configured, is simply unable to cope with the demands being placed on it." There is a deficit of £160 million and waiting times were unacceptable. None of the
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in 2017 showed that though spending per head in the province at £2,200 a year was much the same as the rest of the UK the performance of the system was much worse. Using the
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1212:
745:
In May 2022 waiting times for outpatient appointments, hospital procedures, emergency care, GPs and community health services reached record levels. Tom Black chair of the
159:
777:
649:
704:
appointment. In the last 16 years there had been 7 government reports calling for a move to more stress on prevention and away from hospital based care.
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1650:
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have been met since 2015. 204 patients died in hospital in 2018 while waiting to be discharged largely because of a lack of domiciliary care packages.
1745:
499:, covered small populations ranging from 13,000 to 90,000 and were not considered an adequate base for the provision of personal social services.
2139:
632:, Craigavon, Musgrave Park and Omagh Hospitals over unsafe staffing levels and the lack of pay parity with NHS staff in the rest of the UK. The
1279:
750:
2022, 16.3% of attendees spent more than 12 hours in an emergency department. From February 2022-January 2024 Northern Ireland was without a
195:
2059:
349:
2134:
2002:
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154:
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government. The DUP had boycotted the executive in protest over Brexit. In 2024, £3.3bn were to be spread across the public sector.
267:
2319:
2265:
1953:
1190:
429:
92:
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and social care services across Northern Ireland. It is free of charge to all citizens of Northern Ireland and the rest of the
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2079:
1856:
1738:
1707:
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in Northern Ireland was 52 weeks, not 18 as in England and 10% of healthcare provided in the region was paid for privately.
1992:
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552:
344:
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physical services, mental health, community care, and social services. This is the second such system in Western Europe.
2119:
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and said the doctor she encountered in Bristol "was shocked" at the standard of medical care she had received from the
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657:
562:
179:
2210:
1851:
1765:
863:
792:
660:. The move brought Northern Ireland in line with the Scottish and Welsh systems which had already abolished charges.
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1731:
772:
668:
In Northern Ireland, health and social care have been part of the same structure since 1974; however, according to
1806:
313:
2180:
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2114:
2099:
1933:
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484:
308:
2027:
1928:
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373:
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1967:
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78:
491:. From 1948 to 1974, hospitals in the region were managed by the Northern Ireland Hospitals Authority and
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600:
409:
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318:
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2215:
2124:
1533:"Northern Ireland's doctors are relieved as Stormont is set to return—but will funds go far enough?"
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807:
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366:
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1997:
1866:
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226:
139:
28:
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1987:
1982:
1604:"Northern Ireland secures specialist support for largest-ever digital transformation programme"
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In 2019, 205 homeless people in Northern Ireland died in an 18-month period, according to the
2200:
1831:
629:
303:
287:
277:
829:"Health funding in Northern Ireland - Northern Ireland Affairs Committee - House of Commons"
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2007:
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448:
282:
241:
231:
210:
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8:
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420:(NHS), it is nonetheless considered a part of the overall national health service in the
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1007:
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236:
149:
783:
List of government departments, their agencies and their ministers in Northern Ireland
2032:
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1548:
859:
645:
468:
1391:"Northern Ireland NHS 'simply unable to cope with the demands placed on it': report"
886:
2195:
1582:"Expansion of Northern Ireland electronic care record sees improvement in eye care"
1540:
1324:"Mark Regan: 'There's huge health inequality between Northern Ireland and England'"
488:
413:
174:
164:
62:
607:
The first community hub for primary care in the province was to be established in
963:
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696:
441:
421:
401:
1280:"Integration is not a cure-all for health and care – look at Northern Ireland"
2308:
1552:
1368:
669:
437:
144:
1030:"Northern Ireland - Department of Health, Social Services and Public Safety"
986:"Northern Ireland - Department of Health, Social Services and Public Safety"
964:"Northern Ireland - Department of Health, Social Services and Public Safety"
942:"Northern Ireland - Department of Health, Social Services and Public Safety"
1770:
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too (social services are provided by local councils in England and Wales).
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provision of health and social care services is the Public Health Agency.
323:
2185:
1642:
919:
709:
700:
689:
472:
1147:"GP practices set to benefit as part of £100m boost for health services"
1775:
1544:
1213:"Members of Unison begin strike action at Northern Ireland hospitals"
802:
608:
1791:
1435:"Northern Ireland homeless deaths account for quarter of UK figures"
1257:"UK | Northern Ireland | NI to scrap prescription charges"
906:
1413:"More than 200 patients 'ready to go home' die in hospital in 2018"
751:
460:
1823:
1479:"Cancer: One in five cancer diagnoses 'in Emergency Departments'"
721:
681:
496:
456:
125:
1235:"NI Civil Service 'regret' as Unison healthcare workers strike"
563:
Northern Ireland Ambulance Service Health and Social Care Trust
2160:
1125:"BMA may call off mass resignation plans after GP investment"
887:"Health and Social Care (Reform) Act (Northern Ireland) 2009"
588:
As of 2012, there were about 350 GP Practices in the region.
464:
1347:"Health and social care in Northern Ireland: critical care?"
1191:"Northern Ireland unveils £27m GP funding boost for 2019/20"
920:"Northern Ireland Health and Social Services Estates Agency"
1630:
1457:"Waiting lists: NI woman's 'life changed' by move to Wales"
1302:"End to private contracts 'helped fuel NHS waiting crisis'"
511:
As of 2016, the Department of Health was organised under a
103:
1510:"Health Care Services in Northern Ireland 'On Its Knees'"
1496:
436:
is the executive agency responsible for the provision of
1078:"The National Health Service (NHS) Updated October 2012"
1103:"Health plan aimed to help service 'at breaking point'"
778:
Health & Social Care Business Services Organisation
483:
The Health and Social Care service was created by the
650:
Minister of Health, Social Services and Public Safety
16:
Publicly-funded healthcare system in Northern Ireland
1083:. Association of the British Pharmaceutical Industry
1369:"The hospitals that fail to treat patients on time"
1345:Heenan, Deirdre; Appleby, John (17 October 2017).
416:. Although having been created separately to the
2306:
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1807:
1739:
1658:
1344:
471:in that it provides not only health care but
374:
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1703:South Eastern Health and Social Care Trust
1672:
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1651:
1635:
1584:. Building Better Healthcare. 29 July 2019
568:South Eastern Health and Social Care Trust
432:is responsible for its funding, while the
381:
367:
111:
27:
2315:Health and Social Care (Northern Ireland)
1847:Health and Social Care (Northern Ireland)
1781:Health and Social Care (Northern Ireland)
1606:. Building Better Healthcare. 2 June 2022
1169:"£8m health village plan 'well advanced'"
1008:"Chief Dental Officer | DHSSPS (NI)"
757:
1530:
1277:
1105:. Commissioning Review. 26 October 2016
639:
2307:
1857:Healthcare in the Republic of Ireland
1821:
1795:
1727:
1708:Southern Health and Social Care Trust
1693:Northern Health and Social Care Trust
1646:
1393:. Belfast Telegraph. 18 December 2018
1215:. Belfast Telegraph. 28 November 2019
788:List of hospitals in Northern Ireland
726:Southern Health and Social Care Trust
573:Southern Health and Social Care Trust
558:Northern Health and Social Care Trust
2289:
2266:St. Patrick's Mental Health Services
1713:Western Health and Social Care Trust
1688:Belfast Health and Social Care Trust
1437:. Belfast Telegraph. 29 October 2019
636:is also planning industrial action.
578:Western Health and Social Care Trust
553:Belfast Health and Social Care Trust
529:Nursing and Midwifery Advisory Group
1531:Baraniuk, Chris (31 January 2024).
1326:. Belfast Telegraph. 17 August 2015
628:members began industrial action in
13:
2251:Obesity in the Republic of Ireland
2241:Mental Health Commission (Ireland)
2052:
1975:
1921:
1839:
1698:Northern Ireland Ambulance Service
1010:. Dhsspsni.gov.uk. 6 February 2009
922:. Dhsspsni.gov.uk. 6 February 2009
717:Bureau of Investigative Journalism
658:Alliance Party of Northern Ireland
535:Pharmaceutical Advice and Services
519:The five professional groups are:
14:
2331:
2211:Irish Family Planning Association
2072:
1946:
1889:
1852:Health in the Republic of Ireland
1766:National Health Service (England)
1622:
1415:. Homecare Insight. 16 April 2019
793:National Health Service (England)
410:publicly funded healthcare system
2288:
2279:
2278:
2236:Mental Health Act 2001 (Ireland)
1539:. Vol. 384. pp. q270.
1278:Bamford, Terry (30 April 2015).
773:Healthcare in the United Kingdom
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1405:
1383:
1361:
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1149:. Belfast Telegraph. 9 May 2018
1139:
1117:
1095:
1070:
1056:"Health and Social Care Trusts"
1048:
1022:
907:Public Health Service home page
583:
478:
2320:Healthcare in Northern Ireland
2181:Community ophthalmic physician
2166:Aware (voluntary organisation)
1193:. GP Online. 23 September 2019
1000:
978:
956:
934:
912:
900:
879:
846:
821:
663:
493:hospital management committees
485:Parliament of Northern Ireland
467:, but differs from the NHS in
75:Valerie Watts, chief executive
1:
1681:Health and social care trusts
1304:. BBC News. 21 September 2015
1259:. BBC News. 29 September 2008
1171:. Mid Ulster Mail. 9 May 2018
814:
741:Health care crisis, 2022-2024
619:
2226:Medical education in Ireland
2156:Alzheimer Society of Ireland
678:Kingsbridge Private Hospital
526:Social Services Inspectorate
505:Health and Social Care Board
406:Sláinte agus Cúram Sóisialta
79:Health and Social Care Board
7:
2140:Water supply and sanitation
855:Royal Commission on the NHS
766:
747:British Medical Association
601:British Medical Association
523:Medical and Allied Services
10:
2336:
2231:Medical Press and Circular
1127:. Pulse. 12 September 2018
909:. Retrieved 27 August 2016
833:publications.parliament.uk
426:Northern Ireland Executive
2274:
2256:Organ donation in Ireland
2216:Irish Haemophilia Society
2176:Children's Health Ireland
2148:
2092:
2045:
2020:
1993:Royal College of Surgeons
1966:
1914:
1830:
1761:
1680:
539:
98:
88:
68:
58:
40:
35:
26:
1872:Mental health in Ireland
1862:Health Service Executive
808:Health Service Executive
734:Macmillan Cancer Support
634:Royal College of Nursing
2246:Mother and Child Scheme
1755:National Health Service
1512:. Medscape. 24 May 2022
1371:. BBC. 20 November 2018
1237:. BBC. 25 November 2019
690:NHS waiting list target
418:National Health Service
350:Same-sex marriage (ROI)
329:Foreign relations (ROI)
2221:Irish Heart Foundation
2171:Campaign for John Hunt
1897:Health and Social Care
1674:Health and Social Care
758:Information technology
644:On 29 September 2008,
405:
394:Health and Social Care
355:Same-sex marriage (NI)
46:; 76 years ago
22:Health and Social Care
2201:Family Carers Ireland
2105:Psychiatric hospitals
630:Belfast City Hospital
447:For services such as
2206:Irish Cancer Society
2120:Health professionals
1954:Department of Health
1934:Department of Health
654:Prescription charges
640:Prescription charges
548:The six trusts are:
434:Public Health Agency
430:Department of Health
196:Communications (ROI)
93:Department of Health
2191:Darkness into Light
1929:Minister for Health
1459:. BBC. 12 July 2019
513:Permanent Secretary
23:
2110:Teaching hospitals
1877:Suicide in Ireland
1485:. 22 November 2019
487:in 1948 after the
21:
2302:
2301:
2088:
2087:
2068:
2067:
2041:
2040:
2016:
2015:
1968:Medical education
1962:
1961:
1942:
1941:
1915:Government bodies
1910:
1909:
1902:Ambulance Service
1885:
1884:
1867:Ambulance Service
1789:
1788:
1721:
1720:
1036:. Dhsspsni.gov.uk
988:. Dhsspsni.gov.uk
966:. Dhsspsni.gov.uk
944:. Dhsspsni.gov.uk
652:, announced that
646:Michael McGimpsey
624:In November 2019
469:England and Wales
391:
390:
119:
118:
89:Parent department
69:Agency executives
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2196:Epilepsy Ireland
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1631:Official website
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1349:. Nuffield Trust
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695:A report by the
676:Until 2014, the
593:Michelle O'Neill
489:Beveridge Report
414:Northern Ireland
383:
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304:Government (ROI)
121:
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81:, governing body
63:Northern Ireland
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44:6 July 1948
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743:
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642:
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586:
542:
532:Dental Services
481:
387:
319:Law enforcement
309:Government (NI)
247:Recycling (ROI)
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