Real change in health and social care must continue

Date published: 15 May 2019

Vital health reforms are delivering real change but must continue if we are to tackle waiting list and staffing pressures.

Delivering Together Image

That was the message from the Department of Health today, as it launched a progress report on health and social care transformation.

Permanent Secretary Richard Pengelly said: “We are clearly living through a defining era in health and social care.

“Today’s report charts significant progress in the two and half years since the publication of Delivering Together, the 10 year roadmap for transforming the way services are delivered.

“Without this push for change, the system would now be slipping over the edge into irreversible collapse.”

Mr Pengelly added: “Today’s report is a testament to the commitment and excellence of our staff right across the system.

“We clearly still have a long way go, with serious challenges right across NI. Too many people are waiting too long for care and staff are under immense and growing pressure.

“These problems are serious symptoms of an outdated health and social care system that cannot keep up with growing demand. Without reform, they will get worse year on year.

“The long term answer to hospital waiting lists involves reshaping services to improve capacity and provide more diagnoses and treatments.

“Likewise, staffing pressures are clearly linked to services being spread too thinly across too many locations.

“Without reform, staffing challenges will keep growing and bills for agency and locum cover will continue to climb.”

The update report on Delivering Together details examples of projects taken forward and supported by transformation funding.

As part of the Delivering Together programme, public consultations are being held on reshaping stroke and breast assessment services.

Reviews are also underway in other key areas including urgent and emergency care, oncology, neurology, paediatrics, and day surgery.

The day surgery transformation has already seen prototype elective care centres opened for cataract and varicose veins. The Department is planning a public consultation later this year on plans to transfer thousands of other day case routine operations to dedicated elective care centre locations.

The specialities involved are General Surgery and Endoscopy, Urology, Gynaecology, Orthopaedics, ENT, Paediatrics and Neurology.

Another major transformation initiative involves the roll-out of Multi-Disciplinary teams at GP surgeries.

This radical new approach sees GPs working with teams of mental health specialists, physios and other experts to provide local people with the right support, at the right time and in the right place.

The transformation progress report (Full and interactive versions) are available online.

Notes to editors: 

For media enquiries please contact the Department of Health Press Office on 028 9052 0074 or email For out of hours please contact the Duty Press Officer on 028 9037 8110 and your call will be returned. Follow us on twitter @healthdpt

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