IMO Consultant Strategy and Work Plan
- Drivers of change
- Political and Economic Context
- Output from IMO survey
- Work Plan
- Future
Economic Context: Austerity
- State committed to reduce the deficit to 3% of GNP by 2015 (EuroStat – 32% in 2010)
- €6 billion taken out of State spending in 2010
- Further €9 billion to be taken out over the next three years
- EU / ECB / IMF supervising State’s finances
- Programme for Government commits to reduce public sector payroll by approximately 23,000 over the lifetime of the current Dail
- Those who remain – further pay cuts or redundancies prevented by Public Service Agreement (2010 – 2014) BUT modernisation and radical change are promised
- Health spending to be €1 billion (€650 million net) lower in 2011 than in 2010
- The Governent has a significant mandate to implement change
- The Government’s mantra will continue to be “more with less.”
IMO Ready for Change - Maintaining the status quo is not an option
Key Priorities
- Consultant Contracts
- IMO Consultant Strategy
- Professionalism
- Consultant Membership
Consultant Contracts
- To establish the priorities for the contract
Common Contract 2008
- Establish public/ private mix priorities
- Proper use of CAAC and Type C committee
- Resolve issues relating to Type A contractors
New Contract Priorities
- Determine the best options on new payment systems
- Develop a strategy for the fair measurement and reporting of consultant output taking into account existing arrangements and potential changes
- Consider the issues arising out of the establishment of trusts or independent boards for hospitals
- Identify the priorities for inclusion in any new contract
- Provisions for compliance with EWTD and achieve better work life balance
- Work to ensure consultants can optimise maintenance of professional competence and ongoing medical education
IMO Consultant Strategy
Capacity Planning/ Retention
- IMO will highlight shortage of consultant numbers against European average per head of population
- Investigate reasons for potential high turnover of consultants in health service
- Clarify role of clinical managers as guardians of quality rather than owners of budgets
- Identify time spent on non clinical work by consultants
Policy development
- IMO in consultation with members will develop a range of consultant policy positions on specific issues e.g. Health Service, Societal, Education
- Gather the facts and publicise curtailment of patient services (e.g. FOI requests)
- Investigate and address regional specific issues identified in the survey
Professionalism
- Survey consultants on professionalism and how it is undermined within their working environment
- IMO will engage in identifying scope of practice arrangements and preserve the unique role of consultants
- Identify work that blocks consultant providing optimum medical service
- IMO will initiate a national consultant week to highlight the positive role of consultants
Morale
- IMO establish consultant review groups to explore and validate ‘morale’ issues
- Establish the priorities to achieve and inclusive and effective communication systems within HSE and try and shape what it would look like.
Consultant Membership
- Implement a programme of meetings holding at least one per hospital
- Identify newly appointed posts and recruit into membership
- Establish priorities for new appointees and meet them
- Specialties
- To establish links with each of the specialist groups
- Identify who the main contacts are
- Establish the issues to work on jointly and agree actions
- Regions
- Arrange a regional meeting on a twice yearly basis
- Establish a link consultant in each main hospital
Professional Competence/ Irish Medical Council
- Lobby to ensure proper regulation of doctors providing medical services from outside the jurisdiction
- Produce a guide to members on how to deal with Professional Competence requirements
- Develop and maintain good relations with the Medical Council
HIQA
- To ensure that requirements are in line with the contract and not overly onerus
- In light of the IMO submission to HIQA on the Draft National Standards for Safer Better Care to monitor the output of HIQA and the impact of proposals on consultants.
Areas of Involvement
- Consultant Contracts
- Capacity Planning/ Retention
- Policy development
- Professionalism
- Morale
- Consultant Membership
- Professional Competence/ Irish Medical Council
- HIQA
Conclusion
- Effective & engaged Committee key to successful implementation of Strategy & Work plan
- Support the Executive in all endeavours
- Ensure awareness and engagement amongst colleagues
- There are no shortcuts to great achievements but working together will make the journey less onerous