The Health Service Executive has embarked on a series of regional system re-designs to change the organisation of urgent and emergency care delivery in Ireland.
Purpose of these programmes is to “develop integrated services across all stages of the care journey” with the goal of increasing efficiency and improving performance.
Planning documents identified by documentary analysis reveal emphasis on ‘hub and spoke’ models of care.
In re-designs carried out to date, there is a movement towards centralisation and re-definition of hospital roles.
Three models (see Fig. 1) have been identified that reflect the continuum of system re-design programmes.