Pike, Brigid (2015) HSE National Service Plan 2015. Drugnet Ireland, Issue 53, Spring 2015, pp. 16-18.
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The HSE’s National Service Plan 2015 (NSP), approved by the government in December 2014, sets out the HSE’s priorities and targets for tackling tobacco and alcohol misuse, and drug addiction, in 2015.1 The HSE’s divisional plans, on which the NSP is based, list specific operational tasks with timeframes, and a ‘balanced scorecard’ of performance targets. The following account draws on both the aggregated NSP and the more detailed operational plans for the Health and Well-Being and the Primary Care divisions, which share responsibility for tobacco, alcohol misuse and addiction services.
Tobacco and alcohol misuse
The Health and Well-Being Division will focus on the ‘key modifiable risk factors for chronic disease and ill-health’ including tobacco and alcohol misuse.2 The Division is preparing for the roll-out of the relevant provisions in both tobacco and alcohol legislation in consultation with the Department of Health and in line with existing resources. Key actions and performance targets for 2015 are as follows:
Tobacco Free Ireland 3
- Implement priority actions, with a particular focus on the continued roll-out of the tobacco free campus policy in primary care (100%); mental health (100% approved centres & 25% residential services); disability and social care residential services (disability [25%] and older persons [20%]); and Tusla sites (100%)
- Reduce tobacco usage in the general population by undertaking training, intervention, surveillance, evaluation, enforcement of legislation and social marketing activities. Targets for 2015 include 1,500 frontline healthcare staff trained in brief intervention for smoking cessation; 9,000 smokers receive intensive cessation support; and 2,450 smokers who enter a cessation programme quit at one month.
Performance Target: 100% health care centres tobacco-free
National Substance Misuse Strategy 4
- Further develop a co-ordinated approach to prevention and education interventions in alcohol between all stakeholders including 3rd-level institutions. Target is to have a national accreditation system in place in a number of 3rd-level colleges.
- Support pilot community mobilisation alcohol initiatives in five drugs task force areas (North Inner City, Tallaght, Dun Laoghaire/Rathdown, North West and South) through grant agreement with Alcohol Forum.5 Five local alcohol action plans developed by end of year.
Community Oncology Cancer Control Programme (COCCP)
In the Primary Care Division of the HSE, the COCCP has a commitment to ‘implement a national standardised algorithm for the treatment of tobacco addiction’ by the end of 2015.6 Further measures to combat problem alcohol use have also been identified by Addiction Services. These are described below.
Addiction services In the Primary Care Division of the HSE, a key priority for the Social Inclusion Services is to ‘achieve improved health outcomes for people with addiction issues’.6 Seven key actions and associated tasks have been identified for 2015:
1. Progress the integration of drugs task force projects and developments within the wider addiction services in line with objectives in the NDS7
2. Implement priority actions from the NDS (Programme for Government Primary Care Funds €2.1m) – implement the clinical governance framework for addiction treatment and rehabilitation services
3. Implement the outstanding prioritised recommendations of the Opioid Treatment Protocol, including the development of an audit process across the full range of drug services. This will incorporate person-centred care planning through the Drug Rehabilitation Framework and increase opioid substitution treatment (OST) patient numbers
4. Implement referral and assessment for residential services using a shared assessment tool agreed between the HSE and service providers in line with the Drug Rehabilitation Framework
5. Implement the findings of the evaluation of the Pharmacy Needle Exchange Programme (PNEX)
6. Implement prioritised recommendations of the Tier 4 Report (Residential Addiction Services)
7. Develop joint protocols for integrated care planning between mental health services and drug and alcohol services
Monitoring progress Each month the HSE issues a Performance Assurance Report (PAR), analysing key performance data year-to-date against the performance targets set in the annual NSP. It is based on metadata, which are also published by the HSE. These reports are available at http://www.hse.ie/eng/services/publications/corporate/performanceassurancereports/
1 Health Service Executive (2014) National service plan 2015. https://www.drugsandalcohol.ie/23052/ 2 Health Service Executive (2014) Health and well-being operational plan 2015. Dublin: HSE. https://www.drugsandalcohol.ie/23275/ 3 Tobacco Policy Review Group (2013) Tobacco free Ireland. Dublin: Department of Health. www.drugsandalcohol.ie/20655/ 4 Department of Health (2012) Steering group report on a national substance misuse strategy. Department of Health, Dublin. https://www.drugsandalcohol.ie/16908/ 5 North West Alcohol Forum Ltd (NWAF) is an NGO established to work in partnership with all sectors to reduce hazardous drinking and its consequences to the individual, the family and the community. 6 Health Service Executive (2014) Primary care divisional operational plan 2015. Dublin: HSE. https://www.drugsandalcohol.ie/23193/ 7 Department of Community, Rural and Gaeltacht Affairs (2009) National Drugs Strategy (interim) 2009-2016. Dublin: Department of Community, Rural and Gaeltacht Affairs. https://www.drugsandalcohol.ie/12388/ |
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