The more I discover about the
@HSELive's "Pay and Numbers" strategy, the more disillusioned I become.
As far as I can see, the only published reference to any details on this "strategy" is in this document:
hse.ie/eng/services/publicat…
It is entitled "Our National Service Plan 2024".
The
@hseNCCP recently developed the Systemic Anti-Cancer Therapy Model of Care:
hse.ie/eng/services/list/5/c…
A key principle of this strategy, in keeping with international
@OECI_EEIG guidance, is that systemic therapy for cancer should be delivered closer to home.
In other words, a cancer patient should not have to travel a long distance to get standard-of-care chemotherapy/immunotherapy.
To deliver this strategy successfully requires specialist pharmacy, nursing, clinical nutrition, radiology, radiography, physiotherapy and medical care to be available in local model 3 hospitals.
To recruit to specialist posts in model 3 hospitals can be challenging.
The pay and numbers strategy, as far as I can see, and I am fully open to correction, effectively abolished once available specialist posts, that happened to be vacant in December 2023. It has been devastating.
There is a very unhelpful and fully complete disconnect between service demand and service staffing at the heart of this strategy.
It must end.
I can understand crisis situations, but for the HSE to remain fully unaware (and seemingly uninterested in discovering) the difference between unnecessary posts, and critical posts that are difficult to recruit to- almost a year into the strategy - really makes me think.
That Senior Management and Senior Administrative posts are explicitly exempt from the Pay and Numbers Strategy is almost unbelievable.