15 Jan 2013
The ‘Transforming Your Care (TYC)’ consultation relates to proposals for changes in the delivery of Health and Social Care in Northern Ireland in the context of the TYC report published in December 2011. TYC is about making changes to ensure safe, high quality and sustainable services for patients, service users and staff. TYC sets out proposals in respect of how health and social services will need to adapt and be organised to best meet the needs associated with population ageing, increasing long-term conditions and other challenges.
There are three main consultation documents which are available at www.TYCconsultation.hscni.net to view or download.
- Transforming Your Care: Vision to Action which summarises key proposals for change.
- Draft local area Population Plans
- An overarching Strategic Implementation Plan
Key points from IPH response include:
- IPH welcomes the HSC commitment to transform health and social care services to meet Northern Ireland’s changing population health needs
- Inequalities are a dominant feature of health service utilisation patterns in Northern Ireland – for example hospital admission rates for self-harm and alcohol-related admissions in the most deprived areas are double the regional figure.
IPH recommends that
- the role of health services in tackling health inequalities be consolidated as part of reforms in health service planning, provision and monitoring
- synergies with Fit and Well the new public health strategy be developed with a view to meeting joint goals on improving population health and tackling inequalities
- IPH endorses the commitment to enhance prevention and early intervention including a shift from secondary to primary care
- IPH supports the proposed direction of policy towards individualised budgets, self-directed support and Integrated Care Partnerships but cautions that all new approaches be systematically evaluated.
- IPH recommends that any reform of health and social services to better respond to the needs of those with Long Term Conditions requires a comprehensive approach that includes self-care but also aspects of staff skills, new inter-service working relationships and a considered response to multi-morbidity.