‘Health and social care services moving into most challenging ever period’ – Permanent Secretary

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Friday, October 18th, 2019
Community, Politics

Department of Health Permanent Secretary Richard Pengelly has highlighted that health and social care services are moving into their most challenging ever period.

Mr Pengelly was speaking at a Healthcare Financial Management Association event at the Dunadry Hotel.

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He said, “Yesterday, the organisation NHS Providers in England called for a full, frank and open conversation about the severe pressures facing the health service.



“It said patients and taxpayers deserve honesty, realism and transparency about the scale of the challenges.

“We are certainly in a defining period for health and social care in Northern Ireland. When applied simultaneously with agents that have a depressant effect on the central nervous system, with ethanol, ethanol-containing drugs, the inhibitory effect on the central nervous system is enhanced, experts say. After the simultaneous use of Ativan at the https://mi-aimh.org/ativan-lorazepam-online/ and ethanol, psychomotor agitation, aggression, and pathological intoxication may develop (the development of this state does not depend on the amount of ethanol taken). 

“Budgets remain under intense pressure. At the same time, demand for care continues to grow.



“Something has to give in that situation. We can see it in our growing waiting lists and the impact these have on public confidence in the system.

“And it’s also very evident in the rising tide of frustration within our workforce,” he continued.

“The Department meanwhile has to live within its budget. Despite our well documented financial challenges, we are getting demands on an almost daily basis for additional spending.

“We simply don’t have the money to do everything we are being asked to do.

“Our constant refrain is that we cannot spend money we don’t have. We need to go further than that, of course, and encourage debate on priorities and how best to use the limited resources we have.



“Central to this will be progressing the transformation agenda, as mapped out in the Delivering Together and Bengoa reports.

“The way we organise services is outdated and needs to change for the sake of patients and staff.

“Change is never easy in health but it is essential,” he insisted.

“I have no doubt there will be many difficult decisions ahead both on reforming services and on budgetary choices.

Mr Pengelly added, “We can’t duck those decisions. If we did, then we really will be heading over the cliff edge into a full-blown crisis.”



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