1. Strategic Portfolio Alignment
Joe Ryan
Programme for Health Service Improvement

2. Strategic Coordination Project Management & Controls
Aims of the EPMO
Alignment
Strategic Coordination
Innovation
Project Management & Controls
Communications
Assurance

3. Understanding the Strategic Context
Social Care
Mental Health
Primary Care
The ‘Centre’
QAV
Service Design and Delivery
Enabling Services
Service Design
Chronic Illness
Patient Flow
Service Delivery
NCCP
Acutes
9 CHOs
90 networks
Transformation of the Centre HR
Knowledge & Information
Finance
HBS
Comms
National Ambulance Service
Community Healthcare Organisations (CHOs)
33 National Clinical Care Programmes
Frail Elderly
Health and
Well-Being
Integrated Care Programmes
i.e. Design Authority
IHI
Primary Care Reimbursement Service
QID
ABF
7 HG Project Boards/PMOs
Hospital Groups (HGs)
Children’s Care
Maternal Care
People Strategy
The portfolio is strategically aligned to a wide range of strategies, policies and reports.

4. Key External Strategic Drivers
Currently, their strategic agenda is being driven by two important documents which have recently emerged.
– Statement of Strategy (December 2016)
– Oireachtas Committee’s Sláintecare Report (May 2017).

5. Identifying our Key Programmes
Establishing Hospital Groups
Establishing Community Healthcare Organisations
Improving Social Care
Implementing the National Ambulance Service Vision 2020
Improving the Primary Care Reimbursement Service
Transforming the National Centre
Implementing the Healthy Ireland Framework
Developing Quality Assurance and Verification
Focusing on Quality Improvement
Implementing National Integrated and Clinical Programmes
Implementing the National Cancer Care Programme
Shifting to Primary Care
Improving the Mental Health Service
Improving Acute Services
Implementing eHealth Ireland
Enhancing Human Resources
Improving Information Services
Improving Communications Services
Developing Health Business Services
Managing the Programme for Health Service Improvement
The total work of the Programme for Health Service Improvement is organised into large-scale programmes of work.
20 key programmes have been identified in collaboration with Leadership & Department of Health.

6. Identifying our Programme Priorities
National Directors reviewed deliverables in workshop
January 2017
PMOs submitted deliverables for each programme
Commenced
October 2015
Planning Leads refined deliverables into high-level priorities in workshop
March 2017
This is being led by the Programme for Health Service Improvement, as the HSE is delivering these programmes and is closest to the work
The basis for the high-level priorities for each programme is the Action Plan deliverables, which have been collected and refined iteratively, most recently with the Planning Leads for each division

7. Mapping to the Dept. of Health Priorities
Removed priorities beyond the scope of the PHSI, e.g. relating to policy and legislation.
Extracted Dept. of Health priorities from Statement of Strategy and mapped with relevant PHSI key programmes.

8. Mapping to the Sláintecare Priorities
Highlight priorities beyond the current scope of the PHSI, e.g. those not yet agreed as commitments.
Extracted Sláintecare priorities and mapped to relevant PHSI key programmes.

9. Identifying Gaps and Refining Programme Aims
Compared
PHSI, DoH and Sláintecare priorities.
Refined proposed high-level aims for each programme based on strategic mapping exercise.
Identified gaps and flagged them for inclusion (green), review (red), or for clarifying (blue).

10. Demonstrating Strategic Alignment
This process is….
Compare strategic priorities of HSE, Dept. of Health and Sláintecare
Demonstrate significant existing alignment
Identify gaps and address those within the remit of the HSE
Produce an agreed list of key programmes and a proposed list of shared priorities.

11. Next Steps…
Leadership to finalise HSE position on priorities (DDG S&P)
Engage with Minister & DoH to agree joint position on priorities
Agree appropriate joined up governance to oversee development and implementation
Agree ways of working with DoH PMO
Prioritise the development of clear roadmaps for each of the programmes within the PHSI to deliver on these priorities

12. Thank You
Any Questions?