Transformation of the Management and Delivery of the Home Help Service.
Each year the total number of people over the age of 65 is now growing by around 20,000 persons. The population over 65 will more than double over the next 30 years with evident implications for health service, and other public services, planning and delivery. With this in mind it is inevitable that there will be an increase in the demand for the Home Help Service to maintain those over sixty five as long as possible in their own homes. There is no best way identified by the Health Service Executive to manage change but there is a recognised need to develop strategies to implement change so that the organisation can meet the demands on the services they provide. This proposal on implementation is intended to streamline and standardise the management and the delivery of the Home Help Service by restructuring the way the service is currently managed and delivered by introducing a seven day patient centric rota system. The main focus of this proposal is to enhance the quality of the care that is delivered by increasing continuity of care and reducing carer burnout by providing staff with a system that allows them more time off. In addition to this, the administration process will be greatly reduced by the introduction of a seven day rota system. This initiative was successfully implemented in a small pilot area. This proposal takes these results into account and proposes that a seven day rota system be introduced to each of the sixty six public health nursing areas in the county as a standard approach to manage and deliver the Home Help Service. The HSE Change Model was selected as the Organisational Development Model for this proposal. The initiation and planning stage took into account the results from the pilot area. The implementation and mainstreaming focused on the use of these results to facilitate the change into all areas of the county.