Policy issues concerning Health

People should be assured of the required treatment and healthcare in their times of illness and vulnerability. The standard of care available is dependent to a great degree on the resources made available, which in turn are dependent on the expectations of society. Covid-19 put an unprecedented strain on our healthcare system, however the systemic issues and overreliance on acute services which dominated the Irish healthcare infrastructure pre-Covid only served to exacerbate the problem.

Research by Safeguarding Ireland, released this month (13th February 2020), indicates that 80% of adults have not considered how they want to be cared for.  When asked to state a preference, 85% of adults surveyed stated a preference for care at home, with necessary supports.  However, the current level of Homecare supports in Ireland is grossly inadequate. Social Justice Ireland believes that substantial investment is required to support people to age well at home and that the introduction of a statutory right to homecare must be a priority.

The latest outpatient waiting lists indicate that 563,410 patients were awaiting an appointment as of November 2019, an increase of 47.5% since 2014.  Almost 30% were waiting 0-3 months while 18.7% were waiting 18 months or more.  With health expenditure at an all-time high, how is the health service failing so many?

Ageing will be a dominant theme in the 21^st century according to The United Nations World Economic and Social Survey. How we think about ageing can impact the policies we introduce and the supports we deem necessary.  Dr. Diarmuid O'Shea (Irish Gerontological Society) presented on the theme of ageing as an opportunity to add healthy years to life at our Social Policy Conference and emphasised that health and social care expenditures for older people need to be seen as an investment, not a cost.