OECD Public Management Reviews: Ireland 2008

Towards an Integrated Public Service

image of OECD Public Management Reviews: Ireland 2008

Ireland's economic success story is one that many OECD countries would like to emulate. Of the many factors linked to this success, understanding the public sector’s role is key. Integration matters. The key public service reform challenge for Ireland going forward is for the different parts of the Irish Public Service to work cohesively together, with a more integrated approach at the national and local levels.

This book provides an overview of the Irish Public Service, its fiscal and demographic context, and looks at capacity and motivation issues, improving service delivery, and strengthening governance. It also provides four case studies and a series of recommendations.

This report is the first in a series of OECD country reviews that will look at public management reform and governance issues from a comprehensive perspective. These reviews will help countries to identify how reforms can better reinforce each other in support of overall government objectives. They also examine reform strategies that have worked in other countries and provide advice as to which reforms can be appropriately adapted to a given country.




Case Study 1: Reconfiguration of Hospital Services in the Health Sector

It should be noted at the outset that this case study is examined in a time of significant transition for the Irish health care system. The Health Service Executive (HSE) came into existence on 1 January 2005, merging eleven organisations and a number of specialist agencies into one. Furthermore, compared to other European countries, Ireland is not only facing the challenges of developed countries – ageing, chronic diseases, demand for more and better care, etc. – but also has a rapidly growing, relatively young, population (increasing by some 8% in the past four years).


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