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Improving health in the Irish border region: The lessons from cross-border co-operation

Improving health in the Irish border region: The lessons from cross-border co-operation. Dr Patricia Clarke Centre for Cross Border Studies, Northern Ireland. The Irish Border region. Cross-border research. Jamison et.al. 2001

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Improving health in the Irish border region: The lessons from cross-border co-operation

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  1. Improving healthin the Irish border region:The lessons from cross-border co-operation Dr Patricia Clarke Centre for Cross Border Studies, Northern Ireland

  2. The Irish Border region

  3. Cross-border research Jamison et.al. 2001 To explore the potential for cross-border co-operation in terms of the practical benefits to patients in both jurisdictions, for health services as a whole, and in terms of economic and other considerations. Clarke et al. 2001 To evaluate the co-operative progress of the health boards, the extent to which such co-operation has been embedded into mainstream health care and the future content of co-operation.

  4. CAWT Cross-border Region

  5. CAWT working structure Management Board and Director General Executive Officer Finance Forum Secretariat Project/Finance Manager Communications Co-ordinator Office Manager Health Promotion Information Technology Learning Disability Primary Care CAWT ResourceUnit Human Resources Family/Child Care Acute Services Public Health Mental Health Projects, Training Events, Conferences, Information Exchanges

  6. EU Investment PROJECT NAMESouthIR£North £ Child Accident Prevention Programme 228866280739 Cross Border Flexi Workers3750037500 CAWT Resource Unit*345339365953 Protecting Children with a Disability5550055500 Parenting Initiatives6962569500 Primary Care Phase 702159598903 Drug Awareness1333330 Improving Health in Border Areas324912340833 Ambulance Training177000167000 Community Youth2190000 Cognitive Therapy5924582472 Melvin Mental Health235393212571 CAWTAS2808925000 AGH/ Letterkenny Feasability Study3483231000 Letterkenny Cancer Services52434595300 TOTALS31751382362271

  7. Cross Border Acute Care Aims and Objectives • To develop relationships between institutions, their staff, their patients and their communities. • To improve quality of access and reduce inequity in the provision of service. • To create employment. • To promote cross-border participation as part of everyday life by bringing communities together for the provision of acute hospital services. • To share information, expertise, technology and understanding for the benefit of both communities.

  8. Early contributions • Improved relationships • Inclusive debate • Raised the awareness of the health-related problems of the Irish border region at a European level. • Developed pool of experience • Patient benefits?

  9. CAWT primary objectives • Improving population health and well-being • Exploiting opportunities for co-operation in planning and providing services • Taking up available funding from the EU or from other third parties • Involving other public sector bodies in joint initiatives • Assisting border areas in overcoming problems arising from isolation • Exploiting opportunities for joint working or sharing of resources where these would be of mutual advantage

  10. Political endorsement NORTHERN IRELAND ADMINISTRATION GOVERNMENT OF IRELAND NORTH/SOUTH MINISTERIAL COUNCIL SIX AREAS FOR CO-OPERATION through existing jurisdictional bodies Education TransportAgricultureHealthEnvironmentTourism SIX AREAS FOR ALL-ISLAND CO-OPERATION through IMPLEMENTATION BODIES InlandTrade andBusinessFood SafetyLanguageSpecial EUAquaculture, WaterwaysDevelopmentPromotionPromotionProgrammesLighthouses, Marine Tourism

  11. Areas for co-operation • Accident & Emergency services • Planning for major emergencies • Co-operation on high technology equipment • Cancer research • Health promotion Cross-cutting mobility study Institute of Public Health and Food Safety Promotion Board

  12. Recent progress 5 ministerial meetings February 2000 - June 2002 Programme of work • Joint training, staff development, staff exchanges • Exchanges of information and research • Feasibility studies • Operational issues • Strategic reviews

  13. Constraints/ Barriers • Policy and structural differences • Funding issues • Reciprocation • Public acceptance • Professional accreditation • Insurance • Competing pressures • Political context

  14. Constraints/ Barriers 2 • Political instability and maintaining momentum • 2001 Foot and Mouth Disease • Defining parameters • Phasing development in step with national strategies

  15. Critical factors 1 • Identification and definition of the problem • Systematic review of border problems • Added value of collaboration • Clinical-need driven

  16. Critical factors 2 • Mechanisms for innovation • Institutional structure • Resources • Removal of obstacles • Overall political context

  17. Further details Centre for Cross Border Studies www.crossborder.ie

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