There is NO functioning IT software within the HSE. Patient’s records are paper- based.

Compare that with General Practice. 98% of GPs are fully computerised. HOW?

We pay annually for our own IT costing between €8,000 and €20,000 depending on the number of the GP staff. 1/ https://twitter.com/gavreilly/status/1345301447135678464

How well does the IT system work in General Practice?

Patients records are encrypted on the GP software and backed up on a secure approved online server, based in Ireland and on site.

Another separate annual cost borne by the GP(s). 2/

How are referral made?

All electronically and the only exception is when a patient is referred to ED (letter given to them) or when a hospital or Dr is not registered on Healthlink or Healthmail. GPs are GDPR compliant. Referral replies can then be accepted electronically. 3/

What healthcare experience did the HSE CEO @paulreiddublin have before he was appointment in April 2019?

ZERO.

Mr Reid’s wiki bio stated he started work at aged 16 as a trainee joiner, then 4/

He became a cable jointer and qualified as a technician with Eircom. He was promoted to Executive Director by the time he left Eircom in 2010. His next role as Head of Corporate Affairs with Trocaire and 5/

From 2010-2014, he was COO in the Dept of Public Expenditure and Reform before becoming CEO of Fingal county council in 2014.

On 2/4/2019, he was appointed HSE CEO by @SimonHarrisTD, a college dropout & Health Minister.

Meteoric rise for a man who left school at aged 16. 6/

How much does HSE CEO @paulreiddublin earn and how does his salary compare to the NHS CEO?

Paul Reid earned €350,000/ yr
whereas his boss Simon Harris, the incumbent Health Minister & college dropout earned half at €172,677/yr.

NHS CEO Simon Stevens earned €260,000/yr. 7/

NHS CEO Simon Stevens manages 4 Health services under the NHS that employed 1.6 million healthcare professionals.

His annual pay is € 260,000/yr .

His CV is more impressive than his Irish counterpart: 8/

What has HSE CEO Paul Reid achieved?

There are more HSE administrators than HCPs.

Has he reduced the number of administrators? Of course not.

Has he employed more HCPs? NO.

So what has Paul Reid achieved during this pandemic compared to NHS CEO Simon Stevens?

#ZERO
9/

Without Irish GPs who are resilient and are able to adapt very quickly to the pandemic to provide a health service that worked, the health system would have collapsed. But like our HSE HCPs colleagues, are are all suffering from Burnout.

My thoughts/ suggestions: 10/

The HSE needs urgent reform.
1. Computerise it including patients medical records.

2. Ask every administrator to write and justify their job description. Close to 100,000 administrations, yet only approx 17,000 HSE Drs.

3. Employ more HCP and pay them well.

More later ...

4. Nurses. They are the glue that kept the health service running.

In this worsening global pandemic, to expect student nurses to fill the gaps and work for free is an utter scandal.

@paulreiddublin you need to PAY them ASAP and treat all the nurses better. 12/

For the record. I am a huge supporter of education no matter the age.

Just like the former Health Minister, @paulreiddublin did not have the relevant experience to run the HSE. Who else interviewed but was looked over? @kenfoxe can you find out please?