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Committees of the board meeting minutes

HSE Performance Committee meeting minutes 10 December 2024

A meeting of the HSE Performance Committee was held on Tuesday 10 December 2024 at 9.30am in Dr Steevens Hospital, Dublin 8.

Meeting details

Committee Members Present

Brendan Whelan (Chair), Anne Carrigy, Tim Hynes.

Apologies

Matt Walsh.

HSE Executive Attendance

Patrick Lynch (ND Planning and Performance), Colm Henry (CCO – Items 2-4), Anne Marie Hoey (CPO - Items 2-4), Grace Rothwell (ND Access and Integration – Items 2-4), Pat Healy (ND National Services – Items 2-4), Tony Canavan (REO West and North West – Items 2-4), Sonya Cotter (AND Performance - Items 2-4), Joe Ryan (CRO – Item 5), Elaine Kilroe (AND Enterprise Risk Management - Item 5), Dara Purcell (Corporate Secretary), Niamh Drew (Deputy Corporate Secretary), Rebecca Kennedy (Office of the Board).

Minutes reflect the order in which items were considered and are numbered in accordance with the original agenda.  All performance/activity data used in this document refers to the latest information available at the time.

1. Committee Members Private Discussion

The Committee held a private session to review the agenda, the relevant papers and approach to conducting the meeting, noting that the focus of the meeting would be to receive updates on key items and to suggest relevant actions as they became apparent.

2. Governance and Administration

2.1 Declarations of Interest

No conflicts of interest were declared.

2.2 Committee Terms of Reference

The Committee noted its Terms of Reference which were approved by the HSE Board on 23 October 2024.

2.3 Briefing on Strategy & Reform Committee Terms of Reference

The Chair of the Strategy & Reform (S&R) Committee briefed the Committee on the Terms of Reference of the S&R Committee. He advised that the relationship between the Performance and S&R Committees will be managed by the Committee Chairs who will attend meetings of both Committees. This will ensure that agenda items are aligned and resolve any potential issues of overlap.

2.4 Meeting Dates 2025

The Committee agreed the monthly meeting dates for 2025.

2.5 External Membership

The Committee agreed that an external member with data expertise should be sought and that further discussion on the external membership of the Committee would be undertaken in early 2025.

3. Performance Oversight

3.1 Briefing on new National Performance Report (NPR)

The Committee noted an update from the ND Planning and Performance on the new National Performance Report and associated performance management arrangements. ND Planning and Performance advised that the reform of the HSE’s structures means that accountability for the management and delivery of services has moved from the HSE Centre to the six REOs and to the National Director National Services and Schemes, reporting directly to the CEO. The role of the HSE’s Performance and Accountability Framework (PAF) and its impact on the contents of the new NPR were highlighted. The PAF will have four lenses - Quality, Access, People, and Finance - and approximately 60 priority indicators have been identified for the purpose of the HSE’s core performance reporting across these domains. The NPR will be submitted to the Performance Committee monthly after its consideration by the SLT.

The Committee discussed the new reporting structure and highlighted that once final pending amendments are agreed, any further changes made should be carefully considered as consistent measurement and familiarity with the data will be crucial.

3.2 National Performance Report

The NPR (October Data), Key Messages Briefing, and Supplementary NPR Report, which had been circulated in advance of the meeting, were noted. The Key Messages Summary provides additional commentary on national and regional performance against the KPIs reported in the NPR. The supplementary report provided more detailed hospital level data for: Urgent and Emergency Care, Scheduled Care, Cancer Rapid Access Clinic, and Urgent Colonoscopy.

The Committee requested that a full year performance review of 2024 be provided when possible in Q1 2025.

4. Committee Workplan 2025

The Committee discussed the draft workplan 2025 which was circulated in advance of the meeting. It was agreed that Risk Management would be a standing agenda item and that each SLT attendee would submit a short report to the Committee each month.

5. Risk Management

CRO and AND Enterprise Risk joined the meeting

The CRO presented to the Committee the proposed alignment of HSE Principal Risks to Board Committees. The Committee agreed with the proposed allocations and advised that R007 Cyber Security should be allocated to both the Performance and the Strategy and Reform Committees.

CRO and AND Enterprise Risk left the meeting

6. AOB

No matters arose under this item.

The meeting ended at 11:15.


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