Northern Ireland

About the region

Northern Ireland is a part of the United Kingdom in the north-east of the island of Ireland. Northern Ireland shares a border to the south and west with the Republic of Ireland. In 2011, its population was 1,810,863, constituting about 30% of the island's total population and about 3% of the UK's population. The Northern Ireland Assembly holds responsibility for a range of devolved policy matters including health and social care, while other areas are reserved for the British government.

 

Health and social care in the region

Northern Ireland (NI) has a single publicly funded integrated health and social care system. The annual budget is in the region of £5.7bn. The Department of Health (DoH) is responsible for promoting an integrated system of health and social care designed to secure improvement in the physical and mental health of people; prevention, diagnosis and treatment of illness; and social wellbeing of people in NI.

There are a number of challenges to the current system, one of which is the scale of demographic change. Estimates indicate that by 2026, for the first time, there will be more over 65s than under 16s. By 2039, the population aged 65 and over will have increased by 74% compared to the position in 2014. This will mean that one in four people will be aged 65 and over.

A ten year approach to transforming NI health and social care was launched in 2016 in the Health and Wellbeing 2026: Delivering Together strategy which recognised that the current configuration of services is not optimised to meet the needs of 21st century care. The point has now been reached where maintaining the current delivery models is having increasingly negative impacts on the quality and experience of care for many service users, while constraining the ability of the system itself to transform to meet today’s health needs.

VIGOUR in the region

Social Prescribing is a means of enabling GPs and other frontline healthcare professionals to refer patients to a link worker - to provide them with a face to face conversation during which they can learn about the possibilities and design their own personalised solutions, i.e. ‘co-produce’ their ‘social prescription’- so that people with social, emotional or practical needs are empowered to find solutions which will improve their health and wellbeing, often using services provided by the voluntary and community sector. It is an innovative and growing movement, with the potential to reduce the financial burden on the health and social care service and particularly on primary care.

The team in the region

Martin Hayes	Sinead Malone	Soo Hun