Public Service Stability Agreement 2013-2016

The Public Service Stability Agreement – 2013-2016 (Haddington Road Agreement) sets out the measures on productivity, cost extraction and reform which together will achieve the targeted pay bill reductions of €1 billion in the cost of the pay and pensions bill over the three years from 2013 to 2015.

The Haddington Road Agreement provides significant enablers and provisions to extract savings and reduce the overall cost base in health service delivery in the context of the ongoing reform and reorganisation of health services.

Our priorities include

  • systematic reviews of rosters, skill-mix and staffing levels;
  • increased use of redeployment;
  • further productivity increases, and;
  • a particular focus on reducing absenteeism.

The Government is committed to a process of consultation and collaboration on implementation with stakeholders, including health service staff and their representative bodies, as the practical details of implementing reform are worked through.

The HRA will be used by the HSE to enable the health service to adapt in ways that protect service levels to the maximum extent, in the light of financial and staffing reductions.

The delivery of high-quality healthcare is highly dependent on the quality of those in frontline roles and the capacity of those charged with leading and managing the services.  The HSE has already established a Succession Management Programme, which is intended to address both short-term and long-term succession requirements at senior management level and produce well-developed, capable managers for the health sector.

This approach needs to be developed further to create a strategic leadership, governance and development framework that ensures that services are delivered cost-effectively, are safe and of high quality and are managed in compliance with the highest standards of governance.