Governance Framework

The governance framework developed to implement the National Strategy Project Plan includes:

AFFINITY Project Overview 2014: National Sponsorship Team; National Implementation Team; Regional Implementation Teams, aligned to each of the four HSE Administrative Areas

Figure 1 AFFINITY National Falls and Bone Health Project Governance Framework

The National Sponsorship Team (NST) comprises members from the HSE, State Claims Agency, Department of Health, Service Delivery Unit and the Clinical Care Programmes. Its remit is to act as a “clearing house” to enable the project to meet its goals. The main objective of the NST is to work through blockages and issues that occur at a high level and possibly impinge on the work of the National Implementation Team (NIT) and Regional Implementation Teams (RIT). For example the NST would take the lead regarding discussions that may be required with the HSE Director General/Chief Operating Officer and other stakeholders including the IMO/ICGP etc. The NST met for the first time on April 11th 2013.

National Sponsorship Team Membership:
Name	Title
Co-chair: Mr Michael Fitzgerald;	Head of Operations and Service Improvement Older People, HSE Social Care Division (formerly Mr Noel Mulvihill, NAD Older Persons to March 2014)
Co-chair Dr Ailis Quinlan;	Head of the Clinical Indemnity Scheme, State Claims Agency
Dr Tara Coughlan	National Clinical Lead for Falls and Bone Health, National Clinical Programme for Older Persons (NCPOP)
Mr Barry Murphy	Principal Officer Older Persons Services, Representative Department of Health
Anne Keating	Representative Service Delivery Unit (SDU) (formerly Mr Conor Leonard to November 2013)
Irene O Byrne Maguire	National Joint Co-ordinator, Clinical Indemnity Scheme, State Claims Agency
Rachel Fitzgerald	National Joint Co-ordinator, HSE Older Persons Services (formerly Anne Marie Ryan to March 2014)

The National Implementation Team (NIT) comprises members from various disciplines and with various roles across multiple settings to ensure adequate representation of a “whole system” integrated approach needed. It’s remit is to help deliver on the National Falls and Bone Health Implementation Project. This Team will engage with relevant stakeholders to enable them to facilitate the key elements of the National Implementation Plan at national/regional/local level. The main objective of this Team is to work with and support the RIT’s. The NIT met for the first time on May 20th 2013.

National Implementation Team (NIT) Membership:
Name	Title
Co-chair: Mr Michael Fitzgerald;	Head of Operations and Service Improvement Older People, HSE Social Care Division (formerly Mr Noel Mulvihill, NAD Older Persons to March 2014)
Brian Murphy	Primary Care Representative
Dr Tara Coughlan	Consultant Geriatrician AMNCH, Tallaght & Clinical Lead Falls & Bone Health NCPOP
Dr Emer Ahern	Consultant Geriatrician St Luke’s Hospital Kilkenny & key link to Irish Hip Fracture Database
Emma Benton	AHP’s Representative National Clinical Programmes
Geraldine Delorey	Health Promotion Representative
Irene O Byrne Maguire	National Joint Co-ordinator AFFINITY & Clinical Risk Adviser, State Claims Agency
Dr Joe Clarke	GP/National Clinical Programme Primary Care Representative
Dr Kieran O Connor	Consultant Geriatrician Cork
Neil Dunne	ANP Older Persons & NCPOP Working Group
Dr Declan McKeown	Health Intelligence
Rachel Fitzgerald	National Joint Co-ordinator, HSE Older Persons Services (formerly Anne Marie Ryan to March 2014)
Niamh McMahon	Pharmacy/Medication Management Adviser
Avilene Casey	Nursing and Midwifery KPI Group
Pascal Moynihan	Regional Specialist Older Persons Services , representative from four Regional Implementation Teams nationally
Dr Helen Flint	Nursing Representative NMPDU
Leán O’Flaherty	Senior Community Dietician HSE Dublin North City
Mary Morrissey	Senior Psychologist, Change Management Support, Health Intelligence
Prof Rose Anne Kenny	Consultant Geriatrician St James & TILDA Lead, Hospital Division Representative
Dr Miriam Casey	Consultant Geriatrician St James, Bone Health Specialist

The Regional Implementation Teams (RIT) will serve to enable the pilot sites/early adopters identified to implement an integrated service delivery model for falls and bone health in line with the Specialist Geriatric Services Model and the Guiding Framework/Clinical Guidelines to Prevent Falls and Fractures in Ireland’s Ageing Population using an Integrated Care Pathway Model (AFFINITY), currently being progressed through the NCEC process. The first joint meeting of the RITs took place on Monday June 10, 2013.

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Governance Framework