darity.  Recognising the need for large-scale change that delivers fundamental reform, the policy is built on four key inter-dependent pillars:

1. Health and Wellbeing

2. Service Reform

3. Structural Reform

4. Financial Reform

While this policy does not specifically address dementia, it proposes fundamental change to the systems and service provision in ROI.  It highlights an ageing population as one of the key future issues in service provision.  The Strategic Framework has been designed to do three things:

∙ Set out the strategic policy direction for health reform up to 2015

∙ Deliver real tangible improvement in the quality of patient care well ahead of the introduction of UHI

∙ Prepare the ground for the introduction of UHI by radically reforming the way in which the current health system is organised, financed and delivered.

• Placing the individual at the centre of the model by promoting a better outcome for the service user, carer, and their family

• Using outcomes and quality evidence to shape services

• Providing the right care in the right place at the right time

• Population-based planning of services

• A focus on prevention and tackling inequalities

• Integrated care – working together

• Promoting independence and personalisation of care

• Safeguarding the most vulnerable

• Ensuring sustainability of service provision

• Realising value for money

• Maximising the use of technology

• Incentivising innovation at a local level

Work continued after the report was published to develop implementation plans, including a further consultation process that resulted in the publication of: The Vision to Action Consultation Report.

The final strategic implementation plan was published in October 2013.