HSE publishes 2021 Annual Report and Annual Financial Statements

HSE Press Release
Monday, 20th June 2022

  • Over 1.5 million people have medical cards and almost526,000 have GP visit cards
  • 6m people received inpatient or day case treatment
  • Covid vaccination delivered nationwide to almost every eligible person
  • 6,149 increase in staff numbers
  • Total expenditure of €21.643 billion

Today, Monday 20th June 2022, the HSE published its 2021 Annual Report and Annual Financial Statements, available on the HSE website here.

The report and accounts highlight the key health and social services provided by the HSE in 2021 out of a budget of €21.643 billion(bn), including funding to non-statutory agencies of €5.691bn. These services were delivered as the HSE continued to support the population through the Covid-19 pandemic, rolled out the largest vaccination programme ever seen in this country and dealt with a cyber-attack on its ICT systems.

Mr Ciarán Devane, Chairman of the Board of the HSE, said, “In 2021, our key focus was on the provision of safe health and social care services against the continuing backdrop of COVID-19 and the impact of the cyberattack.

“Our population continues to increase, with longer life expectancy leading to population growth in the older age groups.  Life expectancy will continue to increase, with the most significant factor being improved survival rates from major diseases. Increased support in the community and in the home is a continuing trend with, for example, over 20 million home support hours being delivered to over 55,000 people.

“To address the longer term, the HSE continued with the ongoing implementation of Sláintecare reforms in line with the Programme for Government. These investments and changes will ultimately allow us to address long-standing challenges including waiting lists for scheduled care in hospitals and long waits in emergency departments.”

Paul Reid, CEO, HSE said,Responding to COVID-19 was a key priority throughout 2021 and, due to the success of our national vaccination programme, we moved progressively away from a crisis response. By the end of 2021, 95.1% of the adult population and 77.8% of the total population had received their primary vaccination, and over 2.25 million booster doses had been administered. As the number of serious cases reduced, we continued to be guided by the advice of our public health teams.”

He continued, “We also had to deal with the unprecedented criminal cyber-attack and the continued disruption it caused to our patients, service users and staff in its aftermath.  Our staff showed remarkable resilience and ingenuity to ensure the continued delivery of essential care while work was ongoing to stop and minimise the effects of the cyberattack. We continued to develop, implement and monitor improvements in the security and resilience of critical national infrastructure for the provision of essential services, ensuring an improved rapid response is available to these threats when they occur.

“We recruited substantial numbers of staff across all disciplines in 2021, the majority of whom are working directly in delivering health and personal social services. We continue to work hard to recruit staff in sufficient numbers to provide the services which are funded and that the public expect.

The CEO and the Chairman on behalf of the HSE Board wish to acknowledge and remember those who were lost, and those patients, staff and families who continue to suffer as a result of the pandemic.

ENDS

Issued by HSE Press Office
press@hse.ie

Note to Editors

Please see HSE Annual Report and Financial Statements here

COVID-19 Impact and HSE Response

Responding to COVID-19 continued was a key priority throughout 2021 and due to the success of our national vaccination programme, we are moving progressively away from a crisis response. By the end of 2021, 95.1% of the adult population and 77.8% of the total population had received their primary vaccination. In addition, over 2.25 million booster doses had been administered.

Effects of the Cyberattack

Widespread disruption to our health services was caused by an unprecedented cyberattack in May 2021, compounding the pressures already being experienced. This event caused a catastrophic disturbance in our ICT infrastructure which underpins the efficient functioning of health and personal social services. Our staff showed remarkable resilience and ingenuity to ensure the continued delivery of essential care while work was ongoing to stop and minimise the effects of the cyberattack. We will continue to develop, implement and monitor improvements in the security and resilience of critical national infrastructure for the provision of essential services, ensuring an improved rapid response is available to these threats when they occur. Engagement has begun with the Department of Health with a view to agreeing a multi-year ICT and cyber security transformation programme to strengthen our resilience and responsiveness in this area and reduce the potential impact on care for patients and service users in the future.

Finance

The HSE had a total expenditure of €21.643 billion (bn) in 2021, including funding to non-statutory agencies of €5.691bn. The total capital expenditure was €1.062bn including capital grants to voluntary agencies of €452 million (m).

Human Resources

The HSE recognises the vital role of staff at all levels of our organisation in addressing the many challenges in delivering health and personal social services. Since 2020, overall staffing levels have increased by 6,149 whole time equivalents (WTEs). Medical and dental staff levels increased by 351 WTEs; the number of nursing and midwifery staff increased by 1,659 WTEs; the number of health and social care professionals increased by 1,192 WTEs and the number of staff working in other patient and client care increased by 1,057 WTEs.

Supporting Service Delivery

  • An estimated 5.01m people live in Ireland (Central Statistics Office), with a population increase of 34,000 people from April 2020 to April 2021.This is the first time the population has risen above five million since the 1851 census.
  • The population is growing across all regions and age groups, with the most significant growth seen in the older age groups.
  • The annual number of births and the total fertility rate in Ireland have declined in the last decade and are projected to continue to decline towards 2030.
  • Life expectancy in Ireland has increased by three years for men and by two years for women since 2009 with women now living to, on average, 84.7 years and men 80.8 years. The most significant factor in this increase in life expectancy is reduced mortality rates from major diseases.
  • The three most common chronic diseases in Ireland are cancer, diseases of the circulatory system and respiratory disease which, respectively accounted for 29.5%, 27.5% and 10.7% of total deaths in 2020. Approximately 49% of people over 50 years of age have one chronic disease with 18% having more than one.

Community Healthcare

  • Over 1.5 million people were covered by a medical card
  • Almost 526,000 people were in receipt of a GP visit card
  • 90.2% of children had received their measles, mumps, rubella (MMR) vaccine at 24 months
  • Over 20 million home support hours were delivered to over 55,000 people (excluding hours from intensive home care packages) 
  • 135 people completed the transition from congregated to community settings
  • Over 16,000 day respite sessions were provided for people with disabilities
  • Over 25,000 adults were seen by General Adult Community Mental Health teams
  • Almost 3,500 people accessed a specialist inpatient palliative care bed within seven days with almost 3,400 receiving specialist palliative care treatment in their normal place of residence.

Acute Services

  • Almost 1.6m people received inpatient or day case treatment, with over one million of these on a day-case basis
  • Over 3.2m people attended outpatient departments
  • There were over 1.3m Emergency Department attendances
  • 77.5% of adults waited less than 15 months for a planned inpatient procedure and 85.9% for a planned day case procedure
  • 75.1% of children waited less than 15 months for a planned inpatient procedure and 82.3% for a planned day case procedure
  • 62.9% of patients waited less than 52 weeks for an outpatient appointment.
Last updated on: 20 / 06 / 2022