Launch of the Model of Care Otolaryngology Head & Neck Surgery: a model of care for Ireland

11th February 2019

Dr Vida Hamilton, National Clinical Advisor and Group Lead, Acute Operations, HSE, along with the National Clinical Programme in Surgery,  recently launched the Model of Care Otolaryngology Head & Neck Surgery: a model of care for Ireland at the Royal College of Surgeons in Ireland (RCSI).

The National Clinical Programme in Surgery (NCPS) is an initiative of the HSE and RCSI. An important role of NCPS is defining the standards of care that should apply to surgical care in Irish hospitals. To supplement previously published models of care (Model of Care for Acute Surgery, NCPS, 2013 and Model of Care for Elective Surgery, NCPS, 2011), the NCPS launched “Otolaryngology Head & Neck Surgery: a model of care for Ireland” authored by Professor Michael Walsh, Clinical Advisor in Otorhinolaryngology, Head and Neck Surgery at NCPS.

Deborah McNamara, Co-Lead NCPS said, “The development of specialty models of care is the next step in defining best practice. It allows a deeper understanding of the range of activity delivered by specialist services and of areas where there are unmet needs. It is also an opportunity for each specialty in surgery to define how the multidisciplinary surgical workforce can best deliver the care required by Irish patients, taking into consideration the new ways of working that are now the standard of care. Improvement of surgical services will require specialties to consider new ways of working, including the migration of some procedures towards ambulatory treatment instead of inpatient care. New technology has the potential to change not only the diagnostic and therapeutic procedures that can be performed, but also the way that surgeons communicate with patients, interdisciplinary team members, colleagues in the community and their fellow surgeons. The starting point for the development of specialty models of care must remain the needs of Irish patients and our responsibility to ensure that these services are accessible, safe, equitable and of high quality.”

Prof John Hyland, Co-Lead NCPS said, “Models of care are an extension of existing practice in hospital and community care, and are essential for efficiency of service. System services to schedule rehabilitation, optimization of comorbidity management, and pre-operative anaesthetic assessment are all essential for modern practice, with efficient use of community, general practice and hospital facilities.”

The Model of Care Otolaryngology Head & Neck Surgery: a model of care for Ireland is available for download at the RSCI website.


Issued by HSE National Press Office

Telephone: 01 92 139



The National Clinical Programmes represent a strategic initiative between the Health Service Executive’s (HSE) Quality and Clinical Care Directorate and the various post-graduate training bodies. The programmes aim to design and implement change initiatives to improve and standardise the quality of care and access for all patients in a cost-effective manner. The Programmes are structured with broad cross-functional input and with clinical leadership being provided by the training bodies to ensure that the patient remains at the centre of any change recommendation.

 All National Clinical programmes share three core objectives:

  •  To improve the quality of patient care delivered to all HSE patients
  •  To improve access to appropriate services
  •  To improve cost effectiveness

The aim of the National Clinical Programmes in Surgery is to provide a framework for the delivery of safer, more timely and accessible, more cost effective and efficient care for the surgical patient. The NCPS works closely with the Clinical Programmes in Anaesthesia, Acute and Emergency Medicine, Older Persons and Critical Care among others, as well as with colleagues throughout the HSE, patient advocacy groups and all relevant stakeholders across the health system.

The National Surgery Programmes report directly to the RCSI Committee for Surgical Affairs (CSA) and to the Director of Clinical Strategy and Programmes Directorate in the HSE. While the National Programme set out to be generic at the outset, it now includes other surgical programmes such as Trauma and Orthopaedics and also sub-specialty advisors including General Surgery, Urology, Otorhinolaryngology Head and Neck Surgery, and Vascular Surgery with the aspiration that other subspecialties will, in time, have representation coordinated through the National Office.

Last updated on: 11 / 02 / 2019