Posts by: Eimear Galvin

New Irish Times series: Irish Health Innovators – Dr Clíona Ní Cheallaigh.

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Working with Health Innovation Hub Ireland, we are lucky to meet people from Irish healthcare start-ups to people on the front line that are truly innovative. Damian Cullen, the Irish Times Health Editor has agreed to share some of these in a new series ‘Irish Health Innovators’, by HIHI Dublin Manager, Eimear Galvin.

Irish Health Innovator 1: Dr Clíona Ní Cheallaigh.

Dr Cliona Ní Cheallaigh, consultant in general medicine and infectious diseases at St James’s pioneers a unique programme on inclusion health in the hospital.  This is a dedicated service to tackle health and social inequities among our most vulnerable and socially excluded populations: the homeless, people with substance use disorders, sex workers, and prisoners. A year-long pilot study of Ní Cheallaigh’s programme showed savings of almost €1m in direct costs to the hospital and 3,066 bed stays. The programme has extended to the Mater Hospital and will now be funded as a two-year pilot by the HSE and Genio under the Service Reform Fund with national intentions.

“It’s about sitting down with people and working with them to identify and address all of their needs”, Ní Cheallaigh explains, “people who are homeless or who have addiction issues have often experienced abuse and/or neglect in childhood. This affects their ability to look after their health in many ways.  The programme  requires bringing together a wide range of people – nurses, doctors, keyworkers, hostel staff – who work in services across Dublin. “It’s not rocket science, she says, “it is just a recognition that a small proportion of people are much sicker and have a much higher need for care than the majority. The fact is that unmet needs result in people becoming sicker and needing much more costly healthcare.”

Dr Ní Cheallaigh’s  sights are now also set on establishing a voluntary group to facilitate connected inclusion health across the board. The All Ireland Inclusion Health (AIIH) forum comprises researchers, academics, clinicians, industry, HSE planners, advocates and people who have lived experience of social exclusion.  The entire group has volunteered their skills to reduce health inequity for those who are socially excluded. The challenge to achieve this is to bring these socially excluded populations into the fold. To represent them and seek to affect positive change in lives where this has often been absent.

Themes Ní Cheallaigh frequently encounters in her work are adverse childhood conditions, addiction, and sexual violence – multiple root causes, requiring a multi focussed solution. “The fact is that unless we are coordinated, connected and working together then care becomes fragmented and with the best will in the world agencies wind up working separately. We all want the people that we work with to live full and healthy lives.  Together we are stronger. That is the aim.” The AIIH will focus on advocacy, education and research and providing a support network to those working with individuals affected by social exclusion.

Although acutely aware of the need for such a forum, Ní Chealligh was stunned when 120 people turned up to the first open meeting, just before Christmas. Of that group, each individual wants to help – use their skillset, connections, expertise to establish a body that will seek to rebalance the health scales in Ireland.

The AIIH is only in its infancy and Ní Chealligh stresses that the positive outpouring belies a significant amount of practical work now required on structure, management and establishing a democratic forum that can wield influence and change across key areas. She is confident that it will get there. “People are often too quick to default to cynicism when faced with societal change. The mind-set that says ‘realistically’ it can’t be done. But look, AIIH is a practical amalgamation of experts who by powers combined are greater than individual efforts. I have no doubt this is an important milestone in tackling Ireland’s health inequity.”

Originally published: Irish Times, Tuesday May 7.

 

Leading clinicians call for applications to develop ‘Healthcare Innovation Ambassadors’ in an educational first for Ireland

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Health Innovation Hub Ireland (HIHI) today announced a new Postgraduate Diploma in Healthcare Innovation, Level NFQ 9 – the first focused on the development of ‘Healthcare Innovation Ambassadors’ in Ireland. Uniquely, this programme develops the person to be innovative in their approach and thought processes within healthcare, rather than current offers where the focus is on the innovation itself. The result being the creation of Ambassadors who will lead development and improvements in Irish healthcare overall. Places on the course are mixed, both industry and HSE, with one third offered at a reduced rate for the HSE applicants.

HIHI is a joint government initiative of both the Department of Business, Enterprise and Innovation (DBEI) and the Department of Health (DoH), funded through Enterprise Ireland and supported by HSE. Operationally, it is a partnership of clinical and academic centres. Of the four HIHI academic partners, Trinity College Dublin (TCD) has specific responsibility for the delivery of educational products that will stimulate a culture of innovation within the HSE and Irish healthcare.

Prof John Higgins, HIHI Lead Principal Investigator, UCC Professor and Head of Obstetrics and Gynaecology, said:

“I urge all those working in healthcare to consider this course. We want to engage right across the hospital structures and create a healthcare culture receptive to innovation, by teaching a new way of thinking to find creative solutions to health challenges.

“Ultimately, HIHI wants to facilitate an eco-system whereby those on the frontline become drivers of innovation in Irish healthcare. That is why one third of the places on the course are reserved for HSE staff at a reduced rate.”

Prof Seamas Donnelly, Course Director, Professor of Medicine at the School of Medicine, Trinity College Dublin, and HIHI Principal Investigator said:

“HIHI and its partners, not least among them the HSE, want to look at solutions for the long-term, not just to get by in the short-term. Through education, HIHI seeks to achieve a lasting behaviour and culture shift that ensures those in Irish healthcare are the lead architects of positive change and accelerate our system to one with innovation at its core.

“If we can’t change how we work in the system, the system simply won’t change.”

A one-year course delivered through Trinity College Dublin, the Postgraduate Diploma in Healthcare Innovation, comprises eight modules. There are six taught foundation modules and two project modules, including methodology workshops and a practical field project. The programme will offer fundamental grounding in key subjects: design thinking and embedding a culture of innovation; process innovation; lean thinking; social innovation and health economics; innovation and leadership. The practical project will help students to identify and plan an innovative solution applicable to their workplace, with a view to implementation.

This Postgraduate Diploma will be a catalyst in transforming the innovation mind-set within the Irish healthcare landscape. Graduates are expected to lead the adoption and embedding of innovation in the Irish health system. Closing date of June 30 for applicants.  Full course detail here.

ENDS

Health Innovation Hub Ireland and Irish Platform for Patient Organisations, Science & Industry (IPPOSI) announce new Memorandum of Understanding

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Health Innovation Hub Ireland and IPPOSI (Irish Platform for Patient Organisations, Science & Industry) IPPOSI announce new Memorandum of Understanding

Health Innovation Hub Ireland (HIHI) is pleased to announce a Memorandum of Understanding (MoU) with IPPOSI. The MoU is of  mutual interest to IPPOSI and HIHI with regard to healthcare innovation, patient care and empowerment in Ireland. This MoU will establish a closer working relationship to maximise IPPOSI and HIHI offerings.

The commitments in the MoU cover three areas: representation, education and patient empowerment.

HIHI National Director Colman Casey said:

“Patient’s interests and viewpoints are crucial to HIHI in how we operate and deliver for both Irish healthcare and Irish health companies. This formal working agreement with IPPOSI will strengthen this.

“The MoU covers patient involvement in the HIHI Steering Committee, judging in the competitive pitch process of annual call to industry, mutual support for our respective education programmes and a joint commitment to patient empowerment in health innovation.”

Ava Battles, Chair of IPPOSI said:

“We are very pleased to sign a memorandum of understanding with HIHI and look forward to collaborating with them to strengthen the voice of patients at the heart of their work.

“We will facilitate the establishment of patient representation in HIHI, and through our working more closely together, we will maximise the impact of our respective education programmes.”

The HIHI and IPPOSI MoU is for an initial two-year period from February 1 2019.

(For further information: HIHI Dublin Manager, Eimear Galvin – galvinei@tcd.ie)

 

 

HIHI Dublin Manager, Eimear Galvin, writes about making Ireland a centre for healthcare innovation

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Access is the bedrock upon which HIHI is built. Prior to this in Ireland, the enterprise of health and the health system existed in silos. Ireland haemorrhaged healthcare industry talent as companies looked to the US and the UK for product development – countries where integrated clinical practice, education and research is the norm.  A number of years ago Health Innovation Hub Ireland (HIHI) set about changing this. Driving innovation, HIHI acts as a broker between industry and the healthcare system. At a cultural level, the hub engages directly with the healthcare community to embed innovation through support and education.

As a precursor to HIHI, as we know it today, the Action Plan for Jobs 2012 demonstrator project was formed to test at a regional level how a national hub might work. A project team based in University College Cork (UCC) delivered a demonstrator project connecting six innovative Irish healthcare companies with the health service. It provided dedicated contact points, project management, office space, advice and crucially, access to the hospital and primary care and pharmacy systems in Cork.

The six companies taking part in the demonstrator project – the first ever HIHI clients – were selected on the basis of potential efficiencies to the health system as well as the economic impact in terms of company growth, including export potential. Of the companies chosen, Radisens Diagnostics, an innovative blood-testing device, had faced difficulties in formally engaging with the HSE. Being part of the HIHI demonstrator project granted the company access to primary care, physicians, central laboratory and healthcare management. HIHI supported Radisens in their device development, offering integrated engagement with the local health service.

The ambition in the 2013 ‘Action Plan for Jobs’ was to establish a world renowned Health Innovation Hub and in doing so Ireland as a leading location for start-ups and growing medtech and healthcare companies. The demonstrator hub provided a scalable and clinically credible environment in which to launch Health Innovation Hub Ireland (HIHI) in 2016, in Cork. UCC leads a consortium of partners, Cork Institute of Technology (CIT) National University of Ireland Galway (NUIG) and Trinity College Dublin (TCD). Therein lies the genesis for the national hub expansion witnessed last year when HIHI opened doors in both Dublin and Galway, trebling its staff numbers nationally.

As a joint government initiative of both the Department of Business, Enterprise and Innovation (DBEI) and the Department of Health (DoH), funded through Enterprise Ireland and supported by HSE, HIHI recognises that collaboration with business can benefit patient care, patient pathways and outcomes. A neat example – Irish company ViClarity has a tool that monitors compliance with regulatory standards, originally designed for the financial services sector. In late 2016, ViClarity engaged with HIHI to define a pilot study in Killarney Community Hospital, focussed on improving the manual auditing and compliance measurements, within the hospital. Traditional paper based audits were built into system workflows and automated and the workflows assigned to relevant staff members within the hospital.

Staff used the ViClarity tool to complete audits, gather related data and input this directly into the system. Through the HIHI study, Killarney Community Hospital transformed a time consuming paper-based system to computer-based auditing. This means instant results, immediate compliance status visibility and ownership of audit responsibilities. The switch saved significant admin hours, freeing up staff time.  For ViClarity, HIHI secured their first clinical pilot in a public hospital. The company continues to leverage the overwhelmingly positive results of the HIHI study both in the domestic and international markets, when making the ViClarity pitch.

HIHI connecting products with people qualified to test them – industry and clinical teams – through usability, pilot and validation studies, supports the development of new healthcare technologies. Just as with Radisens and the demonstrator, multiple companies are now gaining access to invaluable insight and authoritative feedback on how their product works or may require modification. Since 2016, HIHI has managed 200 company engagements, 72 companies received follow up support and 25 HIHI studies completed in Irish healthcare settings. Each hub operates an open door policy but also issues an annual national call. Last year saw a 58 per cent increase in applications to this call, compared with 2016.

Of 70 applications, 40 made it through to the competitive pitch panels late last year, which included experts from HSE, EI, Health Research Board (HRB), DBEI, DoH, clinicians and industry. There were 25 winners and HIHI is currently matching companies with relevant clinical teams, to oversee a study of each product in an Irish clinical setting. The winning companies range from self-funded to current revenue generators. Others such as ILI – Independent Living Ireland Limited, a digital re-enablement pilot programme, which allows older people to return home sooner from hospital – have €65K seed funding from Cork County Council SBIR programme. Feeltect, a medical device company producing an adjustable, ‘smart’ compression device for venous leg ulcers (VLUs) is funded through an EI commercialisation fund and engagement platform myPatientSpace Limited won the EI competitive start up fund last year. Full list of winners here.

HIHI does not provide any funding; rather the currency is access, which is invaluable to companies developing healthcare products. Incidentally, opening up the health service to industry does not always require a full-scale study. HIHI can facilitate mid-development feedback, therapy area/market exploration, gauge clinical appetite for research partnerships, industry/clinician funding potential and focus groups. In fact, the latter is where HIHI adds value for competitive pitch winner, Feeltect. The company wants to run focus groups with its end users – community nurses – prior to embarking on a full-scale clinical trial this year. Working with HIHI Feeltect can make any adjustments now, saving time and money in advance of the trial – a costly endeavour in itself.

HIHI and its partners, not least among them the HSE, want to look at solutions for the long-term, not just to get by in the short-term. If access is the bedrock upon which HIHI is built, then the healthcare community is the fundamental component to ensure a sustainable culture change. HIHI is an open door in Cork, Dublin and Galway for staff from all parts of the health service that have ideas and solutions to problems they encounter in their work. HIHI assesses ideas and concepts for healthcare innovation from all staff – clinical and non-clinical, acting as mentors and advising on taking an idea and developing it into a service or product.

The first step is an online assessment, which will crystallise the idea. It may be a local process innovation which requires support to create the case or it may be a device or product based solution that could impact on a given therapy area and generate commercial return. HIHI will explore the idea and work it through over a six-week workshop period with each individual. At the end of this period, an idea is developed to the point of ‘next steps’. Next steps may be identifying an industry partner to build a beta product for testing, apply for an Enterprise Ireland commercialisation fund, or approach a pitch a solution to a localised challenge.

To create a truly sustainable culture of innovation within the Irish healthcare system then HIHI needs to reach everybody, not just those with product ideas and this can only happen through education. Of the four HIHI academic partners, Trinity College Dublin (TCD) has specific responsibility for the delivery of educational products that will stimulate a culture of innovation within the HSE. A connected series of five, CPD accredited, ‘Innovation Workshops’ kicked off November 2018.The workshops are open only to those working in the HSE, voluntary hospital and relevant primary care settings. Each one-day workshop has been developed to build insight into the latest thinking on practical implementation of new process ideas, new product ideas and creative approaches to re-thinking healthcare from within.

The five workshops, delivered as continuum learning, guide and encourage participants to explore the potential for innovative approaches within their own healthcare environment. Workshops 1 – 4 set the overall context for innovation and deliver hands-on, concrete learning. Participants are encouraged to identify and develop their own ideas individually or in groups throughout this period. Those who engage on this will be eligible for Workshop 5. Here participants are coached and mentored to convert their researched ideas into a coherent presentation, delivering this to a panel of healthcare leaders and experts for critique. Upon completion of Workshop 5, the HIHI ‘Certificate of Healthcare Innovation’ is awarded. The certificate recognises a “Healthcare Innovation Ambassador” and each is encouraged to develop their idea further through their local hub. The overall aim is to embed these ambassadors of innovation within the healthcare sector and build a national network of alumni who will foster an internal ecosystem of innovation and entrepreneurship within the HSE.

The second education programme is a more formal offer, open to all – a TCD Postgraduate Diploma in Healthcare Innovation, one-year course. It is anticipated that those who complete the workshop programme may well pursue the Diploma, as a natural next step. The Diploma comprises eight modules: six taught foundation modules and two project modules, including methodology workshops and a practical field project. The programme will offer fundamental grounding in key subjects: design thinking and embedding a culture of innovation; process innovation; lean thinking; social innovation and health economics; innovation and leadership. The practical project will help students to identify and plan an innovative solution applicable to their workplace, with a view to implementation. This Postgraduate Diploma will be a catalyst in transforming the innovation mind-set within the Irish healthcare landscape. Graduates are expected to lead the adoption and embedding of innovation in the Irish health system. The Diploma will run its first cohort this September 2019, with applications opening in the coming weeks. There are up to 24 places with a mix of  both open/industry and HSE places.

Our health system is sometimes seen as being a slow adopter of innovations. While there may at times be arguments for taking a cautious approach, it also means delayed patient benefits, clinical teams feel frustrated by not having access to innovative technologies and burgeoning industry is shut out. HIHI seeks to open up the health service to industry partnership through a measured and controlled system of engagement, increasing access for both sides. Simultaneously, HIHI is encouraging an entrepreneurial mind-set by providing a space and dedicated system for ideation development from within the Irish healthcare community. Through education, HIHI seeks to achieve a lasting behaviour and culture shift that ensures those in Irish healthcare are the lead architects of positive change and accelerate our system to one with innovation at its core.

 

 

 

 

 

 

 

 

 

 

Originally published in The Medical Independent – here

“Ireland is ideally placed to be a world leader in total connected health solutions” – Prof John Higgins supports #LifeSciences campaign

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One of the exciting things for us here working in the healthcare sector, is that Ireland is ideally placed to be a world leader in the provision of total connected health solutions. We have a highly networked ecosystem and the industry expertise required to embrace the convergence between health and the Internet of Things (IoT), which is the future of healthcare globally.

From improved diagnostics, to innovative prosthetics or profitable data management, the combined health and health care sector continues to show enormous growth potential.  Many of the world’s top medical technology companies have invested significantly in Ireland and a number of exciting, research-based, indigenous companies are emerging and competing internationally. In fact, 50 per cent of companies in the Irish med tech sector are indigenous.

The Irish government has identified the medical technology sector as one of the key drivers of industrial growth for the future and provides a wide range of supports to encourage and foster this growth, not least Health Innovation Hub Ireland (HIHI). Connecting new products with people qualified to test them – industry and clinical teams –  through usability, pilot and validation studies, supports the development of new healthcare technologies, in real life clinical settings.  Organising our hospital into hospital groups linked to a primary academic partner brings the right people together.

It means that companies are gaining invaluable sight and authoritative feedback on how their product works or indeed may require modification, prior to commercialisation. Simultaneously, the health service accesses products and services that they may  not ordinarily be able to use and ultimately we benefit patient care.

The move worldwide is towards personalised healthcare that empowers the patient, largely through connected health. There is unparalleled potential in this to reduce the burden on acute settings. Broadly speaking, this could mean there are less patients attending hospital and more care takes place in the community.  This is the direction that we should be taking our health service in and HIHI can help with that.

Ireland has combined exports from our life sciences and ICT sectors of over €140 billion annually.  The health service needs products to meet its particular needs and enterprise needs guidance from qualified users on developing products.  We can positively leverage the strengths of enterprise to deliver innovation into our health system, while creating an international reputation for Ireland as a leader in connected health development

Originally published as part of #LifeSciencesIE here

HIHI included as part of ‘Future Jobs Ireland’ – government plan to answer needs of our businesses and workers

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An Taoiseach, Leo Varadkar TD, Minister for Business, Enterprise and Innovation, Heather Humphreys TD and Minister for Finance and Public Expenditure and Reform Paschal Donohoe TD, launched Future Jobs Ireland 2019: Preparing Now for Tomorrow’s Economy, a new, whole-of-Government framework for the next phase of Ireland’s economic development.

Future Jobs Ireland 2019 is the first in a series of annual reports, which outlines the Government’s longer-term ambitions for the future of the economy, under five key pillars:

  • Embracing Innovation and Technological Change
  • Improving SME Productivity
  • Enhancing Skills & Developing and Attracting Talent
  • Increasing Participation in the Workforce
  • Transitioning to a Low Carbon Economy

Highlighted in the report is the role of HIHI in the development and commercialisation of new healthcare technologies, products and services emerging from within the health service, and/or the enterprise sector. The Innovation Workshops for healthcare staff are noted for building a sustainable culture of improvement and innovation through education and providing a pipeline of ideas from healthcare staff for HIHI to support. Similarly, the new HIHI developed, TCD branded Diploma in Healthcare Innovation, which aims to be a catalyst in strengthening the innovation mind-set within the Irish healthcare landscape is detailed. Participants for this new Diploma will be drawn from both healthcare services and industry and are expected to drive the adoption and embedding of innovation in the Irish healthcare system.

Full report here.

HIHI’s third Workshop 1 concludes in Cork, with groups now amalgamating for Q2’s Workshop 2

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Opened by Professor Geraldine McCarthy, Chairperson of the South/Southwest Hospital Group, an enthusiastic bunch converged on the Western Gateway Building , UCC, Cork, for the final run of HIHI’s Workshop 1 – Rethinking Healthcare Innovation. The group, as with both Dublin and Galway, reflected the wide appetite for this programme with all levels, clinical and non clinical, administrative and support workers among the attendees.

Health Innovation Hub Ireland’s free workshop programme is designed for HSE and voluntary hospital staff. Attendance at Workshop 1 is mandatory as the programme is designed on a continuum learning basis. Next up is Workshop 2 – Design Thinking in Healthcare Innovation, which will run later in Q2.

Having already completed Workshop 1 in Dublin last November, Galway earlier this month and Cork today, all cohorts will now be combined to continue the workshop programme for 2019, as one group.

If you are interested in hearing more and keeping up to date with opportunities please email – Eimear Galvin, Manager HIHI Dublin – galvinei@tcd.ie.

Health Innovation Hub Ireland’s 25 winning companies show a surge in home grown connected health solutions, reflecting global health trends

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The winners of Health Innovation Hub Ireland’s call aimed at companies, start-ups, SMEs, who have innovative products or services that are at pre-commercial or late development phase with the potential to significantly affect healthcare, are announced today. There was a 58% increase in applications to the HIHI national call compared to 2016 when it ran previously, with almost half being connected health solutions.

Of 70 applications, 40 made it through to the pitch panels late last year, which included experts from HSE, Enterprise Ireland (EI), HRB, Department of Business, Enterprise and Innovation (DBEI), Department of Health, clinicians, and industry. There were 25 winners and HIHI will now match companies with relevant clinical teams, overseeing a study of each product in an Irish clinical setting. These pilot and clinical validation studies provide critical test beds to support Irish companies going to market and can identify any further refinements in the development cycle.

The winning companies range from self-funded to current revenue generators. Others such as  ILI – Independent Living Ireland Limited, a digital re-enablement pilot programme which allows older people to return home sooner from hospital have €65K seed funding from Cork County Council SBIR programme. Feeltect a medical device company producing an adjustable, ‘smart’ compression device for venous leg ulcers (VLUs) is funded through an EI commercialisation fund and engagement platform myPatientSpace Limited won the EI competitive start up fund last year. Full list of winners here.

HIHI National Director, Dr Colman Casey said:

What we have seen across the Irish med tech sector is enormous growth and progress in the ‘enterprise of health’ but entrepreneurs and businesses pre-HIHI, very much siloed from the ‘health sector’. Irish start-ups were taking their products elsewhere as they simply could not access our health system to develop and test. Ireland was missing out.

“The HIHI class of 2019 (our 2018 pitch winners) is a strong reflection of what the healthcare start up and SME industry is like in Ireland right now. Almost half were connected health solutions, which reflects the global shift towards personalised preventative healthcare and where we will see the most cost savings in healthcare.”

HIHI is a joint government initiative of both the Department of Business, Enterprise and Innovation (DBEI) and the Department of Health (DoH), funded through Enterprise Ireland and supported by HSE. The support of both DoH and the HSE means HIHI is uniquely placed to facilitate industry interaction with the healthcare sector. HIHI drives collaboration between the Irish health service and enterprise, developing new healthcare technologies, products and services such as those seen in today’s announcement.

 HIHI National Lead and Principal Investigator, Prof John Higgins said:

These are companies are just a flavour of what Ireland produces in terms of health innovation talent. Through HIHI we can now connect them with people qualified to test their products. “At the same time our heath service and clinical teams benefit from the use of innovative products that are not available to them in the current system. Overall this positively benefits patient care.”

HIHI started as a demonstrator hub in 2013, launched officially in Cork in September 2016 and in 2018 opened doors in both Dublin and Galway.

 ENDS

“Share your dreams, share your vision” – Saolta CEO, Maurice Power, opens HIHI Workshop 1 in Galway

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Health Innovation Hub Ireland’s Galway hub welcomed an enthusiastic cohort for Workshop 1 – ‘Rethinking healthcare innovation’ in the Quadrangle Conference Hall today. The group was welcomed to the session by Saolta Group CEO Maurice Power who urged each to ‘share your dreams, share you vision’.

Purpose deigned and delivered by HIHI for those working in the Irish healthcare settings, HIHI workshops are free to attend, with the only stipulation being you must currently be a HSE employee, or working in Irish primary care or voluntary hospital setting.

The five workshops guide and encourage participants to explore the potential for innovative approaches within their own healthcare environment. The programme is delivered as a continuum and attendees must have completed Workshop 1 to progress with the remaining four.

Having already run in Dublin last November, Workshop 1 will run in Cork later this month. The cohorts will then be combined to continue the workshop programme for 2019.

If you are interested in hearing more and keeping up to date with opportunities please email – Eimear Galvin, Manager HIHI Dublin – galvinei@tcd.ie.