DML Regional Director Of Nursing & Midwifery

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Location of post

HSE Dublin & Midlands

The current vacancy available is a specified purpose, whole‑time post for an initial period of two years

The work base will be within the Dublin and Midlands Region.

A panel may be formed as a result of this campaign from which current and future, permanent and specified purpose vacancies of full or part-time duration may be filled.

Details of service

The Health Service Executive (HSE) is responsible for the provision of all health and personal social care services in the Republic of Ireland. With an annual budget in 2024 of €24 billion and over 150,000 employed in the HSE and the Section 38 Agencies with which the HSE has Service Level Agreements (SLAs), the HSE is the largest employer in the State and the largest of any public sector organisation.

HSE Health Regions

The Health Regions Implementation involves the internal reorganisation of the HSE into six operational regions with responsibility for the planning and coordinated delivery of health and social care services within their respective defined geographies. While the full implementation will be a multi-year journey, the Health Region approach was stood up in March 2024 and will continue to progress throughout 2024 and 2025. These new arrangements are fundamental to the delivery of Sláintecare reforms and aim to improve the health service’s ability to deliver timely integrated care to patients and service users, care that is planned and funded in line with their needs at regional and local level. In addition, the following will be delivered:·

• Alignment of hospital-based and community-based services to deliver joined-up, integrated care closer to home.
• Clarification and strengthening of corporate and clinical governance and accountability at all levels.
• A population-based approach to service planning and delivery.
• balanced national consistency with local autonomy to maintain consistent quality of care across the country.
• An efficient, highly productive and transparent health and social care service with aligned incentives to provide people with timely access to safe, high quality integrated care. Support for local and regional innovations in service improvement for adoption across regions or at national level as appropriate.

The changes in healthcare governance arrangements are being designed to make our services easier to navigate for people, and to facilitate more integrated care, stronger accountability, and greater transparency across the sector. This in turn aims to foster change and innovation at a local level to deliver high-quality services to populations based on their needs, making our service a better place to work for our staff. The move to a regionalised approach represents a major shift in the approach to the planning, funding and delivery of health and social care services. In line with international best practice, the new arrangements will support a population-based approach to the planning and resourcing of the geographic delivery of services to improve health outcomes for people in Ireland.

As part of these reforms, the operational focus is moving from the HSE Centre to the Health Regions and Integrated Healthcare Areas (IHAs), to allow the regional structures to have the intended level of appropriate authority and operational control of services in their region. The HSE Centre will develop and oversee standards and guidelines for implementation at regional level. The focus of HSE Centre will be on planning, enabling, performance and assurance (PEPA).

The Regional Director for Nursing & Midwifery (RDNM) is an Expert Review Body recommended post and the most senior Nurse/Midwife leadership position within the HSE Health Regions. The RDNM will be central to the delivery of the nursing and midwifery input of Sláintecare Reform Programme shaping the development of the regional health and social care system to meet future service needs.

HSE Dublin and Midlands Region

The Dublin and Midlands Health Region has direct responsibility to support and serve the needs of approximately 1.1million people living across Dublin South City and West, Dublin South-West, Kildare and West Wicklow, and the Midlands. The Dublin and Midlands Region is characterised by a diverse mix of both urban and rural areas. This geographic diversity is coupled with socioeconomic disparities, requiring tailored healthcare approaches to effectively serve communities and deliver high-quality, equitable, person-centered healthcare for people living in the Region.