The Department’s assessment of HSE performance against National Service Plan targets and objectives is guided by a comprehensive Performance Engagement Model (PEM), comprising structured reporting and tiered engagements from operational to Secretary General-CEO level. Understanding of performance is informed by the data captured in the National Performance Report (NPR) and Management Data Report (MDR), published monthly by the HSE.
As part of an escalation process, underperformance against NSP targets is the subject of discussion at monthly engagements between the Department and HSE, with actions identified and agreed. The implementation of these actions and progress towards enhanced performance is closely monitored and reported on.
In line with the Programme for Government, the Government’s priority for 2026 is to improve healthcare access and quality across all Health Regions. This requires greater regional and national accountability for performance against service plan targets. The Department and HSE are now working together to strengthen performance monitoring and engagement to align with this approach, with a view to improving the performance of the healthcare service and raise overall standards no matter where you live.