As per the response provided for PQs 719 and 745, productivity and efficiency are assessed through a range of service, operational, and clinical output measures. The Management Data Report (MDR) and the National Performance Report (NPR) provide performance against targets as set out in the HSE National Service Plan. As the dataset is updated monthly, this is the most comprehensive and up-to-date source.
The Management data Reports (https://about.hse.ie/publications/?query=management+data+report) include acute hospital productivity KPIs (including average length of stay, surgical admission rates, weekend discharge rates and readmission rates); throughput and flow metrics (including delayed transfers of care, emergency department waiting levels and discharge performance); and service access and delivery indicators (including waiting lists, waiting times and delivery against Sláintecare access targets).
The National Performance Reports (https://about.hse.ie/publications/?query=national+performance+report) contain a subset of priority KPIs and also reflect trends over previous years and performance cycles. The NPRs include several of the KPIs mentioned above, including average length of stay, weekend discharges, delayed transfers of care, surgical and medical readmissions, and waiting times and waiting lists. The quarterly NPR, which captures additional reporting against Corporate and NSP actions, also includes KPIs on digitalisation and data, and Public Only Consultants Contract work schedule compliance.
The Productivity and Savings Taskforce (https://app.powerbi.com/view?r=eyJrIjoiNTFmZjkyOWEtYWQyOS00ZTUzLWIzNjctM2M2MGVhNzIzZDgxIiwidCI6ImYwNTQ1MjZhLTZiY2MtNGE3OC05OTg0LWZhYTNmZjQ1NTViMCIsImMiOjl9) contains additional KPIs on productivity and efficiency. The dashboard is currently being updated for 2025/2026 data but KPIs include outpatient activity and consultant and outpatient appointment-per-consultant, as well composite activity indicators which capture a cost-weighted view of activity.
Please note that data for activity by whole-time equivalent in the community and mental health space, and for the 2025 and 2026 outpatient acutes report, is undergoing further analysis before publication.