The future of Health Service Reform in Ireland: Building Trust and Commitment amongst Professional Groups in the Irish Health Service

Recent developments in the health service have thrown the spotlight on customer service issues in tandem with the difficulties of instituting serious reform and organizational change in a well established mature organization. Many of the most recent reforms have been aimed at achieving value for money, reducing patient waiting lists and introducing high quality and more innovative forms of patient care. But evidence from abroad suggest that similar change programmes have involved ongoing organizational 'restructuring' and 'downsizing' in health care organisations. However international evidence points to building levels of trust as a key component in successful change programmes.