Health Service Executive

From Wikipedia, the free encyclopedia

The Health Service Executive (HSE), or Feidhmeannacht na Serbhíse Sláinte (FSS) in Irish, is responsible for the provision of healthcare with public funds in the Republic of Ireland. The Executive was established by the Health Act, 2004 and came into official operation on January 1, 2005; it is currently in a transition phase from the previous Health Board system that operated since 1970. The Minister for Health and Children has overall responsibility for the Executive in Government.

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Map of the Republic of Ireland showing HSE Regions
Map of the Republic of Ireland showing HSE Regions

As part of the transition from the 1970 Health Board structures the health board functional areas from that system remained in place and are referred to as the HSE Regions. There are eight HSE Regions, which are also based on administrative counties, and do not incorporate the changes which occurred in the Eastern Health Board area in 1999.

The HSE Regions are as follows:

  1. North Western: counties of Donegal, Leitrim and Sligo
  2. North Eastern: counties of Cavan, Louth, Meath and Monaghan
  3. Western: City of Galway and counties of Galway, Mayo, Roscommon
  4. Midland: counties of Laois, Longford, Offaly and Westmeath
  5. Eastern: City of Dublin and the counties of Dun Laoghaire-Rathdown, Fingal, Kildare, South Dublin and Wicklow
  6. South Eastern: City of Waterford and counties Carlow, Kilkenny, South Tipperary, Waterford and Wexford
  7. South: City of Cork and counties of Cork, Kerry
  8. Mid-Western: City of Limerick and counties of Clare, Limerick and North Tipperary


This split should not be confused with the four European Parliament Constituencies or the eight NUTS Regions, both of which are also based on multiples of the counties. In the case of the European Parliament Constituencies, however, some regions are the same as above.

It was reported by the Sunday Business Post in February 2006 that the regions will be replaced by "administrative areas" and that their will be four such administrative areas which will be formed primarily from the regions[1]. For the most part regions will be wholly integrated into an administrative area except in Dublin where the 1999 area health board boundaries will be used when forming administrative areas. The Executive has yet to publicly confirm this plan.

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