The Eleven Kingdoms

The Eleven Kingdoms is a term used in Ireland by journalists, politicians and others who dislike the current state of Irelands healthcare system. The Eleven Kingdoms refer to the eleven health authorities/boards which controlled the healthcare system set up under the Health Act, 1970.

Contents

Patronage

The health authorities/boards were seen as a system of patronage. Members of the boards generally numbers between 30 and 55 at any one time with chemists, county councils, dentists doctors, nurses and Ministerial nominees been present. Each board had a Chief Executive Officer as the head of the board.

Endemic

Many cite bad decisions made by the boards been epidemic of the Irish healthcare system; "shanty town hospitals", poor access to services, poor accountability, overly distributed services, poor emergency services, low healthcare professional numbers, inability to attract and retain healthcare staff, general indecision and poor central control.

The Eleven Kingdoms

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The11Kingdoms.gif
Map: The Eleven Kingdoms

"Name of Kingdom" Code Administrative Region
Eastern Regional HA ERHA Dublin Kildare Wicklow
  South Western Area HB SWAHB Mostly Kildare
  Northern Area HB NAHB Mostly Dublin
  East Coast Area HB ECAHB Mostly Wicklow
Midland HB MHB Laois Offaly Longford Westmeath
Mid-Western HB MWHB Clare Limerick Tipperary NR
North-Eastern HB NEHB Louth Meath Cavan Monaghan
North-Western HB NWHB Donegal Sligo Leitrim
South-Eastern HB SEHB Carlow Kilkenny Wexford Waterford Tipperary SR
Southern HB SHB Cork Kerry
Western HB WHB Galway Mayo Roscommon

Abbreviations;- HA: Health Authority; HB: Health Board; NR: North Riding; SR: South Riding

Future

The system was abolished on 1st January 2005 and replaced with the Health Service Executive, see Health care in Ireland for further details.

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