1.1 What is the Performance and Accountability Framework?
The Performance and Accountability Framework sets out the means by which the HSE and in particular the
National Divisions, Hospital Groups, Community Healthcare Organisations (CHOs), the National
Ambulance service (NAS) and the Primary Care Reimbursement Service (PCRS) and individual managers
are held to account for their performance.
Performance in this context relates to the four domains of performance, that is Access to services, the
Quality and Safety of those Services, doing this within the Financial resources available and by
effectively harnessing the efforts of the Workforce.
While living within their financial allocation must be a fundamental priority for managers, the Performance
and Accountability Framework is explicit in its intent that performance be managed across the four
domains set out above.
The emphasis in the Performance and Accountability Framework is on recognising good performance and
on improving perfo...