Simon Harris has outlined an 8 point plan to an Oireachtas Committee today.
It largely involves giving more power around day to day services to Hospital Groups and Community Health Organisations.
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Health Minister Simon Harris said though there is still a role for a central agency.
The IMPACT union says it supports the idea of a 'significantly downsized' HSE.
The group represents clerical, admin and managerial staff in the health service.
A statement from the union agrees that a small number of regional health groups could better perform most of the HSE's functions, while reporting directly to the Department of Health.
