
Martina Tierney Podcast
2.13 Leadership, Courage and Agency to Act | Mike Farrar, Permanent Secretary of the Department of Health, N. Ireland
In this episode of The Martina Tierney Podcast, Martina is joined by Mike Farrar, Permanent Secretary for Health in Northern Ireland, for a conversation about the future of health and social care and what it will take to create meaningful, lasting change. Following a visit to Seating Matters, Mike reflects on the culture of continuous improvement he witnessed and considers how similar principles could be applied across Northern Ireland’s health service. They discuss shifting resources from hospitals into community care, breaking down siloed budgets, creating space for staff to identify and solve problems, and the importance of distinguishing between value and non-value in healthcare. Mike also shares the thinking behind Northern Ireland’s *Neighbourhood model*, designed to bring care closer to people and help them remain independent at home for longer. At the heart of the conversation is a simple question: *how can we create a health and social care system where people feel empowered to make things better?* A fascinating discussion about leadership, Lean thinking, innovation and building a healthcare system around better outcomes for patients.



