More than two-thirds of health workers are "actively" considering leaving their role, according to new research.
The study was commissioned by the Health and Welfare Division of the trade union Fórsa and was conducted by the progressive think-tank TASC.
The survey of 3,775 Fórsa members across the HSE, Tusla, Section 38 and voluntary organisations, found low morale among workers across Ireland's health and social care services.
Many reported working under extreme pressure due to chronic understaffing, top-down decision-making, and a failure to meaningfully engage with frontline workers, undermining the delivery of essential services.
Three-quarters of those surveyed said they regularly consider leaving their role, while 67% are actively considering leaving.
Almost half of respondents reported feeling burnt out "often" or "always."
Many described a top-heavy system characterised by one-way, top-down communication that leaves workers feeling unheard and undervalued.
Head of Fórsa’s Health and Welfare division Ashley Connolly said low morale is eroding teamwork, retention, and patient care as envisioned by the Government’s Sláintecare programme, designed to create a community-centred model of provision.
"The lived reality for our health and welfare members is long waiting lists, reduced access to community services, and local networks closing or shrinking," Ms Connolly said.
"Sláintecare was intended to deliver universal, community-based care, but staff do not believe the system is staffed or supported to achieve that."
"Their experience must be taken seriously by the Government and the Department of Health," she said.
The study will be presented to members of the Oireachtas later today.
In response, the HSE said that over 25,000 staff members took part in the latest HSE 'Your Opinion Counts’ staff survey.
"The Employee Engagement score has increased since the 2023 survey, driven by improvements in Safety and Standards, Commitment and Involvement," a HSE spokesperson said.
"As the largest public sector employer in state the HSE is committed to staff career progression opportunities, staff training, development and supports."
"The organisation will continue to invest in the workforce by supporting recruitment and retention, while acknowledging the dedication and important work of all staff across the health service," the HSE said.
