HSE chief Paul Reid has admitted his resignation was partly due to frustrations about the Government's moves for Navan hospital's emergency unit.
The Health Service Executive's most senior figure quits the role in nine days' time with 18 months still to go on his contract.
Yesterday he fired a parting shot by revealing his concerns that there remains a "very clear patient safety risk" at Our Lady's Hospital in Navan, Co Meath.
His surprise resignation in June from the top job, which had a salary of over €400,000 last year, takes effect on October 3 just three and a half years into a five-year contract.
Mr Reid explicitly referenced in his resignation letter the frustrations and constraints of the job, specifically about the HSE's ability to deliver change.
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