Brennan Report - Department of Health and Children

More documents

Recommendations

Info

Report of the Commission on Financial Management and Control Systems in the Health Serviceindependent Chairman be set up to drive the implementation process. Resources and skills in changemanagement will be needed.7. ConclusionWe believe that there is scope to significantly increase the efficiency and productivity of the healthsystem in Ireland – in effect to provide better service to those who require healthcare and to providebetter value to the taxpayer for the substantial investment in health services.10
Terms of ReferenceTERMS OF REFERENCE"The Value for Money Audit of the Health Services identified the need to enhance the capability of thehealth services in regard to:●●●●Performance measurement and evaluationManagement accountingCostingAssociated information systemsTaking account of these findings and the proposals for developing a civil service wide ManagementInformation Framework the Commission will:Examine the various financial management systems and control procedures currently operated in theDepartment of Health and Children, and by the key budget holders in the health boards and in themain spending and service areas of the health sector.Assess the various reporting procedures in these services.Assess the capacity of the systems and procedures to provide relevant, timely and reliableinformation, in relation to;●●current expenditurecapital expenditurewith particular reference to●●the measurement of resource use against outcomes andmanagement of resources within budgets.Evaluate the capacity of these systems to develop cost consciousness among resource managers andto provide incentives to manage cost effectively.Examine international best practice in regard to health service financial management systems, costcontrol and reporting arrangements.Examine how the estimates in the health area are compiled and allocations finalised and monitored.Consider how the presentation of financial data can be enhanced so as to provide better informationon how service delivery is proceeding.Make recommendations in accordance with its findings, with a view to enhancing the timeliness andquality of financial management information throughout the health services and provided toDepartments.The Commission will report to the Minister for Finance by end 2002, with appropriate interim reportson any aspects of particular concern. "11
Page 1 and 2: Commission onFinancial Managementan
Page 3 and 4: TABLE OF CONTENTSEXECUTIVE SUMMARY
Page 5 and 6: 6.4 COMMUNITY DRUG SCHEMES 80Medica
Page 7 and 8: Executive SummaryEXECUTIVE SUMMARYT
Page 9 and 10: Executive SummaryWe do not underest
Page 11: Executive Summary"demand-led" schem
Page 15 and 16: GlossaryEstimates for Public Servic
Page 17 and 18: Chapter 1 Introduction and Backgrou
Page 19 and 20: Chapter 1 Introduction and Backgrou
Page 21 and 22: Chapter 2 Overview and Issues2.2 OR
Page 23 and 24: Chapter 2 Overview and IssuesAppend
Page 25 and 26: Chapter 2 Overview and IssuesFigure
Page 27 and 28: Chapter 2 Overview and Issuesother
Page 29 and 30: Chapter 2 Overview and IssuesTable
Page 31 and 32: Chapter 2 Overview and IssuesFigure
Page 33 and 34: Chapter 2 Overview and Issues●●
Page 35 and 36: Chapter 2 Overview and IssuesIn 200
Page 37 and 38: Chapter 2 Overview and IssuesThe an
Page 39 and 40: Chapter 2 Overview and IssuesTable
Page 41 and 42: Chapter 2 Overview and IssuesProble
Page 43 and 44: Chapter 3 Managing the Health Servi
Page 59 and 60: Chapter 4 Service Planning, Budgeti
Page 61 and 62: Chapter 4 Service Planning, Budgeti
Page 63 and 64:
Chapter 4 Service Planning, Budgeti
Page 65 and 66:
Chapter 5 Accountability - Hospital
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Chapter 6 Accountability - General
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Chapter 7 Accountability - Employme
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Chapter 8 Audit ReformCHAPTER 8AUDI
Page 103 and 104:
Chapter 8 Audit ReformRecommendatio
Page 105 and 106:
Chapter 8 Audit Reformoutsourcing)
Page 107 and 108:
Chapter 8 Audit Reformaudit reports
Page 109 and 110:
Chapter 8 Audit Reformas relating t
Page 111 and 112:
Chapter 8 Audit Reform●●Penalti
Page 113 and 114:
Chapter 9 External Reporting Proced
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Chapter 10 Information SystemsStrat
Page 121 and 122:
Chapter 10 Information SystemsRecom
Page 123 and 124:
Chapter 11 ImplementationRecommenda
Page 125 and 126:
Chapter 11 Implementationbeing brou
Page 127 and 128:
Appendix 1Appendix 1COMMISSION MEMB
Page 129 and 130:
Appendix 1He has held this position
Page 131 and 132:
Appendix 2SIPTU*South Eastern Healt
Page 133 and 134:
Appendix 3Name of AgencyBord na Rad
Page 135 and 136:
Appendix 3Name of AgencyIrish Blood
Page 137 and 138:
Appendix 3Name of AgencyWomen’s H
Page 139 and 140:
Appendix 4Department of Health and
Page 141 and 142:
Appendix 4collated and assessed by
Page 143 and 144:
Appendix 4The most detailed element
Page 145 and 146:
Appendix 4Ratifying and Submitting
Page 147 and 148:
Appendix 4changes to the Service Pl
Page 149 and 150:
Appendix 4advised of their existenc
Page 151 and 152:
Appendix 4Approvals Required in lin
Page 153 and 154:
Appendix 5Appendix 5DIAGNOSIS RELAT
Page 155 and 156:
Appendix 5Figure: Ax.1 Casemix Adju
Page 157 and 158:
Appendix 6Appendix 6AUDIT OF STRUCT
Page 159 and 160:
Appendix 7(vii)(viii)(ix)participat
Page 161 and 162:
Appendix 8Appendix 8 - Integrated M
Page 163 and 164:
ADDENDUMNumber Recommendation IT Ti
Page 165 and 166:
Number Recommendation IT TimeframeR
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
show all

Brennan Report - Department of Health and Children

Create successful ePaper yourself

Delete template?

Save as template?