Brennan Report - Department of Health and Children

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Report of the Commission on Financial Management and Control Systems in the Health ServiceTimeframe for ImplementationWhile establishing an Executive on a statutory basis, as we have recommended, will take sometime, many of our recommendations can be implemented, or at least begun, immediately by theDepartment of Health and Children, the Implementation Committee or an interim Executiveboard. Of our 136 recommendations, we would see the timeframe for implementation as beingimmediate or to commence immediately in the case of 52, sometimes interrelated,recommendations.IT Systems implications of the RecommendationsOf our 136 recommendations, only 23 have IT implications. Of these 23 recommendations, 17can be begun without any additional IT expenditure, although we acknowledge that, in these 17cases, additional IT facilities are required to implement the recommendations fully. Finally, 6recommendations will have significant IT implications.11.5 ConclusionWe believe that an integrated implementation of our recommendations will createopportunities for financial transparency, greater accountability, increased value for money and,most importantly, help identify opportunities for treating more service users within the limitsof available budgets. Futhermore, we believe that implementation will support the manydedicated people working in the health service in doing what they wish to do: offer the highestquality service to the public.124
Appendix 1Appendix 1COMMISSION MEMBER BIOGRAPHIESProfessor Niamh BrennanNiamh Brennan, BSc, PhD (Warwick), FCA, a chartered accountant, is Michael MacCormacProfessor of Management at University College Dublin. She is Academic Director of the Instituteof Directors’ Centre for Corporate Governance at UCD. Prof. Brennan is a non-executive director ofUlster Bank, and is a former non-executive director of Lifetime Assurance, Bank of Ireland’s lifeassurance subsidiary, of Coillte, the State forestry company and of Co-Operation Ireland. She isalso a member of the Audit Committee of the Department of Agriculture, Food and RuralDevelopment. She has published widely in the areas of financial reporting, corporate governanceand forensic accounting.Dr. Sean BarrettSean Barrett is a graduate of UCD and McMaster University, Canada. He is a seniorlecturer in economics and Fellow of Trinity College, Dublin. A member of the editorial board ofthe Journal of Air Transport Management, he has been extern examiner at the universities ofUlster, Loughborough, and Birmingham. He was a director of Bord Failte from 1984 to 1989and was a member of the Culliton Review Group on Industrial Policy (1992) and the Review Groupon Harbour Legislation and Pilotage (1992). He is a member of the organising committee of theannual Kenmare economic policy conference and is a board member of the Alfred BeitFoundation.Dr. Donal de BuitleirDonal de Buitleir is General Manager, Office of the Chief Executive of AIB Group. Prior to joiningAIB, he was an Assistant Secretary in the Revenue Commissioners. He was Secretary to theCommission on Taxation 1980-85 and a member of the Barrington Committee on LocalGovernment Reorganisation and Reform (1990). He was Chairman of both the AdvisoryCommittee on Third Level Student Support (1993) and the Review Committee on Post-SecondaryEducation & Training Places (1999). He was also Chairman of Comhairle (2000-2002) andChairman of the Lord Mayor's Commission on the Funding of Dublin City Council (2002). He iscurrently Chairman of the Foundation for Fiscal Studies and a Trustee of the Eisenhower Fellowshipsin Philadelphia.Mr. Diarmuid CollinsDiarmuid Collins is an accountant (ACMA) currently working as Director of Finance with theMidland Health Board. He is a member of the Senior Management Team and is responsible forthe financial function within the Board. He is a former Chairperson nationally of the HealthBoards’ Directors of Finance/Finance Officers’ Group. He is also chairperson of the MidlandHealth Boards SAP project. He has previously worked at various levels in both the private andpublic sector, at home and abroad across a range of industries including manufacturing, retail,and telecommunications.Mr. Pat FarrellPat Farrell MMII; Cert Dip in AF; is Head of Marketing and Communications with EBS BuildingSociety. From 1975 to 1986 he worked in a variety of administrative and managerial roles in the149
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Commission onFinancial Managementan
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TABLE OF CONTENTSEXECUTIVE SUMMARY
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6.4 COMMUNITY DRUG SCHEMES 80Medica
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Executive SummaryEXECUTIVE SUMMARYT
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Executive SummaryWe do not underest
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Executive Summary"demand-led" schem
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Terms of ReferenceTERMS OF REFERENC
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GlossaryEstimates for Public Servic
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Chapter 1 Introduction and Backgrou
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Chapter 1 Introduction and Backgrou
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Chapter 2 Overview and Issues2.2 OR
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Chapter 2 Overview and IssuesAppend
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Chapter 2 Overview and IssuesFigure
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Chapter 2 Overview and Issuesother
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Chapter 2 Overview and IssuesTable
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Chapter 2 Overview and IssuesFigure
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Chapter 2 Overview and Issues●●
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Chapter 2 Overview and IssuesIn 200
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Chapter 2 Overview and IssuesThe an
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Chapter 2 Overview and IssuesTable
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Chapter 2 Overview and IssuesProble
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Chapter 3 Managing the Health Servi
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Chapter 4 Service Planning, Budgeti
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Chapter 5 Accountability - Hospital
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Page 79 and 80: Chapter 6 Accountability - General
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Page 101 and 102: Chapter 8 Audit ReformCHAPTER 8AUDI
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Page 107 and 108: Chapter 8 Audit Reformaudit reports
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Page 113 and 114: Chapter 9 External Reporting Proced
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Page 123 and 124: Chapter 11 ImplementationRecommenda
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Page 129 and 130: Appendix 1He has held this position
Page 131 and 132: Appendix 2SIPTU*South Eastern Healt
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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
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Page 153 and 154: Appendix 5Appendix 5DIAGNOSIS RELAT
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Page 157 and 158: Appendix 6Appendix 6AUDIT OF STRUCT
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Brennan Report - Department of Health and Children

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