Brennan Report - Department of Health and Children
Brennan Report - Department of Health and Children Brennan Report - Department of Health and Children
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
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Terms <strong>of</strong> ReferenceTERMS OF REFERENCE"The Value for Money Audit <strong>of</strong> the <strong>Health</strong> Services identified the need to enhance the capability <strong>of</strong> thehealth services in regard to:●●●●Performance measurement <strong>and</strong> evaluationManagement accountingCostingAssociated information systemsTaking account <strong>of</strong> these findings <strong>and</strong> the proposals for developing a civil service wide ManagementInformation Framework the Commission will:Examine the various financial management systems <strong>and</strong> control procedures currently operated in the<strong>Department</strong> <strong>of</strong> <strong>Health</strong> <strong>and</strong> <strong>Children</strong>, <strong>and</strong> by the key budget holders in the health boards <strong>and</strong> in themain spending <strong>and</strong> service areas <strong>of</strong> the health sector.Assess the various reporting procedures in these services.Assess the capacity <strong>of</strong> the systems <strong>and</strong> procedures to provide relevant, timely <strong>and</strong> reliableinformation, in relation to;●●current expenditurecapital expenditurewith particular reference to●●the measurement <strong>of</strong> resource use against outcomes <strong>and</strong>management <strong>of</strong> resources within budgets.Evaluate the capacity <strong>of</strong> these systems to develop cost consciousness among resource managers <strong>and</strong>to provide incentives to manage cost effectively.Examine international best practice in regard to health service financial management systems, costcontrol <strong>and</strong> reporting arrangements.Examine how the estimates in the health area are compiled <strong>and</strong> allocations finalised <strong>and</strong> monitored.Consider how the presentation <strong>of</strong> 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 <strong>and</strong>quality <strong>of</strong> financial management information throughout the health services <strong>and</strong> provided to<strong>Department</strong>s.The Commission will report to the Minister for Finance by end 2002, with appropriate interim reportson any aspects <strong>of</strong> particular concern. "11