Brennan Report - Department of Health and Children

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126Number Recommendation IT TimeframeRequirementsTHE ROLE OF THE EXECUTIVER3.7 We recommend that the role of the Executive should include: While existing systems are On establishment of(i) Strategic planning and management of change in the health system, including location sufficient to allow Executiveof services, aimed at improved service delivery;commencement, full(ii) Managing the delivery of health services within budget; and effective implementation(iii) Manpower planning and needs assessment;will require incremental(iv) Managing staff relations;systems development(v) The resource allocation process;(vi) Analysing annually health spending by:(a) Programme/care group (childcare, hospital services, disability services etc.),(b) Health board region;(vii) Under each of the headings at (vi)(a) and (vi)(b) above, the following actions shouldbe undertaken:(a) A comparison of performance, productivity, quality of care and value for money,(b) Summary results of the comparative analysis undertaken at (vii)(a) above shouldbe published, in a standardised format, within 6 months of the end of the relevantaccounting period;(viii) Identify the problems and issues highlighted by the comparative analysis undertakenat (vi) and (vii) above;(ix) Research and identification of ongoing developments in international best practice inthe health area and consideration of the extent to which they may be adapted forimplementation in an Irish context; and(x) Risk assessment/management.R3.8 In regard to recommendation R3.7(vii)(a), we recommend that the existing National Performance None Within 6 monthsIndicators Project Team define appropriate measurable definitions and indicators ofof report publication"performance", "productivity" and "value for money". This group should submit itsrecommendations to the Secretary General and Minister for Health and Children.RESTRUCTURING GOVERNANCE OF THE HEALTH SERVICE – THE EXECUTIVER3.9 The Executive board should be statutorily responsible for the execution of national health policy and none On appointmentshould be formally accountable for its performance to the Minister for Health and Children.of Executive BoardReport of the Commission on Financial Management and Control Systems in the Health Service
Number Recommendation IT TimeframeRequirements127R3.10 The Executive board at R3.9 above should assume the functions associated with the management of none On appointment ofthe health service. These would be similar to the normal functions exercised by any corporateExecutive Boardboard and would include:(i) Implementing the overall strategic direction of national health policy for the health service;(ii) Approval of the annual regional Service Plans;(iii) Monitoring performance against objectives and ensuring that corrective action is takenwhen necessary;(iv) Ensuring that services are delivered within budget/determination;(v) Appointment of the chief executive officer (CEO) of the Executive;(vi) Establishment of an audit committee; and(vii) Approval of the Annual Report and Financial Statements.R3.11 The board of the Executive should be accountable to the Minister for Health and Children. none On appointment ofExecutive BoardR3.12 The CEO of the Executive should be accountable to the board of the Executive. none On appointment ofExecutive CEOR3.13 The CEO of the Executive should be an accounting officer. none On appointment ofExecutive CEOR3.14 The CEO of the Executive should be responsible for the provision of financial and other none On appointment ofinformation necessary to support the Secretary General of the Department of Health andExecutive CEOChildren in his/her role as accounting officer and policy advisor to the Government.R3.15 The Executive board should have not more than 12 members made up as follows: none On appointment of(i) An independent Chairman drawn from outside the health sector; Executive Board(ii) Ex-officio, the CEO of the Executive;(iii) Ex-officio, the Director of Finance of the Executive;(iv) A nominee of the Department of Health and Children; and(v) Not more than 8 non-executive members, reflecting the balance of expertise required,appointed by the Minister for Health and Children.R3.16 In appointing the non-executive members at R3.15(v) above, the Minister should have regard to the none n/aappropriateness of each candidate’s skills and experience.Addendum
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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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Chapter 6 Accountability - General
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Chapter 7 Accountability - Employme
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Chapter 8 Audit ReformCHAPTER 8AUDI
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Chapter 8 Audit ReformRecommendatio
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Chapter 8 Audit Reformoutsourcing)
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Chapter 8 Audit Reformaudit reports
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Chapter 8 Audit Reformas relating t
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Chapter 8 Audit Reform●●Penalti
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Page 123 and 124: Chapter 11 ImplementationRecommenda
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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
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Page 161 and 162: Appendix 8Appendix 8 - Integrated M
Page 163: ADDENDUMNumber Recommendation IT Ti
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Brennan Report - Department of Health and Children

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