Brennan Report - Department of Health and Children
Brennan Report - Department of Health and Children Brennan Report - Department of Health and Children
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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Number Recommendation IT TimeframeRequirements127R3.10 The Executive board at R3.9 above should assume the functions associated with the management <strong>of</strong> none On appointment <strong>of</strong>the health service. These would be similar to the normal functions exercised by any corporateExecutive Boardboard <strong>and</strong> would include:(i) Implementing the overall strategic direction <strong>of</strong> national health policy for the health service;(ii) Approval <strong>of</strong> the annual regional Service Plans;(iii) Monitoring performance against objectives <strong>and</strong> ensuring that corrective action is takenwhen necessary;(iv) Ensuring that services are delivered within budget/determination;(v) Appointment <strong>of</strong> the chief executive <strong>of</strong>ficer (CEO) <strong>of</strong> the Executive;(vi) Establishment <strong>of</strong> an audit committee; <strong>and</strong>(vii) Approval <strong>of</strong> the Annual <strong>Report</strong> <strong>and</strong> Financial Statements.R3.11 The board <strong>of</strong> the Executive should be accountable to the Minister for <strong>Health</strong> <strong>and</strong> <strong>Children</strong>. none On appointment <strong>of</strong>Executive BoardR3.12 The CEO <strong>of</strong> the Executive should be accountable to the board <strong>of</strong> the Executive. none On appointment <strong>of</strong>Executive CEOR3.13 The CEO <strong>of</strong> the Executive should be an accounting <strong>of</strong>ficer. none On appointment <strong>of</strong>Executive CEOR3.14 The CEO <strong>of</strong> the Executive should be responsible for the provision <strong>of</strong> financial <strong>and</strong> other none On appointment <strong>of</strong>information necessary to support the Secretary General <strong>of</strong> the <strong>Department</strong> <strong>of</strong> <strong>Health</strong> <strong>and</strong>Executive CEO<strong>Children</strong> in his/her role as accounting <strong>of</strong>ficer <strong>and</strong> policy advisor to the Government.R3.15 The Executive board should have not more than 12 members made up as follows: none On appointment <strong>of</strong>(i) An independent Chairman drawn from outside the health sector; Executive Board(ii) Ex-<strong>of</strong>ficio, the CEO <strong>of</strong> the Executive;(iii) Ex-<strong>of</strong>ficio, the Director <strong>of</strong> Finance <strong>of</strong> the Executive;(iv) A nominee <strong>of</strong> the <strong>Department</strong> <strong>of</strong> <strong>Health</strong> <strong>and</strong> <strong>Children</strong>; <strong>and</strong>(v) Not more than 8 non-executive members, reflecting the balance <strong>of</strong> expertise required,appointed by the Minister for <strong>Health</strong> <strong>and</strong> <strong>Children</strong>.R3.16 In appointing the non-executive members at R3.15(v) above, the Minister should have regard to the none n/aappropriateness <strong>of</strong> each c<strong>and</strong>idate’s skills <strong>and</strong> experience.Addendum
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