Brennan Report - Department of Health and Children

More documents

Recommendations

Info

128Number Recommendation IT TimeframeRequirementsRESTRUCTURING GOVERNANCE OF THE HEALTH SERVICE – HEALTH BOARDSR3.17 The functions of the regional health boards should include: none On establishment of(i) Advising on local and regional health service requirements; Executive(ii) Representing local community and professional interests in terms of regional serviceprovision;(iii) Advising and providing input in respect of the regions annual Service Plan;(iv) Monitoring performance within the regional area against national health care objectives;(v) Establishment of an audit committee; and(vi) Approval of the regional Annual Report and Annual Financial Statements.R3.18 The CEOs of the regional health boards should be accountable to the CEO of the Executive for the none See R3.17execution of their functions, including delivery of services within budget/determination, in respectof national service provision.R3.19 CEOs of regional health boards will be accountable to the CEO of the Executive for the none See R3.17performance of all staff, including the managers of health board hospitals, employed by theirhealth board.R3.20 The CEOs of the major teaching hospitals providing national services would be none See R3.17accountable directly to the CEO of the Executive because of their role in the provision of nationalservices and specialties.R3.21 The necessary changes to the Health Acts 1970 and 1996 and the Eastern Regional Health none asapAuthority Act 1999 should be brought forward by the Department of Health and Children to giveeffect to the above changes.CODE OF GOVERNANCER3.22 The Department of Health and Children should produce a written Code of Governance for all none Within 6 monthsagencies in the public health sector. This code should enshrine the principles contained in theof the report publicationDepartment of Finance Code of Practice for the Governance of State Bodies.R3.23 All Executive board members should be independent and act solely in the interest of the board. none n/aReport of the Commission on Financial Management and Control Systems in the Health Service
Number Recommendation IT TimeframeRequirements129SERVICE PLANNING – SUPPORTING THE MANAGEMENT FUNCTIONR4.1 A single, comprehensive and standardised template for Service Plans should be adopted.This none On completion of R4.2should cover Service Plans at all levels: clinical Consultants, hospitals and non-hospital GeneralManagers at sub-health board level as well as regional health boards and the national Executive.Higher level Service Plans should be derived from lower level Service Plans (e.g. hospital from theaggregate of individual Consultants).R4.2 Pending establishment of the Executive, a working group, including representation from the none To commence immediatelythe Department of Health and Children, Department of Finance, and the regional health boards,and report withinshould be established to devise an appropriate standard template and to make recommendations6 monthsto the Secretary General and Minister for Health and Children.R4.3 The terms of reference for the working group recommended at R4.2 above should, having regard none See R4.2to the data improvements afforded by the investment in information technology recommended inChapter 10, include consideration of how best the Service Plans could be structured to provide:(i) Clear statements of projected service provision analysed by the main care groups(including each specialty in hospitals), linked to funding (both pay and non-pay elements);(ii) Integrated financial and non-financial data. Formal and clear inter-connections are neededbetween cost (approved determination) and activity (level of service being provided); and(iii) Pay and employment data.R4.4 The working group at R4.2 above should also consider how existing reporting arrangements none See R4.2might be restructured to provide, again in a standardised format, an ongoing report on progressagainst targets and objectives set out in the Service Plan (see also Chapter 9 recommendationsin this regard). In particular:(i)(ii)Monthly Integrated Management Reports should be closely linked to the Service Plan.Quarterly Performance Indicator Reports should continue to be explicit on delivery oftargets and should also be linked to the Service Plan.(iii) Annual Reports and Financial Statements should specifically link back to financial andactivity performance envisaged in the Service Plan. This would provide the final linkbetween the Letter of Determination, Service Plan, Integrated Management Reports,Annual Financial Statement and Annual Report.R4.5 Service Plans of the Executive and the health boards should ideally be agreed and in place before none asapthe commencement of the year to which they relate.Addendum
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 and 12:
Executive Summary"demand-led" schem
Page 13 and 14:
Terms of ReferenceTERMS OF REFERENC
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 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Chapter 4 Service Planning, Budgeti
Page 61 and 62:
Page 63 and 64:
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: Chapter 9 External Reporting Proced
Page 117 and 118: Chapter 9 External Reporting Proced
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: Number Recommendation IT TimeframeR
Page 169 and 170: Number Recommendation IT TimeframeR
show all

Brennan Report - Department of Health and Children

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?