Brennan Report - Department of Health and Children

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132Number Recommendation IT TimeframeRequirementsR5.26 The health board/hospital CEO should put mechanisms in place to ensure none immediate(i) Consultants’ sessional contractual commitments to the public hospital are met; and(ii) The cap on private activity in public hospitals is observed both with respect to inpatientsand day-cases (i.e. agree with Consultants on the number of private patients to be treatedin public hospitals).SERVICE PLANNING IN HOSPITALSR5.7 In the case of admitting Consultants who assume clinical care for a patient, the following steps While existing systems are See R5.1should be taken:sufficient to allow(i) Hospital/health board CEO, as appropriate, identify all individual clinical practices within commencement, full andeach specialty;effective implementation will(ii) Hospital/health board CEO, as appropriate, identify a lead clinician as Head of Specialty; require incremental(iii) Hospital/health board CEO, as appropriate, should agree with the Head of Specialty the systems developmentassignment of a member of staff as business manager to prepare cost and activitybudgets, practice profiles and monthly expenditure reports for the specialty and eachindividual clinical Consultant’s practice within the specialty.R5.8 In the case of non-admitting Consultants (e.g. radiology, pathology, etc.), the following steps should While existing systems are See R5.1be taken:sufficient to allow(i) Hospital/health board CEO, as appropriate, identify all non-admitting hospital departments; commencement, full and(ii) Hospital/health board CEO, as appropriate, identify for each department a effective implementation willHead of Department;require incremental(iii) Hospital/health board CEO, as appropriate, should agree with the Head of Departmentimplementationthe assignment of a member of staff as business manager to prepare cost and activitysystems developmentbudgets, practice profiles and monthly expenditure for the department.R5.9 All costs incurred by the non-admitting hospital departments identified at R5.8(i) above should be While existing systems are On completion of R5.10allocated back to the admitting specialties identified at R5.7(i) above in order to allow the calculation sufficient to allowof full costs incurred by specialty and patient.commencement, full andeffective implementation willrequire incrementalimplementationsystems developmentReport of the Commission on Financial Management and Control Systems in the Health Service
Number Recommendation IT TimeframeRequirements133R5.10 A working group, under the aegis of the Department of Health and Children, should be set up to none To commence immediatelyagree a common national methodology to be applied to the allocation of the indirect costs referredand report within 6 monthsto at R5.9 above.R5.11 The business managers recommended at R5.7(iii) and R5.8(iii) above: none See R5.1, R5.7 and R5.8(i) May cover more than one specialty/department, depending on the particular needs anddemands of that specialty/department; and(ii) Should be made available from within existing resources as part of a reorganisation byhospital/health board CEOs of existing duties and responsibilities.R5.12 The annual practice/specialty/department Service Plan should include: While existing systems are asap(i) Clear statements of projected activity, linked to funding (both pay and non-pay elements); sufficient to allow(ii) Integrated financial and non-financial data. Formal and clear inter-connections are needed commencement, full andbetween cost and activity; and(iii) A clear analysis between public and private patients in respect of (i) and (ii) above.effective implementation willrequire incrementalsystems developmentR5.13 Clear reporting arrangements and responsibilities must be put in place such that: While existing systems are asap(i) Business managers are responsible for gathering and presenting management data on sufficient to allowcosts and activities; andcommencement, full and(ii) Clinical Consultants/Heads of Department are responsible for providing explanations to effective implementation willthe hospital/health board CEO of variances from budget and how such variances will be require incrementalbrought back into line.systems developmentR5.14 Routine reports (monthly, quarterly, annual) should be submitted in the format and within the While existing systems are See R9.1timescales envisaged in recommendation R9.1.sufficient to allowcommencement, full andeffective implementation willrequire incrementalsystems developmentIMPLEMENTATION IN HOSPITAL SECTORR5.15 Business managers should receive continuous relevant training to ensure they have the requisite none immediate and ongoingskills, training and experience in medical and clinical work as well as finance and management toperform their duties. .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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Chapter 9 External Reporting Proced
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Page 119 and 120: Chapter 10 Information SystemsStrat
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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
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Brennan Report - Department of Health and Children

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