Brennan Report - Department of Health and Children

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136Number Recommendation IT TimeframeRequirementsR5.29 The health board CEO should identify a General Manager with responsibility for each care group none immediate and see R5.28identified at R5.28 above.R5.30 Each General Manager should prepare an annual Service Plan and budget for their area of none See R5.29responsibility.R5.31 Each General Manager’s Service Plan should include: While existing systems are See R5.30 and R4.3(i) Clear statements of projected service provision, linked to funding (both pay and non-pay sufficient to allowelements); andcommencement, full and(ii) Integrated financial and non-financial data. Formal and clear inter-connections are needed effective implementationbetween cost and activity.will require incrementalsystems developmentR5.32 General Managers should submit routine reports (monthly, quarterly, annual) to the CEO of their none immediate and see R9.2regional health board within the format and the timeframe envisaged in recommendation R9.2.IMPLEMENTATIONR5.33 The Health (Amendment) (No. 3) Act, 1996 should be amended, as necessary, to permit the health none asapboard CEO to formally assign duties to the General Managers making them accountable to theCEO/line management for their financial decisions. (The health board CEO should remain theaccounting officer for all health board expenditure and nothing in our recommendations is intended tochange or undermine this accountability.)GENERAL MEDICAL SERVICER6.1 The health board CEO should, in consultation with the General Practitioner (GP), draw up, none Followingconsistent with national guidelines established by the Executive, a Practice Budget for each GP R6.6covering his/her patients registered as medical cardholders.R6.2 The Practice Budget at R6.1 above should be broken down between: none See R6.1(i) Medical treatments; and(ii) Drug prescriptions.Report of the Commission on Financial Management and Control Systems in the Health Service
Number Recommendation IT TimeframeRequirementsR6.3 The Practice Budget at R6.1 above should be based on treatment costs having regard to: none See R6.1(i) The demographic profile of each GP’s medical card patients;(ii) Attendance, treatment and prescribing patterns;(iii) Attendance of patients at Accident and Emergency clinics; and(iv) Referral patterns to general hospitals.R6.4 In the event that a GP requires funding above the budget agreed at the start of the year, it should be none See R6.1necessary for him/her to submit a request for same to his/her health board CEO citing the clinicalfactors which have given rise to the overspend.R6.5 Health boards should monitor individual versus normative patterns of referral of patients to none immediate followinghospitals. (This can be facilitated by appropriate identification of patients by source within the R5.21hospital coding systems recommended at R5.21.)R6.6 The Secretary General of the Department of Health and Children should take immediate steps none immediateto agree with GPs’ representatives the necessary changes to GPs’ Contract for Service to giveeffect to recommendations R6.1 to R6.5 above.R6.7 The Secretary General of the Department of Health and Children should take immediate steps to none Commence immediatelydevise a standard template for annual Practice Plans. and see R6.2 and R6.3R6.8 GPs should be assigned responsibility for reporting to the health board on the accuracy of their none asaplist of registered medical cardholders annually.R6.9 Health boards should introduce new verification and audit procedures to ensure their lists of While existing systems are immediatemedical cardholders are accurate.sufficient to allowcommencement, full andeffective implementationwill require incrementalsystems developmentR6.10 Based on an evaluation of the reports at R6.8 by the health board, overpayments made in a previous none Immediately followingyear (for example, where a patient dies or moves to another GP) should be automatically netted R6.8 and R6.9off by the health board against that GP’s Practice Budget for the following year.Addendum137
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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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Chapter 10 Information SystemsStrat
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Chapter 10 Information SystemsRecom
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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
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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 and 164: ADDENDUMNumber Recommendation IT Ti
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Brennan Report - Department of Health and Children

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