Brennan Report - Department of Health and Children

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144Number Recommendation IT TimeframeRequirementsFRAUD POLICYR8.19 The health board CEOs should submit, for approval by the Secretary General of the Department none Within 6 months ofof Health and Children, a written fraud policy statement covering all health boards and allreport publicationorganisations under their aegis.REPORTING – SERVICE PROVIDERS TO HEALTH BOARDR9.1 With regard to general hospital expenditure: While existing systems are asap on completion(i) The Head of Specialty/Head of Department/business manager should prepare standardised sufficient to allow of R4.2reports containing:commencement, full and(a) The plan for the month (financial and activity) as set out in the specialty/department effective implementationService Plan;will require incremental(b) Performance against plan; systems development(c) Details of variance against plan;(d) Clear explanations for variance; and(e) Action to be taken (if any) to bring performance back in line with plan.(ii) All reports should follow the same format as the Service Plan and measure performanceagainst this benchmark.(iii) The Head of Specialty/Head of Department/business manager should provide reports tohospital CEO within 10 days of the end of the period to which they refer.(iv) The hospital CEO should provide the health board CEO with consolidated reports within15 days of the end of the period to which they refer.R9.2 With regard to non-hospital expenditure: While existing systems are asap in parallel with R4.4(i) The General Manager should prepare standardised reports containing: sufficient to allow and R5.32(a) The plan for the month (financial and activity) as set out in his/her Service Plan; commencement, full and(b) Performance against plan; effective implementation(c) Details of variance against plan; will require incremental(d) Clear explanations for variance; and systems development(ii)(e) Action to be taken (if any) to bring performance back in line with plan.All reports should follow the same format as the Service Plan and measure performanceagainst this benchmark.(iii) The General Manager should provide the health board CEO with reports within 10 daysof the end of the period to which they refer.Report of the Commission on Financial Management and Control Systems in the Health Service
Number Recommendation IT TimeframeRequirements145REPORTING – HEALTH BOARD TO DoHC/EXECUTIVER9.3 Reports should be: While existing systems are asap in parallel with R4.4,(i) Prepared in a standardised format across health boards/agencies. sufficient to allow R9.1 and R9.2(ii) Contain information on: commencement, full and(a) The plan for the month (financial and activity) as set out in the health board Service effective implementationPlan;will require incremental(b) Performance against plan; systems development(c) Details of variance against plan;(d) Clear explanations for variance;(e) Action to be taken (if any) to bring performance back in line with plan; and(f) The health board balance sheet.(iii) Submitted by the health board CEO to the Department of Health and Children/Executivewithin 20 days of the end of the period to which they refer.REPORTING – EXECUTIVE TO DoHCR9.4 Reports from the Executive to the Department of Health and Children should provide information While existing systems are asap in parallel with R4.4,on performance against budget. This analysis should be provided: sufficient to allow R9.1, R9.2 and R9.3(i) By health board and care group (e.g. child care, disabilities (intellectual and physical), commencement, full andgeneral hospital services etc.);effective implementation(ii) Include supporting data detailing activity/output measured against benchmarks set in the will require incrementalService Plans; andsystems development(iii) Include corrective measures to be taken (as necessary) to bring expenditure back on budget.R9.5 Reports should be submitted by the CEO of the Executive to the Department of Health and none See R9.4Children within 25 days of the end of the period to which they refer.POLICY REVIEW PROCESSR9.6 The Secretary General of the Department of Health and Children should proactively promote the none Immediateexpenditure review process on a continuous and systematic basis within his Department by:(i) Setting up and chairing a steering group to oversee reviews; and(ii) Through the forum of the steering group, and consistent with Government requirementsin this regard, identify and propose on a continuing basis those areas of expenditure thatwould benefit most from review.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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Chapter 10 Information SystemsStrat
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Chapter 10 Information SystemsRecom
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Chapter 11 ImplementationRecommenda
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Chapter 11 Implementationbeing brou
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Appendix 1Appendix 1COMMISSION MEMB
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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
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Page 153 and 154: Appendix 5Appendix 5DIAGNOSIS RELAT
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Page 157 and 158: Appendix 6Appendix 6AUDIT OF STRUCT
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Brennan Report - Department of Health and Children

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