Brennan Report - Department of Health and Children
Brennan Report - Department of Health and Children Brennan Report - Department of Health and Children
Report of the Commission on Financial Management and Control Systems in the Health ServiceTable 2.1: Evolution of Exchequer Allocation to Health 1997 – 2002Gross Vote Increase CumulativeYear ¤ Million ¤ Million % Change % Change1997 3,6371998 4,125 488 13% 13%1999 4,831 706 17% 33%2000 5,656 825 17% 56%2001 7,077 1,421 25% 95%2002 (est) 8,189 1,112 16% 125%Source: Revised Estimates for Public Services 1998 to 2002Table 2.2 and Figure 2.4 below, illustrate the scale of increase in funding in a range of areas ofthe health service for the period 1997 to 2002. This shows that in areas such as hospitals andGP Services, funding has more than doubled, with other areas recording even largerincreases.Table 2.2 : Growth of Non-Capital Expenditure in Selected Areas 1997 - 20021997 2002 (est) %(¤ million) (¤ million) Increase1 Services in Public Voluntary Hospitals 744 1,558 1092 Services in Regional Hospitals 502 1,191 1373 GP Services (including prescribed drugs) 366 738 1024 Psychiatric Programme 327 570 745 Mentally Disabled Special Home Care 246 522 1126 DPS: Subsidy for drugs not covered by GMS 93 295 2177 Services in Long-stay Hospitals 131 255 958 Child Care Services, including residential care 84 245 1929 Superannuation 48 129 16910 Dental Services 48 123 156(See also Figure 2.4 below)Source: Department of Health and Children22
Chapter 2 Overview and IssuesFigure 2.4: Growth of Non-Capital Expenditure in Selected Areas 1997 - 2002£ m (Expenditure)180016001400120010001997200280060040020001 2 3 4 5 6 7 8 9 10Source: Department of Health and ChildrenThis increased expenditure has been accompanied by an increase in output. For example,● In-patient discharges have increased by 4% from 536,236 in 1997 to a projected 557,130in 2002 (for the same period, in-patient beds available to the system increased by 3%from 11,861 to 12,200).● Day patient activity increased by 65% from 249,472 in 1997 to a projected 410,481 in2002.● Development of GP out of hours co-operatives in each health board area (12 nationally).● Further enhancement of home based and outreach mental health services – three newmental health units have opened at Dublin, Cork and Clare.● Health Promotion initiatives on immunisation - an overall 75% reduction in the numberof Group C meningitis cases.● Development of regional cancer and cardiac services - 76 additional Consultant●cancer specialists have been appointed since 1997.Development of Community Rehabilitation Units for elderly - 1,300 staff recruited forthese services, over 550 additional beds in new community nursing units and over 1,250day places per week have been provided in new day care centres.● Additional respite, day and long stay places for physically and intellectually disabled - 465dedicated respite places and around 1,300 additional residential places have beenprovided.Source: Department of Health and Children23
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Chapter 2 Overview <strong>and</strong> IssuesFigure 2.4: Growth <strong>of</strong> Non-Capital Expenditure in Selected Areas 1997 - 2002£ m (Expenditure)180016001400120010001997200280060040020001 2 3 4 5 6 7 8 9 10Source: <strong>Department</strong> <strong>of</strong> <strong>Health</strong> <strong>and</strong> <strong>Children</strong>This increased expenditure has been accompanied by an increase in output. For example,● In-patient discharges have increased by 4% from 536,236 in 1997 to a projected 557,130in 2002 (for the same period, in-patient beds available to the system increased by 3%from 11,861 to 12,200).● Day patient activity increased by 65% from 249,472 in 1997 to a projected 410,481 in2002.● Development <strong>of</strong> GP out <strong>of</strong> hours co-operatives in each health board area (12 nationally).● Further enhancement <strong>of</strong> home based <strong>and</strong> outreach mental health services – three newmental health units have opened at Dublin, Cork <strong>and</strong> Clare.● <strong>Health</strong> Promotion initiatives on immunisation - an overall 75% reduction in the number<strong>of</strong> Group C meningitis cases.● Development <strong>of</strong> regional cancer <strong>and</strong> cardiac services - 76 additional Consultant●cancer specialists have been appointed since 1997.Development <strong>of</strong> Community Rehabilitation Units for elderly - 1,300 staff recruited forthese services, over 550 additional beds in new community nursing units <strong>and</strong> over 1,250day places per week have been provided in new day care centres.● Additional respite, day <strong>and</strong> long stay places for physically <strong>and</strong> intellectually disabled - 465dedicated respite places <strong>and</strong> around 1,300 additional residential places have beenprovided.Source: <strong>Department</strong> <strong>of</strong> <strong>Health</strong> <strong>and</strong> <strong>Children</strong>23