Brennan Report - Department of Health and Children

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3.4 MANAGING THE HEALTH SERVICE NATIONALLY 43– SEPARATING POLICY MAKING FROM THE MANAGEMENT OF SERVICES3.5 RESTRUCTURED ROLE OF THE DEPARTMENT OF HEALTH AND CHILDREN 453.6 THE ROLE OF THE EXECUTIVE 463.7 RESTRUCTURED GOVERNANCE ARRANGEMENTS FOR THE HEALTH SERVICE 48Relationship between Department and the ExecutiveThe ExecutiveRegional Health BoardsAccountability of Regional CEOs for Services Delivered in their Functional AreaImplementation3.8 CODE OF GOVERNANCE 533.9 SUMMARY 564 SERVICE PLANNING, BUDGETING AND SUPPLEMENTARY ESTIMATES 574.1 OVERVIEW 574.2 SERVICE PLANNING – SUPPORTING THE MANAGEMENT FUNCTION 57Standardising Service PlansDrafting Service Plans4.3 REBALANCING FINANCIAL ALLOCATIONS 604.4 MULTI-ANNUAL BUDGETS 604.5 SUPPLEMENTARY ESTIMATES 614.6 SUMMARY 625 ACCOUNTABILITY - HOSPITAL AND NON-HOSPITAL PROGRAMMES 635.1 OVERVIEW 635.2 GENERAL HOSPITALS 63Identifying the Decision MakersThe Role of the Clinical ConsultantClinical Independence and its implications for clinical BudgetsConsultants’ Common ContractExecutive Management CommitteeService Planning in General HospitalsTraining NeedsPublic/Private Mix in Public Hospitals5.3 OTHER (NON-HOSPITAL) PROGRAMMES 745.4 SUMMARY 746 ACCOUNTABILITY - GENERAL MEDICAL SERVICES ANDCOMMUNITY DRUG SCHEMES 766.1 OVERVIEW 766.2 GENERAL MEDICAL SERVICES (PAYMENTS) BOARD 766.3 MEDICAL CARD SCHEME 77GP Capitation and Other FeesList of Registered Medical Card Holders
6.4 COMMUNITY DRUG SCHEMES 80Medical Card Scheme: provision of drugs, medicines and appliancesDrug Payment Scheme6.5 SUMMARY 857 ACCOUNTABILITY - EMPLOYMENT AND PAY 867.1 OVERVIEW 867.2 PAY 86Expenditure on PayNumbers EmployedRates of Pay7.3 NEGOTIATING AND IMPLEMENTING PAY AGREEMENTS 927.4 COLLECTION AND VALIDATION OF BASIC INFORMATION 937.5 CONTROLLING STAFFING LEVELS 957.6 THE COMMON RECRUITMENT POOL 977.7 PERFORMANCE MANAGEMENT 987.8 SUMMARY 988 AUDIT REFORM 998.1 OVERVIEW 998.2 AUDIT COMMITTEES 998.3 EXTERNAL AUDIT 101Timeliness of AuditsAudit by the Comptroller and Auditor General8.4 INTERNAL AUDIT 105Resourcing Internal Audit8.5 RISK ASSESSMENT AND MANAGEMENT 106Policy Risk AssessmentRisk Management8.6 FRAUD 1088.7 SUMMARY 1099 EXTERNAL REPORTING PROCEDURES 1109.1 OVERVIEW 1109.2 MANAGEMENT REPORTING 1109.3 POLICY REVIEW PROCESS (EXPENDITURE REVIEW PROGRAMME) 1139.4 ANNUAL FINANCIAL STATEMENTS AND ANNUAL REPORTS 1149.5 SUMMARY 11510 INFORMATION SYSTEMS 11610.1 OVERVIEW 11610.2 THE CASE FOR IT INVESTMENT 11610.3 CONDITIONS 11710.4 SUMMARY 119
Page 1 and 2: Commission onFinancial Managementan
Page 3: TABLE OF CONTENTSEXECUTIVE SUMMARY
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
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Page 27 and 28: Chapter 2 Overview and Issuesother
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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
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Chapter 3 Managing the Health Servi
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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
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Appendix 2SIPTU*South Eastern Healt
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Appendix 3Name of AgencyBord na Rad
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Appendix 3Name of AgencyIrish Blood
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Appendix 3Name of AgencyWomen’s H
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Appendix 4Department of Health and
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Appendix 4collated and assessed by
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Appendix 4The most detailed element
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Appendix 4Ratifying and Submitting
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Appendix 4changes to the Service Pl
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Appendix 4advised of their existenc
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Appendix 4Approvals Required in lin
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Appendix 5Appendix 5DIAGNOSIS RELAT
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Appendix 5Figure: Ax.1 Casemix Adju
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Appendix 6Appendix 6AUDIT OF STRUCT
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Appendix 7(vii)(viii)(ix)participat
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Appendix 8Appendix 8 - Integrated M
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ADDENDUMNumber Recommendation IT Ti
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Number Recommendation IT TimeframeR
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Brennan Report - Department of Health and Children

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