Brennan Report - Department of Health and Children

Report of the Commission on Financial Management and Control Systems in the Health ServiceThe recommendations on the proposed governance arrangements may be summarised as follows:●●●●●●●The Secretary General of the Department of Health and Children should remaindirectly accountable to the Minister for Health and Children in respect of national healthpolicy.The board of the Executive should be directly accountable to the Minister for Health andChildren for delivery of services consistent with national policy.The CEO of the Executive should be accountable to the Board of the Executive.CEOs of regional health boards should be accountable to the CEO of the Executive forthe delivery of services consistent with national policy priorities within their functionalarea.Regional health boards should have a role to monitor and advise on health servicedelivery within their functional area.The Chairmen of the regional health boards should report to the Chairman of theExecutive on the performance of the regional CEO and other issues concerning localservice delivery.The CEOs of the major teaching hospitals providing national services should beaccountable directly to the CEO of the Executive.Our governance model (see Figure 3.1), with a national Executive and regional health boards,can be characterised as being similar to that of parent company and subsidiary as it applies inthe corporate sector.54