Brennan Report - Department of Health and Children

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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
Chapter 3 Managing the Health ServiceFigure 3.1: Reporting Arrangements under new Structure1. Organisational ReportingMinister for Health and ChildrenExecutiveDepartment of Healthand ChildrenRegional Health BoardNational HospitalHospital/Agency2. Executive/Management ReportingMinister for Health and ChildrenExecutive BoardRegional Health BoardCEO ExecutiveCEO Regional Health BoardSecretary GeneralDepartment of Healthand ChildrenHospital/Agency BoardCEO Hospital/AgencyCEO National Hospital3. Representative ReportingMinister for Health and ChildrenChairman of ExecutiveChairman of Regional HealthBoardChairmanNational HospitalChairman of Hospital/Agency55
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Commission onFinancial Managementan
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TABLE OF CONTENTSEXECUTIVE SUMMARY
Page 5 and 6: 6.4 COMMUNITY DRUG SCHEMES 80Medica
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
Page 23 and 24: Chapter 2 Overview and IssuesAppend
Page 25 and 26: Chapter 2 Overview and IssuesFigure
Page 27 and 28: Chapter 2 Overview and Issuesother
Page 29 and 30: Chapter 2 Overview and IssuesTable
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
Page 55: Chapter 3 Managing the Health Servi
Page 59 and 60: Chapter 4 Service Planning, Budgeti
Page 65 and 66: Chapter 5 Accountability - Hospital
Page 79 and 80: Chapter 6 Accountability - General
Page 89 and 90: Chapter 7 Accountability - Employme
Page 101 and 102: Chapter 8 Audit ReformCHAPTER 8AUDI
Page 103 and 104: Chapter 8 Audit ReformRecommendatio
Page 105 and 106: 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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