Brennan Report - Department of Health and Children

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Report of the Commission on Financial Management and Control Systems in the Health ServiceNumbers EmployedAs Table 7.2 and Figure 7.2 show, the numbers employed (based on whole time equivalents) inthe public health service have also increased – by 37% between 1997 and 2001, from 67,939 in1997 to 92,996 in 2001.Table 7.2: Numbers Employed in the Public Health Service (WTE), 1997 and 2001Category 2 1997 2001 Increase Increase as% of totalManagement/Administration 8,308 14,714 6,406 26%Medical/Dental 4,976 6,285 1,309 5%Nursing 27,346 31,429 4,083 16%Health and Social CareProfessionals 5,969 9,228 3,259 13%General Support Staff andOther Patient and Client Care 21,339 31,340 10,001 40%Total 3 67,939 92,996 25,057 100%Source: Department of Health and ChildrenFigure 7.2: Numbers Employed by Category, 1997 and 2001Numbers employed35,00030,00025,0001997200120,00015,00010,0005,0000Admin.Medical/DentalNursingHealth/SocialCareGeneralSupportSource: Department of Health and Children2Numbers within each grade category may not be directly comparable from 1997 to 2001 due to some minor reclassifications thathave not been taken into account. However, the broad level of increases and breakdowns across categories are valid.3Rounding may affect totals88
Chapter 7 Accountability – Employment and PayThere has been ongoing comment during the course of our deliberations that the vastmajority of increased employment in the health sector has been taken up by administrators -i.e. that administrative staff, rather than those providing a direct patient service, have consumedthe additional resources allocated. We have not found evidence to support this perception.In October 2001, health boards were asked by the Department of Health and Children to carryout a comprehensive analysis of the primary roles and functions of the staff classified as“Management/Administration”.The result of this analysis is set out in Table 7.3 below.Table 7.3:Total Health Service Staffing 2001 (including a breakdown of theManagement/Administration Category)GRADE CATEGORY 2001 As % ofCategory TotalManagement/Administration 14,714of whichPayroll etc. 1,324 9%Human Resource Management (including training) 736 5%Service Managers 441 3%IT Staff 441 3%General Management Support 1,619 11%Legislative and Information Requirements 736 5%Direct Patient Services 9,417 64%Medical/Dental 6,285Nursing 31,429Health and Social Care Professionals 9,228General Support and Other Patient and Client Care 31,340Total 92,996Source: Department of Health and ChildrenOf those falling within the category of "Management/Administration" in 2001, 64% are staffengaged in direct service to the public. These include Consultants’ secretaries, out-patientdepartment personnel, medical records personnel, telephonists and computer personnel whoare engaged in front-line duties. These personnel are recorded generically at clericalofficer/grade 3 level on the basis of their rates of pay as distinct from the functions theyperform. While there is no directly comparable figure for 1997, applying that same ratio andextrapolating from that category’s 26% share of the total increase indicates that of the order of10 out of every 11 additional employees recruited since 1997 are engaged in duties of directservice to patients and the public.Rates of PayTable 7.4 shows the average pay levels for selected representative grades in the public health89
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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 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 IssuesIn 200
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Page 79 and 80: Chapter 6 Accountability - General
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Page 101 and 102: Chapter 8 Audit ReformCHAPTER 8AUDI
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Page 127 and 128: Appendix 1Appendix 1COMMISSION MEMB
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Page 135 and 136: Appendix 3Name of AgencyIrish Blood
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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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Brennan Report - Department of Health and Children

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