Brennan Report - Department of Health and Children

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Report of the Commission on Financial Management and Control Systems in the Health Serviceservice. The table includes details of average basic pay and average gross pay (i.e. inclusive ofovertime and any on-call or other allowances available). The figures reflect the pay levelswithin the health service and how, for a number of sectors, the difference between gross payand basic pay is significant.Table 7.4: Selected Average Pay Rates, 2002Grade Average Basic Average Gross Ratio of GrossPay (¤ ) Pay (¤ ) to Basic PayAll Consultants 143,388 151,694 106%Registrar 45,993 92,939 202%Radiographer 33,146 50,298 152%All Basic Staff Nurse Grades 32,060 39,584 123%Medical Laboratory Technician 37,137 49,122 132%Ambulance Driver 28,254 49,796 176%Source: Department of Health and ChildrenFigure 7.3: Breakdown of Average Gross Pay for Selected Grades, 2002Remuneration (£)160,000140,000120,000Average Basic PayAverage on-cost100,00080,00060,00040,00020,0000AllConsultantsRegistrar Radiographer All BasicStaff NurseGradesMedicalLaboratoryTechnicianAmbulanceDriverSource: Department of Health and Children90
Chapter 7 Accountability – Employment and PayTable 7.5 and Figure 7.4 (below) show how on-cost earnings (overtime, shift allowances etc.)are now a significant factor for the 4,000 Non-Consultant Hospital Doctors (NCHDs) as awhole. The average ratio of gross to basic pay across six grades of NCHDs is approximately200%. We recognise that such high levels of additional pay indicate lengthy hours workingand/or on-call. But the situation raises questions about the efficiency of manpower planningarrangements, particularly given the requirements of the EU Working Time Directive which willnecessitate a phased reduction over the coming years in the number of hours worked byNCHDs.Table 7.5:Average Basic and Gross Pay for Non-Consultant Hospital Doctors 2002Grade Average Basic Pay Average Gross Pay Ratio Gross2002 (¤ ) 2002 (¤ ) to Basic PayIntern 26,996 57,920 215%House Officer 37,134 73,172 197%House Officer, Senior 38,516 76,744 199%Registrar 45,993 92,939 202%Registrar, Specialist 44,409 87,532 197%Registrar, Senior 58,517 108,355 185%Source: Department of Health and ChildrenFigure 7.4:Average Remuneration of NCHDs, 2002, in terms of Basic Pay andOvertime etc.Remuneration (£ )120,000100,00080,000Average On-CostAverage Basic Pay60,00040,00020,0000InternHouseOfficerHouseOfficer,SeniorRegistrarRegistrar,SpecialistRegistrar,SeniorSource: Department of Health and Children91
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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 IssuesAppend
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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 Issues●●
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Chapter 2 Overview and IssuesIn 200
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Chapter 2 Overview and IssuesThe an
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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 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
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Page 101 and 102: Chapter 8 Audit ReformCHAPTER 8AUDI
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Page 107 and 108: Chapter 8 Audit Reformaudit reports
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Page 111 and 112: Chapter 8 Audit Reform●●Penalti
Page 113 and 114: Chapter 9 External Reporting Proced
Page 119 and 120: Chapter 10 Information SystemsStrat
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Page 123 and 124: Chapter 11 ImplementationRecommenda
Page 125 and 126: Chapter 11 Implementationbeing brou
Page 127 and 128: Appendix 1Appendix 1COMMISSION MEMB
Page 129 and 130: Appendix 1He has held this position
Page 131 and 132: Appendix 2SIPTU*South Eastern Healt
Page 133 and 134: Appendix 3Name of AgencyBord na Rad
Page 135 and 136: Appendix 3Name of AgencyIrish Blood
Page 137 and 138: Appendix 3Name of AgencyWomen’s H
Page 139 and 140: Appendix 4Department of Health and
Page 141 and 142: 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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