Challenges for leadership, regulation and governance in today’s Ireland

Wednesday 23 January 2010

Prof Niamh Brennan Michael MacCormac Professor of Management,

University College Dublin

Scoil Ghnó Michael Smurfit UCDAn Coláiste Ollscoile, Baile Átha CliathAn Charraig DhubhContae Átha Cliath

UCD Michael Smurfit School of BusinessUniversity College DublinBlackrockCo. Dublin.

Centre for Corporate Governance at UCD

(www.corporategovernance.ie)

Established February 2002

1. Training for company directors

a. Director Development Programme – 10 half day courses on various aspects of corporate governance

b. In-house, customised courses for individual company boards

c. Diploma in Corporate Governance

2. Promote research in corporate governance

Commission on Financial Management in the Health Services

Personal perspective

Standard of accountability of Irish public sector to standard of plc

Irish taxpayers cannot sell their shares!

State and public servants owe taxpayers the highest standards of accountability

Corporate Governance Debate

Do the right thing – do the thing right

If something is worth doing, it is worth doing wrong

Let’s get the ball over the line, and we’ll clean the blood up afterwards

Ethical principles and value for money

Are value for money considerations a management issue only?

Should medical ethics include value for money considerations?

Should medical ethics extend beyond treatment of existing patients to those on waiting lists?

Ethical principles and value for moneyEthical principles and value for money

136 Recommendations

Commission on Financial Management in the Health Services

Progress on implementing 136 recommendations

One major group of recommendations not accepted –regional health boards

62 Implemented,

32 In progress,

31 Not implemented, on agenda,

11 Not applicable

A lot done, a lot more to do!

Governance and the HSE

Who are the owners of the HSE?

Who represents the owners of the HSE (e.g. at AGMs etc)

What is the role of the HSE?

What is the role of the board of the HSE?

To whom is the Chairman of the HSE accountable?

To whom are the individual board members accountable?

To whom is the CEO of the HSE accountable?

To whom is management of the HSE accountable?

To whom are employees (e.g. consultants, clinicians, nurses, home helps etc) of the HSE accountable?

Governance and the HSE

The voluntary hospitals

Who appoints the chairman, board members of voluntary hospitals?

To whom are the Chairmen of voluntary hospital boards accountable?

To whom are voluntary hospital board members accountable?

To whom is the CEO / management of voluntary hospitals accountable?

To whom is management of the HSE accountable?

To whom are employees (e.g. consultants, clinicians, nurses, home helps etc) of voluntary hospitals accountable?

Governance and the HSE

The voluntary hospitals

What should be the governance relationship between the HSE and the voluntary hospitals?

Governance and the HSE

Internal governance mechanisms in the HSE

Board of directors

Independent non-executive directors

Chairman and CEO separate

Audit committee

Remuneration committee

Risk committee

Internal audit

Risk management

Good faith reporting

Fraud policy

Financial reporting

Procurement

Customer charter/customer complaints

Governance and the HSE

External governance mechanisms in the HSE

External audit

PAC/Oireachtas

Reports to DoHC/DoF

Health Information and Quality Assurance board (HIQUA)

HSE Annual Report 2008 - Governance

HSE Annual Report 2008 - Governance

HSE Annual Report 2008 - Governance

HSE Annual Report 2008 - Governance