challenges for leadership, regulation and governance in ... · prof niamh brennan michael maccormac...
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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?
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)