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Dáil Éireann debate -
Tuesday, 15 Jun 1999

Vol. 506 No. 2

Written Answers. - Hospital Management.

Brian O'Shea

Question:

265 Mr. O'Shea asked the Minister for Health and Children the management and administrative structure in a number of hospitals (details supplied); the salaries which apply to each grade; the objective criteria and management model which were applied in arriving at the present structures; and if he will make a statement on the matter. [15172/99]

Because of the variety and complexity of hospitals, it is not possible to devise rigid categories for their management structures. However, some years ago, in the context of strengthening management in the acute hospital sector, my Department approved a broad management structure for the major acute voluntary and joint board hospitals in the Dublin area and for University College Hospital, Cork, and University College Hospital/Merlin Park Regional Hospital, Galway. The structure is based on a broad framework common throughout the health services related to chief executive officer, programme manager and functional officer.

In the acute hospital sector the structure comprises, in general terms, three tiers: a top tier at general manager/chief executive officer level linked to standard health board chief executive officer – salary £62,397 per annum; a second tier at deputy general manager level, linked to programme manager non-EHB – salary range £39,687 to £48,388 plus an allowance of £3,144; and a third tier at functional manager linked to functional officer non-EHB – current salary range £29,978 to £36,737.
Within this broad framework, the precise management structure for each hospital, whether voluntary or health board, is agreed between the health agency and my Department in the light of local conditions and the size and patient profile of the hospital. In the case of health board hospitals, the inter-relationship between the hospital structure and the health board's management structure is also taken into account.
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