Managing expenditure within the overall fiscal parameters has been a key factor in ensuring that our fiscal targets have been achieved. A key responsibility of each Minister and Department is delivering public services efficiently and effectively within their budgetary allocations. The Department of Public Expenditure and Reform is in regular contact with all other Departments and Offices including the Department of Health to monitor expenditure projections against Departmental allocations and also within the overall fiscal parameters. Each month, the drawdown of funds from the Exchequer is reported against published expenditure profiles in the Fiscal Monitor, published by the Department of Finance.
While these monthly returns figures are still marginally under profile at end-September, the Minister for Health has signalled that there are significant pressures on his allocation this year and these issues are forming part of the Budget 2020 discussions. The estimated level of the supplementary estimate will be outlined in the course of the upcoming budgetary process, as is usual.
However I have highlighted repeatedly to Minister Harris the need for staffing, PCRS and savings measures to be proactively managed by the Department of Health to ensure that there is no repeat of the magnitude of last year's overrun. The range of new leadership and governance measures that have been put in place, including the appointment of a new CEO and Governance Board for the HSE, are important factors in ensuring the effective, professional management of Health spending in line with the allocations that have been authorised by Dáil Éireann, in order to deliver progressively improved health outcomes for the citizens of our country.