Written answers

Tuesday, 17 June 2025

Department of Public Expenditure and Reform

Health Services

Photo of Albert DolanAlbert Dolan (Galway East, Fianna Fail)
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320. To ask the Minister for Public Expenditure and Reform if his Department monitors or oversees the grant aid and service-level agreements made between the HSE and organisations funded under section 38 and section 39 of the Health Act 2007; and to outline what role, if any, his Department plays in the governance, financial reporting, or performance review of these arrangements, given that such agreements fall outside the scope of standard public procurement frameworks. [32149/25]

Photo of Jack ChambersJack Chambers (Dublin West, Fianna Fail)
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The Department of Public Expenditure, Infrastructure, Public Service and Reform and Digitalisation works from the centre of Government to drive the delivery of better public services, living standards and infrastructure for the people of Ireland.

As highlighted in my Department's Statement of Strategy (2023 to 2025), it aims to promote effective corporate governance and accountability frameworks. It also seeks to enhance governance by promoting more open and accountable public bodies that apply resources effectively and sustainably for better outcomes.

As set out in the Ministers and Secretaries (Amendment) Act 2011, my role as Minister for Public Expenditure, Infrastructure, Public Service Reform and Digitalisation is to manage public expenditure within the overall financial envelope set by Government.

The management of voted expenditure in individual Departments is the responsibility of the relevant Accounting Officer. However, they are supported in this work through a range of central governance and accountability frameworks developed by my Department, including the following, among others:

  • The Code of Practice for the Governance of State Bodies provides a framework for the application of best practice in corporate governance by State bodies;
  • The Public Financial Procedures (PfP) set out the main principles of government accounting;
  • The Public Spending Code provides guidance on the value for money standards to be applied for public expenditure; and
  • Circular 13 of 2014 (Management of and Accountability for Grants from Exchequer funds) outlines the public financial management principles, procedures, and additional reporting requirements to be followed in the management of grant funding provided from public money.
As the Deputy may be aware, Sections 38 and 39 of the Health Act 2004 legally underpin the provision of services by Agencies on behalf of the HSE (Section 38), or the provision of services similar or ancillary to a service that the HSE may provide (Section 39).

The Service Agreement is the document which sets out the contractual relationship between the HSE and the individual Section 38 and Section 39 Agencies that receive more than €250,000 in a calendar year. For voluntary Agencies that receive less than €250,000 of funding in a calendar year from HSE, the Grant Aid Agreement is used to underpin the release of this funding.

The design, implementation and monitoring of each individual agreement is in the first instance a matter for the HSE, in line with the requirements of Circular 13 of 2014. This includes matters such as financial and performance reporting as well as the availability of books and accounts for the Comptroller and Auditor General. Consequently, it is for the HSE to ensure that agreements are well designed and overseen.

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