the review of public administration reform of the health and social services next steps
TRANSCRIPT
THE REVIEW OF PUBLIC ADMINISTRATION
REFORM OF THE HEALTH AND REFORM OF THE HEALTH AND SOCIAL SERVICESSOCIAL SERVICES
NEXT STEPSNEXT STEPS
No 10 Principles of Reform
national standards to ensure that people have the right to high quality services wherever they live;
devolution to give local leaders the means to deliver these standards to local people;
more flexibility in service provision in light of people's rising expectations;
greater customer choice.
The RPA Process
Launch - June 2002 First Consultation Oct 2003 – Feb 2004 Second Consultation Mar 2005 – Sept
2005 Final Decisions – 22 November 2005 Implementation through to 2009
Local Government Decisions
Strong local government, with a greater range of powers and functions
7 Councils Central role in Community Planning Strong civic leadership role System of Checks and Balances Boundary Commissioner to be appointed
early next year
Education Decisions
Front line delivery of Education remains unchanged
Department of Education establishes policy Education Authority to replace the 5 ELBs
and take on other support functions Review of Advice services Inspection, Monitoring & Research
Consultation on HPSS (1)
Support for smaller number of bodies Support for more effective
performance of the HPSS Appleby Review (which included
engagement with the HPSS) recommended continuation of commissioner/provider split
Consultation on HPSS (2)
Broad support for Regional Health Authority
Support for co-terminosity (though concern to retain established patterns of patient flows)
Support single Patient Advocacy Body
Support for locality planning / commissioning
HPSS Decisions
A Strategic Health and Social Services Authority to manage performance
Seven Local Commissioning Groups as local offices of the Authority
Five HSS Trusts bringing together the provider function for all services
NI Ambulance Trust
HPSS Decisions
Three Support Services Agencies CSA Blood Transfusion Guardian Ad Litem
Medical Physics to the Belfast Trust Health Promotion to the Strategic
Authority A Patient and Client Council to
replace the four HSS Councils
HPSS Decisions
Smaller, more tightly focussed Department
Serving the Minister
Strategic health policy
Driving performance management
The New StructuresPatients
3 Support Agencies
Central Services Agency, Blood Transfusion Agency, Guardian Ad Litem
5 Health and Social Services Trusts plus the Ambulance Service
Primary Care/GPs/other Independent Primary
Care Providers
7 Local Commissioning Groups
1 Patient & Client Council
1 Strategic Health and Social Services Authority
MinisterDHSSPS
RQIA
HR Good Practice principles (1)
Equality of Opportunity Every reasonable effort to avoid
compulsory redundancies Vacancy controls to facilitate
redeployment Provision for cross-sectoral transfers Public Service Commission to advise Fair and transparent selection process
HR Good Practice principles (2)
TUPE will apply Flexibility for local needs Support for individuals affected Openness and trust
HR Issues
Trust Management Structures New Roles/new job descriptions Principles for competition and slotting in Principles for redeployment Posts advertised together? New pay structures for Senior Executives
Redundancies?
Inevitably, a significant number of senior management posts will be abolished and the number of management positions overall will be reduced.
In achieving these necessary reductions, we will make every reasonable effort to avoid compulsory redundancies, while at the same time taking due account of staff’s legal rights in the context of any fundamental change in work location and terms and conditions of employment.
Transfer of Undertakings?
The Transfer of Undertakings (Protection of Employment) (TUPE) Regulations 1981. These Regulations are designed to protect the rights of employees when a transfer occurs from one employer to another, enabling them to enjoy the same terms and conditions as formerly.
Trade Union involvement?
The RPA Team has met with NIC ICTU throughout the review. Arrangements are now being put in place to expand TUS engagement and ensure that appropriate consultations take place as the implementation of the Review’s recommendations moves ahead.
The Public Service Commission?
Still too early to say a lot about what this will be other than to say it will be an independent advisory body aimed at ensuring a smooth transfer of staff to the new organizations and to generate guiding principles which will apply to all sectors.
Programme Structure (1)
Reconfiguration Programme Board (Chaired by Perm Sec)
Project Teams
PerformanceManagement
Human Resources
ManagementStructures
Shared Services
DepartmentalRestructuring
Public HealthFunctions
Planning and Commissioning
(LCGs)
CommsICTFinance
Trust Development Groups (to be established
early in 2006)
PatientClient Council
Social Services
Legis-lation
Programme Structure (2)Core Team
Chair Reconfiguration Programme Board: Dr Andrew McCormick Deputy Chair Programme Board: Paul Simpson Programme Director: Dr Denis McMahon Human Resources Programme Director: David Bingham Programme Coordination Team: Heather Robinson (Programme Coordinator) Alan Urquhart, Maura O’Brien
Programme MethodologyFive Key Strands Initially(1) Communication and Engagement Programme
immediately(2) PID in development - Each Steering Group
will be tasked to deliver specific products to the Reconfiguration Board by agreed dates
(3) Consultative groups will feed in to this structure(4) Recommendations on policy submitted by
Programme Director reporting to the Reconfiguration Board
(5) Legislation programme will be managed by Core Team
Provisional Timeframes (Trust Reorganisation)
January 2006 - Subordinate Legislation prepared, consultation begins, establish groups to begin organisational change
April – August 2006 – Appoint Chairs, CEs, Non Execs
September 2006 – Shadow running April 2007 – Current Trusts dissolved and
New Trusts running
Provisional Timeframes (Local Commissioning Groups)
January 2006 – Establish 4 informal liaison groups to identify how the LCGs will operate and transition arrangements
September 2006 – Establish 7 Local Commissioning Groups within Boards
April 2008 – Formally establish LCGs as offices of the Strategic Health and Social Services Authority
Provisional Timeframes (Strategic Health and Social Services Authority) Now to June 2006 – Instructions for primary
legislation September 2006 – Establish SHSSA
Steering Group (representation from four Boards)
November 2007 – Legislation in place November 2007 – April 2008 – Appointment
of SHSSA Board and top management team April 2008 - SHSSA formally in place.
Provisional Timeframes (Patient Client Council)
Now to June 2006 – Instructions for Primary Legislation
From January 2006 – Engagement with stakeholders (ongoing)
November 2007 – legislation in place. April 2008 – PCC up and running
Conclusions
Opportunities as well as uncertainty
Will be a lot of engagement with the TUS
Will try to answer any questions – but some answers we need to find together
Contacts
For human resources issues David Bingham Human Resource Directorate (DHSSPS) Telephone 90 520781
For general queries on RPA and HPSS Alan Urquhart / Maura O’Brien Modernisation Directorate (DHSSPS) Telephone 90 522243
email: [email protected]