the review of public administration reform of the health and social services:an update andrew...
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THE REVIEW OF PUBLIC ADMINISTRATION
REFORM OF THE HEALTH AND REFORM OF THE HEALTH AND SOCIAL SERVICES:AN UPDATESOCIAL SERVICES:AN UPDATE
Andrew McCormickAndrew McCormick
21 March 200621 March 2006
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 New StructuresPatients & Clients
Support Services
Shared Services (eg. Procurement, legal, estates), NIGALA, Blood Transfusion
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 Health and Social Services Authority
MinisterDHSSPS
RQIA
Key Policy Goals
Separation of commissioning and providing Delegation of a strong commissioning role to
local level – but within the framework of regional standards and targets
Strong performance management Opportunity for financial arrangements to
provide strong incentives and sanctions Much clearer accountability Opportunities for better integration of services
Strengths of Locality Commissioning
partnership working by the key groups of professionals and other agencies
tangible benefits for people in their localities by bringing together key stakeholders and local communities in a partnership arrangement
HPSS Decisions (1)
Smaller, more tightly focussed Department
Serving the Minister
Strategic health policy
Driving performance management
HPSS Decisions (2)
A Health and Social Services Authority to manage performance
Seven Local Commissioning Seven Local Commissioning Groups to ensure a strong Groups to ensure a strong devolution of responsibilitydevolution of responsibility
Five HSS Trusts bringing together the provider function for all services
NI Ambulance Trust
LCG CONFIGURATION
HPSS Decisions (2)
A Health and Social Services Authority to manage performance
Seven Local Commissioning Groups to to ensure a strong devolution of ensure a strong devolution of responsibilityresponsibility
Five HSS Trusts bringing together Five HSS Trusts bringing together the provider function for all services the provider function for all services
NI Ambulance Trust
NEW TRUST CONFIGURATION
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)
Comms
ICTFinance
PatientClient Council
Social Services
Legislation
HSSA
An update…
Reconfiguration Board has met 4 times – all project teams have met
First draft of primary legislation instructions underway
Trust legislation out for consultation – closing 9 April
Key decisions on human resource issues (e.g. open/closed appointments under discussion)
Public Service Commission has met
REVIEW OF QUANGOS Announced by SoS on 22 Nov 2005 Way forward decided 21 March 2006 Health bodies affected
CSA NIPEC MDTA Mental Health Commission Fire & Rescue Service Health Estates Agency RQIA Social Care Council
WHY? Streamlined organisational structures – new
opportunities for promoting multi-professional synergies
Clarity about roles mean we need to realign functions to reflect the commissioner / provider split
Need to explicitly build structures which promote accountability and responsiveness in the delivery of regional and shared service functions
structures need to reflect the whole system changes we are implementing and...
Efficiencies with redirected savings into front line services
21 March Announcement
CSA - Functions transferring to new health and social services organisations
NIPEC – MDTA - Functions combined and transfer to new Health and Social Services Authority
MHC - Functions transferring to new Regulation and Quality Improvement Authority
Fire & Rescue Service - Transfer to local government as a regional service
Health Estates Agency - Functions transferring into the new HPSS organisations
RQIA - Remaining Social Care Council - Remaining
HEA
Health Estates Agency - Functions transferring into the new HPSS organisations
key service support function which, under the new arrangements, can be managed more effectively within the new HPSS structures
how this relationship will work will depend on a review of DHSSPS functions...
and a review of the potential for shared services in the HPSS
Departmental Restructuring
Team will make recommendations to the Departmental Board in respect of:
functions and posts that will transfer initially to the Chief Executive Designate and ultimately out of the Department
functions and posts that will remain in the Department
the appropriate future organisation and structure of the Department in order that retained functions are delivered efficiently and effectively, and:
the implications for staff in the core Department and Health Estates.
Departmental Restructuring
So far:
all branches have produced pro forma estimating % work Dept/HSSA
Interviews with key Directorates and Heads of Branches
Following which we will have the cost envelope to work within
Then we can begin to design the new Department
In conclusion…
Appreciate your support and patience
Lot of work underway but we don’t have all the answers
Look out for “Making it Happen”
Give us feedback
Further presentation before summer
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