THE REVIEW OF PUBLIC ADMINISTRATION

REFORM OF THE HEALTH AND REFORM OF THE HEALTH AND SOCIAL SERVICESSOCIAL SERVICES

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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: alan.urquhart@dhsspsni.gov.uk