Welcome Denis McMahon

Update on reform Andrew McCormick

Vision for HSSA David Sissling

Question and Answer Session

RPA - Update

The Reasons – A Reminder

• Improved care for patients, clients, carers and the community as a whole

• Opportunities for better integration of services• Greater efficiency and productivity, so that money can

be focussed where it is needed most• We serve the community – so the structures need to

build in greater responsiveness and put the patient on top of the system.

Key Means – A Reminder

• 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

The New Structures - ReminderPatients & Clients

Agencies

Blood Transfusion Agency, Guardian Ad Litem,Social Care Council

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

Progress (1)• David Sissling – HSSA Chief Executive Designate appointed

• Independents appointed to DMB – Helen Roulston, Danny

McCaughan

• Trust Chief Executives Designate and Chairs appointed – top

management structures designed

• Mary Burrows (CE Northampton PCT) – seconded on system

design

• Trust Directors of Finance & Human Resources adverts in

press 26 September

Progress (2)

• HSSA Implementation Group being formed – David to say more

• Trust Implementation Group established

• Legislation

– Early draft circulated internally (6th Oct)

– Focus on key stakeholders within HPSS family (Dec 06 – Jan 07)

– Statutory consultation (Feb – April 07)

• Patient Client Council Design Work underway

• First stage of work completed to identify functions in Department likely to be

affected

…but much more to do.• Number of key issues to be resolved in relation to the HR

dimension in the HPSS

• HR Framework prepared – discussions with Public Services

Commission

• Shared Services – initial report, December 2006

• Lot more engagement to do

• Lot of appointing required to 2nd, 3rd and 4th tier in Trusts

• And need to achieve £55 million savings

DHSSPS

Local Commissioning Groups

PCC

RQIA

WesternTrust

NorthernTrust

SouthEastern

Trust

SouthernTrust

BelfastTrust

HSSA

RegionalLeadershipFunction

The Reconfigured DHSSPS

• Too early to say exactly what the Department will look

like

• HSSA in the early stages of design

• Initial analysis of functions needs to be refined

• Expect Department to reduce to around 500 people

• Initial work with Directorates provided a good starting

point

• 20 year strategy – much more prominent role

• All of the normal Departmental functions – legislation, advising

Minister

• Development of overarching policy – i.e. Regional Strategy, IfH,

DBS but not generally regional service plans

• No gaps or overlap regionally - professional advisory structures

will reflect this

Focus of the DHSSPS

Post April 2008 – key features

• Dept to be structured as recommended by Top Structure Review– CMO (Public Health, Quality)– Policy Group – as at present but progressively more

multidisciplinary structures– Resources and Performance

• Policy Group – strong input from professionals• Departmental Board – Permanent Secretary, CMO, two

Deputy Secretaries plus two Independent Members• Some top professional roles in HSSA e.g. CDO, CNO?

What Next for DHSSPS Staff

• RPA Affected Group

– Eligibility to apply for jobs

– Defines coverage of PSC recommendations eg re vacancies

– Broad definition at this stage

– Does not mean all staff in RPA affected groups transfer

• Further Work Needed To Refine Functions

– Need for TUS consultation

• 100% Affected – DIS, HEA

• Partly Affected

– TUS consultation

– Restructure gradually to reach definitive position

– Agreement where possible

– Potential to exchange

Allocating Staff to Functions Transferring

Thank you

Will take questions at the end of David Sissling’s session

David SisslingDavid Sissling

Chief Executive DesignateChief Executive Designate

HSSAHSSA

The Health & Social Services The Health & Social Services AuthorityAuthority

RoleRole

Implement Government policies for Health Implement Government policies for Health and Social Servicesand Social ServicesManage the performance of the systemManage the performance of the systemCommission services with local groupsCommission services with local groups

- - Ministerial Announcement, Nov 2005Ministerial Announcement, Nov 2005

The Health & Social Services The Health & Social Services AuthorityAuthority

FunctionFunction

Performance ManagementPerformance ManagementCommissioning – 7 Local Commissioning GroupsCommissioning – 7 Local Commissioning GroupsStrategic Planning including capitalStrategic Planning including capitalPublic Health and Health PromotionPublic Health and Health PromotionSocial CareSocial CareClinical GovernanceClinical GovernanceWorkforce PlanningWorkforce PlanningInformation ServicesInformation ServicesICT DevelopmentICT DevelopmentHealth EstatesHealth EstatesA range of regional services including Counter Fraud, A range of regional services including Counter Fraud, ResearchResearch

The Health & Social Services The Health & Social Services AuthorityAuthority

Migration of FunctionsMigration of Functions

4 Boards4 BoardsHealth Promotion AgencyHealth Promotion AgencyElements of CSAElements of CSAHealth EstatesHealth EstatesDISDISNIPECNIPECNIMDTANIMDTAElements of DepartmentElements of Department

The Health & Social Services The Health & Social Services AuthorityAuthority

Proposed StructureProposed Structure

Finance & Corporate ServicesFinance & Corporate Services

Performance & Information ServicesPerformance & Information Services

Workforce & Human Resource DevelopmentWorkforce & Human Resource Development

Commissioning & Strategic PlanningCommissioning & Strategic Planning

Public Health & Care StandardsPublic Health & Care Standards

Nursing & Patient ExperienceNursing & Patient Experience

Social Care & ChildrenSocial Care & Children

Health EstatesHealth Estates

The Health & Social Services The Health & Social Services AuthorityAuthority

Enablers of SuccessEnablers of Success

Well planned transitionWell planned transitionGood communicationGood communicationProfessional leadershipProfessional leadershipFocus on patient and clientsFocus on patient and clientsStrong partnershipsStrong partnershipsExcellent internal capabilitiesExcellent internal capabilitiesDevolved styleDevolved styleFocus on priorities and resultsFocus on priorities and resultsAmbitionAmbition

The Health & Social Services The Health & Social Services AuthorityAuthority

Progress to DateProgress to Date

AppointmentsAppointments

Transfer of responsibilitiesTransfer of responsibilities

Joint working with 4 BoardsJoint working with 4 Boards

Transition planningTransition planning

System planningSystem planning

Priorities and momentumPriorities and momentum

The Health & Social Services The Health & Social Services AuthorityAuthority

Some UnknownsSome Unknowns

Detailed structureDetailed structure

SizeSize

LocationLocation

NEW TRUST CONFIGURATION

NEW TRUST CONFIGURATION

Belfast Trust (includes)

South Eastern Trust

LCG CONFIGURATION