THE REVIEW OF PUBLIC ADMINISTRATION REFORM OF THE HEALTH AND SOCIAL SERVICES NEXT 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 Structures Patients 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 Minister DHSSPS 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 staffs 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 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 Reviews 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 Performance Management Human Resources Management Structures Shared Services Departmental Restructuring Public Health Functions Planning and Commissioning (LCGs) CommsICTFinance Trust Development Groups (to be established early in 2006) Patient Client 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 OBrien

Programme Methodology Five 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 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 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 For general queries on RPA and HPSS Alan Urquhart / Maura OBrien Modernisation Directorate (DHSSPS) Telephone