Reforming Health and Social Services: An Update on HSSA Progress and Vision

1. RPA - Update Welcome Denis McMahon Update on reform Andrew McCormick Vision for HSSA David Sissling Question and Answer Session

2. 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.

3. 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

4. Patients & Clients Agencies Blood Transfusion Agency, Guardian Ad Litem, Social Care Council Primary Care/GPs/other Independent Primary Care Providers 5 Health and Social Services Trusts plus the Ambulance Service 1 Patient & Client Council 7 Local Commissioning Groups 1 Health and Social Services Authority RQIA Minister DHSSPS The New Structures - Reminder

5. 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

6. 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

7. …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

8. Regional Leadership Function DHSSPS RQIA PCC HSSA Local Commissioning Groups Belfast Trust Southern Trust South Eastern Trust Northern Trust Western Trust

9. 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

10. Focus of the DHSSPS • 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

11. 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?

12. 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

13. Allocating Staff to Functions Transferring • 100% Affected – DIS, HEA • Partly Affected • TUS consultation • Restructure gradually to reach definitive position • Agreement where possible • Potential to exchange

14. Thank you Will take questions at the end of David Sissling’s session

15. David Sissling Chief Executive Designate HSSA

16. The Health & Social Services Authority Role • Implement Government policies for Health and Social Services • Manage the performance of the system • Commission services with local groups - Ministerial Announcement, Nov 2005

17. The Health & Social Services Authority Function • Performance Management • Commissioning – 7 Local Commissioning Groups • Strategic Planning including capital • Public Health and Health Promotion • Social Care • Clinical Governance • Workforce Planning • Information Services • ICT Development • Health Estates • A range of regional services including Counter Fraud, Research

18. The Health & Social Services Authority Migration of Functions • 4 Boards • Health Promotion Agency • Elements of CSA • Health Estates • DIS • NIPEC • NIMDTA • Elements of Department

19. The Health & Social Services Authority Proposed Structure • Finance & Corporate Services • Performance & Information Services • Workforce & Human Resource Development • Commissioning & Strategic Planning • Public Health & Care Standards • Nursing & Patient Experience • Social Care & Children • Health Estates

20. The Health & Social Services Authority Enablers of Success • Well planned transition • Good communication • Professional leadership • Focus on patient and clients • Strong partnerships • Excellent internal capabilities • Devolved style • Focus on priorities and results • Ambition

21. The Health & Social Services Authority Progress to Date • Appointments • Transfer of responsibilities • Joint working with 4 Boards • Transition planning • System planning • Priorities and momentum

22. The Health & Social Services Authority Some Unknowns • Detailed structure • Size • Location

24. NEW TRUST CONFIGURATION South Eastern Trust

25. LCG CONFIGURATION