themonth. for the NHS leadership community September 2012 Issue 58: Gateway reference number 18188

This edition of 'the month' is a comprehensive update on all areas of transition, including an article on shared services for national bodies, the latest on NHS Property Services Ltd, health and wellbeing boards and the NHS Commissioning Board. Candy Morris also reflects on involving patients in clinical research design. Click on the health and care system infographic for a downloadable PDF and read more

At the end of this month, we enter the comment and feedback to support final six months of the transition the development of a strategy for the update period. Thank you for all your hard future of nursing. The nursing work and ongoing commitment – I am workforce is central to delivering high genuinely proud of the way the service quality, compassionate care. Nurses, has implemented these significant midwives and caregivers are in a changes and continues to deliver for unique position to make real patients. improvements for patients. The draft vision is built upon six “Progress through Progress through this transition also fundamental values - care, this transition also means the changes have become compassion, competence, means the changes more personal, as new roles and communication, courage and have become more opportunities become clear and many commitment - and is the result of of you make decisions about where many conversations and personal, as new you will be in the future. These have engagement activities that have roles and been challenging and no doubt already taken place across the opportunities unsettling times but you are doing a country. Having a shared vision and become clear and fantastic job and there is much to be strategy for the profession is critical many of you make excited about for the future. for real improvement and I would decisions about encourage all of you to contribute to where you will be in This month Jane Cummings, Chief the development of the strategy, via the future.” Nursing Officer for England and Viv the Department of Health or NHS Bennett, Director of Nursing, Commissioning Board Authority Department of Health, published their websites. draft vision for nursing, inviting Cont’d/…2

NHS Leadership Team themonth. September 2012 Issue 58 2

Finally, with the recent downward turn in I sincerely hope we see this figure rise the weather, we inevitably think of winter again this year, and similarly for our

and I am sure you will all be preparing for patients and the public. the winter period. This month, the Chief Medical Officer Dame Sally Davies and Thank you once again for your ongoing British Medical Association (BMA) Chair work and commitment to the service and of Council, Dr Mark Porter wrote jointly to to patients. all doctors urging them to be vaccinated against flu. NHS Employers has also reissued its NHS Flu Fighter campaign material for all staff. In 2010/11, 35 percent of healthcare workers with direct patient contact were vaccinated – a figure Sir David Nicholson, KCB CBE that rose to 45 percent in 2011/12. NHS Chief Executive update

Progress

As we are enter the final six months of the Until April 2013, SHAs and PCTs retain transition period, the new system is taking their statutory functions and governance shape with the creation of new arm’s arrangements. New system organisations length bodies (ALBs) and changes to the (NHS Commissioning Board, NHS Trust roles of existing organisations. The Development Authority, Health Education process of appointing chief executives England, Local Education and Training and chairs is almost complete and new Boards and Public Health England) are organisations are putting the finishing starting to lead work relating to their touches to their organisational designs future functions as they become ready to and agreeing staffing structures. The do so. This will happen incrementally from people transition process will ensure 1 October 2012 to 1 April 2013. organisations are staffed and operational in time for the new system to go live in Maintaining a high level of performance in April 2013. the current system is a priority as we lay the foundations for the new health and care system. progress

NHS Leadership Team themonth. September 2012 Issue 58 3

The people transition The people transition has been designed in consultation with all parts of the system, old and new. All the organisations involved – as A growing number of new roles are senders of staff from closing becoming available for ring-fenced organisations or receivers in new competition every week. Details of these organisations and trade union partnership are being published on the HR transition forums – are committed to working website along with eligibility criteria, together to maximise opportunities for information on the new organisation and people to move to new roles within the the HR policy which applies. Applications system wherever possible. This approach are then be made via the NHS jobs will make sure we minimise redundancies website www.jobs.nhs.uk. and maximise the retention of essential skills. During the transition process, the numbers of staff seeking roles in the new Given the scale, planning between the system has been reducing, as people current and new systems has been have left the system or taken up roles in complex and it has taken time to make other NHS organisations. The current sure everyone works to a common number of jobs planned for the new framework, following consistent policy system (approximately 44,000) means it and guidance to ensure fairness for all. is unlikely there will need to be large Movement in one part of the system is scale redundancies. However, we still dependent on planning in another. In expect some unavoidable situations order to specify the posts available, each where a mismatch in skills may arise new receiver organisation has had to first between current and new systems, or a develop its structure and operating model. mismatch in location, where new system As the new system is designed to work in jobs are not within a reasonable travelling different ways, some roles in new distance for current staff. Every effort is organisations will be quite different to being made to retain skills and minimise roles in the current system. redundancies but it may be necessary for new organisations to recruit externally to The process is now gathering pace. attract the skills they need for certain Organisational structures have been roles. largely agreed and functions have been ‘mapped’ between current organisations A successful conference was held with and new organisations, to form the basis sender and receiver organisations and of discussions between senders and trade union partners on 14 September receivers about which staff might 2012 to map out the remainder of the potentially be matched into new roles. process and share good practice. Despite This process will lead to agreement about the obvious challenges arising from the which functions and staff will transfer from complexity and tight timescales, the HR the old system to the new. Arrangements community valued the strong partnership will then be finalised in transfer schemes, approach and demonstrated a which will ensure continuity of determination to implement the process employment and terms of service are fairly and efficiently, in line with the carried into the new system. Where objectives of maximising opportunities for functions are moving in their entirety to individuals and retaining essential skills. new system organisations, there may be a further re-organisation in the new set-up Cont’d/…4 after April 2013. eopletransition p

NHS Leadership Team themonth. September 2012 Issue 58 4

The people transition (cont’d)

The successful completion of the transition process relies on the dedication, hard work and resilience of staff across the system. We aim to make sure all staff have certainty about their future by December 2012, with the majority moving into new health and care system roles by April 2013.

Go to the HR Transition website to see the latest posts being advertised transition

Developing clinically-led commissioning

NHS Commissioning Board Authority place. Following evaluation and (NHS CB) commissioning support services market place. Following evaluation and On 1 October 2012, the NHS confirmation they are viable, all 23 CSUs Commissioning Board Authority changes will be hosted by the NHS CB from status from a special health authority to October 2012. The first round of

an executive non-departmental public appointments to CSU managing director body. It will be known as the NHS posts have now been made. Commissioning Board. NHS CB leaders will start to take on From October, the NHS CB becomes management responsibility for the teams legally responsible for the authorisation of managing both 2012/13 operational clinical commissioning groups (CCGs). delivery (accountable to PCTs and SHAs) The authorisation process for CCGs is on and planning for 2013/14 (accountable to schedule. Thirty-five applications were the NHS CB). These arrangements will received from CCGs in wave one and a embed new system leaders in the current report summarising lessons learnt from system, providing continuous leadership the wave one application process has and minimising complexity for staff been published, to assist applicants in carrying out roles relating to the current subsequent waves to submit the best and new system. possible applications. Sixty-seven proposed CCGs in the second wave have Recruitment continues to be a priority for now submitted their applications. building the new organisation. There will be just under 4000 posts in the NHS CB, Commissioning support services (CSSs) plus an additional 2500 staff transferring will now be referred to as commissioning as part of family health services. Already support units (CSUs). This will distinguish around 15 per cent of posts have been these NHS services from the wider filled, including most very senior commissioning support services market managers. The final part of the organisational design - the Operations

commissioning Cont’d/…5

NHS Leadership Team themonth. September 2012 Issue 58 5

Developing clinically-led commissioning (cont’d) NHS Commissioning Board Authority approach – cancer, cardiovascular (NHS CB), cont’d disease, maternity and children’s services, mental health, dementia and Directorate - has now been shared with neurological conditions. These will help sender organisations, so the process of local commissioners of care reduce filling these posts to get underway. The unwarranted variation in services and majority of posts are expected to be filled encourage innovation. The networks will by the time the NHS CB becomes exist for up to five years and will be fullyoperational in April 2013. managed by 12 locally-based support teams. These teams will build and A number of strategic clinical networks oversee effective arrangements for their are being developed to build on the area and help networks develop an success of NHS Networks, which has led annual programme of quality to significant improvements in the delivery improvement in local services. The of patient care over the last 10 years. support teams, funded by the NHS CB, They will be hosted and funded by the will be located in a local area team office. NHS CB, covering conditions or patient Further information is in The Way groups where improvements can be Forward – Strategic clinical networks. made through an integrated whole system

Visit the NHS Commissioning Board Authority website for more information and the latest news on clinical commissioning c ommissioning

Developing a robust and diverse provider sector The NHS Trust Development Authority to bear on the most complex problems.

The NHS Trust Development Authority The NHS TDA brings together a number (NHS TDA) was established as a special of functions currently fulfilled by the health authority in June 2012. It will play a Department of Health, SHA clusters and vital role in laying the foundations for the the Appointments Commission, including: new health and social care system. As the first organisation whose sole focus is • performance management of NHS to provide leadership and support tailored trusts for NHS trusts, it will provide essential • management of the FT pipeline

governance and oversight of those NHS (currently 103 NHS trusts) trusts not yet foundation trusts. It will • assurance of clinical quality, support them in delivering the vision of a governance and risk in NHS trusts fully autonomous provider network, • public appointments to NHS trusts eg ensuring high quality services for patients. chairs and non-executive members It will also work closely with the whole of and trustees for NHS charities where the new NHS to ensure innovation and the Secretary of State has a power to the very best of clinical practice is brought appoint. Cont’d/…6 provider

NHS Leadership Team themonth. September 2012 Issue 58 6

Developing a robust and diverse provider sector (cont’d) The NHS Trust Development Authority planning for 2013/14 and public (NHS TDA) (cont’d) appointments. In addition, work at SHA level will be overseen by the four delivery Chief Executive, David Flory, has and development directors appointed by appointed his senior leadership team and NHS TDA, who will play a dual role in the the organisation is now operating from its old and new systems. NHS TDA will take London headquarters in Victoria. NHS on its full statutory functions in April 2013. TDA will also have bases in Leeds, Manchester, Birmingham and Taunton, Sector regulation allowing for a regional presence that reflects the geographic spread of work in Over the summer, the drive to develop the FT pipeline. It is expected the the sector regulation regime has organisation will employ approximately continued, with the publication of a 230 staff. Recruitment to these posts is number of consultations by the now underway as part of the people Department of Health and Monitor. transition process. Monitor’s consultation on the new licence for providers of NHS-funded care runs Engagement events have taken place in until 23 October 2012. The future sector all of the SHA cluster areas, focusing regulator made a number of changes to particularly on engaging leaders of NHS the draft licence conditions, based on its trusts and staff who may wish to join the dialogue with stakeholders earlier in the TDA. In addition, a national conference years. It is now encouraging everyone

for NHS trust leaders was held in July and with an interest to respond to the formal discussions have taken place with partner consultation. organisations such as the NHS CB. These opportunities have emphasised the In parallel, the Department is consulting TDA’s role in overseeing and improving on other aspects of the licencing regime. the quality of care provided by NHS Views are invited until 22 October 2012 trusts. on proposals about who should hold a Monitor licence and who is exempt, how The NHS TDA leadership has already providers can challenge proposed met with over 90 per cent of NHS trust changes to licence conditions and the chief executives and chairs over the last maximum fine Monitor could impose for four months to make sure NHS trusts breaches of licence conditions. have been engaged in the design of the NHS TDA’s operating model. This early There are also two consultations relating engagement should help to maintain the to commissioners. The Department is momentum of the pipeline activity when consulting on draft procurement and NHS TDA assumes its full powers. choice and competition regulations, which propose rules for commissioners on good From October 2012, NHS TDA will take procurement practice, protecting patients’ on responsibility at national level for rights to choice, preventing conflicts of longer-term functions, including interest and addressing anti-competitive assessment of foundation trust behaviour which is against patients’ applications, oversight of NHS trust interests. The consultation runs until 26 October 2012.

providersector Cont’d/…7

NHS Leadership Team themonth. September 2012 Issue 58 7

Developing a robust and diverse provider sector (cont’d) Sector regulation (cont’d) protect and promote the interests of patients. The review is underway, based Monitor is consulting on the guidance it on engagement with providers of different will give commissioners on ensuring the types and sizes, and will report to the continuity of services and on designating Secretary of State in early 2013. commissioner-requested services and protected services. This consultation runs Looking ahead, Monitor will be getting its until 8 November 2012. new internal governance and leadership team in place during October 2012. The Alongside the development of the future assurance framework will continue to test sector regulation regime, the Secretary of the readiness of Monitor and DH State has asked Monitor to carry out a capability and the regulation regime, in review to identify barriers to a fair playing the run-up to it becoming operational in field and possible solutions that would April 2013.

For more about the NHS Trust Development Authority

Find out more about sector regulation on the Department of Health website providersector

Empowering patients and communities

Health and wellbeing boards with a deadline for feedback of 28 September 2012.

Since April 2012, health and wellbeing boards (HWBs) have been in shadow A series of webinars aimed at health and form across the country. These bring wellbeing boards will run from September together leaders of the health and care 2012 to March 2013 and cover a range of system with local commissioning groups, topics such as dementia, criminal justice elected representatives, and social care and engagement with providers. Future and public health providers. They are dates will be published on the DH’s health statutory organisations from April 2013. and wellbeing board news feed and on Twitter using #HWBlearn. Various resources to support health and wellbeing boards have been published. The last in a series of events to support These include a series of products the National Learning Network for health produced by the health and wellbeing and wellbeing boards takes place on 8 board learning sets and a tool to help November 2012 in London and will boards assess their readiness for explore how health and care leaders can statutory running make a difference through their board. The event is by invitation only. To find out Views are invited on draft joint strategic more, please email: needs assessments (JSNAs) and joint [email protected] health and wellbeing strategies (JHWSs), Cont’d/…8 empowering

NHS Leadership Team themonth. September 2012 Issue 58 8

Empowering patients and communities (cont’d)

Healthwatch local Healthwatch regulations. A report summarising the findings from this Preparations for the establishment of exercise has been published Healthwatch England (HWE) and local Healthwatch are now well underway. A document has been published to Anna Bradley has been appointed as support local authority commissioners to Chair of Healthwatch England, which is both commission local Healthwatch formally established in October 2012. organisations, and to review how well their local Healthwatch delivers its roles From April to June 2012 the Department and responsibilities. of Health sought the views of stakeholders and the public relating to

Access the HWB learning set products

Access the development tool for HWBs

Submit your views to the JSNAs and JHWSs by 28 September 2012

Find out more about Healthwatch England empowering

Care and support reform

Care and support • improving and clarifying people's entitlements to care and making The Care and Support White Paper eligibility thresholds consistent across ‘Caring for our future: reforming care and the country support’ and draft Care and Support Bill • providing better national and local were published on 11 July 2012, following information on the quality of care a comprehensive engagement (also providers and how they compare called ‘Caring for our future’) with the care • creating firm legal rights for informal and support sector last year. These set carers. out how care and support will transform from a service that reacts to crises, to one The draft Care and Support Bill provides that focuses on wellbeing and prevention the legal framework needed to make the and is built around people’s needs and Government’s plans a reality and will goals. The Government's plans include fundamentally reform and modernise the actions to improve quality of care by: legislation underpinning care and support. People can comment on the draft bill • training more care workers and online, clause by clause, making it one of increasing the number of the most open and transparent pieces of apprenticeships draft legislation ever published. • giving people more control over their care by offering state-funded care users control over their budget

care andsupport

NHS Leadership Team themonth. September 2012 Issue 58 9

Care and support reform (cont’d)

Care and support funding Funding reform needs to be considered alongside other priorities. A final decision Alongside these publications, the will be taken as part of the next spending Government also published a progress review. report on care and support funding. The report says the Government agrees that The Government is also taking definitive the principles of the Dilnot Commission’s steps to implement a number of important model – financial protection through recommendations made by the Dilnot capped costs and an extended means Commission. The progress report test – would be the right basis for any commits to introducing a universal new funding structure. deferred payments scheme to ensure no- one is forced to sell their home to pay for It is the Government’s intention to base a care in their lifetime. The Government will new funding model on these principles, if continue to work with stakeholders to a way to pay for it can be found. consider in more detail variants under the However, while it is the right thing to do, principles of the Commission’s model, given the size of the structural deficit and before coming to a final view in the next the economic situation the country faces, Spending Review. the Government is unable to commit to introducing a new system at this stage.

Find out more information on the reforms

Comment on the draft bill care andsupport

Developing a new public health system

Public Health England (PHE) and the due to take place shortly. These national public health system directors are expected to be appointed by mid-October 2012, followed by regional Public Health England is starting to take directors and centre directors, with the shape with Chief Executive designate, aim of completing these appointments by Duncan Selbie, taking up his post at the Christmas 2012. Work is underway to beginning of July 2012. David Heymann, identify and agree which staff will transfer current Chair of the Health Protection to PHE from 12 sender organisations. Agency, has been appointed acting Chair. The majority of posts are expected to be Recruitment to the roles of PHE chair and filled by staff transferring directly from non-executive directors has begun. PHE’s existing bodies. As PHE will be an proposed structure has been published, executive agency of the Department of along with its policy and process for filling Health, its staff will be civil servants. posts and Duncan Selbie has set out his vision for the new public health system. Duncan Selbie writes a weekly message updating staff on the public transition Recruitment to PHE posts is now transition process. underway. Six executive director positions have been advertised and interviews are Cont’d/…10 publichealth

NHS Leadership Team themonth. September 2012 Issue 58 10

Developing a new public health system (cont’d)

Local public health transition on transfer. Work is progressing on the pension options and implications for staff Work to support local authorities’ new who later move roles, or who join after 1 leadership role for public health is April 2013. progressing at pace. This includes the transfer of staff from PCTs. DH and the A stocktake of progress on the transition Local Government Association (LGA) of public health responsibilities from the wrote jointly to PCTs and local authorities NHS to local authorities will start soon. explaining how national guidance on the Guidance is being developed on director transition of functions and posts to local of public health roles and responsibilities. authorities applies. DH and the LGA have The overall model for delivering set out the agreement that public health immunisation and screening services has staff who have access to the NHS been agreed and a health protection Pension Scheme on 31 March 2013 factsheet has also been published. should retain access to the NHS scheme

Read Duncan Selbie’s weekly update

Find out more about transition updates in the Transforming Public Health Bulletin publichealth

Education and training

Health Education England (HEE) HEE is one of the new system organisations starting to lead work in the Health Education England has begun its final six months of transition relating to its work on developing a workforce to future functions. This will happen respond to future healthcare challenges. incrementally from 1 October 2012 to 1 It is embedding the NHS Constitution in April 2013 to make sure the process is its work and will be using the Constitution coordinated and secure. HEE and logo as part of its corporate brand. shadow Local Education and Training Recruitment to key posts is now Boards (LETBs) will take on delegated underway. Ian Cumming, Chief Executive, authority for 2013/14 planning functions has recently announced the appointment for workforce planning, education and of Dr Lisa Bayliss-Pratt as Director of training from 31 October 2012. Nursing. Dr Bayliss-Pratt is currently Assistant Director of Nursing at Midlands Guidance has been published outlining and East Strategic Health Authority and, the process for ensuring LETBs are ready was education lead in West Midlands to take on education and training SHA multi-professional deanery. She is functions. The guidance builds on also a former senior lecturer in pre- ‘Liberating the NHS; Developing the registration nursing at Wolverhampton Healthcare Workforce – from Design to University. She will champion nurse Delivery’ and sets out how HEE will education and examples of education assess whether LETBs meet a range of best practice, so HEE is able to closely key criteria. This is the start of the journey align high quality education and training for LETBs as they build capacity and to improvements in patient care and outcomes. Cont’d/…11

NHS Leadership Team themonth. September 2012 Issue 58 11

Education and training (cont’d)

Health Education England (HEE) The workstream has three key projects: (cont’d) • Information (minimum dataset) - aims move from transition and their boards to identify the minimum workforce take on greater accountability. The information needed to enable effective expectation is that all LETBs will be workforce planning and education supported so they are ready to have commissioning authorised boards by April 2013. • Systems and processes - aims to develop the processes by which this The Workforce Information information is collected and the Architecture (WIA) workstream process by which the information flows around the new system. The WIA workstream is part of the • Defining the future role of the Centre Department of Health’s education and for Workforce Intelligence (CfWI). training reform programme. It aims to describes CfWI’s future role and modernise the future collection of responsibilities in supporting the new workforce information, so it better system. supports workforce planning and the commissioning of NHS education and Contact for further details: training. The new architecture will ensure comprehensive workforce information can For more information, contact David be collected easily, from an increasingly Bennett, WIA Workstream Manager, diverse range of healthcare providers, [email protected], can safely flow round the system and be 07717 513603 used and shared widely.

View the guidance for LETBs

NHS Leadership Team themonth. September 2012 Issue 58 12

Health research Candy Morris is supporting Professor Dame Sally Davies as NHS champion for embedding research and development across the NHS. She is senior responsible officer (SRO) for the development of the Health Research Authority (HRA). This is the fourth in a series of articles. Involving patients in clinical research About 50 people attended the event and design discussed 17 areas where they believed A sea change is taking place in clinical more research could improve the care research design with patients, interested and experience of patients. The topics clinicians, research charities and included patient transport services, innovative NHS organisations at its patient involvement in clinical decision- vanguard. making, the management of patients who fall and developments in stroke care. Their aim is to involve patients and members of the public at all stages of the The Trust and the people who attended planning and conduct of clinical research the event are now agreeing a set of - from identifying topics for inquiry, to research priorities that will benefit not only designing research and promoting greater SECAmb but the rest of the NHS as well. awareness of and participation in clinical trials. This kind of patient and public involvement is a simple, yet powerful tool The pharmaceutical and medical if used well. It can lead to research that technology industries, as well as better meets the needs of patients and academia, determine their own research the public and is more likely to improve

priorities and these are not necessarily clinical practice in the health service,

the same as those of patients and outcomes for patients and the experience clinicians. of care.

A case in point that illustrates the The National Institute for Health Research importance of patient involvement was funds the work of several organisations highlighted to me recently. including the James Lind Alliance, INVOLVE and its own 10 regional design Earlier this year, in its efforts to embrace services - all of which are trailblazing innovation and improve the quality of care work in this field. patients receive, South East Coast Ambulance Service NHS Foundation The James Lind Alliance is a non-profit Trust (SECAmb) asked the James Lind making initiative, which was established Alliance to engage ambulance service in 2004. Led by Sir Iain Chalmers, the users in naming their key medical driving force behind the Cochrane concerns that could be addressed Collaboration, it brings patients, carers through clinical research. and clinicians together to identify and prioritise the top 10 uncertainties, or In June, SECAmb held an event called 'unanswered questions', about the effects 'Research in SECAmb, how you can get of treatments they agree are most involved' in which patients discussed important. It works closely with the future research priorities with them. Cochrane Collaboration. The James Lind Alliance facilitated the event, drawing on its experience in The Alliance also publishes a list of the supporting and working with patients and research priorities it identifies through its the public in setting research agendas. work. The list covers diseases, medical

healthresearch Cont’d/…13

NHS Leadership Team themonth. September 2012 Issue 58 13

Health research (cont’d)

events and preventive care including Through its design services, the NIHR asthma, pre-term birth, schizophrenia, encourages patients and the public to prevention of pressure ulcers and type 1 become involved in setting research diabetes among others. priorities, identifying important research questions, expressing views alongside The alliance works closely with UK the medical community on research DUETs, a database of treatment proposals and funding issues, as well as uncertainties that is part of NHS taking parts in trials and publicising the Evidence. It also works with the National results. Institute for Health and Clinical Excellence (NICE). Creating enduring improvement in patient care is something to which everyone in In addition, INVOLVE, a national advisory the NHS aspires. Yet sometimes the most group, promotes greater patient and obvious improvements get overlooked. If public involvement in health and social we are to deliver the NHS Constitution's care research. INVOLVE's activities pledge to put patients at the centre of include prioritisation of research topics, care then involving them in discussions, commissioning, and communicating the as SECAmb did, to ensure research will findings of research and how it is used in benefit them directly must surely be the the NHS. way forward.

INVOLVE works closely with the 10 regional NIHR Research Design Services to embed and support patient and public involvement in research design.

Find more details about the Alliance, its projects and how they can assist researchers

Find out more about the work of INVOLVE

More information on the NIHR's work on patient and public involvement

Share your views on patient and public participation in research on the NHS Constitution blog. healthresearch

NHS Leadership Team themonth. September 2012 Issue 58 14

Informatics

Current informatics work is focused on The new HSCIC will be created from implementing the informatics strategy functions in the current HSCIC, NHS described in ‘Informatics: The future – An Connecting for Health and SHA organisational summary’. The External informatics delivery functions. Relations Directorate in DH, whose remit includes responsibility for information, • By October 2012, the day one systems and information governance organisation structure for the new policy, is now the DH sponsor of the HSCIC will be formally communicated. Health and Social Care Information • By December 2012, the chair of the Centre (HSCIC). new HSCIC will be appointed. • By April 2013, the new HSCIC will be The Patients and Information Directorate established as an executive non- in the NHS CB will work with DH and departmental public body. Public Health England (PHE), to commission and sponsor national IT Guidance has been issued to clinical infrastructure, applications and services. commissioning groups (CCGs) on GP They will set information and information informatics.

governance standards, and identify levers and incentives to encourage the best This sets out that the NHS CB will be practice use of information and IT across accountable for the delivery of primary the health and care service. care IT in the future, with funding and responsibility for GP IT delegated to HSCIC will be established as an CCGs. Responsibility for other primary executive non-department public body care IT systems (eg for dentistry or from 1 April 2013 and will have a remit to ophthalmology) will be managed through collect, analyse, link and publish national the NHS CB’s local area teams. data and statistical information and to deliver key national and local service provider (LSP) systems and services to support health and care providers.

Access Informatics: The future – an organisational summary

Download the guidance on GP informatics

Find out more about NHS Connecting for Health informatics informatics

NHS Leadership Team themonth. September 2012 Issue 58 15

Property and estates

NHS Property Services developed and it will be for the NHS PS Ltd board and management team to. NHS Property Services Ltd (PS) has been determine. Properties and staff will established as a company owned by the transfer on the 31 March 2013. There are Department of Health. The principal ongoing discussions with NHS CB to function of the company, when design and agree the principles and operational, will be to hold and manage formal mechanisms of the relationship part of the estate currently owned by between the two bodies.

PCTs, together with surplus SHA and arm’s length body estate. NHS PS has a chair, chief executive, four regional directors, a finance director, an The programme is now established with asset management director and HR clear activity streams and has two main director. There is an ongoing search for stages: candidates to fill the chief operating officer post following the internal • Phase 1 – ‘Lift and shift’ transfer – appointment process and this post will be approximately 70 percent of the advertised externally. existing PCT/SHA estate will transfer to NHS PS, with the remainder The final list and split of properties to be transferring to providers. This is a transferred to NHS PS and NHS pragmatic response to scale and time providers has almost been finalised. SHA constraints. The aim is to achieve a and PCT cluster chief executives have seamless transfer of the estate and its been given a timetable outlining the work day-to-day management to NHS PS needed to: before April 2013. • Phase 2 – This will be the • identify all property and charges that development of a final-state, need to be transferred and recorded commercialised model for the longer- in property transfer schemes term. Most activity will be post-April • ensure that no property interests, 2013, but some initial design work will rights or liabilities are missed and ‘slip take place in parallel with phase 1. through the net’. Over time, the organisation will drive greater efficiency in the management Consultation has started with PCT staff to of the estate, with resources freed up establish who will transfer into NHS to improve properties and invest in Property Services. The company has run other frontline services a series of workshops to familiarise the current estates staff with the company Progress to date and how it plans to operate. There will be a more proactive communications The national and regional structure will approach as the company moves into the mirror that of the NHS CB. Other details implementation phase of the programme. of the organisation are still being propertyand estates

NHS Leadership Team themonth. September 2012 Issue 58 16

Shared services for national bodies

Shared services Payroll Logica have been selected as the Development is well underway for preferred supplier of payroll services. An system-wide shared services for finance, implementation plan drawn up with the accounting, payroll, communications and Health Protection Agency and NHS CB HR. will go live shortly. Other organisations have planned go-live dates throughout The DH Shared Services Programme 2013. (SSP) provides or enables shared back- office services for DH and its arm’s length Occupational health bodies (ALBs) to deliver efficiencies and A framework, operated by Capita, cost reductions in finance and accounting, supplies occupational health and HR, payroll, procurement and employee support services. The service is occupational health services available to ALBs and NHS bodies. ALBs management, while maintaining or are expected to move to the new improving service quality. framework once their existing contracts expire. The various strands of the programme are at different stages in their Procurement development: Activity is focused on collaboration between ALBs on procurement activity, Finance and accounting savings opportunities from shared The requirement for a DH/ALB shared catalogues for purchases of common service is being developed in conjunction items and encouraging good procurement with NHS Shared Business Services, practice and access to professional which will provide it. procurement capability across the DH family of ALBs. HR A two-year performance improvement programme for transaction services and HR operations is underway. The transaction service will be considered for outsourcing on a government framework in early 2013/14. A key objective is to improve the performance of ALBs against recognised benchmarks of number of HR staff to establishment, and cost of HR per member of staff.

sharedservices

NHS Leadership Team themonth. September 2012 Issue 58 17

Transforming the Department of Health

The Future DH Programme brings The work of Future DH focuses on the together all the activities required to change required to transform DH into an achieve the vision for the future organisation fit to deliver the new scope Department of Health. of work in an effective and responsive way. This includes establishing a DH The programme is organised into two operating model and defining how the major components – DH Transition and health and social care system will work. DH Future. Other projects will be more operational, including building and maintaining DH Future is focused entirely on the relationships with the new ALBs, and establishment of the new DH as an improving the underpinning processes organisation and the effective transfer of and systems to support staff in their daily functions and people to other work. organisations within the health and social care system. transforming

News in brief

Christine Beasley and Sarah Harkness Read transcript of webchat on confirmed as Non-Executive Directors licensing and procurement of the NHS Trust Development 24 September 2012 Authority The transcript of the recent webchat on 27 September 2012 licensing and procurement is now Ms Beasley will chair the Appointments available. Committee and Ms Harkness will chair http://healthandcare.dh.gov.uk/sector- the Audit and Risk Committee. webchat/ http://mediacentre.dh.gov.uk/2012/09/27/ christine-beasley-and-sarah-harkness- Public health transitional support confirmed-as-non-executive-directors-of- funds available for local authorities the-nhs-trust-development-authority/ 20 September 2012 The Department of Health is making Shirley Pearce, Kate Nealon and Ann available public health transitional support Abraham confirmed as Non-Executive funds for local authorities. Directors of Health Education England www.dh.gov.uk/health/2012/09/ph-la- 27 September 2012 transition/ They will join Health Education England, the organisation that will provide national Health Research Authority to take role leadership to the new system of in research access to patient data education and training in healthcare. 20 September 2012 http://mediacentre.dh.gov.uk/2012/09/27/ The Health Research Authority will host shirley-pearce-kate-nealon-and-ann- transparent expert advice to support abraham-confirmed-as-non-executive- decisions on access to personal health directors-of-health-education-england/ information, the Department of Health announced today. http://mediacentre.dh.gov.uk/2012/09/20/ health-research-authority-patient-data/ newsinbrief

NHS Leadership Team themonth. September 2012 Issue 58 18

News in brief

One month left to have your say on the Focus on Stoptober and the Chrysalis draft Care and Support Bill programme 20 September 2012 10 September 2012 There is one month left to comment on Duncan Selbie, Chief Executive the draft Care and Support Bill and have Designate of PHE, on the latest your say on the largest overhaul of the developments for PHE. law around adult care and support in 60 http://healthandcare.dh.gov.uk/selbie- years. news/ www.dh.gov.uk/health/2012/09/one- month-left-to-have-your-say-on-the-draft- Department seeks chair and non- care-and-support-bill/ executive members of Public Health England Science and research ‘will be at heart 7 September 2012 of our work’ The Secretary of State for Health is 17 September 2012 seeking to appoint a chair and non- Duncan Selbie, Chief Executive executive members to PHE. Designate of PHE, on the latest www.dh.gov.uk/health/2012/09/phe- developments for PHE. appointments/ http://healthandcare.dh.gov.uk/selbie- research/ How can health and wellbeing boards address the Challenge on Dementia? Take part in webchat on licensing and 5 September 2012 procurement Health and wellbeing board members and 12 September 2012 officers were invited to join a webinar A series of webchats will give you the discussion on the Dementia Challenge on

chance to ask questions and share your Tuesday 18 September. views on licensing, procurement http://healthandcare.dh.gov.uk/hwbs- regulations and continuity of services dementia-challenge-webinar/ during the public consultation period on different aspects of sector regulation. Join in the conversation on how to The first one took place on 13 September strengthen the NHS Constitution 2012. 3 September 2012 http://healthandcare.dh.gov.uk/sector- The NHS Future Forum, which is advising webchat/ the Government on how the NHS Constitution might be strengthened, is Report recommends which specialised talking about what the NHS Constitution services should be commissioned means to them and are keen to hear your nationally views. 11 September 2012 www.dh.gov.uk/health/2012/09/constitutio A report by the Clinical Advisory Group n-blog/ for Prescribed Services (CAG) has been published, recommending which specialised services for people with rare conditions should be commissioned nationally in England. www.dh.gov.uk/health/2012/09/cagreport/

newsinbrief

NHS Leadership Team themonth. September 2012 Issue 58 19

Conference 2012 update

Date Name of conference Where Website

Various CCG learning events Various www.pccevents.co.uk/nhsinstit 2012 from NHS Institute ute

3 Oct Facilitation skills – London www.pccevents.co.uk/pcc/447 2012 intermediate

4 Oct Dementia – A National Manchester www.publicserviceevents.co.u 2012 Crisis Conference k/programme/228/dementia Centre 5 Oct Facilitation skills – Leeds www.pccevents.co.uk/pcc/361 2012 intermediate

18 Oct Building the patient voice Birmingham www.pccevents.co.uk/bpvbir 2012 into service design

25 Oct Building the patient voice Manchester www.pccevents.co.uk/bpvmcr 2012 into service design

26 Oct Public Sector Income The www.publicserviceevents.co.u 2012 Generation Barbican, k/230/public-sector-income- London generation 25 Nov NHS Quality of Care The www.publicserviceevents.co.u 2012 Barbican, k/233/nhs-quality-of-care London 27 Nov Improving population London www.pccevents.co.uk/pcc/478 2012 health through primary care 28 Nov Managing Change 2012 The www.publicserviceevents.co.u 2012 Barbican, k/236/managing-change London 29 Nov Better commissioning London www.pccevents.co.uk/pcc/442 2012 through effective procurement events

Disclaimer: The Department of Health is not responsible for the organisation of any of the above events and cannot be held responsible for the content or quality of any events listed.

© Crown copyright 2012 First published September 2012

For the latest news, information and conversations on the modernisation of health and care, visit: http://healthandcare.dh.gov.uk

NHS Leadership Team