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Evaluation of the Local Government Reform March 2013

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Evaluation of the Local Government Reform March 2013 Forside med titel for alle 3 publikationer (?) Evaluation of the Local Government Reform March 2013 Adjustment of the Local Government Reform June 2013 Evaluation of the Local Government Reform March 2013 Adjustment of the Local Government Reform June 2013 Information about the publication can be made to: The Ministry of Economic Affairs and the Interior Slotsholmsgade 10-12 1216 København K T +45 72 28 24 00 Electronik Publication: ISBN: 978-87-92856-65-4 The publication is available on the website for the Ministry of Economic Affairs and the Interior: www.oim.dk Table of Contents Evaluation of the Local Government Reform ........................................................................ 6 1. Introduction .............................................................................................................. 8 1.1 Establishment of the committee ................................................................ 8 1.2 The mandate for the committee on the Evaluation of the Local Government Reform .................................................................................. 8 1.3 Composition of the committee ................................................................. 19 1.4 The committee's work ............................................................................. 20 2. Summary ................................................................................................................ 23 2.1 Overall Assessment of the Local Government Reform ........................... 23 2.2 Healthcare area ....................................................................................... 25 2.3 The social services area and specialised educational programmes ...... 30 2.4 The nature and environmental area ........................................................ 34 2.5 Regional development ............................................................................. 38 3. Local Government Reform 2007 ............................................................................ 42 3.1 Background for the Local Government Reform ...................................... 42 3.2 The political agreements on the Local Government Reform .................. 43 3.3 The task reform ....................................................................................... 44 3.4 The territorial reform ................................................................................ 45 3.5 The financing reform ............................................................................... 45 3.6 Distribution of tasks in the public sector .................................................. 46 4. Development after the reform on selected interdisciplinary fields ......................... 49 4.1 Development in the political governance ................................................ 49 4.2 Development in the professional and financial sustainability .................. 57 4.3 Development in the administration structures in municipalities and regions ..................................................................................................... 65 4.4 Development in the administrative resource consumption in municipalities and regions ....................................................................... 75 4.5 Development of administration buildings ................................................ 85 4.6 Development in the structure regarding day-care facilities, municipal primary and lower secondary schools and hospitals .............................. 90 4.7 Development in the public-private cooperation ..................................... 103 4.8 The committee's overall assessments of the development on selected interdisciplinary fields ............................................................................ 112 References ...................................................................................................................... 113 Better quality and cooperation - follow-up on the evaluation of the Local Government Reform ................................................................................................................................... 117 1. Better quality and cooperation ............................................................................. 119 2. Quality and cooperation in the health service ...................................................... 121 3. A qualified effort for groups with special needs ................................................... 126 4. Professionalism and efficiency on the environment area .................................... 134 5. A results-oriented business development effort .................................................. 137 6. More freedom in the regions' governance ........................................................... 141 Agreement between the government, Denmark's Liberal Party, the Danish People's Party, Red-Green Alliance, Liberal Alliance and the Conservative People's Party on: Frameworks for adjustment of the Local Government Reform (26 June 2013) ............ 144 Agreement on the frameworks for adjustment of the Local Government Reform .......... 146 Appendix 1: Economy – Follow-up on the Evaluation of the Local Government Reform .... ............................................................................................................................. 149 Evaluation of the Local Government Reform 6 Chapter 1 7 Chapter 1 1. Introduction Nyt kapitel 1.1 Establishment of the committee On 9 February 2012, the government established a committee for an Evaluation of the Local Government Reform with the aim of investigating the possibilities to better support an effec- tive and modern public sector, which provides high quality services and is equipped for the challenges of the future. The first task of the committee on the Evaluation of the Local Government Reform was to as- sess the current task distribution between municipalities, regions and state and to consider relevant adjustments of the task distribution. Secondly, the committee was given the task of assessing the existing cooperation structure and tools for coordination and control, etc. in the public sector and to consider possible adjustments of these. The committee's mandate states the intention of the evaluation is to perform a service check of the current task distribution in the public sector. At the same time, it states that the inten- tion is not to perform comprehensive changes to the task distribution between state, munici- palities and regions. 1.2 The mandate for the committee on the Evaluation of the Local Government Reform Background The Local Government Reform came into force on 1 January 2007. The reform entailed the reorganising of the fundamental configuration of the public sector in Denmark. Thus, a new municipal and regional map of Denmark was established and a new task distribution between state, municipalities and regions was implemented. A financing and equalisation reform was simultaneously implemented. The municipalities were merged so there were 98 municipalities instead of 271. The larger municipalities have secured the basis for professional sustainability in relation to the task per- formance of the municipalities and the challenges looking forward. Furthermore, the new mu- nicipalities became the main access point for citizens to the public sector. The counties were discontinued and five regions were established, the primary task of which is the responsibility for the operation and planning of the public health service. The fewer and more focused regions have supported the frameworks for the planning of the health service, including in regard to the implementation of a new hospital structure. 8 Chapter 1 Introduction The reorganisation in regard to the Local Government Reform involves new interfaces be- tween three administration links and new cooperation bodies have also been established and new tools to ensure coordination across state, municipalities and regions. In general, the Local Government Reform has ensured a clearer division of responsibilities in the public sector and the reform has consolidated the decentralised Danish model in which the decisions are made locally and close to the citizens as far as possible. Five years after the commencement of the Local Government Reform, it is relevant to assess whether there are areas where there is a need to adjust the division of labour between state, regions and municipalities. It is also relevant to assess whether the cooperation across the new interfaces functions appropriately. The government platform, Et Danmark der står sammen (One Denmark standing together) states that the government will perform an Evaluation of the Local Government Reform and the current division of labour between municipalities, regions and state. This will take place with, among other things, special focus on the healthcare area, the specialised social ser- vices area, the environmental area and the regional development. Furthermore, the government platform states that the administration of nature areas will be included in the considerations on an adjustment of the structure reform. Consequently, the intention is to perform a service check of the current handling of tasks in the public sector. However, the intention is not to carry out comprehensive changes of the task distribution between state, municipalities and regions and thus create uncertainty about the future task placement for employees and users in the public sector. Task description The aim of the evaluation is to investigate the possibilities to better support
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