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Chief Executive Officer Hospital Groups INFORMATION BOOKLET Chief Executive Officer Hospital Groups Dublin North East Dublin Midlands Dublin East South/South West Closing date: 12th December 2013 The Public Appointments Service (PAS) is committed to a policy of equal opportunity. This campaign will be run in compliance with the codes of practice prepared by the Commission for Public Service Appointments (CPSA). These are available on www.cpsa.ie ---------------------------------------------------------------------------------------------------------------- Contact: Margaret McCabe, Senior Executive Recruitment Public Appointments Service, Chapter House 26 – 30 Abbey Street Upper, Dublin 1 Telephone Number: + 353 1 8587 551 Email: [email protected] Chief Executive Officer Hospital Groups 1 Health System Reform Major changes are underway in regard to the organisation of acute Hospitals with the objective of providing high quality care to patients in the most appropriate setting, as close as possible to their community and resulting in the best outcomes for their health and social gain, This must happen in the context of transforming, integrating and streamlining hospital, community and primary care services and the clear engagement of medical, nursing and other health and social care professionals in planning and management of services The Government‟s decision regarding the establishment of new Hospital Groups was informed by two reports: . ‘The Establishment of Hospital Groups as a Transition to Independent Hospital Trusts‟ - produced by an expert group led by Professor Higgins(‘Higgins Report’) . ‘The Framework for Development - Securing the Future of Smaller Hospitals’ Both these reports fulfil important commitments in „Future Health’, the strategic framework for reform of the Health Service published in 2012 Further planned reform will see Hospital Groups being funded on the basis of the nature, quantity and quality of services provided („money follows the patient’) 2 Establishment of Hospital Groups Arrangements have now commenced to establish Hospital Groups, covering all acute hospitals. Each Hospital Group will have a single management team, with responsibility for overall performance within a clearly defined budget The seven Hospital Groups are as follows: Dublin North East, Dublin Midlands, Dublin East, South / South West, West / North West, UL Hospitals Group and National Childrens‟ Hospital Group Composition of Hospital Groups1 1 Dublin North East:Beaumont Hospital; Our Lady of Lourdes Hospital, Drogheda; Connolly Hospital; Cavan General Hospital; Rotunda Hospital; Louth County Hospital; Monaghan Hospital. (Academic Partner: RCSI). 2 Dublin Midlands:St James's Hospital; The Adelaide & Meath Hospital, Dublin, including the National Children's Hospital; Midlands Regional Hospital, Tullamore; Naas General Hospital; Midlands Regional Hospital Portlaoise; the Coombe Women & Infant University Hospital. (Academic Partner: TCD) . 3 Dublin East: Mater Misericordiae University Hospital; St Vincent's University Hospital; Midland Regional Hospital Mullingar; St Luke's General Hospital, Kilkenny; Wexford General Hospital; National Maternity Hospital; Our Lady's Hospital, Navan; St Columcille's Hospital; St Michael's Hospital, Dun Laoghaire; Cappagh National Orthopaedic Hospital; Royal Victoria Eye and Ear Hospital (Academic Partner UCD) 4 South/South West:Cork University Hospital/CUMH; Waterford Regional Hospital; Kerry General Hospital; Mercy University Hospital; South Tipperary General Hospital; South Infirmary Victoria University Hospital; Bantry General Hospital; Mallow General Hospital, Lourdes Orthopaedic Hospital, Kilcreene. (Academic Partner: UCC) 5 West/North West: University Hospital Galway and Merlin Park University Hospital; Sligo Regional Hospital; Letterkenny General Hospital; Mayo General Hospital; Portiuncula Hospital; Roscommon County Hospital (Academic Partner: NUIG) - already established 6 UL Hospitals Group: Mid-Western Regional Hospital, Limerick; Ennis General Hospital; Nenagh General Hospital; St John‟s Hospital Limerick; Mid-Western Regional Maternity Hospital, Mid – Western Orthopaedic Hospital (Academic Partner U.L) – already established. 7 National Childrens’ Hospital Group: The acute paediatric services in Dublin; Our Lady‟s Children‟s Hospital, Crumlin, The Children‟s University Hospital Temple Street, and the paediatric service in Adelaide and Meath and National Children‟s Hospital, Tallaght (AMNCH) will also function as a single cohesive entity with appropriate governance arrangements (in line with Hospital Group proposals). Each Group comprises between six and eleven hospitals and includes at least one major teaching hospital. Each Grouping also includes a primary academic partner in order to stimulate a culture of learning and openness to change within the Hospital Group. This will ensure the capability of the Group to deliver on healthcare teaching, training and research and innovation agenda in an integrated manner. Initially interim Hospital Group Boards will be established on a non-statutory administrative basis appointed by the Minister for Health. These Boards will not have specific status in legislation and pre-existing Hospital Boards will continue to retain their existing legal responsibilities until the Hospital Group Board is given the necessary standing in legislation to accept the formal transfer of legal responsibilities. Therefore while the Voluntary and Joint Board Hospitals will necessarily continue to maintain their legal governance structures, it is expected that they will fully co-operate with the Hospital Group Boards and the HSE and/or its successor in supporting effective decision making by Hospital Groups. Hospital Group CEOs will have delegated budget and operational responsibility for the Group, under the Health Act 2004, and the provision of health services under the auspices of the HSE. It is also intended that the necessity for Voluntary and Joint Board Hospitals to co-operate with these Boards will be specified as part of a Service Level Agreement with the HSE under Section 38 of the Health Act 2004 from 2014 until such time as independent Hospital Trusts are established statutorily. Hospital Groups will ultimately be established as independent Hospital Trusts, on a statutory basis. Each Hospital Group will be rigorously evaluated in line with predetermined criteria to ascertain if it is fit for purpose to apply for Hospital Trust status. In parallel with these evaluation processes, legislation will be developed to enable independent Hospital Trusts to be established taking account of any changes to Groups which may emerge from the review process. The granting of independent status will not be automatic and the timing of the move to independent statutory status may vary from Hospital Group to Hospital Group. A Hospital Group may decide to utilise an Academic Healthcare Centre (AHC) model in their transition to independent Trust status to provide overarching governance structures for the relationship between Hospitals within a Group and their relationship to their primary academic partner. Within the AHC model any proposed over-arching structure must meet the criteria outlined in the recommendations of the „Higgins report‟ for interim Group Boards. 3 Development of Hospital Groups Each Hospital Group will be required to develop a Strategic Plan for its future services by the end of the Group‟s first year of operation, taking account the requirement to meet the National Standards for Safer Better Healthcare. This plan must demonstrate . the formation of a single coherent Hospital Group structure and organisation . reorganisation of services within the Group to ensure optimal care provisions to the population served . provision of safe effective, efficient and relevant patient services within budget . maximum integration and synergy within the Group and with other Hospital Groups and all other Health Services, particularly primary and community care services Evidence will also be required that cognisance has been taken of the Licensing framework for Hospitals which is currently being developed by the Department of Health. In the future, Hospital Groups will be required to be licensed for services provided and will need to demonstrate provision of high quality, safe, well managed and well governed services in order to obtain the license. Compliance with the proposed Licensing framework will be a key requirement for advancing to independent Trust status. Job Specification 1 Duration of Post Fixed term contract for duration of 5 years 2 Reporting Relationships Hospital Group CEO‟s will have delegated budget and operational responsibility for the Group, under the Health Act 2004 and the provision of Health Services under the auspices of the HSE and therefore a reporting relationship to the National Director of Acute Hospitals. The Chief Executive will also initially be employed by the Health Service Executive. The Group CEO will have a reporting responsibility to the Board of the Hospital Group through its Chairperson. The Department of Health will initiate legislation to abolish the Health Service Executive and establish a number of agencies to take over its functions. Following this change, and the planned establishment of statutory hospital trusts in place of the current non-statutory nature of the hospital groups, the Chief Executive will then be employed by the Hospital Trust. Key Working Relationships The CEO will lead a senior management team consisting of: . Chief Operations Officer
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