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T Y N W A L D C O U R T O F F I C I A L R E P O R T R E C O R T Y S O I K O I L Q U A I Y L T I N V A A L P R O C E E D I N G S D A A L T Y N HANSARD S T A N D I N G C O M M I T T E E O F T Y N W A L D O N S O C I A L A F F A I R S P O L I C Y R E V I E W B I N G V E A Y N T I N V A A L M Y C H I O N E A A S C R U T A G H E Y P O L A S E E Y N E R C O O I S H Y N K I A R A I L Y T H E A Y DEPARTMENT OF HEALTH Douglas, Monday, 9th July 2012 PP103/12 SAPRC-H, No. 1 All published Official Reports can be found on the Tynwald website www.tynwald.org.im/Official Papers/Hansards/Please select a year: Published by the Office of the Clerk of Tynwald, Legislative Buildings, Finch Road, Douglas, Isle of Man, IM1 3PW. © High Court of Tynwald, 2012 STANDING COMMITTEE, MONDAY, 9th JULY 2012 Members Present: Chairman: Mrs B J Cannell MHK Hon. S C Rodan SHK Mr D A Callister MLC Clerk: Mr J King Business Transacted Page Procedural.................................................................................................................................................3 Evidence of Hon. D M Anderson MHK, Minister for Health and Mr D Killip, Chief Executive Officer, Department of Health ........................................................3 The Committee adjourned at 4.22 p.m. _________________________________________________________________ 2 SAPRC-H STANDING COMMITTEE, MONDAY, 9th JULY 2012 Standing Committee of Tynwald on Social Affairs Policy Review Department of Health The Committee sat in public at 2.30 p.m. in the Legislative Council Chamber, Legislative Buildings, Douglas [MRS CANNELL in the Chair] Procedural The Chairman (Mrs B J Cannell MHK): Welcome to this public meeting of the Social Affairs Policy Review Committee, a Standing Committee of Tynwald. For the benefit of Hansard, I am Mrs Brenda Cannell MHK and I chair this Committee. To my left is the Hon. Steve Rodan, Speaker of the House of Keys; and Mr David Callister, Member of the Legislative Council. To my 5 right is our Clerk, Mr Jonathan King. Can I ask everybody in the room to please ensure that your mobile phone is switched off and not just on silent, please, as it interferes with the recording of Hansard. Also for the purposes of Hansard, I will be ensuring that we do not have two people speaking at once. The Social Affairs Policy Review Committee is one of three new Standing Committees of 10 Tynwald Court established in October 2011 with a wide scrutiny remit. We have four Departments to cover, namely the Department of Education and Children, Department of Health, Department of Home Affairs and the Department of Social Care. Today’s session is the second of our routine scrutiny sessions with those Departments. We started with the Department of Education and Children in May. Today, we move to the 15 Department of Health. The two witnesses are sitting as a panel, but I must explain that we intend to direct some of the questions to particular individuals and not just leave it open for whoever feels able to respond. 20 EVIDENCE OF HON. D M ANDERSON MHK AND MR D KILLIP Q1. The Chairman: So, first of all, if I could welcome our witnesses, and if I could ask each of you, for the record please, to state your name, your job title and when you were appointed to 25 this role. The Minister for Health (Hon. D M Anderson MHK): Good afternoon. My name is David Anderson. I am Minister for Health. I was first appointed as Minister for Health on 1st April 2010 and was reappointed after the General Election. 30 The Chairman: Thank you. Mr Killip: Good afternoon, Madam Chair and Members. I am David Killip. I am the Chief Executive Officer of the Department of Health and I was appointed to that post on 1st April 2010, 35 which was the date upon which the Department was established. Q2. The Chairman: And your responsibilities within your role, Mr Killip… what are you responsible for? 40 Mr Killip: I am responsible to the Minister for the management of the Department and for the delivery of the services that the Department is required to provide to the community of the Island. Q3. The Chairman: Do you have any other role within the Department, as its Financial Officer or anything like that? 45 _________________________________________________________________ 3 SAPRC-H STANDING COMMITTEE, MONDAY, 9th JULY 2012 45 Mr Killip: Under the Audit Act and under Government Financial Regulations, I am what is termed the Department’s Accounting Officer. That does not mean that I am a qualified accountant – which, in fact, I am not – but I am responsible for the administration of the budget that Tynwald allocates to the Department. However, the Department does have a qualified accountant among its senior leadership team, 50 because the Director of Finance is so qualified. Q4. The Chairman: Thank you. Regarding your Service Delivery Plan and your priorities setting, we have a copy of your Service Delivery Plan for 2011-12. When was that issued? 55 The Minister: This was issued on 20th April 2010 and placed on the Department’s website at that time. Q5. The Chairman: Can I ask what progress has been made with the next Service Delivery 60 Plan? Mr Killip: Would you like me to deal with this? The Minister: Yes. I will pass over to… 65 Mr Killip: It is perhaps worth prefacing my answer, Madam Chair, by saying that the Service Delivery Plan concept is something that was produced, or that has been conceived by the centre of Government and there are Service Delivery Plans for all Government Departments, Boards and Offices. So the form and the content of a Service Delivery Plan is, in some measure, determined 70 by the wishes of the centre. The reasons for this are easy to understand. There is a keenness that there is continuity among the presentation of Service Delivery Plans, so that a person with an interest can find the same information in the same way, depending on what part of Government their interest may be in. The specifics with the Service Delivery Plans, of course, vary according to what the responsibilities of 75 the Department or Board may be. So the production of a new Service Delivery Plan is… The Department is, to some degree, in the hands of particularly the Chief Secretary’s Office as a vehicle for giving effect to the wishes of the centre, because although I am aware that it is a matter that is very much alive, they are yet to determine the format of new Service Delivery Plans in a pan-governmental way. 80 That said, the Department has been looking quite closely at the way in which we produce, capture and monitor the kind of information that one finds in the Service Delivery Plan, and we are fairly far down the road in producing that in a contemporaneous way, rather than the former Service Delivery Plan that you have just referred to, and in fact we have had an opportunity to share the work we have done in that area with the officer from the Chief Secretary’s Office who is 85 leading on the development of the corporate nature of Service Delivery Plans, so they are aware of what we are doing. I have a copy of the kind of front page of that document here, and I can let you have it, if you wish. It is what we call a corporate strategy map, and I can either leave it with you for scrutiny or talk you through it, as you wish. 90 Q6. The Chairman: The purpose of the question, really, is that the Service Delivery Plan that we presently have is, of course, somewhat dated (Mr Killip: Yes.) and there is not anything or there does not appear to be anything coming in terms of the next one. This is the purpose of the question. So it is a case of where is it? Are we going to have it? 95 What you have explained, or what I am getting from you is that it is the centre that dictates when, if and how the Service Delivery Plans are executed, i.e. the Chief Secretary’s Office, and you are suggesting that the format and how you predict the indicators – KPIs, as I like to call them – or the targets, how they are translated in the next Service Delivery Plan. So are you saying then that the whole thing is being reviewed with the view of bringing forward something that is going 100 to be more easily understood by members of the public. Mr Killip: Essentially, yes. You have interpreted my remarks correctly. The Service Delivery Plans’ form, content and presentation is something that to date, anyway, has been done on a pan- Government basis and the documents have a corporate style and content and template to them. So _________________________________________________________________ 4 SAPRC-H STANDING COMMITTEE, MONDAY, 9th JULY 2012 105 until the Department of Health or indeed any Department knows what the future form and style of a Service Delivery Plan will be, then we will not be producing one.