June 2019 Advice on Queensland Health’s governance framework JIM MCGOWAN AM DR PRADEEP PHILIP PROFESSOR ANNE TIERNAN NOT GOVERNMENT POLICY Recommendations and findings ............................................................................................. i Recommendations............................................................................................................. x Introduction ........................................................................................................................... 1 Background ........................................................................................................................... 2 Queensland Health’s governance structure .................................................................... 3 Reviews of the system ................................................................................................... 4 Meeting future challenges .............................................................................................. 5 From federation to network governance: design principles for the system’s evolution ........... 6 An intelligent centre ....................................................................................................... 8 Resetting the conversation to embed networked governance and system thinking ............... 8 Background .................................................................................................................... 8 Consultation feedback.................................................................................................... 9 Findings ....................................................................................................................... 10 Recommendation ......................................................................................................... 13 Strengthening the Department’s system leadership ......................................................... 14 Background .................................................................................................................. 14 Consultation feedback.................................................................................................. 14 Findings ....................................................................................................................... 15 Recommendation ......................................................................................................... 16 Strengthening the capability and effectiveness of Hospital and Health Boards ................ 16 Background .................................................................................................................. 16 Implementing government priorities ............................................................................. 16 Closing the Gap ........................................................................................................... 17 Board capability and effectiveness ............................................................................... 18 Consumer and community engagement ....................................................................... 18 Recommendations ....................................................................................................... 20 Strengthening system stewardship across Queensland Health ....................................... 20 Background .................................................................................................................. 20 Consultation feedback.................................................................................................. 21 Findings ....................................................................................................................... 21 Recommendation ......................................................................................................... 22 Sharing innovation ........................................................................................................... 22 Consultation feedback.................................................................................................. 22 Findings ....................................................................................................................... 23 Recommendation ......................................................................................................... 24 Recognising the diversity of Hospital and Health Services ............................................... 24 Background .................................................................................................................. 24 NOT GOVERNMENT POLICY Findings ....................................................................................................................... 26 Recommendations ....................................................................................................... 27 Information sharing .......................................................................................................... 27 Recommendations ....................................................................................................... 29 Statewide system planning .............................................................................................. 29 Background .................................................................................................................. 29 Findings ....................................................................................................................... 29 Recommendations ....................................................................................................... 30 Capital works ................................................................................................................... 31 Background .................................................................................................................. 31 Role clarity for capital planning, delivery and reporting within the Department ............. 31 Streamlining the Investment Review Committee process ............................................. 32 Management of the delivery of major capital projects ................................................... 33 Maintenance ................................................................................................................ 33 Recommendations ....................................................................................................... 34 Industrial relations and human resource management .................................................... 34 Background .................................................................................................................. 34 Consultation feedback.................................................................................................. 35 Improving HR and IR capability .................................................................................... 37 Engagement with unions .............................................................................................. 38 Prescribed employers .................................................................................................. 38 Access to workforce data ............................................................................................. 39 Executive contracts ...................................................................................................... 39 Recommendations ....................................................................................................... 40 Procurement, including the governance of Health Support Queensland .......................... 40 Health Support Queensland governance ..................................................................... 40 Health Support Queensland’s strategic procurement function ...................................... 41 Findings ....................................................................................................................... 42 Recommendations ....................................................................................................... 44 Management of ICT projects within budget and timeframe .............................................. 44 Background .................................................................................................................. 44 Consultation feedback.................................................................................................. 44 Findings ....................................................................................................................... 45 Recommendation ......................................................................................................... 45 Appendix 1: Terms of Reference ..................................................................................... 46 Appendix 2: List of stakeholders ...................................................................................... 49 Appendix 3: Interjurisdictional scan ................................................................................. 50 NOT GOVERNMENT POLICY Appendix 4: Hospital and Health Boards Act 2011 – Guiding principles, functions of the Department and Hospital and Health Services and Ministerial responsibilities ................. 62 Guiding principles ........................................................................................................ 62 Hospital and Health Services ....................................................................................... 62 Department