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Team Leaders’ Forum

Team Leaders’ Forum. 22 May 2006 Ramada Plaza Hotel Wrexham. Functionalities of National Health Organisations. Mark Dickinson Director of Operations and Service Development. Staff Consultation. 6 staff meetings with Cerilan Rogers attended by 100 staff Other Team meetings Web site

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Team Leaders’ Forum

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  1. Team Leaders’ Forum 22 May 2006 Ramada Plaza Hotel Wrexham

  2. Functionalities of National Health Organisations Mark Dickinson Director of Operations and Service Development

  3. Staff Consultation • 6 staff meetings with Cerilan Rogers attended by 100 staff • Other Team meetings • Web site • Direct comments

  4. Staff Views • Universal support for an integrated model of public health • No support for transferring provision of any NPHS services to others • Significant overlap identified with WCfH • Universal support for staying within the NHS

  5. Stakeholder Consultation • Direct comments • Session at the Stakeholder Forum

  6. Stakeholder Views • Support for the integrated public health model • Little understanding of the WCfH • Room for improvement in NPHS services • Health Care Quality domain • With Local Authorities • National standards

  7. Do You Share the Vision? • A national centre for knowledge management, expert advice and information encompassing: • Health improvement • Health protection • Healthcare quality

  8. Vision - Staff Response • National ‘resource’ not a ‘centre’ • Need to add ‘delivery of services’

  9. Are There Overlaps? • Efficiency • Effectiveness • Value for money

  10. Overlaps – Staff Response • Differentiate interface and overlap • Substantial overlap with: • Wales Centre for Health • Training • Health intelligence • Public health information • Some WAG divisions e.g. health improvement • Environmental Health

  11. Is There Scope for Further Public Health Integration? • Health improvement • Health protection • Health and social care quality • Health intelligence

  12. Integration – Staff Response • Strengthen academic links • Microbiology services • Health intelligence • Public communications • Training • Environmental health

  13. Criteria for Change? • Elimination of overlapping remits • Clarity of messages and perceptions • Critical mass of specialist expertise • Value for money • Organisational disruption/distractions • Clarity of organisational purpose • Links with Trusts, LHBs and LAs • Ability to deliver Assembly strategy

  14. Criteria – Staff Response • Additions: • Sustainability • Application of consistent standards • Resilience • Ability to deliver local plans • Ability to influence Assembly strategy

  15. Next Steps • Initial interview with NPHS – 26 May • Development of key questions for written evidence – Mid June • Circulation of statements and request for questions/issues – End June • Response to final round of questions – 3rd week July

  16. Initial Questions • What would you like to come out of the review?

  17. Outcome - Response • Integrated model of public health • National service delivered locally • One source of expert public health advice • Access to greater expertise and resource • Health improvement, health protection and health care quality underpinned by health intelligence

  18. Outcome – Response (2) • Need to stay within the NHS • Easier to work with partners • Easier to obtain information • Easier to recruit and keep staff • Security of staff terms and conditions

  19. Outcome – Response (3) • Need to build public health capacity to meet huge agenda • Establishment of a Public Health Advisory Board • Need to reduce number of short term projects/funding streams

  20. Organisational Models • Maintain organisations with clarified roles • Establish single public health organisation • Within WCfH/ASPB • Part of Velindre NHS Trust • Single, new Public Health Trust • Reconfigured Velindre NHS Trust • Special Health Authority

  21. Scoring Criteria • Elimination of overlapping remits • Clarity and consistency of messages • Critical mass of specialist expertise • Value for money • Organisational disruption/distractions • Clarity of organisational purpose • Links with Trusts, LHBs, LAs etc • Delivery of Assembly strategy/Local Plans

  22. Scoring Criteria (2) • Sustainability • Application of consistent standards • Resilience • Ability to influence Assembly strategy

  23. Conclusions • Opportunity to strengthen the Welsh model for an integrated national public health service • Strong position of the NPHS • Engagement of staff and stakeholders in developing our response • Must not take our eyes off the ball!

  24. Conclusions • The better we are in delivering our services, the more we will be able to shape the way they are delivered in future

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