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Health and Social Security Panel publishes its review of the redesign of the health and social care governance model

10 November 2017

The Health and Social Security Scrutiny Panel has completed its review into the Redesign of the Health and Social Care Governance Model and has published its report.  

The Proposition (P.60/2017) asks States Members to approve the introduction for a three-year trial period of a System Partnership Board (the Board), that would be responsible for advising the Minister for Health and Social Services on matters relating to health and social care. The Board would have representatives from

  • Health and Social Services
  • A Voluntary and Community Sector Forum
  • A Public and Patient Advisory Group
  • A Clinical and Professional Forum
  • An Independent Chair and Two Non-Executive Directors

The Panel appointed Dr. Amy Hughes, MBE of OMNI Medical Training and Consultancy to assist it during the review. Dr. Hughes' overall assessment of the proposed governance model showed that there is widespread support for the model, but details as to how it would be implemented need further clarification. 

From the evidence received, the Panel has identified key areas which (subject to States approval) require further attention from the Minister for Health and Social Services before the model is implemented. These are as follows:

  1. How the voice of children will be represented on the Board
  2. How the Public and Patient Advisory Group and Voluntary and Community Sector Forum will be created, operated and funded
  3. Worked examples of how the proposed System Partnership Board would operate and how decisions would be made
  4. The size and composition of the Board

The Panel has brought an amendment to the proposition asking States Members to agree to the implementation of the System Partnership Board no earlier than April 2018.

The System Partnership Board will only advise the Minister for Health and Social Services during the trial period  there are no current plans about what may happen after three years. The Panel recommends that the Minister ensures all discussions that take place on the future of the Board are open and transparent with full consultation and scrutiny.

Deputy Richard Renouf, Chairman of the Panel, said: "The Panel has found that there is widespread support for the proposed governance model from the key stakeholders involved in developing it. The introduction of a System Partnership Board will be a positive step in the continuing development of health and social care in the island. However, subject to States approval, further work must be undertaken by the Minister for Health and Social Services in order to ensure that the System Partnership Board will operate effectively. The Panel is pleased that the Minister has accepted its amendment and believes this would allow the concerns raised in its report to be addressed, and allow for further questioning by States Members."