The chartered society of physiotherapy
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- Bu səhifədəki naviqasiya:
- Chair and Chief Executive
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 THE CHARTERED SOCIETY OF PHYSIOTHERAPY
Agenda Item 9CSP NI Board Meeting, 6th December 2010 Management Structures – Health Service NI Background Under the Review of Public Administration was the merger, in April 2007, of 18 Health and Social Services Trusts into five Health and Social Care Trusts - Western, Northern, Southern, South Eastern and Belfast HSC Trusts. At the time, the DHSSPS Permanent Secretary stated “In line with estimates in the Equality Impact Assessment of the Human Resources Frameworks, a reduction of nearly 1,700 executive, managerial and clerical level posts across both professional and administrative functions will be needed, enabling around £50m more to be invested each year in improving our services…this reduction will be phased in over a four-year period, allowing us to bring in the changes in a controlled and strategic way”. The most recent phase of the RPA in health and social care saw the establishment on 1 April 2009 of the new Health and Social Care Board, the Business Services Organisation, the Public Health Agency and the Patient and Client Council, which replaced and subsumed the functions of the four Health and Social Services Boards, the Central Services Agency, The Health Promotion Agency, and the four Health and Social Services Councils. Management Costs in the HSC Trusts The Northern Ireland Audit Office analysis of the costs reported in 2006-07 accounts of the legacy trusts showed a total spend of over £113 million in this area. In 2007-08, the six new trusts (five HSC Trusts plus the NI Ambulance Service, NIAS) reported spending on management of £107.5m, a saving of £5.6m. However, by 2008-09 the total trust‟s management costs had risen again to £120m, exceeding those of the legacy trusts by £7m in cash terms. Specifically, the management costs of the NIAS and the Southern Trust rose by 27% and 13%, between 2006-07 and 2008-09. In response to the NIAO analysis the DHSSPS asserts that, “when the 2006-07 management costs are rebased to 2008-09 levels factoring in inflation, Agenda for Change contracted progression and a change in employer’s superannuation rate, there is a real terms savings on management costs of almost £6.7m”. In an evidence session with the HSSPS Committee in June 2010, John Compton (Chief Executive, Health and Social Care Board) quoted a figure of 4.1% of total income was the amount spent by the five HSC Trusts on management costs. John Compton stated, “spending 4p in every pound to manage and administer £4 billion worth of expenditure is not unreasonable. We may debate how it was spent, but it is not unreasonable to spend that amount of money”. Senior Management Teams of the HSC Trusts The senior management team within each of the HSC Trusts is made up of a Chief Executive and a number of Directors. For each of the HSC Trusts, the names, job titles and salaries for the Executive Directors/Directors are outlined below and also the names and remuneration of the non-executive directors. Executive Directors are paid on Senior Executive Terms and Conditions of Service as required by the DHSSPS. Belfast Health and Social Care Trust The Belfast Health and Social Care Trust became operational on the 1 April 2007 and assumed responsibility for services provided by Belfast City Hospital, The Royal Hospitals, The Mater Hospital, Greenpark Healthcare Trust, North and West Belfast and South and East Belfast HSS Trusts. The Trust employs nearly 22,000 staff (one in 30 of the total NI workforce) and provides services for more than 340,000 people in Belfast and regional services to the whole of Northern Ireland. At the formation of the Trust, 12 Executive Directors, in addition to the Chief Executive, replaced a total of six Chief Executives and 48 Executive Directors of the six individual Trusts. Currently there are five Executive Directors, six Directors and eight Non-Executive Directors in the Trust as follows. Executive Directors Chief Executive - Mr William McKee – Replaced by Colm Donaghy (£145,000- £150,000) Director of Social Services, Family & Child Care - Ms Bernie McNally9 (£75,000 - £80,000) Medical Director - Dr Tony Stevens (£190,000-£195,000) Director of Finance - Mrs Wendy Galbraith10 (£105,000-£110,000) Director of Nursing, Older People, Medicine & Surgery - Ms Valerie Jackson (£50,000-£55,000). In October 2009 Ms Jackson was seconded to Northern Trust and Ms Nikki Patterson ( £40,000- £45,000) became Acting Director of Nursing and Mr Brian Barry (£30,000 - £35,000) became Acting Director of Older People, Medicine and Surgery. Directors Chief Operating Officer & Deputy Chief Executive - Mr Hugh McCaughey (left the Trust in May 2009) – (£15,000-£20,000) Director of Mental Health & Learning Disability Services - Mr Brendan Mullen (retired in September 2009) (£40,000-£45,000) Director of Clinical Services - Dr Patricia Donnelly (£95,000 - £100,000) Director of Specialist Services - Mrs Jennifer Welsh (£75,000- £80,000) Director of Head & Skeletal Services - Miss Patricia O‟Callaghan (retired in July 2009) (£20,000-£25,000) Director of Human Resources - Mrs Marie Mallon (£95,000 - £100,000) Director of Planning & Redevelopment - Ms Denise Stockman ( £80,000- £85,000) Director of Performance & Delivery - Mrs Catherine McNicholl (from September 2009) (£5,000- £10,000) Director of Nursing & User Experience - Ms Brenda Creaney (appointed January 2010) (£55,000-£60,000) Non-Executive Directors Chairman - Mr Pat McCartan (£30-35,000). Remuneration range of remaining Non-Executive Directors is £5,000-£10,000: Ms Joy Allen, Mr Les Drew, Professor Eileen Evason, Dr Val McGarrell, Councillor Tom Hartley, Mr Charles Jenkins, and Mr James O‟Kane. South Eastern Health and Social Care Trust The South Eastern Health and Social Care Trust became operational on 1 April 2007 and assumed responsibility for the services provided by the former Ulster Community & Hospitals Trust and Down Lisburn Trust. At the formation of the Trust there were eight Executive Directors in the Trust, replacing a total of two Chief Executives and 16 Executive Directors of the former trusts. There are currently nine Executive Directors. Executive Members Chief Executive (resigned April 2009) - J Compton (£140,000 - £145,000) Acting Chief Executive (as of April 2009) - S McGoran (£90,000 - £95,000) Director of Adult Services - D Bannon (£60,000 - £65,000) Medical Director (Consultant, Emergency Dept. Ulster Hospital) - C. Martyn (includes clinical duties) (£170,000 - £175,000) Director of Primary Care, Elderly & Executive Director of Nursing - C McArdle (£70,000 - £75,000) Director of Human Resources & Corporate Affairs - E Molloy (£90,000 - £95,000) Director of Planning, Information & Performance Management - J Simpson (£90,000 - £95,000) Director of Children's Services & Executive Director of Social Work - K Thompson (£85,000 - £90,000) Director of Finance & Estates - Neil Guckian (salary not stated in Annual Report) Director of Hospital Services - Seamus McGoran (£90,000-£95,000) Non Executive Members (remuneration range £5,000-15,000) D. Fitzsimons, C. McKenna, P. Davison, D. Flanagan, F. Graham, D. Mann-Kler, N. Mansley, D. O‟Hara, and J. Trethowan. Southern Health and Social Care Trust The Southern Health and Social Care Trust became operational on 1 April 2007 and assumed responsibility for the services provided by the former Craigavon and Banbridge Community, Newry and Mourne and Armagh and Dungannon Health and Social Services Trusts. At the formation of the Trust there were Nine Executive Directors replacing a total of four Chief Executives and 30 Executive Directors (plus 14 classed as „other members‟) of the four Individual Trusts. There are currently five Executive Directors and four Directors. Executive Members Acting Chief Executive - Mrs Mairead McAlinden (since 01 September 2009) (£80,000 - £85,000) Chief Executive - Mr C. Donaghy (Until 31 August 2009 when Mr Donaghy took up the post of Interim Chief Executive in the Northern Trust) (£115,000 - £120,000) Director Children & Young People’s Services and Executive Director of Social Work- Mr B. Dornan (£90,000 - £95,000) Director Finance & Procurement - Mr M. Dillon (£80,000 - £85,000) (until 30 August 2009 when Mr Dillon took up the post of Interim Director of Finance in the Northern Trust.) Acting Director of Finance, Mr Stephen McNally (since 01 September 2009) (salary not stated in Annual Report) Director Mental Health & Disability (also the Executive Director of Nursing) - Mr F. Rice (£90,000 - £95,000) Medical Director - Dr P. Loughran (£185,000 - £190,000) NIAR 000-000 HSC Trusts Providing research and information services to the Northern Ireland Assembly 9 Directors Acting Director of Performance and Reform - Mrs Paula Clarke (since 01 September 2009) (salary not stated in Annual Report) Director of Human Resources and Organisational Development - Mr Kieran Donaghy (£75,000 - £80,000) Interim Director of Acute Services - Dr Gillian Rankin (from 01 December 2009) (£85,000 - £90,000) Acting Director of Older People and Primary Care Services - Mrs Angela McVeigh, (from 01 December 2009 when Dr Rankin took up the post of Interim Director of Acute Services) (salary not stated in Annual Report) Non-Executive Members Mrs A. Balmer (£25,000-£35,000) - remuneration range of remaining Non-Executive Directors, £5,000-£10,000: Mrs D. Blakely, Mrs R. Brownlee, Mr E. Graham, Mr A. Joynes; Mrs H. Kelly, Mrs E. Mahood, and Dr R. Mullan. Northern Health and Social Care Trust The Northern Health and Social Care Trust became operational on 1 April 2007 and provides services to the areas formerly covered by Homefirst, Causeway and United Hospitals Trusts. The Trust is geographically the largest in Northern Ireland, covering counties, Antrim and parts of Tyrone and Londonderry. It employs 13,000 staff providing services to a population of around 440,000. At the formation of the Trust there were eight Executive Directors of the South Eastern Health and Social Care Trust. They replaced a total of three Chief Executives and 22 Executive Directors of the three individual Trusts. There are currently twelve Executive Directors in the Trust. Executive Members Interim Chief Executive – Sean Donaghy (£75,000 - £80,000- from Sept 2009) Director Medical and Governance – P. Flanagan (£140,000 - £145,000) Interim Director of Finance – B. Scott (£70,000 - £75,000) (Acting) Finance Director, Marjorie Crilly (salary not stated in Annual Report) Director of Planning Performance Management and Support Services – M. Sloan (£85,000 - £90,000) Director of Mental Health and Disability Services – O. Donnelly (£65,000 - £70,000) N. Guckian – (£35,000 - £40,000- left Sept 2009) Director of Human Resources – J. Melaugh (£70,000 – £75,000) Acting Director (from 16 February – 3 May 2009) – M. Roulston (£5,000 - £10,000) (Acting) Director of Primary Care and Community Care for Older People’s Services and Executive Director of Nursing - Una Cunning (salary not stated in Annual Report) Interim Director of Acute Hospital Services - Valerie Jackson (£35,000- £40,000) Director of Children’s Services (also Executive Director of Social Work) from May 2009, Cecil Worthington (£75,000-£80,000) Non-Executive Members J. Stewart (£25,000 - £30,000) - Remuneration range of remaining Non-Executive Directors, £5,000-£10,000: C. Ackah, R. McCann, S. Forsythe, P. Montgomery, J. Moore, M. Rankin, and D. Whittington. Western Health and Social Care Trust The Western Health and Social Care Trust became operational on 1 April 2007 and brought together the former Altnagelvin, Foyle and Sperrin Lakeland Trusts and Westcare Business Services. The area covers almost 5000 square kilometres and has a population of just over 290,000 making up almost 17% of the total Northern Ireland population. At the formation of the Trust there were nine Executive Directors of the South Eastern Health and Social Care Trust, replacing a total of three Chief Executives and 29 Executive Directors of the three individual Trusts. There are currently six Executive Directors in the trust and five Directors. Executive Members Chief Executive - Mrs E. Way (£115,000 - £120,000) NIAR 000-000 HSC Trusts Providing research and information services to the Northern Ireland Assembly 11 Director of Women and Children’s Services - Mr J. Doherty (£90,000 - £95,000) Director of Finance and Contracting - Mrs L. Mitchell (£80,000 - £85,000) Director of Acute Services (from 18/11/08 to 17/05/09) - Mr A. Corry Finn (£80,000 - £85,000) Director of Primary Care and Older Peoples Services – Geraldine Hillick Medical Director - Dr A. Kilgallen (£100,000 - £105,000) Directors Deputy Chief Executive/Director of Planning and Performance Management to 17/05/09 / Director of Acute Services (from 18/05/09 to 30/10/09) - Mr J. Lusby (£95,000 - £100,000) Director of Human Resources - Mrs N. Sheerin (£75,000 - £80,000) Director of Adult Mental Health and Disability Services - Mr T. Millar (£60,000 - £65,000) Director of Acute Hospitals (Seconded by HSC Board from 01/11/09 to 30/04/10), Mr M. Dickson Director of Planning and Performance Management (Acting – from 18/05/09) - Mrs S. Groogan (£60,000 - £65,000) Director of Strategic Capital Development (Commenced from 18/05/09) - Mr A. Moore (£60,000 - £65,000) Director of Primary Care and Older People (Acting – From 04/12/08 to 17/05/09) - Mrs G. Hillick Mrs M. Kelly (Mrs Kelly had been on secondment to the Western Health and Social Care Board from 17/11/2008. She applied for voluntary early retirement with effect from 16/12/2009 and was accepted with employer support). Non-Executive Directors Chairman, Mr G. Guckian (£25,000 - £30,000) - Remuneration range of remaining Non-Executive Directors, £5,000-£10,000: Mrs J. Doherty, Mrs S. Cummings, Mrs S. O‟Kane, Mr C. Mulgrew, Mr B. McCarthy, Mr N. Birthistle and Mrs B. Stuart. Further Management Structures of the HSC Trusts Details of the numbers and job titles of its corporate managers on Agenda for Change (AfC) Pay Band 8 (Ranges A-D) Band 8, Range A (£38,851-46,621) Band 8, Range B (£45,254-55,945) Band 8, Range C (£54,454-67,134) Band 8, Range D (£65,270-80,810) Band 9 (£77,079-97,478)
Not all Trusts were able to disaggregate the purely managerial roles from their total staff numbers paid on Bands 8 and 9. This briefing focuses, as far as the Trust information provided allows, on corporate managers and not professional staff with managerial roles. Several of the Trusts provided an analysis of all staff at Pay Bands 8A – 8D by Family Group in the Trust. This includes the following: Staff with a managerial role (e.g. Assistant Director of Planning and Performance Management); Staff with a managerial and professional role (e.g. Senior Managers in Child Care); Staff with a managerial and clinical remit (e.g. Clinical Psychology managers with a case load); Staff with a clinical role (e.g. Specialist Speech and Language Therapy staff); and Staff with a professional role (e.g. Assistant Director of Nursing). It was suggested by the Northern Trust that to provide detailed information on each category above would require a further piece of work in order to assess components of each post with agreed definitions of time spent under each type of remit above in terms of what would constitute a management post. Belfast Health and Social Care Trust Corporate Managers on Pay Bands 8 and 9 Band 8A – 55 (head count) Band 8B – 36 Band 8C – 19 Band 8D – 12 Band 9 - 0 It was not possible for the HR Department at the Belfast HSC Trust to supply the majority of job titles, except for those known to HR as roles are viewed by HR in terms of their Band and department. The following job titles were known to HR, the remainder were classed as Senior Managers in either „Admin & Clerical‟ or „Estates Officer‟: 8A – Senior HR Manager IWL and Employment Equality (x2), Senior HR Manger Recruitment and Selection, Head of Governance and Audit, Senior Manager Stakeholder Communications, Senior HR Manager Workforce Planning and Information, Senior HR Manager Widening Participation, Senior HR Manager Management and Team Development; 8B – Senior HR Manager Modernisation, Senior HR Manager Pay Modernisation and Employee Relations; 8C – Co-Director Risk/Governance/Litigation, Co-Director Patient & Client Support Services, Co-Director Operations, Finance Co-Director Capital & Investment, Co-Director Information Technology, Head of Communications, Co-Director Information Management, Co-Director Strategic Change, Co-Director Learning and Education; and 8D – HR Co-Director Learning and Development, HR Co-Director Workforce Gov., Employment Equality & Improving Working Lives, HR Co-Director Resourcing, Utilisation and Productivity, Co-Director Commissioning, Co-Director, Co-Director Capital Development. South Eastern Health and Social Care Trust Managers („Admin & Clerical‟) on Pay Band 8 (none on 9) NIAR 000-000 HSC Trusts Providing research and information services to the Northern Ireland Assembly 14 Band 8A – 39 (head count) equal to 37.6 Whole Time Equivalents (WTE) Band 8B – 9 (head count) equal to 8.8 (WTE) Band 8C – 27 (head count) equal to 26.16 (WTE) Band 8D – 0 To get a more complete picture of the total number of staff paid on Bands 8 and 9 the Trust provided the following figures which are the total including Professional Staff and Professional Managers also paid on these bands: Band 8A – 115 (head count) equal to 112.81 Whole Time Equivalents (WTE) Band 8B – 32 (head count) equal to 31.8 (WTE) Band 8C – 28 (head count) equal to 27.16 (WTE) Band 8D – 1 (head count) equal to 1 (WTE) Band 9 – 1 (head count) equal to 0.9 (WTE) Southern Health and Social Care Trust Managers („Admin & Clerical‟) on Pay Band 8 (none on 9) Band 8A – 25 (head count) equal to 23.05 Whole Time Equivalents (WTE) Band 8B – 34 (head count) equal to 32.84 (WTE) Band 8C – 23 (head count) equal to 22.28 (WTE) Band 8D – 0 Professional Staff and Professional Managers also paid on these bands:
Band 8B – 32 (head count) equal to 31.8 (WTE) Band 8C – 28 (head count) equal to 27.16 (WTE) Band 8D – 1 (head count) equal to 1 (WTE) Band 9 – 1 (head count) equal to 0.9 (WTE)
Band 8A – 25 (head count) equal to 23.05 Whole Time Equivalents (WTE) Band 8B – 34 (head count) equal to 32.84 (WTE) Band 8C – 23 (head count) equal to 22.28 (WTE) Band 8D – 0
Staff with a managerial role (e.g. Assistant Director of Planning and Performance Management); Staff with a managerial and professional role (e.g. Senior Managers in Child Care); Staff with a managerial and clinical remit (e.g. Clinical Psychology managers with a case load); Staff with a clinical role (e.g. Specialist Speech and Language Therapy staff); and Staff with a professional role (e.g. Assistant Director of Nursing).
Western Health and Social Care Trust Band 8A – 152 (head count) equal to 146 Whole Time Equivalents (WTE) Band 8B – 62 (head count) equal to 61 (WTE) Band 8C – 34 (head count) equal to 33 (WTE) Band 8D – 5 (head count) equal to 5 (WTE) Band 9 – 0
The new Board together with its Local Commissioning Groups (LCGs) will be accountable to the Minister for translating his vision for health and social care into a range of services that deliver high quality and safe outcomes for users, good value for the taxpayer and compliance with statutory obligations. A key role of the new Board with the Public Health Agency (PHA) will be effective engagement with providers, Patient Client Council (PCC), local government, service users, local communities, other public sector bodies, the voluntary and community sectors. The Board Structure is outlined below. Chairman and Chief Executive
Non-Executive Directors
Executive Directors
Public Health Agency The PHA was established in 2009 under a major reform of health structures in Northern Ireland. It is a multi-disciplinary, multi-professional body with a strong regional and local presence. The PHA has four key functions: health and social wellbeing improvement; health protection; public health support to commissioning and policy development; HSC research and development. Structure Chief Executive (Eddie Rooney) Director of Public Health/Medical Director (Dr Carolyn Harper) Assistant Directors • Health Protection (Lorraine Doherty) • Health and Social Wellbeing Improvement (Ms Mary Black) • Service Development and Screening • HSC R&D (Dr Michael Neely)
• Allied Health Professions and Public Involvement (Michelle Tennyson) • Safety, Quality and Patient/Client Experience (Pat Cullen)
• Planning and Corporate Services (Ms Rosemary Taylor) • Communication and Knowledge Management (Stephen Wilson)
Mary McMahon (Chair),Julie Erskine, Jeremy Harbison, Miriam Karp, Thomas Mahaffy, Cathal Mullaghan, Stephen Nicholl, Ronnie Orr. Business Services Organisation The Business Services Organisation (BSO) will contribute to Health and Social Care in Northern Ireland by taking responsibility for the provision of a range of business support and specialist professional services to the whole of the Health and Social Care sector. Structure Chair and Chief Executive
Non-Executive Directors
Executive Directors
Directors
Patient Client Council The Patient and Client Council (PCC) was established on the 1st April 2009, as a powerful, independent voice for people. The Patient and Client Council has a Board made up of a Chair and sixteen non-executive directors, recruited from across Northern Ireland under the Public Appointments Process. The Board is responsible for setting the policy and direction for the Patient and Client Council and for monitoring progress and performance Structure Board Members Mr (George) Brian Compston (Chair) Cllr Mrs Elizabeth Adger Dr Paul Coulter Mrs Margaret Harte Mr Errol Hutchinson Miss Elaine Kelly Dr Sheila Kelly Dr May McCann Prof Hugh McKenna Cllr Oliver Molloy Cllr Martin Reilly Mrs Rena Shepherd Cllr Mrs Maria Ina (Marion) Smith Mrs (Mary) Janice Smyth Cllr Trevor (James) Wilson Ms Koulla Yiasouma
- Policy and Planning Manager - Research Officer - Board Secretary - Administration support
Belfast Area Manager Richard Dixon Southern Area Manager Stella Cunningham South Eastern Area Manager Raymond Newman Western Area Manager Maggie Reilly Tom Sullivan, December 2010 Yüklə 219 Kb. Dostları ilə paylaş:
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