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NHS Providers Network Meeting - HR Directors New Models of Care: Workforce Implications Udara Ranasinghe, Partner Guy Bredenkamp, Partner Employment & Pensions Group
Overview of today’s session The new models Devolution Vanguards Workforce models Barriers and opportunities Q&A
New Models of Care & Devolution
New Models of Care
Modern Maternity Services
Primary and Acute Systems (PACS)
Specialised Care
Devolution Cities and Local Government Devolution Bill Allows Secretaries of State to transfer duties and
powers from public bodies to local authorities Royal assent likely by Christmas Wholesale transfer or delegation? An alternative to new care models and S.75 for health &
social care integration OR could sit above/alongside new models of care
Vanguards
Vanguard sites (1) 29 vanguard sites identified in March 2015 3 categories: Primary and acute systems / PACS Enhanced health in care homes Multi Speciality Community Providers / MSCP
8 urgent and emergency vanguards announced in July 2015
13 acute care collaborations announced in September 2015
Vanguard locations
http://www.england.nhs.uk/ourwork/futurenhs/5yfv-ch3/new-care-models/
Workforce Models
Organisation A Organisation B
Service delivery Service delivery
Workforce Model 1: Status Quo
Organisation A Organisation B
Status Quo Pros Minimal change Easy to implement
Cons Ability to deliver a tangibly different service? May result in duplication and inefficiencies
Chosen “host” organisation
Partner
organisation TUPE transfer
Workforce Model 2: TUPE to “host”
Organisation A Organisation B
TUPE to “host” Pros Legal responsibility and de facto control in the same hands Legal certainty (underpinned by contract) Achieves efficiencies Permanent change
Cons Consultation necessary Morale/industrial relations Inflexibility Harmonisation issues Pensions
Partner organisation (1)
Partner organisation
(2)
Secondment
Workforce Model 3: Secondment
Secondment Pros
Easy to implement if contracts allow Flexibility Staff remain with same employer Can be temporary
Cons
Legal and de facto control split De facto TUPE? Return of staff Implementing efficiencies Pensions
Organisation A Organisation B
New Corporate Entity
Workforce Model 4: New Corporate Entity
New Corporate Entity Pros Control and responsibility can be united or split
depending on choice Blank slate – pick and choose
Cons More elaborate structures Industrial relations TUPE? Pensions
Barriers or opportunities?
Changing terms and conditions
of employment
Achieving mobility
Barriers or opportunities?
Competition for staff
Leadership
Case study 1
Northumbria Healthcare NHS Foundation Trust ("Northumbria") created a single legal entity, Northumbria Primary Care Limited (“NPC”) to integrate primary and acute care systems for Northumberland.
Case study 1 Key features: Bespoke support packages Management support: quality governance and compliance,
payroll management, financial services, human resources and organisational development and estates maintenance
Full support: providing full clinical service under the practice's primary care commissioning contract by way of a sub-contract between the practice and NPC, with the consent of NHS England
Workforce issues?
Case study 2 30+ organisations, community groups and lay partners
worked together to develop a vision for Whole Systems Integrated Care (WSIC) across North West London (NWL).
Key features: Whole Systems Commissioning Agreement Integration Agreement Accountable Care Partnership ("ACP") Agreement Service Contracts Integrated Services Schedule
Workforce issues?
Case study 3 A GP Federation collaborated with an NHS Trust, NHS
Foundation Trust, third sector organisation and corporate joint venture to provide an integrated, multi-disciplinary musculoskeletal ("MSK") service.
Key features: The GP Federation agreed to hold the head contract with the
Commissioners Sub-contracting of obligations to partners in the collaboration Governance arrangements
Workforce issues?
Q&A
Want to know more? Contact:
Udara Ranasinghe [email protected] 020 7894 6727
Guy Bredenkamp [email protected] 0191 404 4076
Visit:
www.dacbeachcroft.com/integrationhub
