Frequently Asked Questions

Size: px
Start display at page:

Download "Frequently Asked Questions"

Transcription

1 Community Heathcare Organisations Report & Recommendations of the Integrated Service Area Review Group Frequenty Asked Questions

2 1. What are Community Heathcare Services? Community Heathcare Services are the broad range of services that are provided outside of the acute hospita system and incudes Primary Care, Socia Care, Menta Heath and Heath & Webeing Services. These services are deivered through the HSE and its funded agencies to peope in oca communities, as cose as possibe to peope s homes. Community Heathcare services focus on keeping you we so that you can continue to ive at home or cose to home through our heath promotion, disease screening, diagnosis, treatment and rehabiitation programmes. You can refer yoursef to most Community Heathcare services or through your GP, pubic heath nurse, community menta heath team, etc. Services are provided as foows: Primary Care incudes your genera practitioner (GP), practice nurse, pubic heath nurse, dietician, dentist, physiotherapist, occupationa therapist, speech and anguage therapist, podiatrist, community pharmacist, psychoogist and others. Socia Care incudes a team of speciaists working together to meet the needs of our oder peope such as home heps and home care teams and incuding day care services, meas on whees, community hospitas and nursing homes. There are aso speciaist teams working with peope with a disabiity through speciaist day, training, home support, respite and residentia services. Menta Heath refers to a wide range of services which extend from enjoying positive menta heath through to severe and disabing menta iness. It incudes speciaised secondary care services for chidren and adoescents, aduts, oder persons, those with an inteectua disabiity and menta iness as we as a range of menta heath promotion initiatives provided by the Nationa Office for Suicide Prevention (NOSP). Services are provided in a number of different settings incuding the service user s own home, day hospitas, hostes and in acute units which are ocated in genera hospitas. Heath & Webeing Heathcare reforms pace considerabe emphasis on keeping peope heathy and we. Community heath care services aready pay a critica roe in promoting heath and webeing by making every heathcare contact count and by working across sectors to create the conditions which support good heath, on equa terms, for the entire popuation. Community Heathcare services pace a strong emphasis on working with communities and individuas to maintain and improve your heath and socia we being. We do this by providing you with an integrated, interdiscipinary, high quaity, team based and user friendy service. Deiver the right service, at the right time, in the right pace, by the right team. 1

3 2. What is the Report on Community Heathcare Organisations about? Heathcare services in Ireand are undertaking a significant reform programme in ine with Government poicy as outined in its strategy Future Heath. As part of this reform programme, a report The Estabishment of Hospita Groups as a transition to Independent Hospita Trusts was pubished in 2013, which reviewed the organisation and management of our acute hospita services and recommended the estabishment of hospita groups. This is now being impemented. For Community Heathcare services the Report Community Heathcare Organisations was commissioned by the HSE in May 2013, to review our Community Heathcare services. The Report provides a framework for the governance and organisation of a of our Community Heathcare services. When paced aongside the 2013 report on the Estabishment of Hospita Groups, we have a new structure for the most important part of our heath services - the operationa deivery system that interacts with the pubic every day. The foowing extract from this Community Heathcare Organisations report captures the essence of why this Review is necessary: Peope today experience many parts of the service as being very good. However, they experience difficuties in navigating the system due to both compexity and scae of present arrangements. What must be improved is how these parts fit together so that the services are integrated and peope can move smoothy through the system. Staff must be organised in a way that enabes joined-up teamwork, responsive to the assessed needs of the oca peope. In arriving at its recommendations the project team drew extensivey from the wide consutation process, took account of earning from the changes in the heath services since 2005, and earning from nationa and internationa research and experience. An essentia theme underying a of the recommendations in the Report is the importance of deveoping a new, integrated mode of care, which is responsive to the needs of oca communities. This Report emphasises the need for strong eadership and ownership at oca eve, bringing the reationship between primary care and speciaist socia care and menta heath services into a much more focused, ess centraised and integrated approach in each oca area. The changes wi aow the Heath Service to focus on service deivery and decision making at oca eve to: provide better, direct accountabiity; give more decision making back to oca areas; and deiver services in the community through an integrated management structure. 2

4 The oca services wi be abe to work better together for the pubic, with joined up teamwork in community services, between the community and hospita services and between the Heath Service as a whoe and other pubic bodies. With these new arrangements heath professionas can improve services for the pubic in their own oca areas by providing: better access; services that are cose to where peope ive without reducing quaity; better oca decision making; and services in which communities have confidence. 3. What is Integrated Care? Integrated Care simpy means that a services work together in a we co-ordinated way around the assessed needs of the person. This working together deas with two key issues for any person, community or the popuation. The first is the ease, through which a person can go through the different heathcare services to meet their needs. The second is the quaity of outcome they get at the end of that patient journey. Many peope need to access more than one service. Peope quite often need their Primary Care service. If however they need to go to hospita, have a menta heath condition, an age-reated iness or a disabiity then they may need the Primary Care and speciaist service together at the same time. To achieve this the way in which services are organised and deivered requires carefu panning. Some key features of successfu integration are: carity of purpose and outcomes; strong eadership; and a cuture where the person receiving care and the staff deivering it are empowered. Integrated Care - a services work together centered on the needs of the person. 3

5 The Report summarised some of the key themes and earning from internationa experience of integrated care which are captured in the iustration beow. Strong governance & accountabiity Its introduction is chaenging for professionas Cuture change Change process must be supported Leadership Journey Integrated Care - Learning Unique cient identifier Standardised processes are critica Can t be achieved in totaity in one go - must be phased Must focus on programmes of care Service user invovement One mode & approach does not fit a Work is underway on the deveopment of standardised modes and care pathways nationay, which, wi support effective integration between a aspects of community services across primary care, socia care and menta heath services and between these Community Heathcare services and the hospita system. A primary focus of the new Community Heathcare Organisations wi be impementing these integrated modes of care at oca eve and the new structures have been designed to support this approach. Mrs O Nei is a 79 year od widow with diabetes, heart faiure and arthritis. She wants quick responsive services from skied heath and care providers that tak to one another and that have a good understanding of a her care needs. This framework wi hep us to provide what Mrs O Nei wants. 4

6 4. Who produced the Report and how was it compied? The Report was produced by a project team appointed by Tony O Brien, Director Genera, HSE. The Project Lead was Pat Heay, Nationa Director Socia Care and the team incuded heath service personne with a wide range of experience and expertise in the heath system. The Report and its recommendations were informed by widespread consutation and engagement incuding oca meetings with over 600 staff across the 17 existing Integrated Service Area (ISA) Teams, together with meetings invoving over 40 groups of key interna and externa stakehoders. These incuded frontine heathcare staff such as GPs, nurses, therapists and support staff. It aso incuded many vountary and statutory organisations and groups with a roe in Community Heathcare incuding service user representatives and advocacy groups. The Report incuded a wide range of data anaysis, as we as nationa and internationa research. 5. What did the consutation te us? What s Important? 4 Integrated Care for peope and their famiies 4 Equity of access 4 Choice for peope in what services they receive and how they receive them 4 Responsive and fexibe services 4 Loca Identity 4 Linkages with oca communities and pubic bodies 4 Sustainabe organisationa and cutura change 4 Deivering high quaity and safe services. Areas for improvement 4 Autonomy to deiver services to oca popuations 4 Engagement with stakehoders, advocacy groups and service users 4 Focus on outcomes 4 Standardise eigibiity 4 Evidence-based decision making 4 Manpower and recruitment panning 4 ICT and standardised business processes 4 How we coect and manage information about the services we provide. 5

7 Peope need to experience an integrated response in appropriate settings. Organisationa structures must be designed to support integrated care Governance and management for Primary Care Teams and new Primary Care Networks (to be estabished) is critica, as is carity around arrangements for GP engagement in the process. Throughout the consutation process the wider concept of community was emphasised. It is at this oca eve that individuas, community and vountary groups, sporting partnerships, oca schoos, businesses, Primary Care Teams, community gardaí, oca authority staff and others can interact to work together. The consensus was that the new Community Heathcare Organisations shoud embrace this wider concept of community and shoud be deveoped in a way that supports and enabes oca communities to meet the needs of their peope. 6. What has the Report recommended? The Report sets out a range of measures, which wi ensure that heath service deivery structures for Community Heathcare services are appropriate to achieve nationa poicy objectives whie deivering better, more integrated and responsive services to peope in the most appropriate setting. In re-organising our Community Heathcare services, to successfuy deiver an integrated mode of care, the Report recommends: The estabishment of nine Community Heathcare Organisations, which are the best fit to deiver an integrated mode of care. Deveop 90 Primary Care Networks, averaging 50,000 popuation to: n support groups of Primary Care Teams; and n enabe integration of a services for a oca popuation. Reform Socia Care, Menta Heath and Heath and Webeing services to better serve oca communities: n through standardising modes and pathways of care whie deivering equitabe, high quaity services; and n supporting primary care through deivery of rapid access to secondary care in acute hospitas and speciaised services in the community. Community Heathcare Organisations (CHOs) The Report recommends the estabishment of nine Community Heathcare Organisations (CHOs) with the appropriate governance and management arrangements for the future deivery of Community Heathcare services at oca eve. They wi: enabe and support integrated care - n within Community Heathcare services; n between the community and acute hospita services; and n with wider pubic service organisations such as oca authorities, chid & famiy agency, education and oca vountary organisations, etc. Deiver the mode of service envisaged in Future Heath over time. 6

8 The Report positions Primary Care at the centre of deivering services to around 90 oca Primary Care Networks across the country, with average popuations of 50,000 with better, more integrated access to speciaised services in Socia Care, Menta Heath and Heath & Webeing. The primary focus of these CHOs wi be on service deivery within a nationa framework responsive to the needs of oca communities. In effect, every arge town and hinterand and every arge district of a city wi be supported through a Primary Care Network. Primary Care Networks This new structure deveoped around Primary Care Networks, for the first time paces an identified, accountabe person as responsibe for actua service deivery to a defined oca popuation averaging 50,000. This person, working with a GP Lead, wi prioritise and manage the deivery of primary care services, whie ensuring effective integration of other speciaised services e.g. socia care, menta heath and access to acute hospita provision. The new roe of a GP Lead wi hep invove GPs in the management and deivery of Community Heathcare services with their HSE coeagues and other community and vountary providers. In summary 90 Primary Care Networks of 50,000 average popuation wi be deveoped across the country average 10 Networks per CHO. Leadership of the Network wi be provided by re-assigning existing senior professiona, management and cinica staff to the new eadership roes as the identifiabe and responsibe manager of the Primary Care Networks, working with a GP Lead. Consequenty these changes wi take pace within existing resources. The current roe of the Heads of Discipine wi be redesigned to provide the necessary cinica governance and supervision across a Primary Care Networks. Greater participation by GPs at Primary Care Network eve, with the estabishment of the GP Lead for each Network, supporting the Network Manager in deveoping professiona reationships, innovative soutions and muti-discipinary approaches to chaenges within the Network. The roe of Team Leader wi be estabished for each Primary Care Team, with protected time from their day job, to undertake this important roe. A Key Worker wi be assigned to support peope with compex needs. The Network wi ensure the maximum provision of primary care services ocay, and wi support appropriate access to speciaised services e.g. socia care, menta heath, etc. for the peope iving within the Network. Reforming Socia Care, Menta Heath and Heath & Webeing At nationa eve, a number of integrated cinica programmes are in deveopment to ensure that patients and cients receive a continuum of diagnostic, care and support services, according to their needs over time and across different parts of the heath system. This wi provide the heath 7

9 service with the capabiity of designing and agreeing cinicay-ed, muti-discipinary, cross-sector, integrated modes of care. The deveopment of these standardised modes and care pathways nationay wi support effective integration between a aspects of Community Heathcare services across primary care, socia care and menta heath and between these Community Heathcare services and the acute hospita system. A primary focus of the new Community Heathcare Organisations wi be to impement these integrated modes of care at oca eve and the new structures have been designed to support this approach. 7. What does this Report mean for peope accessing Community Heathcare services? You are probaby asking yoursef what wi I gain from these new Community Heathcare Organisations, Primary Care Networks and how wi they be different from before? The team working on this Report asked themseves and those with whom they consuted during the Review the same question. The findings from the Review and subsequent recommendations are our response to this question, which is about: making it easier for the person in the oca community to: access services; navigate through the services from Community Heathcare services to acute hospitas and discharge back to community. (Standard care pathways for patients going in and out of Community Heathcare services and acute hospitas wi be deveoped); and receive the right service, at the right time, in the right pace, by the right team and ink between the heath service, oca authorities, Chid & Famiy Agency, Gardaí and other pubic bodies and community organisations. providing the person in the oca community with Community Heathcare services that: are as cose to a person s home as is practica; meet high quaity, safety and vaue for money standards; are consistent throughout the country where-ever you may ive; oca communities can have confidence in; staff have pride in; make the most effective use of resources and provide vaue for tax payer s money; and give oca ownership and responsibiities to staff and associated agencies for the heath status of their oca popuation. Staff with more autonomy and decision-making abiity at oca eve. 8

10 At oca Network eve: Each of the 90 Primary Care Networks wi be ed by a person, working with a GP Lead and a team of professionas, responsibe for ensuring the deivery of primary care services and integration with the other services provided in the Network. The Network Manager, working with cinicians wi champion the needs and requirements of those iving in the area that their Network covers. This wi ensure that appropriate care pathways are deveoped and other services deivered to those who need them. Staff working in Primary Care Teams, Menta Heath Services, Edery and Disabiity Services, (your GPs, pubic heath nurse, community menta heath team, home care staff, etc.) wi have more autonomy in terms of oca decision making around service needs. The Networks wi have oca accountabiity for each service, thus providing you with coser access to decision makers in Community Heathcare. Patients and service users with compex care needs wi have a named Key Worker from the oca Primary Care Team assigned to them. This Key Worker wi ensure that peope with compex care needs experience integrated and co-ordinated care as they move across services in their communities, for exampe a person needing a of the foowing: day care, meas on whees, respite and home supports, acute hospita services, menta heath supports and disabiity services. At a CHO eve, the focus is on: Deivering services ocay to you based on nationay prescribed frameworks, so that everyone iving in Ireand wi have standard Community Heathcare services. Management teams providing the eadership and operationa autonomy to the Networks to deiver integrated services that address the needs of oca communities. Invovement of cinicians in the management team at CHO eve through the GP Lead and the Lead on Quaity and Professiona Deveopment wi ensure the necessary focus on quaity and safety of service deivery and supporting cinica eadership, professiona deveopment and ro out of programmes of care. Working cosey with pubic sector bodies such as oca authorities, Chid & Famiy Agency, Education and Gardaí in responding to the needs of oca communities. 8. What is the recommended composition of the Community Heathcare Organisations? The Report recommends the estabishment of nine Community Heathcare Organisations (CHOs) and the necessary governance and management arrangements. The recommended CHOs must support and enabe integrated care and it must do this at a number of eves: Integration between the different parts of the Community Heathcare services. Integration between the tota Community Heathcare services and acute hospitas. Integration with wider pubic services organisations e.g. Loca Authorities, Chid & Famiy Agency, Education, An Garda Síochána, Loca Vountary Organisations, etc. 9

11 The nine Community Heathcare Organisations are outined beow: 9. Based on a the factors why has the Report recommended nine Community Heathcare Organisations? This option of nine Community Heathcare Organisations is viewed as the most appropriate one to deiver the significant reform and responsive service envisaged in Future Heath. This option of nine has the foowing features: It meets a broad range of the defined criteria; It meets a key requirement of inking Primary Care Networks of teams and secondary care in acute hospitas; It provides a very strong basis for inkage with oca authority boundaries, both county councis and the proposed Regiona Assembies in the future; It provides the best fit in striking the right baance between an organisation of sufficienty arge scae to support organisation and business capabiity, whie at the same time being sufficienty sma scae to provide the oca community connection and response required to deiver integrated care; It accounts for cross-border inks and connections; and The re-organisation of governance and management arrangements wi be deivered from within existing resources. 10

12 10. How wi these new Community Heathcare Organisations work? Each Community Heathcare Organisation (CHO) wi have a Chief Officer in the area who wi ead a oca management team that incudes focus on a of the speciaist services in their area. Each CHO wi operate through an average of 10 Primary Care Networks comprising of GPs, nurses and aied heath professionas. Each Network wi service a popuation of approximatey 50,000. Leadership and management of the Network wi be provided by appointing existing senior staff to new roes. There wi be a GP Lead for each Network, which wi hep provide for greater participation by GPs. The Network Manager wi manage a Primary Care services in their oca area and wi aso ead on integrating the Primary Care Teams with the Socia Care and Menta Heath services for that 50,000 popuation. The current Heads of Discipine (e.g. nursing/occupationa therapist/physiotherapist/ speech & anguage therapist manager) roe wi be redesigned to provide the necessary cinica governance for their own discipine, across a Primary Care Networks. Each Primary Care Team wi have one ead member with protected time, from their day job, to co-ordinate the daiy working arrangements. When a Team is deaing with a compex case a Key Worker wi be assigned to support everyone invoved. 11. Who wi manage the Community Heathcare Organisations? The Chief Officer, working in ine with nationay agreed frameworks and reporting arrangements, wi have fu responsibiity and accountabiity for the deivery of a Community Heathcare services in the area, ensuring appropriate integration with acute hospita services and other pubic bodies. Each Community Heathcare Organisation (CHO) wi have a management team as foows: Management / Leadership Team The Head of Primary Care wi have fu responsibiity and accountabiity for primary care service provision across Networks and Primary Care Teams. He/She wi aso focus on Socia Incusion. The Head of Socia Care wi have fu responsibiity and accountabiity for service provision for oder peope and peope with a disabiity, impementing standardised modes and pathways of care to support integration. The Head of Menta Heath wi have fu responsibiity and accountabiity for menta heath service provision. The Head of Heath & Webeing wi have fu responsibiity and accountabiity for ensuring Heath and Webeing reforms and poicies are fuy impemented throughout each CHOs structure and services. This person wi work cosey with other heads of service to drive improved heath outcomes for patients and service users. The Lead Quaity & Professiona Deveopment wi provide assurance that the appropriate cinica governance and reated assurance frameworks are in pace in respect of a services throughout the CHO area. 11

13 The GP Lead wi be a key infuencer on decision making at management team eve. In particuar, this position wi support the deveopment of the Primary Care Networks and the service deivery arrangements in order to ensure responsiveness to the needs at Primary Care Team eve. Business Management - The Heads of the Business Support functions wi operate within the context of the nationa shared services arrangements. These positions wi ead their respective functions in support of efficient and effective service deivery. In particuar, they wi be responsibe for achieving the benefits of scae arising from nationa frameworks in areas such as procurement within the CHO area. The diagram beow iustrates the CHO s management structure: Chief Officer Lead - Quaity & Professiona Deveopment GP Lead Head of Primary Care Head of Socia Care Head of Heath & Webeing Head of Menta Heath Business Management Head of Finance Head of Human Resources Quaity & Safety, Standards & Professiona Deveopment Leadership Team: - Medica Lead - Nursing Lead - Aied Heath Professionas Lead Primary Care Networks (Between 8-14 networks per CHO) 90 Networks Nationay 50,000 avg. per network Network Manager GP Lead Primary Care Teams Average 5 per network Muti-discipinary working Heads of Discipine CLINICAL LEADERSHIP PROFESSIONAL DEVELOPMENT PROGRAMMES OF CARE Head of Corporate Support Services (ICT, Estates, Comms, Lega) The detais of these new arrangements wi be impemented in consutation with staff associations and representative bodies in ine with the Pubic Service Stabiity Agreement (Haddington Road). The deveopment of the GP Lead roe and its specifications wi be undertaken in coaboration with the Irish Coege of Genera Practitioners (ICGP) and other reevant representative bodies. Cinica staff and GPs wi be appointed to management teams bringing professiona staff coser to patient decision-making. 12

14 12. How wi the changes, outined in the Report, affect staff working in Community Heathcare services? Change impacts on every aspect of the way we work, the way we reate to each other and how we pan and deiver services for the benefit of patients, service users and oca communities. The reorganisation of Community Heathcare services and the move to an integrated care mode wi aso bring chaenges and opportunities as with a change programmes. From the consutation and the internationa experience, the Report identified a number of important themes in terms of supporting our staff in moving through this change journey. Staff Must be incuded in the decision-making process. Must be enabed and supported throughout the process. Must be trained in the knowedge and skis required to make integration a success. Mutidiscipinary/interdiscipinary staff training and deveopment can hep break down barriers and smooth cutura differences and faciitate a unified approach to patient care. Staff commitment is equay necessary for success. Leadership Strong eadership wi be required at a eves and must be supported and deveoped from the top and at various eves in the process. Buy in from cinicians is essentia - cinicians to act as eaders. Buiding a coaition of support among staff and their oca communities. The HSE recognises the chaenges of working in an integrated way are significant and wi need to be supported through a comprehensive human resource strategy. This wi incude an appropriate investment in education and training with appropriate mentoring, and deveopment of eadership and management skis. The changes in management and governance structures outined in the Report incuding the estabishment of 90 Networks wi ensure staff have a greater say and are invoved in decision making at a more oca eve, focused on the needs of the service users in their Network. The Networks wi provide staff with the opportunity to work with coeagues from other discipines in a new, dynamic and integrated manner. The current Heads of Discipine roe (e.g. nursing/occupationa therapist/physiotherapist/speech & anguage therapist manager) wi be redesigned to provide the necessary cinica governance system and technica supervision, for their own discipine, across a Primary Care Networks. Communication and stakehoder engagement is an essentia enaber of change. Key stakehoders such as staff, patients and service users, representative and professiona bodies and others shoud 13

15 fee part of the change and that their views are istened to. This approach wi inform a comprehensive communication effort throughout the change programme. A these new arrangements wi be impemented in consutation with staff associations and representative bodies in ine with the Pubic Service Stabiity Agreement (Haddington Road). The same approach across the nine CHOs wi mean greater consistency for everyone in Ireand accessing heathcare service, pubic and staff aike. 13. How wi Community Heathcare services ink in with the acute hospita system? The HSE is committed to improving integration between acute hospita and Community Heathcare services. The new Community Heathcare Organisations (CHOs) and Hospita Groups wi be required to work activey together to improve the connection between the services and to ensure that peope experience continuity of care and fu impementation of the new nationa standardised modes of care. Work is underway on the deveopment of standardised modes and care pathways nationay, which, wi support effective integration between a aspects of Community Heathcare services across primary care, socia care and menta heath services and between these Community Heathcare services and the hospita system. The Chief Officer and the eadership team within the CHO wi have fu accountabiity for the deivery of a Community Heathcare Services within the area and for ensuring the appropriate integration with acute hospitas and other speciaist services. At a more oca eve the new structure around Networks of 50,000 popuation with effective mutidiscipinary working, a GP ead and an identifiabe manager responsibe for service deivery and integration provides a strong basis for ensuring connectivity between Community Heathcare and acute hospita services. Cose inks between Community Heathcare services and acute hospitas. 14. Wi the changes outined in the Report require additiona resources? The estabishment of Community Heathcare Organisations (CHOs) and the associated governance and management arrangements as outined in the Report wi be impemented from within existing resources. The changes wi invove a reduction from the current 17 Integrated Service Areas (ISAs) to the nine new community CHOs, which wi see a reduction in management structures at a senior eve as the programme is roed out. The estabishment of the 90 Networks wi invove reorganisation of services with new roes and responsibiities, which wi be achieved through the re-organisation and re-assignment of existing resources and staff. 14

16 The re-organisation wi aso provide significant opportunities to optimise efficiencies through shared services and deveopments. The HSE has recenty estabished Heath Business Services (HBS) a shared services unit that is designed to meet the future administration needs of the heath system both statutory and vountary. The move to nine CHOs wi aow HBS to deiver effective pubic administration across the areas of estates management, ICT, procurement, payro, pensions and recruitment to these organisations. Moving to create a significant scae and management capacity in the nine CHOs wi hep deiver pubic vaue through scae. 15. How wi the Community Heathcare Organisations be estabished? The Community Heathcare Organisations (CHOs) wi be estabished in a timey, efficient and safe manner that recognises the importance of change as we as the need for services to continue during the change. It is essentia, to ensure the continued, effective management and organisation of the service and to progress impementation of the reform programme, that we move rapidy with the impementation of the recommended nine CHOs. This re-organisation can take pace smoothy within the existing governance arrangements of the Heath Service Directorate. A nationa steering group wi ead this important transition. 16. What are the next steps? Communication & Engagement: Phase 1: Foowing the aunch of this Report there wi be an intensive communication and engagement process to provide an opportunity for briefing and feedback to a stakehoders, incuding those invoved in the origina consutation, together with staff and key partners in each of the nine identified Community Heathcare Organisation (CHO) areas. Parae to this there wi be nationa communication with a reevant stakehoder groups in the wider heath community. Phase 2: Wi invove a more in-depth process of communication and engagement with a stakehoders as part of the impementation process, incuding comprehensive engagement with staff associations and representative bodies and service user representatives. Impementation: A comprehensive governance process to oversee the impementation of the Community Heathcare Organisations (CHOs) reform programme, has commenced. A nationa steering group wi oversee the impementation of this Report s recommendations. Together with the pubication of the Report a high eve impementation agenda is being deveoped. The first step towards impementation wi be the appointment of the CHOs Chief Officers in the ast quarter of 2014 with a view to taking up responsibiity in January

17 Community Heathcare Organisations Our vision and what they wi deiver for pubic and staff Programme Vision To To create create organisationa organisationa arrangements arrangements where where the the required required eadership eadership and and operationa operationa autonomy autonomy exist exist to to fufi fufi the responsibiity of deivering and managing integrated services that address the needs of oca the responsibiity of deivering and managing integrated services that address the needs of oca communities. communities. What it means? 99 Community Community Heath Heath Organisations Organisations & & Management Management Teams Teams in in pace pace Loca Loca accountabiity accountabiity through through circa circa Networks ofnetworks of co-terminus community 50K 50K popuation popuation for for a a services services Consistent and easy access for users to go through and out of the Heath Service. Services that staff have pride in. What it deivers? Provision of services as cose to a person s home as is practica, subject to appropriate quaity, safety and vaue not being compromised. Effective and safe services of a consistent high quaity that oca communities have confidence in. The most effective use of resources & equitabe resource aocation. 16 A shift in care deivery in ine with the emerging integrated care modes. Focus Focus on on deivery deivery through through Network Network Teams Teams with with an an emphasis emphasis on on integrated integrated services services across across Primary Primary Care Care,and Community Community Speciaist Speciaist Services Services -and Socia Care and Menta Heath Acute Hospita Services and Acute Hospita Services Ownership and responsibiity for the heath status of oca popuation. Efficient patient pathways across communities and hospitas. Synergies from continuing / reconfiguring services

18 Murphy Print & Graphic Design

COASTLINE GROUP HUMAN RESOURCES STRATEGY 2015 2017. Great homes, great services, great people.

COASTLINE GROUP HUMAN RESOURCES STRATEGY 2015 2017. Great homes, great services, great people. COASTLINE GROUP HUMAN RESOURCES STRATEGY 2015 2017 Great homes, great services, great peope. Contents Foreword 2 Executive summary 1. Achievements 5 2. Context 7 3. Our peope 9.Objectives 11 5. What we

More information

STRATEGIC PLAN 2012-2016

STRATEGIC PLAN 2012-2016 STRATEGIC PLAN 2012-2016 CIT Bishopstown CIT Cork Schoo of Music CIT Crawford Coege of Art & Design Nationa Maritime Coege of Ireand Our Institute STRATEGIC PLAN 2012-2016 Cork Institute of Technoogy (CIT)

More information

(David H T Lan) Secretary for Home Affairs

(David H T Lan) Secretary for Home Affairs Message We sha make every effort to strengthen the community buiding programme which serves to foster among the peope of Hong Kong a sense of beonging and mutua care. We wi continue to impement the District

More information

Qualifications, professional development and probation

Qualifications, professional development and probation UCU Continuing Professiona Deveopment Quaifications, professiona deveopment and probation Initia training and further education teaching quaifications Since September 2007 a newy appointed FE ecturers,

More information

Creative learning through the arts an action plan for Wales

Creative learning through the arts an action plan for Wales Creative earning through the arts an action pan for Waes 2015 2020 Audience The entire teaching workforce and government and nationa partners, incuding regiona education consortia, oca authorities, governing

More information

Accreditation: Supporting the Delivery of Health and Social Care

Accreditation: Supporting the Delivery of Health and Social Care Accreditation: Supporting the Deivery of Heath and Socia Care PHARMACY E F P T O L P E D P E C M F D T G L E F R Accreditation: Supporting the Deivery of Heath and Socia Care June 9, 2015 marks Word Accreditation

More information

Learning from evaluations Processes and instruments used by GIZ as a learning organisation and their contribution to interorganisational learning

Learning from evaluations Processes and instruments used by GIZ as a learning organisation and their contribution to interorganisational learning Monitoring and Evauation Unit Learning from evauations Processes and instruments used by GIZ as a earning organisation and their contribution to interorganisationa earning Contents 1.3Learning from evauations

More information

Business schools are the academic setting where. The current crisis has highlighted the need to redefine the role of senior managers in organizations.

Business schools are the academic setting where. The current crisis has highlighted the need to redefine the role of senior managers in organizations. c r o s os r oi a d s REDISCOVERING THE ROLE OF BUSINESS SCHOOLS The current crisis has highighted the need to redefine the roe of senior managers in organizations. JORDI CANALS Professor and Dean, IESE

More information

Message. The Trade and Industry Bureau is committed to providing maximum support for Hong Kong s manufacturing and services industries.

Message. The Trade and Industry Bureau is committed to providing maximum support for Hong Kong s manufacturing and services industries. Message The Trade and Industry Bureau is committed to providing maximum support for Hong Kong s manufacturing and services industries. With the weight of our economy shifting towards knowedge-based and

More information

endorsed programmes With our expertise and unique flexible approach NOCN will work with you to develop a product that achieves results.

endorsed programmes With our expertise and unique flexible approach NOCN will work with you to develop a product that achieves results. endorsed programmes With our expertise and unique fexibe approach NOCN wi work with you to deveop a product that achieves resuts. NOCN is a eading reguated UK awarding organisation that has been creating

More information

CERTIFICATE COURSE ON CLIMATE CHANGE AND SUSTAINABILITY. Course Offered By: Indian Environmental Society

CERTIFICATE COURSE ON CLIMATE CHANGE AND SUSTAINABILITY. Course Offered By: Indian Environmental Society CERTIFICATE COURSE ON CLIMATE CHANGE AND SUSTAINABILITY Course Offered By: Indian Environmenta Society INTRODUCTION The Indian Environmenta Society (IES) a dynamic and fexibe organization with a goba vision

More information

Quality Assurance in Initial Teacher Education. The Standard for Initial Teacher Education in Scotland Benchmark Information

Quality Assurance in Initial Teacher Education. The Standard for Initial Teacher Education in Scotland Benchmark Information Quaity Assurance in Initia Teacher Education The Standard for Initia Teacher Education in Scotand Information OCTOBER 2000 Convener's introduction This document is a statement of the Standard for Initia

More information

Professional Kingston

Professional Kingston Professiona Kingston Organisationa and workforce deveopment soutions n Facuty of Business and Law Aways improving 0/1 Contents Wecome 2 Why Kingston? 4 Course portfoio 6 Course detais 8 Work-based earning

More information

Niagara Catholic. District School Board. High Performance. Support Program. Academic

Niagara Catholic. District School Board. High Performance. Support Program. Academic Niagara Cathoic District Schoo Board High Performance Academic Support Program The Niagara Cathoic District Schoo Board, through the charisms of faith, socia justice, support and eadership, nurtures an

More information

ASSET MANAGEMENT OUR APPROACH

ASSET MANAGEMENT OUR APPROACH ASSET MANAGEMENT OUR APPROACH CONTENTS FOREWORD 3 INTRODUCTION 4 ASSET MANAGEMENT? 6 THE NEED FOR CHANGE 6 KEY PRINCIPLES 7 APPENDIX 1 19 GLOSSARY 20 2 FOREWORD Few things affect our customers ives as

More information

Teamwork. Abstract. 2.1 Overview

Teamwork. Abstract. 2.1 Overview 2 Teamwork Abstract This chapter presents one of the basic eements of software projects teamwork. It addresses how to buid teams in a way that promotes team members accountabiity and responsibiity, and

More information

Preschool Services Under IDEA

Preschool Services Under IDEA Preschoo Services Under IDEA W e don t usuay think of Specific Learning Disabiities in connection with chidren beow schoo age. When we think about chidren age birth to six, we think first of their earning

More information

Capability Development Grant. Build business capabilities to sharpen your competitive edge

Capability Development Grant. Build business capabilities to sharpen your competitive edge Capabiity Deveopment Grant Buid business capabiities to sharpen your competitive edge 1 Buid up your business with the Capabiity Deveopment Grant The Capabiity Deveopment Grant (CDG) is a financia assistance

More information

Corporate Plan 2013-14

Corporate Plan 2013-14 Corporate Pan 2013-14 City of Bradford Metropoitan District Counci Foreword Bradford Counci is committed to working with citizens and partners to protect and improve our quaity of ife at a time when individuas,

More information

Strengthening Human Resources Information Systems: Experiences from Bihar and Jharkhand, India

Strengthening Human Resources Information Systems: Experiences from Bihar and Jharkhand, India Strengthening Human Resources Information Systems: Experiences from Bihar and Jharkhand, India Technica Brief October 2012 Context India faces critica human resources (HR) chaenges in the heath sector,

More information

Key Questions to Ask About

Key Questions to Ask About everychid. onevoice. Every time i have to go to the bathroom at schoo, there s a ine. And sometimes they reay need to be ceaned. Maybe the schoo can get some more hep to open up a of the restrooms again.

More information

Using School Leadership Teams to Meet the Needs of English Language Learners

Using School Leadership Teams to Meet the Needs of English Language Learners Nationa Center on Response to Intervention Information Brief: Using Schoo Leadership Teams to Meet the Needs of Engish Language Learners M. Movit, I. Petrykowska, and D. Woodruff May 2010 Leadership teams

More information

Education Quality Improvement Framework

Education Quality Improvement Framework Education Quaity Improvement Framework for Undergraduate and Postgraduate Medica Education and Training in the UK The duties of a doctor registered with the Genera Medica Counci Patients must be abe to

More information

Business Banking. A guide for franchises

Business Banking. A guide for franchises Business Banking A guide for franchises Hep with your franchise business, right on your doorstep A true understanding of the needs of your business: that s what makes RBS the right choice for financia

More information

Undergraduate Studies in. Education and International Development

Undergraduate Studies in. Education and International Development Undergraduate Studies in Education and Internationa Deveopment Wecome Wecome to the Schoo of Education and Lifeong Learning at Aberystwyth University. Over 100 years ago, Aberystwyth was the first university

More information

HEALTH PROFESSIONS PATHWAYS

HEALTH PROFESSIONS PATHWAYS T heoffic eofcommuni t yco egeres ea r c ha ndl ea der s hi p Co egeofe duc a t i ona ti i noi s The Heath Professions Pathways (H2P) Consortium is a nationa consortium comprised of nine coeges in five states

More information

Order-to-Cash Processes

Order-to-Cash Processes TMI170 ING info pat 2:Info pat.qxt 01/12/2008 09:25 Page 1 Section Two: Order-to-Cash Processes Gregory Cronie, Head Saes, Payments and Cash Management, ING O rder-to-cash and purchase-topay processes

More information

Speech, language and communication. Information for managers and school staff

Speech, language and communication. Information for managers and school staff Speech, anguage and communication Information for managers and schoo staff Introduction The Communication Trust has deveoped this short guide to hep schoos support chidren s speech, anguage and communication.

More information

History of Stars and Rain Education Institute for Autism (Stars and Rain)

History of Stars and Rain Education Institute for Autism (Stars and Rain) History of Education Institute for Autism () Estabished:: March 15. 1993 in Beijing Founder:: Ms. Tian Huiping (mother of a boy with autism) STARS AND RAIN was founded in 1993 by a parent and is China

More information

Internal Control. Guidance for Directors on the Combined Code

Internal Control. Guidance for Directors on the Combined Code Interna Contro Guidance for Directors on the Combined Code ISBN 1 84152 010 1 Pubished by The Institute of Chartered Accountants in Engand & Waes Chartered Accountants Ha PO Box 433 Moorgate Pace London

More information

We are XMA and Viglen.

We are XMA and Viglen. alearn with Microsoft 16pp 21.07_Layout 1 22/12/2014 10:49 Page 1 FRONT COVER alearn with Microsoft We are XMA and Vigen. Ca us now on 0115 846 4900 Visit www.xma.co.uk/aearn Emai alearn@xma.co.uk Foow

More information

Securing the future of excellent patient care. Final report of the independent review Led by Professor David Greenaway

Securing the future of excellent patient care. Final report of the independent review Led by Professor David Greenaway Securing the future of exceent patient care Fina report of the independent review Led by Professor David Greenaway Contents Foreword 3 Executive summary 4 Training structure for the future 6 Recommendations

More information

Introduction the pressure for efficiency the Estates opportunity

Introduction the pressure for efficiency the Estates opportunity Heathy Savings? A study of the proportion of NHS Trusts with an in-house Buidings Repair and Maintenance workforce, and a discussion of eary experiences of Suppies efficiency initiatives Management Summary

More information

Overview of Health and Safety in China

Overview of Health and Safety in China Overview of Heath and Safety in China Hongyuan Wei 1, Leping Dang 1, and Mark Hoye 2 1 Schoo of Chemica Engineering, Tianjin University, Tianjin 300072, P R China, E-mai: david.wei@tju.edu.cn 2 AstraZeneca

More information

Personal and Public Involvement Toolkit for Staff

Personal and Public Involvement Toolkit for Staff Persona and Pubic Invovement Tookit for Staff INTRODUCTION The Southern Trust is committed to ensuring that everyone who needs to and wishes to be invoved in the panning, deveopment and evauation of its

More information

Addressing the Housing Needs of People using Mental Health Services A GUIDANCE PAPER

Addressing the Housing Needs of People using Mental Health Services A GUIDANCE PAPER Addressing the Housing Needs of Peope using Menta Heath Services A GUIDANCE PAPER Prepared by a muti-agency advisory group for the HSE Nationa Vision for Change Working Group Addressing the Housing Needs

More information

Australian Bureau of Statistics Management of Business Providers

Australian Bureau of Statistics Management of Business Providers Purpose Austraian Bureau of Statistics Management of Business Providers 1 The principa objective of the Austraian Bureau of Statistics (ABS) in respect of business providers is to impose the owest oad

More information

Leadership & Management Certificate Programs

Leadership & Management Certificate Programs MANAGEMENT CONCEPTS Leadership & Management Certificate Programs Programs to deveop expertise in: Anaytics // Leadership // Professiona Skis // Supervision ENROLL TODAY! Contract oder Contract GS-02F-0010J

More information

Asia Pacific Disability Rehabilitation Journal

Asia Pacific Disability Rehabilitation Journal DEVELOPMENTAL ARTICLES Asia Pacific Disabiity Rehabiitation Journa PRIMARY HEALTH CARE AND COMMUNITY BASED REHABILITATION: IMPLICATIONS FOR PHYSICAL THERAPY Tracy Bury* ABSTRACT The Word Confederation

More information

Early access to FAS payments for members in poor health

Early access to FAS payments for members in poor health Financia Assistance Scheme Eary access to FAS payments for members in poor heath Pension Protection Fund Protecting Peope s Futures The Financia Assistance Scheme is administered by the Pension Protection

More information

Human Capital & Human Resources Certificate Programs

Human Capital & Human Resources Certificate Programs MANAGEMENT CONCEPTS Human Capita & Human Resources Certificate Programs Programs to deveop functiona and strategic skis in: Human Capita // Human Resources ENROLL TODAY! Contract Hoder Contract GS-02F-0010J

More information

Patient Safety. Royal College of General Practitioners Curriculum Statement 3.2

Patient Safety. Royal College of General Practitioners Curriculum Statement 3.2 Roya Coege of Genera Practitioners Curricuum Statement 3.2 Patient Safety One in a series of curricuum statements produced by the Roya Coege of Genera Practitioners: 1 Being a Genera Practitioner 2 The

More information

Certified Once Accepted Everywhere Why use an accredited certification body?

Certified Once Accepted Everywhere Why use an accredited certification body? Certified Once Accepted Everywhere Why use an accredited certification body? Third party management systems certification is a frequenty specified requirement to operate in the goba market pace. It can

More information

Person-Centred Care: Walk the talk! SPONSORSHIP PROSPECTUS IQ CONFERENCE / NOVEMBER 25-26 / EDMONTON

Person-Centred Care: Walk the talk! SPONSORSHIP PROSPECTUS IQ CONFERENCE / NOVEMBER 25-26 / EDMONTON Person-Centred Care: Wak the tak! SPONSORSHIP PROSPECTUS IQ CONFERENCE / NOVEMBER 25-26 / EDMONTON Person-Centred Care: Wak the tak! SPONSORSHIP PROSPECTUS About the Conference Join the Aberta Continuing

More information

Addressing the Leadership Gap in Healthcare

Addressing the Leadership Gap in Healthcare A White Paper Addressing the Leadership Gap in Heathcare What s needed when it comes to eader taent? Issued June 2010 / Revised June 2011 CONTENTS 3 6 10 13 15 18 19 19 19 Introduction Prioritizing Competencies

More information

College of Registered Psychiatric Nurses of British Columbia. Guidelines Registered Psychiatric Nurses in Independent Practice

College of Registered Psychiatric Nurses of British Columbia. Guidelines Registered Psychiatric Nurses in Independent Practice Coege of Registered Psychiatric Nurses of British Coumbia Guideines Registered Psychiatric Nurses in Independent Practice March 27, 2008 Tabe of Contents Introduction and Background...page 2 Definition

More information

Program Management Seminar

Program Management Seminar Program Management Seminar Program Management Seminar The word s best management schoos are noted for their superior program execution, high eves of customer satisfaction, and continuous program improvements.

More information

A guide to understanding Childcare Proceedings

A guide to understanding Childcare Proceedings A guide to understanding Chidcare Proceedings About this guide Care Proceedings are one of the most traumatic and emotiona episodes that can happen in anyone s ife. When Chidren s Services (formery Socia

More information

A short guide to making a medical negligence claim

A short guide to making a medical negligence claim A short guide to making a medica negigence caim Introduction Suffering from an incident of medica negigence is traumatic and can have a serious ong-term impact on both the physica and menta heath of affected

More information

Welcome to Colonial Voluntary Benefits. Thank you for your interest in our Universal Life with the Accelerated Death Benefit for Long Term Care Rider.

Welcome to Colonial Voluntary Benefits. Thank you for your interest in our Universal Life with the Accelerated Death Benefit for Long Term Care Rider. Heo, Wecome to Coonia Vountary Benefits. Thank you for your interest in our Universa Life with the Acceerated Death Benefit for Long Term Care Rider. For detai pease ca 877-685-2656. Pease eave your name,

More information

DOING BUSINESS WITH THE REGION OF PEEL A GUIDE FOR NEW AND CURRENT VENDORS

DOING BUSINESS WITH THE REGION OF PEEL A GUIDE FOR NEW AND CURRENT VENDORS DOING BUSINESS WITH THE REGION OF PEEL A GUIDE FOR NEW AND CURRENT VENDORS TABLE OF CONTENTS INTRODUCTION... 1 GOVERNANCE... 1 COMMONLY PURCHASED GOODS AND SERVICES... 1 HOW TO REGISTER YOUR COMPANY...

More information

German Auditors and Tax Advisors for foreign clients

German Auditors and Tax Advisors for foreign clients München Regensburg Dachau German Auditors and Tax Advisors for foreign cients Economy Finance Financia Reports Taxes Strategies München Regensburg Dachau SH+C has focussed on consuting foreign cients with

More information

PREFACE. Comptroller General of the United States. Page i

PREFACE. Comptroller General of the United States. Page i - I PREFACE T he (+nera Accounting Office (GAO) has ong beieved that the federa government urgenty needs to improve the financia information on which it bases many important decisions. To run our compex

More information

Engaging with involuntary service users in social work. Good practice guide

Engaging with involuntary service users in social work. Good practice guide Engaging with invountary service users in socia work Good practice guide This guide is based on a research project at The University of Edinburgh which invoved: Reviews of research on user engagement in

More information

SURGEON GENERAL S REPORT

SURGEON GENERAL S REPORT SURGEON GENERAL S REPORT CHILDREN WITH CAMPAIGN 87 COMMITMENTTO FAMILY CENTERED COORDINATED CARE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES Pubic Heath Service

More information

3.3 SOFTWARE RISK MANAGEMENT (SRM)

3.3 SOFTWARE RISK MANAGEMENT (SRM) 93 3.3 SOFTWARE RISK MANAGEMENT (SRM) Fig. 3.2 SRM is a process buit in five steps. The steps are: Identify Anayse Pan Track Resove The process is continuous in nature and handed dynamicay throughout ifecyce

More information

CUSTOM. Putting Your Benefits to Work. COMMUNICATIONS. Employee Communications Benefits Administration Benefits Outsourcing

CUSTOM. Putting Your Benefits to Work. COMMUNICATIONS. Employee Communications Benefits Administration Benefits Outsourcing CUSTOM COMMUNICATIONS Putting Your Benefits to Work. Empoyee Communications Benefits Administration Benefits Outsourcing Recruiting and retaining top taent is a major chaenge facing HR departments today.

More information

Technology and Consulting - Newsletter 1. IBM. July 2013

Technology and Consulting - Newsletter 1. IBM. July 2013 Technoogy and Consuting - Newsetter Juy 2013 Wecome to Latitude Executive Consuting s atest newsetter, reviewing recent marketpace activity. The newsetter focuses on the Technoogy and Consuting sectors,

More information

IT Governance Principles & Key Metrics

IT Governance Principles & Key Metrics IT Governance Principes & Key Metrics Smawood Maike & Associates, Inc. 9393 W. 110th Street 51 Corporate Woods, Suite 500 Overand Park, KS 66210 Office: 913-451-6790 Good governance processes that moves

More information

alllearn Microsoft with We are XMA. Call us now on 0115 846 4900 Visit www.xma.co.uk/alllearn Email alllearn@xma.co.uk Follow us @WeareXMA

alllearn Microsoft with We are XMA. Call us now on 0115 846 4900 Visit www.xma.co.uk/alllearn Email alllearn@xma.co.uk Follow us @WeareXMA alearn with Microsoft We are XMA. Ca us now on 0115 846 4900 Visit www.xma.co.uk/aearn Emai alearn@xma.co.uk Foow us @WeareXMA Introduction Use our 'steps to alearn' framework to ensure you cover a bases...

More information

Older people s assets: using housing equity to pay for health and aged care

Older people s assets: using housing equity to pay for health and aged care Key words: aged care; retirement savings; reverse mortgage; financia innovation; financia panning Oder peope s assets: using housing equity to pay for heath and aged care The research agenda on the ageing

More information

Quality Monitor HEALTH QUALITY ONTARIO 2012 REPORT ON ONTARIO S HEALTH SYSTEM

Quality Monitor HEALTH QUALITY ONTARIO 2012 REPORT ON ONTARIO S HEALTH SYSTEM Quaity Monitor HEALTH QUALITY ONTARIO 2012 REPORT ON ONTARIO S HEALTH SYSTEM This report is a too for driving a cuture of quaity, vaue, transparency and accountabiity throughout the heath system in Ontario.

More information

A Description of the California Partnership for Long-Term Care Prepared by the California Department of Health Care Services

A Description of the California Partnership for Long-Term Care Prepared by the California Department of Health Care Services 2012 Before You Buy A Description of the Caifornia Partnership for Long-Term Care Prepared by the Caifornia Department of Heath Care Services Page 1 of 13 Ony ong-term care insurance poicies bearing any

More information

RESEARCH GRANTS: guidelines for applicants

RESEARCH GRANTS: guidelines for applicants RESEARCH GRANTS: guideines for appicants The Dunhi Medica Trust These guideines appy ony to appications for Research Project and Research Programme grants. Separate guideines are avaiabe for: Research-reated

More information

Collaborative Healthcare Leadership

Collaborative Healthcare Leadership A White Paper Coaborative Heathcare Leadership A Six-Part Mode for Adapting and Thriving During a Time of Transformative Change By: Henry W. Browning, Deborah J. Torain, and Tracy Enright Patterson Issued

More information

School facilities and community sport Creating the win-win scenario

School facilities and community sport Creating the win-win scenario Schoo faciities and community sport Creating the win-win scenario 1 Win win New and existing schoo faciities have the potentia to transform sport and the cub infrastructure whist supporting education and

More information

A Guide to Understanding the Implications of the Ionising Radiation (Medical Exposure) Regulations in Radiotherapy

A Guide to Understanding the Implications of the Ionising Radiation (Medical Exposure) Regulations in Radiotherapy IPEM A Guide to Understanding the Impications of the Ionising Radiation (Medica Exposure) Reguations in Radiotherapy The Society and Coege of Radiographers The Roya Coege of Radioogists Institute of Physics

More information

How to Start an Employee Wellness Program

How to Start an Employee Wellness Program Nationa Park Service U.S. Department of the Interior Empoyee Weness Program Guide How to Start an Empoyee Weness Program A User-Friendy Guide I care about the heath and we-being of a NPS empoyees. The

More information

How to deal with personal financial problems

How to deal with personal financial problems How to dea with persona financia probems D I S P U T E R E S O L U T I O N Introduction Heping you face the future with confidence In 2014, the eve of consumer debt in the UK grew to reach a seven-year

More information

Trinity Gardens Early Learning Centre 2016 Information kit

Trinity Gardens Early Learning Centre 2016 Information kit Trinity Gardens Eary Learning Centre 2016 Information kit 160 Portrush Road, Trinity Gardens, South Austraia 5068 P (08) 8431 4170 F (08) 8332 3041 www.trinitygps.sa.edu.au Rowena.Tennant36@schoos.sa.edu.au

More information

CREATE CHANGE ART CENTER COLLEGE OF DESIGN STRATEGIC PLAN 2011 2016

CREATE CHANGE ART CENTER COLLEGE OF DESIGN STRATEGIC PLAN 2011 2016 CREATE CHANGE ART CENTER COLLEGE OF DESIGN STRATEGIC PLAN 2011 2016 ACCD BOARD OF TRUSTEES APPROVED ANNUAL REVISION APRIL 19, 2012 1700 Lida Street, Pasadena, CA 91103 Phone 626.396.2200 Fax 626.795.0819

More information

A Manager s Toolkit: How to develop your workforce

A Manager s Toolkit: How to develop your workforce A Manager s Tookit: How to deveop your workforce Contents Introduction Who is this tookit for? 1 Why has it been deveoped? 1 What shoud it assist you with? 1 Who has deveoped it? 1 Purpose of the resource

More information

The Productive Therapist and The Productive Clinic Peter R. Kovacek, MSA, PT

The Productive Therapist and The Productive Clinic Peter R. Kovacek, MSA, PT The Productive Therapist and The Productive Cinic Peter R. Kovacek, MSA, PT Format Interactive Discussions among equa peers Constructive argument Reaity Oriented Mutua Accountabiity Expectation Panning

More information

DECEMBER 2008. Good practice contract management framework

DECEMBER 2008. Good practice contract management framework DECEMBER 2008 Good practice contract management framework The Nationa Audit Office scrutinises pubic spending on behaf of Pariament. The Comptroer and Auditor Genera, Tim Burr, is an Officer of the House

More information

Chartered Management Diplomas in Strategic Management & Leadership

Chartered Management Diplomas in Strategic Management & Leadership Chartered Management Dipomas in Strategic Management & Leadership CMI executive dipomas in management Whether you are at the start of your management career, seeking to move up through your organization

More information

Learning and Teaching Strategy

Learning and Teaching Strategy Learning and Teaching Strategy Curricuum for Exceence Produced by Gasgow City Counci Copyright May 2009 Buiding on Success Aiming for Exceence Learning and Teaching Strategy Contents 1. Introduction and

More information

Commissioning for long-term conditions: hearing the voice of and engaging users a qualitative multiple case study

Commissioning for long-term conditions: hearing the voice of and engaging users a qualitative multiple case study Commissioning for ong-term conditions: hearing the voice of and engaging users a quaitative mutipe case study Stephen Peckham, 1,2 * Patricia Wison, 3 Lorraine Wiiams, 2 Jane Smiddy, 3 Say Kenda, 3 Fiona

More information

Safety Simplified TERZETTO PHARMA METRICS PVT. LTD., Contact Safety Organisation

Safety Simplified TERZETTO PHARMA METRICS PVT. LTD., Contact Safety Organisation Safety Simpified TERZETTO PHARMA METRICS PVT. LTD., Contact Safety Organisation Specific soutions to monitor the safety of the drugs a over the gobe About us We provide specific soutions to monitor the

More information

Construction Plant and Health & Safety Training

Construction Plant and Health & Safety Training Construction Pant and Heath & Safety Training The Driving Force Behind Your Training Monks Training Services based in Leyand has for severa years been providing construction pant and heath & safety training.

More information

Graduate Program Prioritization Criteria and Questions/Elements. 6th Year Professional Diploma in Clinical Mental Health or School Counseling

Graduate Program Prioritization Criteria and Questions/Elements. 6th Year Professional Diploma in Clinical Mental Health or School Counseling Graduate Program Prioritization Criteria and Questions/Eements 6th Year Professiona Dipoma in Cinica Menta Heath or Schoo Counseing 1. History, Deveopment and Expectations of the Program a. Provide, to

More information

Stanford Committee for Professional Satisfaction

Stanford Committee for Professional Satisfaction Stanford Committee for Professiona Satisfaction and Support (SCPSS) Committee Description The recenty re-named Stanford Committee for Professiona Satisfaction and Support was aunched in 2010 by then Chief

More information

A PERFORMANCE AUDIT REPORT ON THE MANAGEMENT OF PRIMARY HEALTH CARE: A CASE STUDY OF HEALTH CENTERS

A PERFORMANCE AUDIT REPORT ON THE MANAGEMENT OF PRIMARY HEALTH CARE: A CASE STUDY OF HEALTH CENTERS THE UNITED REPUBLIC OF TANZANIA NATIONAL AUDIT OFFICE (NAO) A PERFORMANCE AUDIT REPORT ON THE MANAGEMENT OF PRIMARY HEALTH CARE: A CASE STUDY OF HEALTH CENTERS A REPORT OF THE CONTROLLER AND AUDITOR GENERAL

More information

IMPLEMENTING THE RATE STRUCTURE: TIERING IN THE FEE-FOR-SERVICE SYSTEM

IMPLEMENTING THE RATE STRUCTURE: TIERING IN THE FEE-FOR-SERVICE SYSTEM The New Jersey Department of Human Services Division of Deveopmenta Disabiities 1 IMPLEMENTING THE RATE STRUCTURE: TIERING IN THE FEE-FOR-SERVICE SYSTEM Eizabeth M. Shea Assistant Commissioner Thomas S.

More information

READY TO LEARN. White Paper on Early Childhood Education. Pn.7939 5.00 a6.35

READY TO LEARN. White Paper on Early Childhood Education. Pn.7939 5.00 a6.35 READY TO LEARN White Paper on Eary Chidhood Education Pn.7939 5.00 a6.35 Government of Ireand 1999 ISBN 0-7076-6411-X Designed by Metaphor Printed by Cahi Printers Ltd. Dubin Pubished by The Stationery

More information

Value For Money in public sector corporate services. A joint project by the UK Public Sector Audit Agencies

Value For Money in public sector corporate services. A joint project by the UK Public Sector Audit Agencies Vaue For Money in pubic sector corporate services A joint project by the UK Pubic Sector Audit Agencies N I A O Northern Ireand Audit Office vfm in pubic sector corporate services 1 Joint foreword by audit

More information

DigitalKitbag. Email marketing

DigitalKitbag. Email marketing Emai marketing Who are Digita Kitbag? We re your business marketing team Digita Kitbag is owned and operated by Johnston Press, one of the argest regiona media pubishers in the UK and Ireand. We have a

More information

Books. Planning. Learning. through. by Rachel Sparks Linfield. Illustrated by Cathy Hughes. Contents. Making plans 2-3

Books. Planning. Learning. through. by Rachel Sparks Linfield. Illustrated by Cathy Hughes. Contents. Making plans 2-3 Match your theme to the 2012 EYFS Books Panning by Rache Sparks Linfied. Iustrated by Cathy Hughes Contents Making pans 2-3 Using the Eary Goas 4-6 EYFS Panning Chart 7 Theme 1: Favourite games 8-9 Theme

More information

Benefits That Count. Colonial Life is the proud sponsor of SHRM s Annual Employee Benefits Survey. coloniallife.com

Benefits That Count. Colonial Life is the proud sponsor of SHRM s Annual Employee Benefits Survey. coloniallife.com Benefits That Count Coonia Life is the proud sponsor of SHRM s Annua Empoyee Benefits Survey cooniaife.com 1 Dear Empoyer: Randa C. Horn President & CEO Coonia Life & Accident Insurance Company 1200 Coonia

More information

Performance measurement practice. The use of sanctions and rewards in the public sector

Performance measurement practice. The use of sanctions and rewards in the public sector Performance measurement practice The use of sanctions and rewards in the pubic sector The foowing individuas contributed to this report: Sascha Kiess, Diane French, Nick Soan, Dan Vaance, Daniee Wiiams.

More information

UCU Continuing Professional Development

UCU Continuing Professional Development UCU Continuing Professiona Deveopment Cassroom management The background Good cassroom and behaviour management is one of the key eements of successfu teaching and earning, and wi be crucia to your success

More information

Barriers or Bridges? CityWide. CityWide. Drugs Rehabilitation Projects the Road to Recovery. A CityWide Consultation Report. Drugs Crisis Campaign

Barriers or Bridges? CityWide. CityWide. Drugs Rehabilitation Projects the Road to Recovery. A CityWide Consultation Report. Drugs Crisis Campaign Barriers or Bridges? CityWide Drugs Crisis Campaign 11 Cadogan Road, Fairview, Dubin 3 Te: 01 836 5090 / 836 5039 Emai: info@citywide.ie Web www.citywide.ie Drugs Rehabiitation Projects the Road to Recovery

More information

The Aviva UK Health Health of the Workplace Report Issue 4. October 2010. aviva.co.uk/health 1

The Aviva UK Health Health of the Workplace Report Issue 4. October 2010. aviva.co.uk/health 1 The Aviva UK Heath Heath of the Workpace Report Issue 4 October 2010 aviva.co.uk/heath 1 Foreword Now in its fourth year, Heath of the Workpace is Aviva s annua study that canvases GP, empoyer and empoyee

More information

A Field Guide to. Population Communication Services Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs

A Field Guide to. Population Communication Services Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs A Fied Guide to Designing A Heath Communication Strategy A Resource for Heath Communication Professionas Popuation Communication Services Johns Hopkins Boomberg Schoo of Pubic Heath/Center for Communication

More information

Immunisation of healthcare and laboratory staff

Immunisation of healthcare and laboratory staff 12 of heathcare and aboratory staff Heath and safety at work Under the Heath and Safety at Work Act (HSWA) 1974, empoyers, empoyees and the sef-empoyed have specific duties to protect, so far as reasonaby

More information

l l ll l l Exploding the Myths about DETC Accreditation A Primer for Students

l l ll l l Exploding the Myths about DETC Accreditation A Primer for Students Expoding the Myths about DETC Accreditation A Primer for Students Distance Education and Training Counci Expoding the Myths about DETC Accreditation: A Primer for Students Prospective distance education

More information

Integrating Risk into your Plant Lifecycle A next generation software architecture for risk based

Integrating Risk into your Plant Lifecycle A next generation software architecture for risk based Integrating Risk into your Pant Lifecyce A next generation software architecture for risk based operations Dr Nic Cavanagh 1, Dr Jeremy Linn 2 and Coin Hickey 3 1 Head of Safeti Product Management, DNV

More information

CONTRIBUTION OF INTERNAL AUDITING IN THE VALUE OF A NURSING UNIT WITHIN THREE YEARS

CONTRIBUTION OF INTERNAL AUDITING IN THE VALUE OF A NURSING UNIT WITHIN THREE YEARS Dehi Business Review X Vo. 4, No. 2, Juy - December 2003 CONTRIBUTION OF INTERNAL AUDITING IN THE VALUE OF A NURSING UNIT WITHIN THREE YEARS John N.. Var arvatsouakis atsouakis DURING the present time,

More information

Protection Against Income Loss During the First 4 Months of Illness or Injury *

Protection Against Income Loss During the First 4 Months of Illness or Injury * Protection Against Income Loss During the First 4 Months of Iness or Injury * This note examines and describes the kinds of income protection that are avaiabe to workers during the first 6 months of iness

More information

Oracle. L. Ladoga Rybinsk Res. Volga. Finland. Volga. Dnieper. Dnestr. Danube. Lesbos. Auditing Oracle Applications Peloponnesus

Oracle. L. Ladoga Rybinsk Res. Volga. Finland. Volga. Dnieper. Dnestr. Danube. Lesbos. Auditing Oracle Applications Peloponnesus N o r w e g i a n S e a White 60ûN ATLANTIC OCEAN UNITED KINGDOM Rio Douro Hebrid Bay of Biscay Garonne Faroe Isands Shetand Isands Orkney Isands North Loire ine Rhone Rhine Po Ebe Adriatic Batic Guf of

More information

World Accreditation Day

World Accreditation Day Word Accreditation Day 9 June 2016 www.pubicsectorassurance.org Accreditation: A goba too to support Pubic Poicy Accreditation: A goba too to support Pubic Poicy Standards, accreditation and conformity

More information