Thursday 16 June 2022 - Project Specification

Project specification – Deployment of Staff Resources in Health and Community Services

Topics: Value for Money

Departments: Health & Community Services

Sector: Health & Social Care

Project specification - Deployment of Staff Resources in Health and Community Services

Project Specification: pdf (207.69 KB)

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Background

The health and care system in Jersey is going through unprecedented demand pressure and change due to factors including an ageing population. The outdated healthcare estate is an additional challenge for providing efficient and effective health care.  Two major programmes of work are addressing these challenges, the Jersey Care Model (JCM) and the ‘Our Hospital’ project. The Department of Health and Community Service’s (HCS’s) clinical and non-clinical management teams need to work closely with the frontline workforce to ensure that staff resources are deployed effectively and efficiently, and in such as manner as to support delivery of the JCM principles and enable the effective use of the new hospital.

At 31 December 2021, 2,475 staff were employed within HCS, up from 2,371 as at 31 December 2020.  This represents over 30% of the entire workforce of the Government of Jersey.  At 31 December 2021, the HCS workforce included 311 doctors as well as 1,442 nurses and midwives.

The development of a HCS workforce strategy to support the implementation of the JCM was delayed in 2021.  The HCS workforce strategy is now planned to be finalised and launched by the end of June 2022.

Like all staff, medical staff are crucial to the delivery of the changes required to achieve the JCM.  More than ever during this period of change medical staff (including Consultants) and managers (medical and general) have a joint responsibility to work closely together to provide the best possible healthcare within the resources available to them.

Job plans are part of a Consultant’s contract of employment. They are an annual agreement that set out duties, responsibilities and objectives for the coming year.  Effective Consultant job planning is a key mechanism through which operational managers and Consultants can agree, monitor and deliver effective services to patients and service users.

Scope

The review will evaluate:

·         the progress being made in finalising and implementing a workforce strategy for HCS

·         the effectiveness of the implementation plans supporting the workforce strategy

·         the effectiveness of the proposed arrangements to monitor and report on progress being made in implementing the workforce strategy

·         the effectiveness of the specific arrangements for the HCS medical workforce, including:

o   Consultant and other medical staff engagement

o   the clinical management of Consultants and other medical staff

o   the performance management of Consultants and other medical staff

o   Consultant and medical staff job planning

o   arrangements in respect of locum medical staff, including clinical supervision, performance management and job planning; and

o   arrangements for management and oversight of the ratio of public to private patient activities.

The review will consider arrangements within HCS and will not extend to the wider health and social care system on the Island.

The review will encompass all specialities across HCS.

The review will not consider deployment of staff resources in contracted off-Island providers of healthcare.

The review will follow up on previous recommendations made by my predecessor in her 2017 report Private Patient Income: Health and Social Services Department Follow Up where the recommendations are relevant to workforce planning and management.


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