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Jersey Care Model

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WQ.99/2020

WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY K.F. MOREL OF ST. LAWRENCE

ANSWER TO BE TABLED ON MONDAY 9th MARCH 2020

Question

What Terms of Reference' have been provided to PWC for its work on the Jersey Care Model?

Answer

The contract we have with PWC contains the scope of services, timelines (for the role it is fulfilling) and all terms and conditions of service. The contract in its entirety serves as the terms of reference. We have jointly developed the attached terms of reference for each working group.

JCM Steering Group Terms of Reference

Area Details

Purpose The Steering Group is a forum for strategic leadership, direction and overall decision-making capability for the Jersey Care Model

review programme of work, in the context of wider Health modernisation programmes

The role of the Steering Group is to provide senior level review and approval of deliverables, including sign off of the JCM review paper, as well as providing comment on the direction of the programme of work.

Following completion of the JCM review the Steering Group will continue to support the work towards implementation of the JCM.

Membership Suggested members: Director General HCS, Modernisation Director, Group Managing Director HCS, Programme Manager,

Group Medical Director HCS, HR Director HCS, Director Strategic Policy, Performance and Population, Finance Business Partner, Chair of Primary Care Body, Chief Nurse, Chief Pharmacist, Group Director Customer Operations Customer and Local Services, Occupational Therapy, Physiotherapy, External Partner Chair/CEOs (as appropriate)

Administrative support – TBC

Authority Accountable and responsible to the Corporate Strategy Board for the conduct of its work

Authorised to direct the work of the Clinical and Professional Senate and JCM Workstream Pods

Decision   Responsible for decisions about the direction of the JCM review programme of work

making Responsible for the sign-off of deliverables, following the recommendations and review from the Clinical and Professional Senate

Chair Caroline Landon

Reporting Update in Corporate Strategy Board as requested

Meetings and   Monthly meetings January 2020 to April 2020. Meeting outcomes to feed Corporate Strategy Board updates, as requested Quorum Will be deemed inquorate for decision making in the absence of the Director General HCS and Modernisation Director

Key   Provide oversight and direct the work of the JCM review programme

responsibilities   Oversee all work and sign-off all outputs and recommendations included in the JCM review

Identify and uphold appropriate member attendances for key JCM review stakeholder engagement groups

Indicative   Session 1 - Introduction to the programme and methodology; sign off of approach for JCM programme agendas Session 2 - Presentation of key emerging themes and discussions in Clinical and Professional Senate

Session 3 - Review of programme outputs and initial review of the draft JCM review paper

JCM Clinical and Professional Senate Terms of  Reference

Area Details

Purpose The Clinical and Professional Senate is a forum for oversight and recommendations for the key activities of the JCM review, including

the work of the JCM Workstream Pods between January 2020 and April 2020. The Clinical and Professional Senate will sign off of the framework used for assessment as well as the initial outputs from the JCM Workstream Pod and provide comment on any key outputs from the JCM review which are contrary to the original model proposed.

Following completion of the JCM review the Clinical and Professional Senate may continue to support the work towards implementation once the JCM review is complete.

Membership Patrick Armstrong, Rose Naylor, Adrian Noon, Miguel Garcia, Cheryl Power, Isabelle Watson, Peter Gavey, Effie Liakopoulou, Simon Chapman, James Mair, Muktanshu Patil, Sam McManus, Paul McCabe, Lesley Hill, Susan Turnbull, Phil Terry

Administrative support – TBC

Authority Accountable and responsible to the JCM steering/delivery group for the conduct of its work

Advisory Responsible for providing recommendations about the direction of the JCM review and workstreams associated with the review. Chair Patrick Armstrong

Reporting Update in JCM steering/delivery group as requested

Meetings and   Monthly meetings January 2020 to April 2020. Meeting outcomes to feed JCM steering/delivery group updates Quorum Will be deemed inquorate for decision making in the absence of the Medical Director/ Chief Nurse

Key   Provide oversight and direct the work of the JCM Workstream Pods

responsibilities Oversee all work and approve all initial outputs, conclusions and recommendations in the JCM review

Identify and uphold appropriate member attendances for each Pod

Indicative   Session 1 - Introduction to the programme and methodology; sign off of framework used for JCM review work agendas Session 2 - Presentation of emerging findings and progress for each JCM Workstream Pod

Session 3 - Review of initial draft JCM review outputs

JCM Workstream Pods Terms of Reference

 

Area

Details

Purpose

JCM Workstream Pods will provide insight and engagement throughout the testing of proposed JCM changes against a framework for ease of implementation and feasibility. This will include identifying interdependencies and reviewing against best practice.

Following completion of the JCM review the JCM Workstream Pods can be transitioned to support system transformation across the workstream areas

Membership

Key clinical stakeholders, Clinical lead, Finance & Analytics lead, Workforce Lead, States of Jersey (SoJ) member

PwC: JCM review lead, Modelling Lead, Functional Brief Lead

Administrative support

Chairs

TBC

Reporting

Monthly reporting to the Clinical and Professional Senate

Reports will be used to inform Clinical and Professional Senate decision making and JCM steering/delivery group updates

Meetings & Quorum

Two meetings for each workstream between January 2020-March 2020

Will be deemed inquorate in the absence of Clinical lead, Finance & Analytics lead and Workforce Lead

Key responsibilities

To drive forward work in JCM workstream areas

To agree impact rating of interventions based on framework for validity and best practice

To review data and analysis on changes proposed in the JCM. Identify interdependencies with other workstreams and review against best practice examples

Indicative agendas

Focus Group 1: Introduce JCM testing approach, review JCM changes, test against the framework for validity and best practice, agree further analysis required

Focus Group 2: present data analysis, review and test against best practice examples, identify dependencies with other workstreams

Aim

The main aim is to help facilitate between members of the group the analytical

requirements of the Jersey Care Model review and Our Hospital programme, including;  Position

the sharing of information, agreement on the scope and direction, and to discuss analysis  Group Managing Director for HCS and findings.

Medical Director

Objectives

General Manager, Mental Health

The objectives of the Technical working group are: Chief Nurse, HCS

  1. To discuss the scope of analytics and modelling work required by the Senior Informatics Analyst
  2. programme and agree directionTo facilitate the sharing of national and local datasets, and discuss timelines for Head of Finance Business Partnering

delivery Finance Business Partner

  1. To facilitate the sharing of GoJ analytical models as required by the project
  2. To review and validate assumptions used within the modelling Finance Business Partner, HCS
  3. To review relevant analytical outputs/models produced by the consultants and

discuss their interpretations HR Director

  1. To discuss relevant blocks to progress and other issues (analytics/other) Chief Social Worker

Deputy Director Primary & Community Pathways

The Technical Group will be responsible for the following

Governance and Performance Analyst

  1. Work collaboratively with members of the GoJ, PwC and MJM to ensure

successful results of the programme Informatics Manager

  1. Review and sign off the analytical approach used for the Jersey Care Model PwC Partner

review analysis

  1. Review and sign off analytical outputs produced for the Jersey Care Model PwC Consultants

review

  1. Review and sign off the model specification document for the Our Hospital

demand and capacity modelling

  1. Review and sign off all assumptions used in the demand and capacity

modelling

  1. Review and sign off demand and capacity model outputs *Additional persons may also attend this meeting as and when required to meet the overall objectives of the programme

Accountability

Members have a responsibility to attend the meetings in person or via

The Technical Group will be shared between the JCM review and the Our Hospital  teleconferencing arrangements, with appropriate frequency.

programme and is accountable to the Steering Groups for both programmes.

Each member has the duty to provide expert input on topics related to their Membership discipline areas to the best of their knowledge and ability, and to make the

Technical Group aware of the full range of opinions within their discipline. Members are selected for their expertise and experience, even when they may be  Members are also expected to contribute towards the collective determination of affiliated to specific stakeholder groups. As such, they are appointed as individuals to  the view on matters outside their specific area of expertise.

fulfil their role on the Technical Group.