Budget transfer from Restructuring Provision to Health and Social Services: Review of System Wide Governance

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A decision made 18 November 2016:

Decision Reference: MD-TR-2016-0099
Decision Summary Title:	Transfer from Restructuring Provision to HSSD for a Review of System Wide Governance		Date of Decision Summary:	17th November 2016
Decision Summary Author:	Head of Decision Support		Decision Summary: Public or Exempt?	Public
Type of Report: Oral or Written?	Written		Person Giving Oral Report:
Written Report Title:	Transfer from Restructuring Provision to HSSD for a Review of System Wide Governance		Date of Written Report:	17th November 2016
Written Report Author:	Head of Decision Support		Written Report : Public or Exempt?	Public
Subject: Non-recurring budget transfer in 2016 from the Restructuring Provision to the Health and Social Services Department (HSSD) revenue head of expenditure in respect of a Review of System Wide Governance.
Decision(s): The Minister approved a non-recurring budget transfer in 2016 of £100,000 to the HSSD revenue head of expenditure from the Restructuring Provision.
Reason(s) for Decision: Article 17(2) of the Public Finances (Jersey) Law 2005 states that the Minister for Treasury and Resources is authorised to approve the transfer from contingency of amounts not exceeding, in total, the amount available for contingency expenditure in a financial year. The aim of the project is to bring forward a Business Case for the Organisational Reform of Health and Social Services, which captures the need for new and inclusive Governance. Funding was approved by the Council of Ministers on 20th April 2016. A decision was signed by the Minister for Health and Social Services (MD- HSS-2016-0052) on 21st October 2016.
Resource Implications: The Restructuring Provision to decrease by £100,000 in 2016 and the Health and Social Services Department revenue head of expenditure to increase by an identical amount. This decision does not result in any overall increase or decrease in the net expenditure of the States of Jersey, as approved in the MTFP 2016-2019.
Action required: Head of Decision Support to advise the Management Accountant – HSSD once this decision has been approved.
Signature:		Position: Senator A J H Maclean Minister for Treasury and Resources
Date Signed:		Date of Decision:

Budget transfer from Restructuring Provision to Health and Social Services: Review of System Wide Governance

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Treasury and Resources

Ministerial Decision Report

Transfer from Restructuring Provision to HSSD for a Review of System Wide Governance

Purpose of Report

To agree a non-recurring budget transfer in 2016 from the Restructuring Provision to the Health and Social Services Department (HSSD) revenue head of expenditure in respect of a Review of System Wide Governance.

Background

As a result of the development of an extensive network of new and enhanced services in the community, the role of the Health and Social Services Department now includes ‘commissioning’ responsibility and the role of suppliers who undertake elements of health service provision, now encompasses inclusion in the development of health strategies, as key stakeholders. This has identified the need to review governance of the whole system.

At the Council of Ministers meeting on 3rd December 2015, the proposal to review the governance by the Health and Social Services Department was accepted by the Council and it was noted that work needed to be undertaken.

At the meeting on 20th April 2016 the Council of Ministers recognised that the Political Oversight Group had endorsed the proposed drawdown of £100,000 to enable Health and Social Services to fund a Project Manager and undertake discovery works to develop this proposal.

Sir David Henshaw has been retained to provide Health and Social Services with External Assurance during 2016, and as such, will undertake a full review of the Detailed Business Case once completed.

3. Recommendation

The Minister is recommended to approve the non-recurring budget transfer in 2016 of £100,000 from the Restructuring Provision to the Health and Social Services Department revenue head of expenditure in respect of a Review of System Wide Governance.

4. Reason for Decision

Article 17(2) of the Public Finances (Jersey) Law 2005 states that the Minister for Treasury and Resources is authorised to approve the transfer from contingency of amounts not exceeding, in total, the amount available for contingency expenditure in a financial year.

The aim of the project is to bring forward a Business Case for the Organisational Reform of Health and Social Services, which captures the need for a Review of System Wide Governance.

Funding was approved by the Council of Ministers on 20th April 2016.

A decision was signed by the Minister for Health and Social Services (MD- HSS-2016-0052) on 21st October 2016.

5. Resource Implications

The Restructuring Provision to decrease by £100,000 in 2016 and the Health and Social Services Department revenue head of expenditure to increase by an identical amount.

This decision does not result in any overall increase or decrease in the net expenditure of the States of Jersey, as approved in the MTFP 2016-2019.

Report author : Head of Decision Support	Document date 17th November 2016
Quality Assurance / Review : Head of Decision Support	File name and path L:\Treasury\Sections\Corporate Finance\Ministerial Decisions\DS, WR and SD\2016-0099 - Restructuring Provision to HSSD - Organisational Redesign Governance
MD sponsor :