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5. Structures for Phase 2
Management and accountability
HaHP will be located within the emerging
Renfrewshire Community Health Partnership (
CHP). This will maximise benefits to
local Community Planning mechanisms (see Annex 6). The
CHP structures are currently in
development but it is proposed that the Chair of the
HaHP Management Group will sit within
the general management structure of the
CHP. This will allow for direct
influence of the local health improvement and community
planning agendas.
The
HaHP Steering Group, chaired by the
Director of Public Health, is responsible for overseeing
all governance issues and assuring Renfrewshire
CHP and the Scottish Executive that
appropriate governance structures and systems are in place,
and that these are operating effectively. It is also
responsible for the development of policy and practice in
line with the agreed strategic direction. The delivery and
operation of governance, implementation and evaluation
issues will be led by the
HaHP Management Group, which will
discharge its responsibility through the operating
structure of the project. The Project Manager will guide
the development of the governance and performance
management systems throughout the project. As Renfrewshire
CHP becomes established management and
accountability arrangements will be reviewed to ensure that
the most effective and efficient use of structures are put
in place to maximise influence.
Human resources
Following issues raised and recommendations made within
evaluation reports a more centralised approach has been
taken to the staffing structure for Phase 2. This will
provide an opportunity to ensure greater consistency in
terms of implementation, monitoring and evaluation
co-ordination, and resource expenditure.
For the delivery of Dimension A, emphasis has been
placed on developmental posts, with a specific remit to
develop activity in partnership in order to achieve the
agreed outcomes for Phase 2. Dimension B requires
additional staff to move cardiac rehabilitation activities
into a community based delivery model, including a key
senior level post to oversee the integration of secondary
care activities. Additional posts will be required to
further support Phase 2 activities including a post that
will co-ordinate all evaluation functions and specific
IT posts that are central to the
implementation and monitoring required across
HaHP.
Health coaching is an overarching term used within the
plan to describe activities that will take place on a
one-to-one basis with individuals from the A and B
populations later in the project. Specific skills will be
needed to carry out this function and further scoping will
be required to define whether this should be a separate
role or whether skills could be developed with
HaHP or the partner workforce. As stated
on page 8, this will be clarified by October 2005.
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