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.