Non-Executives

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Non-Executives Next StepsSir William
WellsChair NHS Appointments Commission
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Thankyou
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Synopsis

• Whats changed
• The new PCT board
• Supporting the new PCTs
• Operational issues

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The Role of the new PCTs

• Central to the success of the NHS
• Being accountable to SHAs for the effective use
  of the bulk of the NHS budget
• Ensuring effective commissioning
• Changing the pattern of provision

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Changing the Role of the PCT Board

• Need to change the way the board approaches the
  patient interface
• And concentrate more on its commissioning,
  finance and market management functions.

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Changing Role of PCT non-executives

• Less representative of patients and the community
• More skills needed to add value to the PCTs
  business

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The Purpose of non-executives

• Non-Executives are custodians of the governance
  process
• Derek Higgs
• which means
• they increase corporate accountability
• their expertise contributes to business success

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Expertise and Competencies

• All non-executives need a set of competencies to
  enable them to contribute to the work of the
  board.
• They also need the expertise gained from their
  other activities to contribute to the success of
  the business.

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The Competencies

• Personal Qualities
• Self Belief and Drive
• Intellectual Flexibility
• Patient and Community Focus
• Integrity
• Governing Abilities
• Strategic Direction
• Holding to Account
• Team Working
• Effective Influencing and Communication

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Expertise - PCT
The overall experience of the non-executive team
will be

• Voluntary sector or community service
• experience. (Individuals would be expected to
• have community experience in regeneration and/or
• community development in disadvantaged areas, or
• experience in service provision for a
  disadvantaged
• group.)
• Finance experience in a large and complex
• organisation either in the public or private
  sector.
• (At least one individual should have this skill
  to
• chair the audit committee probably but not
• necessarily a qualified accountant.)

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Expertise PCTs (contd)

• Governance experience in a large and complex
• organisation, either in the private or public
  sector.
• (Individuals would bring experience of strategic
• planning, performance management and risk
• management.)
• Senior level commercial (Individuals would bring
• The above governance skill-set but from a private
• Sector viewpoint and with the addition of
• commercial skills.)

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Expertise PCTs (contd)

• Specific expertise related to the work of the
  board
• e.g. consumer relations/customer service,
• community relations, local authority work,
  practical
• patient-related skills, commissioning, market
• management, contract management, change
• management and economic analysis.)

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Supporting the new PCTs

• Induction
• Whole Board Development
• Fitness-for-Purpose
• New Board tools
• Assurance Framework
• The Intelligent Board

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Operational Issues

• 1. New remuneration
• Chairs 30 - 40k
• NEDs 7,500
• Audit chair additional 5,000

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Operational Issues (contd)

• 2. Timetable for recruitment (excluding London)
• Chairs Advertised on 19.3.06
• To be appointed by mid-July
• NEDs Advertised in mid-May
• At least 2 appointed by 1st October

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Operational Issues (contd)

• 3. Timetable for recruitment (London)
• Chairs Advertised in September
• To be appointed in December
• NEDs Advertised in November
• To be appointed in February/ March

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The Future

• Smooth transition for the new bodies
• Retain corporate memory
• Retain some non-executive expertise
• PLEASE APPLY!

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Thankyou