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Key Areas UK framework for public service delivery Executive agencies Regulation as a tool for controlling service delivery Improving and scrutinising the regulation of public service delivery
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Regulation Inside Government: Approach and lessons learned
Punita Goodfellow, Better Regulation Executive, Cabinet Office, UK
Key Areas UK framework for public service delivery Executive
agencies
Regulation as a tool for controlling service delivery Improving and
scrutinising the regulation of public service delivery UK Framework
for Public Service Delivery
Ministry Level Develop policy and have overall responsibility to
parliament and the electorate for service delivery Executive
Agencies Focus on improving delivery Service providers groups of
hospitals, doctors surgeries. UK Framework for Public Service
Delivery
Spending Review Three yearly reviews of expenditure, which set firm
and fixed three-year ministry expenditure limits Public Service
Agreements - define what the public can expect to be delivered as a
result of the expenditure Spending Reviews have targeted resources
at the Governments priorities, such as education, health, transport
and criminal justice and have set ambitious targets for
improvements in key public services. Political commitment to
delivery is based on improving quality of service not whether the
delivery agent is public or private sector. Focus on Delivery
Moving from this To this - Executive Agencies Before agencies the
Civil Service was governed by a body of centrally created rules - a
culture more focused on avoiding errors than improving results.
Agencies embody key principles of delivering better services - such
as looking outwards to users, focusing on the key tasks to be
delivered and increased transparency and accountability Agencies
became the principal model for service delivery, including: social
benefit/payments provision, inspection functions and logistical,
procurement and administrative support to hospitals, education,
prisons and the military. Regulators Regulators is a general term
used to describe Executive Agencies which audit, inspect, or
accredit. Three types: An arm of Government Drinking Water
Inspectorate Independent within public sector Healthcare Commission
Non-Governmental regulators professional institutions,
self-appointed groups UK Accreditation Forum, British Medical
Association, Institute of Civil Engineers Accountability of
Regulators
Ministry is responsible for policy development and has overall
responsibility for the delivery of that policy. Regulator is an
organisation that focuses on achieving delivery, by directly
controlling how a service is delivered. Chief Executive is in
charge of the day-to-day management of the agency. Chief Executive
reports to the minister on specific targets that the minister has
set. Purpose of Regulation Government promotes regulation to
achieve:
Good health, safety and welfare Increased productivity Good
environment Greater fairness and opportunity Good competitive
market framework NHS Structure Delivery is by semi-autonomous
organisations service providers clusters of hospitals/GPs Explain
what Special Health Authorities are NHS Model Arms length bodies
(ALBs) are stand-alone national organisations sponsored by the
Department of Health undertaking executive functions. The work they
undertake ranges from back office administrative functions to
complex ethical or clinical-related work. For example - paying
dentists; countering fraud; blood collection and processing;
improving the safety of care; reducing the number of mistakes that
can prove fatal to patients, setting standards and ensuring that
service delivery is focussed on the patient. Quality and
Performance Framework
Treasury Public Service Agreements Ministry of Health Standards for
Better Health Healthcare Commission Quality assessment against
Standards National Health Service What I mean by independent still
public sector introduce concept of lead regulator focal point of
all regulation in that sector. Private Healthcare Quality and
Performance Framework
Public Service Agreements provide the performance framework for
Ministry of Health Standards for Better Health is a framework that
the Healthcare Commission use to assess and improve the quality of
the NHS and private sector healthcare. Pressure For Regulatory
Reform
Over the past decade high levels of business and public concern:
Burden of unnecessary bureaucracy red tape too much paperwork,
complicated procedures Nanny state excessive state interference
Inflexible rules, too complex, dissuade investment Positive focus
on improved delivery, negative impact caused by having many
different organisations. For Example This report can lead to this
paperwork- And we want in every health organisationto see this
Burden of Inspection Too many inspections can be caused by having
too many arms length bodies Healthcare Inspection Concordat
developed to minimise burden of inspection Healthcare Commission is
lead inspectorate Long term goal to rationaise and reduce the
number of inspection Principles of Good Regulation
Better Regulation Executive Independent advisory body to improve
regulatory practice developed the five principles of better
regulation. Proportionality Accountability Consistency Transparency
Targeted What is a Regulatory Impact Assessment (RIA)?
A procedure to be used by policy officials during the development
of a policy to assess the impact of implementation options in terms
of costs, benefits and risks. For the public sector, Departments
must undertake a Public Services Threshold Test and if the impact
of the policy is over 5 million, the Department must undertake a
RIA Regulatory Impact Assessment (RIA)
Full range of potential impacts economic, social, environmental
Clarify objectives Assess alternatives Consult wide range of
stakeholders Determine which groups are affected Central Government
development of controls and pressures to ensure cultural change
that will minimise bureaucracy. Administrative Burdens
Measurement exercise involving business Application of the standard
cost model Administrative burdens reduction plans Feasibility of
measurement in the public sector Similarities and differences
between the business model and the public sector Central Government
development of controls and pressures to ensure cultural change
that will minimise bureaucracy. Simplification Plans Rolling
programme of simplification plans
from every government department Apply one in one out principle
(off setting measures Administrative burdens plan, targets? Draft
plans published Central Government development of controls and
pressures to ensure cultural change that will minimise bureaucracy.
Across Government Prime Ministers commitment
Cabinet Committees for Public Service Reform and Panel for
Regulatory Accountability Departmental Better Regulation Units
Units Better Regulation Commission (independent) Small Business
Service (independent) Better Regulation Executive (BRE) -including
the Public Sector Team and the Business Regulation Team, at the
centre of Government Central Government development of controls and
pressures to ensure cultural change that will minimise bureaucracy.
Useful Links Better Regulation Executive
Better Regulation Commission http//www.brc.gov.uk RIA Guidance
Central Government development of controls and pressures to ensure
cultural change that will minimise bureaucracy.