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Appendix F Structure 26
Appendix G Additional advice provided in response to requests made in June 2009 Reform implementation The following steps are recommended to get the reforms underway and to complete them in a timely way. Reform proposal and plan Identify a manager and group of people to consider the recommendations in this review, consult with relevant people and to prepare: (1) a reform proposal for the government to consider in a format suitable for the Cabinet; (2) a draft Institutional Development Plan for approval by the Minister before being annexed to the Cabinet paper. This group of advisers should be selected with the range of skills needed for this work and should not be dominated by people with personal interests in the outcome of the results. The Cabinet paper should cover at a minimum: Description of issues to be addressed Proposed changes with rationale for these including expected improvements to health services Fiscal costs on the budget for a three year period and other implications compared to the status quo Recommendations including legal changes and other actions Annex Institutional Development Plan The Institutional Development Plan should cover at a minimum: Roles and responsibilities for reform work including oversight, management and other roles Proposed changes and actions required to implement the changes, sequencing of changes, detailed responsibilities, and a realistic timeframe for the structural and other changes Budget for reforms Risks and risk management strategies Progress reporting arrangements Some key aspects of the reform The reform work should include selecting the most suitable structure from the range of options; calculating the staffing level and types of positions; costing these and ensuring they are realistic. Once this is done, job descriptions should be designed that include the capability required as well as the specifications for the position. These descriptions should be of sufficient quality to form the basis for performance expectations and reviews in the future. They should also be of sufficient quality to ensure that people with the right skills and experience are selected for the positions. 27
- Page 13 and 14: other functions it could work along
- Page 15 and 16: The whole-of-government budget proc
- Page 17 and 18: Lack of planning and policy functio
- Page 19 and 20: improve their planning and policy m
- Page 21 and 22: Structural problems with excessive
- Page 23 and 24: One option for the organisation of
- Page 25 and 26: Some issues raised by staff include
- Page 27 and 28: main providers of services funded b
- Page 29 and 30: Policy and planning unit A variatio
- Page 31 and 32: Health information is part of the D
- Page 33 and 34: Issues raised by staff and others O
- Page 35 and 36: The roles and functions of the boar
- Page 37 and 38: Some countries have combined health
- Page 39 and 40: Appendices Vertical Functional Revi
- Page 41 and 42: Valdet Hashani, Primary Health Care
- Page 43 and 44: split proposed in the World Bank re
- Page 45 and 46: 56.2. Implementation of the health
- Page 47 and 48: This law regulates tobacco products
- Page 49 and 50: Provides for a grant for minimum st
- Page 51 and 52: V. Fourth goal - Functionalize, reo
- Page 53 and 54: Health information Develop effectiv
- Page 55 and 56: Two projects on Health and Environm
- Page 57 and 58: local government in relation to the
- Page 59 and 60: Hospital prepares its own budget an
- Page 61 and 62: Appendix E: Number of Staff and Bud
- Page 63: Agency for the control of health ca
- Page 67 and 68: Improving the health status analysi
- Page 69 and 70: 3. Accountability. Incentives and s
- Page 71 and 72: While there is clarity of central g
- Page 73 and 74: 50.2 Section 1.2 of the Law on Pubi
- Page 75 and 76: [check if section 13 is OK or are t
- Page 77 and 78: all of the directors as soon as pra
- Page 79 and 80: Template for examining decision rig
- Page 81 and 82: Name of agency Invest Give loans bu
- Page 83 and 84: Name of agency Modify a license Can
- Page 85 and 86: The issues raised at the start of t
- Page 87 and 88: Figure 2: Integrated management cyc
- Page 89: fees. The proposal could exclude th
Appendix F Structure<br />
26
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