Recommendation · source text
Specific Welsh Government guidance is needed on senior interim appointments; this should be decoupled from the extant guidance on substantive executive and senior posts.
Source · Investigations in the NHS
Independent Review of Interim Appointments to Executive Posts at BCUHB
Wales
Published 20 Jun 2023
Trust Betsi Cadwaladr University Health Board
Recommendations
Recommendation · source text
The guidance should include a statement of principles.
Recommendation · source text
The guidance should specify clear expectations regarding process, maximum contract lengths and financial values.
Recommendation · source text
Novel and / or contentious arrangements should require Welsh Government approval.
Recommendation · source text
The ‘Interim Appointment Request’ (IAR) e-form should be enhanced to include a robust business case justification, confirmation that budgetary cover exists, and fuller details of plans to fill the role on a substantive basis.
Recommendation · source text
The revised draft Terms of Reference for the Remuneration and Terms of Service (RaTS) Committee require further amendment before Board approval.
Recommendation · source text
The ongoing review of the BCUHB Corporate Risk Register needs to include an overhaul of the risks relating to use of senior interims.
Recommendation · source text
A cultural shift within BCUHB is needed, so that deploying senior interims for extended periods at very high daily rates is no longer viewed as the default ‘go to’ option for vacancy management.
Recommendation · source text
The ability to ‘check and challenge’ proposals and decisions via robust governance arrangements needs to be further strengthened.
Recommendation · source text
BCUHB needs to secure greater value from its use of senior interims and ensure appropriate handovers are undertaken.
Recommendation · source text
A review of the Health Board’s plans for (i) workforce talent development, (ii) addressing the various second-tier capacity gaps and (iii) reducing the numbers of senior (non-executive) interim appointments should be undertaken by a CIPD-qualified professional.
Recommendation · source text
Welsh Government guidance on the use of senior interims, once developed (R1-R4 refer), should be issued to all NHS Wales bodies.
Acceptance status
No Response Published
12
Total recommendations
12