Self Regulation in CQ RAICCHO

To give real meaning to the concept of Self Regulation, the Member Services of CQ RAICCHO adopted amendments to the Constitution at a Special General Meeting on 18th February 2014, which included authorisations for the Board of Directors to ensure continuity of primary health care services by a Member under certain prescribed circumstances of risk.

The Directors were concerned that an administrator had been appointed by a funding body to take control of the financial management of a Member – Barambah Regional Medical Service Aboriginal Corporation (BRMSAC). Also, in the opinion of the Board, BRMSAC lacked the capacity to continue to deliver primary health care services to its target community – the Aboriginal community of Cherbourg and the surrounding towns. These circumstances placed BRAMSAC in breach of the amended Constitution.

This was a test case for Self Regulation. Rather than suspend or even expel the Member, the Directors unanimously decided to invoke the Members’ Charter, which had also been adopted at the same Special General Meeting, specifically the clause where each Member Service agrees to “work together with the CQ RAICCHO and the other members to build sustainable programs and services for the prevention and early intervention in healthcare and disease control to;

A. reduce the impacts of disease;
B. improve the delivery of health services
for Aboriginal and Torres Strait Islander peoples within their communities”.

With the full support of BRMSAC’s Nominated Director, CQ RAICCHO’s Board approved the establishment of an executive Joint Management Committee (JMC) to take over the operational, day-to-day management of the Service, referring to the Board of BRMSAC recommendations and decisions of the JMC which legally had to be authorised by the BRMSAC Board. The Independent Chairperson of CQ RAICCHO and the Nominated Director of BRMSAC signed the Terms of Reference that the CQ RAICCHO Board approved for this executive Joint Management Committee, and the Board of BRMSAC also formally endorsed the Terms of Reference.

Because this is the first case we know of in Queensland of Self Regulation by a RAICCHO working with a Member Service which would be considered ‘at risk’, we reproduce the relevant extracts from the Terms of Reference.

<em>Barambah Reform Agenda – Extracts from the Agreement for an executive Joint Management Committee</em>

The Parties commit to this Agreement with the intention of:

(a) restoring BRMS to standards of governance required for member organisations of CQ RAICCHO – whose Board has endorsed a comprehensive Charter of Corporate Governance; and

(b) improving standards of performance of primary health care services required for member organisations of CQ RAICCHO – whose Board has endorsed a comprehensive and systematic Model of Care for implementation in each member organisation which includes BRMS.

5. Aims

5.1. The JMC is established by the Parties to achieve the following aims:

(a)  Governance Reform:

(i)             Supervise the implementation of the reform agenda specified in Attachment 1 to this Agreement, with the implementation personnel to be provided by CQ RAICCHO, and the implementation program will receive the full and public support of the Board of BRMS and all current Directors;

(ii)            Ensure completion of all components of the reform agenda before 30th June 2014;

(iii)           Oversight the entire 2013 BRMS Annual General Meeting process, which has been delayed, in line with the provisions of the amended Constitution;

(iv)          Cooperate with the DoH-appointed financial administrator where governance issues are involved such as financial and corporate policies and procedures.

(b)  Model of Care

(i)             Approve a project plan submitted by CQ RAICCHO specifying milestones/timelines/accountabilities for the installation of the CQ RAICCHO Model of Care encompassing but not limited to the assignment of a temporary CQ RAICCHO “Spearhead” to manage the effective implementation of the Model of Care, induction for BRMS staff into the requirements of the Model of Care, workplace changes to align staff roles and responsibilities with the Model of Care, setting performance targets, installing performance monitoring systems and procedures, and all human resource management aspects related to primary health care;

(ii)            Review monthly reports from CQ RAICCHO to monitor progress with the installation of the Model of Care and provide guidance regarding implementation matters as appropriate;

(iii)           Resolve authoritatively and finally any matters of conflict or complex issues that have not been able to be resolved by the CQ RAICCHO or by the BRMS Practice Manager and/or BRMS General Manager;

(iv)          Authorise initiatives for enhancing existing primary health care services as well as opportunities/proposals for expansion into new services – such as for primary health care, drug and alcohol, aged care – and into new geographies within South Burnett and North Burnett.

6. Composition

6.1. The Parties agree that the JMC will be composed of:

 

(i)    The General Manager of CQ RAICCHO as ex officio Chairperson and convenor (Mr Justin Saunders);

(ii)   The Company Secretary of CQ RAICCHO;

(iii)           One Director from the Board of BRMS, who shall be Mr Tony Dalton, who will be deputy-chairperson;

(iv)          The General Manager of BRMS;

(v)           The Practice Manager of BRMS.

6.2. The General Manager of CQ RAICCHO will provide secretariat support services to the JMC, including issuing notices and agenda for meetings, recording key discussions, and preparing minutes.

6.3. If the chairperson is unavailable to chair a JMC meeting, the deputy chairperson will chair the meeting.  If both the chairperson and the deputy chairperson are unavailable for a meeting, the CQ RAICCHO Company Secretary will act as chairperson.

6.4. The attendance of representatives from both CQ RAICCHO and from BRMS is required for the JMC meeting to be a valid meeting.

6.5. There will be no nominated alternate from the Board of BRMS and no BRMS Director other than Mr Tony Dalton may attend JMC meetings.  The Board of BRMS will make any contributions to the operations of the JMC only through Mr Tony Dalton.

6.6. JMC meetings may be held on-site in Barambah, or at the offices of CQ RAICCHO as determined by the chairperson

6.7. Attendance at JMC meetings may be by personal presence at the actual location of the meeting or by electronic ‘presence’ such as teleconference, video-conference or Skype

6.8. The Chairperson may invite other persons to attend for part or all of a JMC meeting at his discretion, including but not limited to the DoH Financial Administrator, BQC, managers from DoH, CQ RAICCHO personnel.

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