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General Practice Services: Free for Children

A formal published “Ministerial Decision” is required as a record of the decision of a Minister (or an Assistant Minister where they have delegated authority) as they exercise their responsibilities and powers.

Ministers are elected by the States Assembly and have legal responsibilities and powers as “corporation sole” under the States of Jersey Law 2005 by virtue of their office and in their areas of responsibility, including entering into agreements, and under any legislation conferring on them powers.

An accurate record of “Ministerial Decisions” is vital to effective governance, including:

  • demonstrating that good governance, and clear lines of accountability and authority, are in place around decisions-making – including the reasons and basis on which a decision is made, and the action required to implement a decision

  • providing a record of decisions and actions that will be available for examination by States Members, and Panels and Committees of the States Assembly; the public, organisations, and the media; and as a historical record and point of reference for the conduct of public affairs

Ministers are individually accountable to the States Assembly, including for the actions of the departments and agencies which discharge their responsibilities.

The Freedom of Information Law (Jersey) Law 2011 is used as a guide when determining what information is be published. While there is a presumption toward publication to support of transparency and accountability, detailed information may not be published if, for example, it would constitute a breach of data protection, or disclosure would prejudice commercial interest.

A decision made 24 July 2023:

Decision Reference:  MD-SOSEC-2023-489

Public

Subject: Free GP appointments for children

 

Report Title: Children's Health Care Services

Public

Decision(s):

In response to the 18th Amendment to the 2023-2026 Government Plan (P.97 Amendment (18)), the Minister for Social Security decided to introduce this new scheme, which will provide free access for eligible children to General Practice Services.

Reason for Decision(s):

This scheme, to provide free GP services for all eligible children, irrespective of family income, has been developed to meet the commitment made by the States Assembly on 14 December 2022, when P97 Amendment (18) was adopted.  Options for the Children’s Healthcare service were initially developed by the Minister for Health and Social Services.  It was agreed that implementation of the service should be passed to the Minister for Social Security to be administered by Customer and Local Services, building on administration systems and contractual arrangements which have already been established.    Whereas the original proposition requested a transfer of money from the Health Insurance Fund to the Health and Community Services department, the transfer from HCS to CLS enables the service to be funded directly from the Health Insurance Fund and administered alongside other General Practice services.

Resource Implications: The Children’s Health Care Services agreement will be administered by existing resource within Customer and Local Services.  P.97 Amendment (18) originally proposed an estimated budget of £800,000, however considering inflation and the service design to include additional services the budget required is likely to exceed £1 million.  Systems development has been undertaken to support an efficient payment process and allow information regarding the service to be collected. This development required a non-recurring budget of £15,000.  The Children's Health Care Service will operate under an agreement spanning 2 years (2023-2025).

 

Action Required: Department to take necessary action.

Signature:

 

 

Signed By: Minister for Social Security

Date Signed:

 

 

Date of Decision (If different from Date Signed):

 

 

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