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Forms

In document Policy Management Manual (Page 39-65)

The following part contains forms to assist in the policy management process.

Form 1 – Scoping meeting template Form 2 – Policy project plan template Form 3 – Policy risk assessment template

Form 4 – Identification of policy stakeholders template Form 5 – Request for approval to undertake policy work Form 6 – Policy template

Form 7 – Procedure template

Form 8 – Approval to circulate draft policy brief

Form 9 – Stakeholder comments on draft policy templates Form 10 – Corporate executive endorsement brief

Form 11 – Annual review template Form 12 – Policy feedback template

Form 13 – Policy management manual feedback form

Form 1: Policy Scoping Meeting Template

This template is used to guide the policy scoping meeting.

Policy name: _______________________________________________________________________

Request form attached? Yes/No: _______________________________________________________

Reason (development/review/consolidate/delete): ________________________________________

Date: _____________________________________________________________________________

Meeting participants: ________________________________________________________________

Policy Owner: ______________________________________________________________________

Policy Contact: _____________________________________________________________________

Last published: _____________________________________________________________________

Publication location (Directorate website/Index (internal policies)):

Associated procedures: _______________________________________________________________

Legislation (and legislative obligations): __________________________________________________

Managing complaints: ________________________________________________________________

Related policy (including whole of government policy): _____________________________________

_________________________________________________________________________________

Purpose/aim of policy: _______________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Drivers for change: __________________________________________________________________

Issues associated with policy or policy development/review/consolidation/removal: ______________

_________________________________________________________________________________

_________________________________________________________________________________

Timeframe:

• Final draft

• Implementation

• (project plan needed)

_________________________________________________________________________________

Stakeholders (internal and external): ____________________________________________________

Consideration of impact:

• Human rights

• Social

• Environment

• Economic

• Intergovernmental (other agencies)

• Regulatory (legislation or government direction)

_________________________________________________________________________________

Consideration of equity and diversity target groups:

• Women

• People from a culturally or linguistically diverse background

• People with a disability

• Aboriginal and Torres Strait Islander people

• Children and young people

_________________________________________________________________________________

Risk assessment:

• if policy work is undertaken

• if policy work is not undertaken

• other

Refer to Risk Management Framework on the Risk Management page on Index.

_________________________________________________________________________________

Working party members (if necessary): __________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Consultation plan

• identified stakeholders

• method of consultation

_________________________________________________________________________________

Communication/implementation plan:

• training

• support

• ongoing implementation

_________________________________________________________________________________

HR needs: _________________________________________________________________________

Approval process discussed? Yes/No: ____________________________________________________

Brief templates discussed? Yes/No: _____________________________________________________

Policy Management Manual provided? Yes/No: ___________________________________________

Policy Workshop discussed: Yes/No: ____________________________________________________

Other issues: _______________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Form 2: Policy Project Plan Template

This template represents the project plan schedule for policy review or development over a 28 week timeframe. Key steps are listed on the left of the template and the progress is indicated from Week 1 through to Week 28 across the template. An

X

indicates when the relevant key step occurs in the schedule. Adash (

–)

indicates no action required.

Key Steps – Policy Analyse policy issues, scope

project

X X X X X

- - - - - - - - - - - - - - - - - - - - - - -

ED/DDG brief for approval to

develop/review - - - - -

X X X

- - - - - - - - - - - - - - - - - - - -

Development of issues, strategy

etc - -

X X X X X X X

- - - - - - - - - - - - - - - - - - -

Establish working group (if

required) - -

X X X X X X X

- - - - - - - - - - - - - - - - - - -

Construction of draft

policy/changes to current policy and procedures

- - - - - - -

X X X

- - - - - - - - - - - - - - - - - -

ED/DDG brief – approval to

circulate - - - - - - - - - -

X X

- - - - - - - - - - - - - - - -

Brief to Senior Executive for Corporate Executive input and Senior Executive endorsement

- - - - - - - - - - - - - - - - - - - -

X X

- - - - - -

Communicate and implement

policy - - - - - - - - - - - - - - - - - - - - - -

X X X X

- -

Monitor and evaluate - - - - - - - - - - - - - - - - - - - - - - - - - -

X X

Form 3: Policy Risk Assessment Template

This template is used to record the risk assessment associated with policy review or development.

Risk Assessment

The following example should be deleted after use

Type of Risk:

Commercial and Legal: breach of statute. Reputation - scrutiny required by external agencies or ACT Auditor General’s Office, etc. There are also possibilities of financial cost and litigation.

Measure of Consequence:

Moderate

Measure of Likelihood:

Possible – might occur at some time in the future.

Risk level:

6 - high

Type of Risk: _______________________________________________________________________

Measure of Consequence:_____________________________________________________________

Measure of Likelihood: _______________________________________________________________

Risk level: __________________________________________________________________________

Type of Risk: _______________________________________________________________________

Measure of Consequence:_____________________________________________________________

Measure of Likelihood: _______________________________________________________________

Risk level: __________________________________________________________________________

Form 4: Identification of Policy Stakeholders

This template is used to identify policy stakeholders.

Internal Stakeholders

Stakeholder 1

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 2

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 3

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 4

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 5

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 6

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

External Stakeholders

Stakeholder 1

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 2

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 3

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 4

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 5

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 6

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 7

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Stakeholder 8

: ____________________________________________________________________

Area within Directorate: ______________________________________________________________

Reason for consultation: ______________________________________________________________

Form 5: Request for approval to undertake policy work

(Brief template for Executive to approve policy development/review/removal)

Please contact Corporate Planning and Review on 6205 9185 for assistance with this brief.

[Font is Calibri 12 point, single spacing. Please click and delete this after use.]

File Ref: /

Deputy Director-General or Executive Director

[INSERT HEADING HERE]

Recommendation

That you approve the development/review/removal of the [insert name of policy] policy.

AGREED/NOT AGREED/PLEASE DISCUSS

[Name of Deputy Director-General or Executive Director here Deputy Director-General/Executive Director

Background

Outline the trigger for the policy to be developed, reviewed or deleted.

Why is this decision necessary? Who has a stake in the issue? What other areas of the Directorate need to be involved?

Issues

Environmental scan

Provide a summary of the evidence you have collected about the subject matter of the policy leading to this request

Stakeholders List all stakeholders.

How will stakeholders be informed and involved?

Risk assessment

What are the risks of commencing/not commencing this policy work?

Project plan

Provide a brief outline of how the entire process is to be managed, with timelines and responsible staff identified.

Consultation with Finance and Corporate Support and Funding Implications

What are the financial implications of this policy? Where has this funding been identified? What are the Human Resources and IT implications?

Consultations

Who was consulted in the development of this brief.

Media

Identify any potential media opportunities or whether the policy has the potential to generate negative media comment.

[Name of your Director here] Tracy Stewart Director Director

[Name of Branch] Planning and Performance Branch

[ Month Year] [ Month Year]

Form 6: Policy Template

Policy title: INSERT NAME OF POLICY (Upper case, bold) Published:

Insert year of publication

(bold)

Identifier:

Insert identifier

(bold) (to be added by Planning and Performance) Legislation:

• ... Insert key legislation (Commonwealth or ACT) (bold, italics)

• ...

Procedures:

• ... List of procedures associated with policy (bold)

• ...

Text is Calibri 11. The policy should be a maximum of three pages.

Please note: to ensure that this document remains accessible only use the 'Styles' in the 'Home Ribbon' to format text in this document. All information in the document must be accessible, including pictures, flowcharts, diagrams, checklists, forms etc.

1. POLICY STATEMENT Policy section headings are Bold and Caps Locked. One return after section headings.

1.1 The Policy Statement is an overview of the issue being covered by the policy. It should summarise any key aspects of the policy or mandatory requirements. This may include the roles and responsibilities to be observed by schools or Directorate staff in relation to the policy.

2. RATIONALE Section headings are given a number in bold.

2.1 The Rationale should state the aim and purpose of the policy as well as an overview of why the policy is required. This may include a legislative requirement, government commitment or agency position.

2.2 Subheading/s (if required) Subheadings are lowercase and bold.

2.2.1 ...

2.3 Subheading/s (if required) Subheadings are lowercase and bold.

2.3.1 ...

3. DEFINITIONS Section headings are given a number in bold.

3.1 Definitions may include those included in the relevant legislation or be an explanation for acronyms used in the policy e.g. AEU - Australian Education Union. For example:

3.2 Authorised persons fall into two categories...

4. LEGISLATION Section headings are given a number in bold.

4.1 Explain how the legislation listed at the top of the policy impacts on the policy.

4.2 Subheading/s (if required) Subheadings are lowercase and bold.

4.2.1 ...

4.3 Subheading/s (if required) Subheadings are lowercase and bold.

4.3.1 ...

5. PROCEDURES Section headings are given a number in bold.

5.1 If the procedures are extensive, a supporting document should be developed). Procedures outline the actions required to meet the purpose of the policy. Procedures should ensure that the needs of equity groups are considered.

5.2 Subheading/s (if required) Subheadings are lowercase and bold.

5.2.1 ...

5.3 Subheading/s (if required) Subheadings are lowercase and bold.

5.3.1 ...

5.4 Complaints Include complaints information if required. Subheadings are lowercase and bold.

5.4.1 Where there are concerns regarding the application of this procedure or the procedure itself, people should:

• contact the school principal or XXXXX Branch in the first instance;

• contact the Directorate’s Community Liaison section; or

• access the Directorate’s Complaints Resolution policy, which is available on the Directorate’s website.

6. POLICY OWNER Section headings are given a number in bold.

6.2 For support in relation to this policy please contact Insert name of Branch on (02) XXXX XXXX - Insert branch contact phone number.

7. RELATED POLICIES

7.1 List any policies/documents that should be read in conjunction with this policy.

List any policies/documents that should be read in conjunction with this policy.

Form 7: Procedure Template

INSERT NAME OF PROCEDURE PROCEDURE

This procedure must be read in conjunction and interpreted in line with the Insert name of policy policy.

Publication date: Insert month and year e.g. May 2012

PLEASE NOTE: A table of contents is required for procedures which are more than two pages in length - see 'Table of Contents' button in the 'References' ribbon.

Text is Calibri 11. Justification left.

Please note: to ensure that this document remains accessible only use the 'Styles' in the 'Home Ribbon' to format text in this document. All information in the document must be accessible, including pictures, flowcharts, diagrams, checklists, forms etc.

Table of Contents

OVERVIEW ... 52

RATIONALE. ... 52

Subheading/s ... 52

Subheading/s ... 53

DEFINITIONS ... 53

PROCEDURES ... 53

Subheading/s ... 53

Subheading/s ... 53

PROECDURE OWNER. ... 53

RELATED DOCUMENTS ... 54

1. OVERVIEW

Procedure section headings are Bold and Caps Locked. One return after section headings.

2.1. The Overview describes the matters covered by the procedure.

2. RATIONALE

Section headings are given a number in bold.

2.1. The Rationale should state the aim and purpose of the procedure. This may include a legislative requirement, government commitment or agency position.

2..1. ...

2.1.

Subheading/s

(if required) Subheadings are lowercase and bold.

2..1. ...

3. DEFINITIONS

Section headings are given a number in bold.

2.1. Definitions may include those included in the relevant legislation or be an explanation for acronyms used in the procedure e.g. AEU - Australian Education Union. For example:

2.1. Authorised persons fall into two categories...

4. PROCEDURES

Section headings are given a number in bold.

2.1. Procedures explain the mandatory steps must be taken to implement and adhere to the policies and/or legislation.

2.1. Procedures should detail any key aspects of the policy or mandatory requirements. This may include the roles and responsibilities to be observed by schools or Directorate staff in relation to the policy or procedure.

2.1.

Subheading/s

(if required) Subheadings are lowercase and bold.

4..1. ...

2.1.

Subheading/s

(if required) Subheadings are lowercase and bold.

4..1. ...

2.1. Complaints Include complaints information if required. Subheadings are lowercase and bold.

4..1. Where there are concerns regarding the application of this procedure or the procedure itself, people should:

• contact the school principal or XXXXX Branch in the first instance;

• contact the Directorate’s Community Liaison section; or

• access the Directorate’s Complaints Resolution policy, which is available on the Directorate’s website.

5.

PROECDURE OWNER

Section headings are given a number in bold.

2.1. Director, Insert name of Branch.

2.1. For support in relation to this procedure please contact Insert name of Branch on (02) XXXX XXXX - Insert branch contact phone number.

6. RELATED DOCUMENTS

List any policies/documents that should be read in conjunction with this procedure.

Form 8: Approval to circulate draft policy brief

(Brief template for Executive to approve circulation of draft policy)

Please contact Corporate Planning and Review on 6205 9185 for assistance with this brief

. [Font is Calibri 12 point, single spacing. Please click and delete this after use.]

File Ref: /

Deputy Director-General or Executive Director

[INSERT HEADING HERE]

Recommendation

That you approve the (insert name) draft policy (Attachment 1) for circulation.

AGREED/NOT AGREED/PLEASE DISCUSS

[Name of Deputy Director-General or Executive Director here Deputy Director-General/Executive Director

/ /

Background

Provide an overview of the policy review or development.

Issues

Provide a summary of the policy review or development activities.

List any issues.

List how and with who you will be consulting.

Attach a copy of the draft policy.

Consultation with Finance and Corporate Support and Funding Implications

What are the financial implications of this policy? Where has this funding been identified? What are the Human Resources and IT implications?

Consultations

Who was consulted in the development of this brief

Media

[Identify any potential media opportunities or whether the policy has the potential to generate negative media comment.

[Name of your Director here]

Director [Name of Branch]

[ Month Year]

Form 9: Internal stakeholder comments on draft policy

8. INTERNAL STAKEHOLDER COMMENTS ON DRAFT (insert name of policy) POLICY

The following templates are to be used to record internal and external stakeholder comments that are received during the formal consultation process. The tables should be completed and the draft policy updated based on the feedback. The tables must be included with the brief for endorsement of the policy.

This a summary of comments received from internal stakeholders following the circulation of the (insert name of policy) policy. Consultation with stakeholders concluded on (insert end date of consultation period). All comments including ‘nil’ returns must be recorded.

Comment 1:

Section/page: ______________________________________________________________________

Stakeholder: _______________________________________________________________________

Stakeholder comments: ______________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Response to comment: _______________________________________________________________

Comment 2:

Section/page: ______________________________________________________________________

Stakeholder: _______________________________________________________________________

Stakeholder comments: ______________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Response to comment: _______________________________________________________________

Comment 3:

Section/page: ______________________________________________________________________

Stakeholder: _______________________________________________________________________

Stakeholder comments: ______________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

9. EXTERNAL STAKEHOLDER COMMENTS ON DRAFT (insert name of policy) POLICY 10.

This is a summary of comments received from external stakeholders following the circulation of the (insert name of policy) policy. Consultation with stakeholders concluded on (insert end date of consultation period). All comments including ‘nil’ returns must be recorded.

Comment 1:

Section/page: ______________________________________________________________________

Stakeholder: _______________________________________________________________________

Stakeholder comments: ______________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Response to comment: _______________________________________________________________

Comment 2:

Section/page: ______________________________________________________________________

Stakeholder: _______________________________________________________________________

Stakeholder comments: ______________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Response to comment: _______________________________________________________________

Comment 31:

Section/page: ______________________________________________________________________

Stakeholder: _______________________________________________________________________

Stakeholder comments: ______________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Form 10: Senior executive endorsement brief

(Brief template for Senior Executive to endorse policy)

Please contact Corporate Planning and Review on 6205 9185 for assistance with this brief.

[Font is Calibri 12 point, single spacing. Please click and delete this after use.]

File Ref: /

POLICY ENDORSEMENT PAPER: [insert name of policy] POLICY Deputy Director-General or Executive Director

Recommendation

That you endorse the [insert name of policy] policy at Attachment 1

AGREED/NOT AGREED/PLEASE DISCUSS

[Name of Deputy Director-General or Executive Director here Deputy Director-General/Executive Director

/ /

Background

Provide an overview of the policy development process to date.

11.

Issues

Identify the key issues identified in the development or review of the policy.

Attach a completed Stakeholder Feedback Comments Template.

Attach a copy of the new or revised policy.

12. Communication/Implementation strategy

Describe how the endorsed policy will be implemented, who is responsible for implementation, timelines and compliance issues.

Provide details of the professional development and training to be undertaken in relation to the policy.

13. Evaluation

Describe how you intend to evaluate the effectiveness of the policy. How will the results of the evaluation be used?

14. Review

Who will be responsible for collecting feedback to inform the next policy review? How and where will this infomation be stored?

Consultation with Finance and Corporate Support and Funding Implications

What are the financial implications of this policy? Where has this funding been identified? What are the Human Resources and IT implications?

Consultations

Who was consulted in the development of this brief.

Media

Identify any potential media opportunities or whether the policy has the potential to generate negative media comment.

[Name of your Director here]

Director [Name of Branch]

[ Month Year]

DDG/ED endorsement Name of DDG/ED

Deputy Director-General/Executive Director [name of division]

[ Month Year]

Form 11: Annual review template

This template should be used annually to determine policy currency.

Name of policy:

Policy Owner:

Policy Contact:

Publication date:

Date of last review:

Is the policy still needed? Yes/No: ______________________________________________________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If No, see Manager/Director with view to remove

Was the policy published three or more years ago? Yes/No: _________________________________

If Yes, review needed

Has the Policy Owner changed since publication? Yes/No: ___________________________________

If Yes, review needed

Has any aspect of the Directorate’s style guide changed since publication? Yes/No: _______________

If Yes, review needed

Is the policy longer than three pages? Yes/No: ____________________________________________

If Yes, review needed

If the policy has procedures, has any aspect of the procedures changed? Yes/No: ________________

If Yes, review needed

Has the Directorate logo changed since publication? Yes/No: _________________________________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If Yes, review or editorial update needed

Has the office location, contact details changed since publication? Yes/No: _____________________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If Yes, review or editorial update needed

Have any links or other location information in the policy changed since publication? Yes/No: ______

Details: ___________________________________________________________________________

_________________________________________________________________________________

If Yes, review needed

Has any legislation underpinning the policy changed since publication? (Check with Planning and Performance Branch) Yes/No: _________________________________________________________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If Yes, review needed

Does the policy include a mechanism for dealing with complaints? Yes/No: _____________________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If No, review needed

Does the policy address the needs of equity groups? Yes/No: ________________________________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If No, review needed

Have any policies associated with the policy (including whole of government policies) changed since publication? Yes/No: _________________________________________________________________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If Yes, review needed

Have any ACT or Commonwealth Government policies or commitments been made that require update of the policy? Yes/No: ________________________________________________________________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If Yes, review needed

Has there been an issue or incident that has resulted in the need for the policy to change?

Yes/No: ___________________________________________________________________________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If Yes, review needed

Does stakeholder feedback indicate that the policy requires more clarity? Yes/No: _______________

Details: ___________________________________________________________________________

_________________________________________________________________________________

If Yes, review needed

Recommendation by Policy Contact:

Next steps:

Signed by Policy Contact / /

Signed by Policy Owner / /

Form 12: Policy feedback template

This template should be used to record stakeholder feedback and inform policy review activities.

Name of policy:

Comment 1:

Date: _____________________________________________________________________________

Stakeholder: _______________________________________________________________________

Section of policy: ____________________________________________________________________

Comment: _________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Comment 2:

Date: _____________________________________________________________________________

Stakeholder: _______________________________________________________________________

Section of policy: ____________________________________________________________________

Comment: _________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Comment 3:

Date: _____________________________________________________________________________

Stakeholder: _______________________________________________________________________

Section of policy: ____________________________________________________________________

Comment: _________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Form 13: Policy management manual feedback form

This form can be used at any time to provide feedback about this publication or the processes that it contains.

If you wish to provide feedback on the Policy Management Manual please use the following form and send it to the Director, Planning and Performance Branch by fax 6205 8353 or mail to the Education and Training Directorate, GPO Box 158, CANBERRA CITY ACT 2601.

1. The manual provided good guidance on the roles and responsibilities associated with policy management. Please choose one of the following and write in the space provided below:

• Agree

• Don’t know

• Disagree

______________________________________________________________________________

2. The layout of the manual was easy to manage and manipulate. Please choose one of the following and write in the space provided below:

• Agree

• Don’t know

• Disagree

______________________________________________________________________________

3. The process was easy to follow. Please choose one of the following and write in the space provided below:

• Agree

• Don’t know

• Disagree

______________________________________________________________________________

4. Any other feedback?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

In document Policy Management Manual (Page 39-65)

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