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Gloucestershire Care Services New Structures

Gloucestershire Care Services New Structures. The structures have been coloured-coded to provide guidance on the posts:. Post unfilled at Stage 4 of organisational change process*. Service subject to separate review. Subject to NHSG Consultation –move to GCS under discussion.

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Gloucestershire Care Services New Structures

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  1. Gloucestershire Care Services New Structures The structures have been coloured-coded to provide guidance on the posts: Post unfilled at Stage 4 of organisational change process* Service subject to separate review Subject to NHSG Consultation –move to GCS under discussion *These posts will be subject to the Executive Team established control process. Approved vacancies will be advertised internally, with priority given to employees on the redeployment register. Date: 06/12/ 2011

  2. Board & Senior Management Structures

  3. Gloucestershire Care Services Board Figure 1. Chair Ingrid Barker Non-Executive Director - IGC David Harwood Non-Executive Director – Audit Robert Graves Non-Executive Director (Elected by staff) Sally Sheen Chief Executive Designate Penny Harris Commercial Finance Director (Deputy Chief Executive) Glyn Howells Clinical Director Vacant

  4. Gloucestershire Care Services Senior Management Structure Figure 2. Chief Executive Designate Communications & Marketing Manager 1.0 wte Band 8a Vacant Executive Assistant Patient and Public Involvement Manager PA to Executive Office 1.0 wte Band 4 Vacant Joint Director of Operations Commercial Finance Director* Head of Employee Excellence Joint Director of Operations Clinical Director (4 – 5 Sessions pwk) Vacant Finance & Information See Figures 7 & 8 Adult Services See Figure 9 Governance See Figure 5 Employee Excellence See Figure 6 Children Services Subject to separate review Clinical Quality & Development See Figures 3 & 4 *(Deputy Chief Executive)

  5. Support Services Structures

  6. Clinical Quality & Development Structure (1) Figure 3. Clinical Director (4 - 5 sessions pwk) Vacant Medical Director Head of Social Care 1.0 wte PMG2 (Gloucestershire County Council Funded Post) Lead Pharmacist Head of Nursing* Medical Leads *(Deputy Clinical Director)

  7. Clinical Quality & Development Structure (2) Figure 4. Head of Nursing (Deputy Clinical Director) Clinical Quality Administrator Team Secretary Advanced Nursing Practitioner Unscheduled Care Clinical Quality Manager Clinical Service Change Manager Lead Nurse Infection Control Clinical Education Lead Staff Rostering Manager (Electronic Rostering) Clinical Development Facilitator – End of Life 0.6 wte Band 7 Clinical Development Facilitator – IV Therapy Infection Control Team Teacher (District Nursing Service) Clinical Trainer Fixed term until October 2011

  8. Governance Structure Figure 5. Joint Director of Operations Head of Governance Team Secretary Band 3 1.00 wte Vacant Information Governance Manager PCAG Manager Complaints & Litigation Manager Health Records Manager Risk & Patient Safety Manager PCAG Officer Incident Information Officer Project Officer (Emergency Planning) Complaints & Litigation Administrative Assistant Assistant Health Records Manager PCAG Officer Health Records Administrator Health Records Clerical Officers

  9. To Support Business Units Figure 6. Employee Excellence Structure Head of Employee Excellence Team Secretary 1.0 wte Band 3 Vacant HR Operations Business Partner (Children & Corporate) (Adults) Equality & Diversity Manager Skills, Safety & Estates Business Partner HR Systems Business Partner Recruitment Manager Safety & Corporate Facilities Manager Security Management Specialist Training Manager 1.0 wte Band 7 Vacant Pay & Benefits Manager Workforce Information Analysts ESR System Manager HR Locality Advisors Vacant. Band 6 Trainers Clinical: Non-Clinical: Safety, Security, Skills & Estates Senior Administrator* ESR Support Assistant Smartcard Assistant Corporate Facilities Officer Health, Safety & Environment Training Admin HR & Recruitment Assistant Vacant: Band 3 Expenses Administrator ESR Support Assistant 1:00 wte Band 3 Vacant Training (L&D) Administrator Receptionist / Post Room Assistants Expenses Assistant Training (L&D) Admin Assistant • *Supports: - Skills, Safety & Estates Business Partner • - Safety & Corporate Facilities Manager • - Security Management Specialist

  10. Finance & Information Structure (1) Figure 7. Commercial Finance Director (Deputy Chief Executive) Team Secretary Company Secretary & Board Governance Administrator 1.0 wte Band 6 Vacant Governance Project Support Officer (Members & Shareholders) Financial Accountant 1.0 wte Band 8a (tbc) Vacant Head of IT Development & Operations Head of Finance & Performance* 1.0 wte Band 8c Vacant Head of Business Development IT Project Support Business Change Manager Treasury & Accounts Receivable Accountant 1.0 wte Band 6 (tbc) Vacant Project Management Officer Child Health Team See separate chart Project Officers (Career Break) 1:00 wte Vacant IT Manager Accounts Assistant 1.0 wte Band 4 (tbc) Vacant Project Support Officer * (Deputy Finance Director) To support Business Units

  11. Finance & Information Structure (2) Figure 8. Head of Finance & Performance* 1.0 wte Band 8c Vacant Head of Corporate Accounting Head of Information Snr Performance Management Acct Costing Accountant Information Officer Performance Management Accts Data Production Analyst ICS Systems Manager Information Analyst Information Assistant Performance Management Acct Assistants Vacant: 2.0 wte Band 5 ICS Information Analyst 2.0 wte Band 5 Vacant ICS System Trainer 1.00 wte Band 5 Vacant Database Administrator 1.0 wte Band 7 (tbc) Vacant Performance Support Officer Data input clerks To support Business Units * (Deputy Finance Director)

  12. Operational Management Structures

  13. Figure 9. Overarching Structure - Adult Operational Services Joint Director of Operations (Adults) Locality Manager Forest of Dean & Tewkesbury Business Units Locality Manager Gloucester & Stroud Business Units Locality Manager Cheltenham & Cotswolds Business Units Countywide Services Manager District Nursing Social Work/Care Occupational Therapy Physiotherapy Reablement Community Hospitals Day Care Centres Dentistry Podiatry Sexual Health Hotel Services SALT Specialist Nursing Unscheduled Care Physiotherapy Occupational Therapy

  14. Figure 10. Joint Director of Operations (Adults) Cheltenham & Cotswold Locality Team Structure Locality Manager Matrons (Cirencester & Fairford) (Moreton & Bourton) (see figures 17 & 18) Business Manager Community Manager (Cotswold) Community Manager (Cheltenham) Team Manager (Leckhampton & Charlton Kings) Team Manager (South Cotswolds 1 – Cirencester Hospital) Team Manager (South Cotswolds 2 Lewis Lane) Team Manager (Hesters Way) *Team Managers Physiotherapy: Team Manager (North Cotswolds) Team Manager (Locality Hub) Team Manager (Cheltenham Town) Vacant* Team Manager (Locality Hub) Professional Team Leads Social Care - Occupational Therapy - Physiotherapy - Professional Team Lead (Nursing) • Locality Hub: • Reablement • Co-ordination • - Review Team • - Admin & Clerical • - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement • Locality Hub: • Reablement • Co-ordination • Review Team • - Admin & Clerical • - Pharmacy • Day Centres • Intermediate Care Centres • Day Centres • Intermediate Care Centres *Each locality will need to ensure appropriate representation across each discipline: SW/DN/OT/PT

  15. Figure 11. Joint Director of Operations (Adults) Gloucester & Stroud Locality Team Structure Locality Manager Matron (Stroud & Vale) (see figure 14) Business Manager Community Manager (Stroud) Community Manager (Gloucester) Team Manager (Gloucester 1) Team Manager (Gloucester 2) Team Manager (Stroud 1) Team Manager (Stroud 2) *Team Managers Vacant Physiotherapy: Team Manager (Stroud 3) Team Manager (Stroud 4) Team Manager (Gloucester 3) Team Manager (Gloucester 4) Professional Team Leads Nursing - Social Care - Occupational Therapy - Physiotherapy - Team Manager (Gloucester 5) Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement • Locality Hub: • Reablement • Co-ordination • Review Team • Admin & Clerical • - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement • Locality Hub: • Reablement • Co-ordination • Review Team • Admin & Clerical • - Pharmacy • Day Centres • Intermediate Care Centres • Day Centres • Intermediate Care Centres *Each locality will need to ensure appropriate representation across each discipline: SW/DN/OT/PT

  16. Figure 12. Joint Director of Operations (Adults) Tewkesbury & Forest of Dean Locality Team Structure Locality Manager Matron Vacant (Dilke & Lydney) (Tewkesbury) (see figures 15 &16 ) Business Manager *Team Managers Nursing Social Care Occupational Therapy Physiotherapy: Community Manager (Tewkesbury) Community Manager (Forest of Dean) Professional Team Leads Nursing Social Care - - Occupational Therapy - Physiotherapy - Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement • Locality Hub: • Reablement • Co-ordination • Review Team • Admin & Clerical • - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement • Locality Hub: • Reablement • Co-ordination • Review Team • Admin & Clerical • - Pharmacy • Day Centres • Intermediate Care Centres • Day Centres • Intermediate Care Centres *Each locality will need to ensure appropriate representation across each discipline: SW/DN/OT/PT

  17. Figure 13. Reablement Structure in Locality Multidisciplinary Teams Team Manager Reablement Co-ordinators Grade I Based within the Locality Hub Senior Reablement Workers Grade F Reablement Workers Grade E Based within MDTs

  18. Figure 14. Community Hospital Structure Gloucester & Stroud Locality Manager Gloucester & Stroud Matron Stroud & Vale Hospital Service Support Co-ordinator 1.5 wte Band 6 Team Manager MIiU (Stroud Hospital) Team Manager Medical Beds – Stroud Hospital Team Manager Theatre & Endoscopy Team Manager Vale Hospital – includes MIiU Team Manager Surgical Ward & Outpatients

  19. Figure 15. Community Hospital Structure Forest of Dean & Tewkesbury Locality Manager Forest of Dean & Tewkesbury Matron Dilke & Lydney Community Hospitals Vacant: 1.00 wte Band/Grade SMG5 Service Support Co-ordinator 1.0 wte Band 6 Team Manager MIiU 1.0 wte Band 7 Team Manager Medical Beds 1.2 wte Team Manager Outpatients Dilke and Lydney 0.6 wte Band 7

  20. Figure 16. Community Hospital Structure Forest of Dean & Tewkesbury Locality Manager Forest of Dean & Tewkesbury Matron Tewkesbury Hospital Team Manager MIiU 0.5 wte Band 7 Team Manager Theatre (Tewksbury & Forest Hospitals) & Outpatients Tewkesbury & Winchcombe Team Manager Medical beds Service Support Co-ordinator 1.0 wte Band 6

  21. Figure 17. Community Hospital Structure Cheltenham & Cotswolds Locality Manager Cheltenham & Cotswolds Matron Cirencester & Fairford Hospitals Team Manager Medical Inpatient Beds Team Manager MIiU Team Manager Endoscopy & Outpatients (inc Cirencester & Fairford) Service Support Co-ordinator

  22. Figure 18. Community Hospital Structure Cheltenham & Cotswolds Locality Manager Cheltenham & Cotswolds Matron Moreton & Bourton Service Support Co-ordinator 1.0wte Band 6 Team Manager MIiU 0.5 wte Band 7 Team Manager Moreton Hospital & Outpatients (both sites) Team Manager Bourton Intermediate Care beds

  23. Figure 19. JOINT OPERATIONS DIRECTOR - ADULTS Countywide Services Structure Countywide Services Manager Business Manager Service Manager (Professional Lead for OT) Band 8b Vacant Community Manager Service Manager (Professional Lead for Specialist Nursing) Service Manager (Professional Lead for Podiatry) Service Manager (Professional Lead for SALT) • Telecare • Wheelchair Services • Strategic Lead Reablement • Equipment Services • Specialist Palliative Care OT SALT Team Podiatry Team See Figure 20 Hotel Services MSKCATTeam Service Manager (Professional Lead for Physiotherapy) Band 8b Vacant Service Manager (Professional Lead for Dentistry) Matron (Sexual Health) Service Manager Dentistry Team Sexual Health Team See Figure 22 Capacity and Unscheduled Care Teams See Figure 21

  24. Figure 20. Countywide Specialist Nursing Structure Countywide Services Manager Service Manager (Professional Lead for Specialist Nursing) Healthy Living Centre Matson Lane Surgery Community Manager • CVD Heart Failure Service • TB Nursing • Motor Neurone Disease Service • Parkinsons Care • Care Home Support Team • Gloucestershire Smoking Advisory Service • Diabetes Nursing • Tissue Viability Nursing • Respiratory Nursing • End of Life Coordination • Bone Health Service • Telehealth

  25. Figure 21. Countywide Capacity & Unscheduled Care Structure Countywide Services Manager Service Manager Community Manager (Social Work/Care) Community Manager (Health) Team Manager Homeless Healthcare Team Manager Team Manager SPCA In reach Vacant • OOH Reablement • Urgent Response Team • Carers Emergency Scheme • Cold Harbour System Team Team Manager Acute Hospital SW Salaried GP’s x3 Unscheduled Care Business Manager Team Manager OOH Nurses Team Manager ENDNS Homeless Healthcare Team • Shared Lives • Community Development Team • Care Home Review Team • Sensory Services SPCA 8 x EDNS teams Nurse Coordinators Acute Hospital SWs

  26. Figure 22. Countywide Physiotherapy Structure Countywide Services Manager Service Manager (Professional Lead for Physiotherapy) Band 8b (see figure 19 for reference) Community Manager • Stroke • Expert Patient Programme Musculoskeletal

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