Board Executive and Divisional High Level Structure. 16-Dec-15 Version 3.4 1

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1 Board Executive and Divisional High Level Structure 16-Dec-15 Version 3.4 1

2 Non-Exec Vice Chairman Chair of FIBDC Chief Exec Director of Finance Non-Exec Chair of Q&P Medical Director Non-Exec Chair of Audit Committee Chairman Chief Nurse Non-Exec Director of Operations Board Structure Non-Exec Non-Exec Director of Workforce and Organisational Development 16-Dec-15 Version 3.4 2

3 Chief Executive High Level Structure * Not a voting Member of the Trust Board of Directors 16-Dec-15 Version 3.4 3

4 Operational Model 16-Dec-15 Version 3.4 4

5 This chart shows professional lines of accountability which are distinct from managerial lines of accountability Professional Leadership Model 16-Dec-15 Version 3.4 5

6 Executive Director Portfolios & Structures 16-Dec-15 Version 3.4 6

7 Chairman & CEO Office 16-Dec-15 Version 3.4 7

8 External Relationships Communications TDA Monitor MPs Ministers CQC OSC LAs Patients and public Internal and external communications strategy Internet and intranet development Supports public consultations Supports CEO in all aspects of communication and engagement Events manager Brand support FT Office Liaison with Governors Governor development COG committees FT Membership Elections Board Secretary Assures Trust complies with all legal, constitutional and regulatory requirements Runs and co-ordinates all aspects of the CEO and Chairman's office and FT office Board and COG cycle & support Board development Oversees virtual Legal unit Lead for corporate risk Assures and holds Risk register and assurance framework Overall lead for integrated governance Co-ordinates annual report process Charitable funds FOI Chairman & CEO Office Portfolio 16-Dec-15 Version 3.4 8

9 Chairman & CEO Office Structure 16-Dec-15 Version 3.4 9

10 Director of Finance 16-Dec-15 Version

11 Performance reporting Integrated performance report Dashboards Management information SLR Contracts and Commissioning CQUIN (with clinical colleagues) Negotiation and management of contracts Relationships with commisioners Procurement Procurement E-Procurement Finance Financial services inc l. payroll Financial management and reporting Financial strategy and modelling Capital Internal audit & anti-fraud Heads of Finance Support external relationships Director of Finance Portfolio IM&T IM&T strategy Informatics Data quality Data analysis Information governance & risk SIRO Telecomms Clinical coding 16-Dec-15 Version

12 Director of Finance Structure 16-Dec-15 Version

13 Director of Operations 16-Dec-15 Version

14 Anaesthesia & Surgery Breast Surgery Gastroenterology General & Colorectal Head & Neck (ENT, OMFS & Plastics) Vascular Surgery Theatre/Pre-Op & Anaesthesia Critical Care Trauma & Orthopaedics Urology Medicine Urgent Care General Internal Medicine NMGH General Internal Medicine FGH General Internal Medicine TROH Integrated & Community Services Integrated NM Community Services Acute Out of Hospitals Services (Incl Frailty/Palliative CAU/OASIS, UCC, Neuro Rehab) Specialist Out of Hospital Services (incl. Ophthalmology, Pain, Rheumatology, Integrated Diabetes, Respiratory & GUM) AHPs Women & Children's Obstetrics & Gynaecology Paediatrics Neonatology Support Services Pathology Radiology Pharmacy Outpatients Functional Strands Performance Management Site Management Director of Operations Portfolio Elective Access Booking & Scheduling Clinical Admin & Health Records Lead Cancer Manager Private Patients 16-Dec-15 Version

15 Director of Operations Division of Medicine Management Structure * The number of Clinical Leads for Urgent Care will depend on the site base of the Clinical Director ** Due to the size of GIM there are 3 site based directorates - all three are expected to work together on Trustwide issues 16-Dec-15 Version

16 Director of Operations Division of Medicine Professional Medical Structure * The number of Clinical Leads for Urgent Care will depend on the site base of the Clinical Director 16-Dec-15 Version

17 Director of Operations Division of Medicine Professional Nursing Structure 16-Dec-15 Version

18 Director of Operations Division of Anaesthesia & Surgery Management Structure (Incl. Theatres, Anaesthesia, Pre-operative Assessment & Critical Care) * Breast and Vascular share training grade doctors listed under general and colorectal ** A proportion of anaesthesia medical staff also cover critical care 16-Dec-15 Version

19 Director of Operations Division of Anaesthesia & Surgery Professional Medical Structure (Incl. Theatres, Anaesthesia, Pre-operative Assessment & Critical Care) * Head and Neck Clinical Leads will be dependent on the speciality of the Clinical Director ** Trauma & Orthopaedics Clinical Leads will be dependent on the site base of the Clinical Director 16-Dec-15 Version

20 Director of Operations Division of Anaesthesia & Surgery Professional Nursing Structure (Incl. Theatres, Anaesthetics, Pre-operative Assessment & Critical Care) Specialities allocated to Lead Nurse Surgery 1 Breast Surgery, Head & Neck, Urology, Trauma & Orthopaedics. Specialities allocated to Lead Nurse Surgery 2 Gastroenterology, General & Colorectal Surgery, Vascular. 16-Dec-15 Version

21 Director of Operations Division of Women & Children Management Structure 16-Dec-15 Version

22 Director of Operations Division of Women & Children Professional Medical Structure 16-Dec-15 Version

23 Director of Operations Division of Women & Children Professional Nursing Structure 16-Dec-15 Version

24 Director of Operations Division of Integrated & Community Services Management Structure * In view of the current agenda the CD post for Ophthalmology will remain and will link with the CD for Specialist Out of Hospitals Services (to be reviewed in 2 years) 16-Dec-15 Version

25 Director of Operations Division of Integrated & Community Professional Medical & AHP Structure * In view of the current agenda the CD post for Ophthalmology will remain and will link with the CD for Specialist Out of Hospitals Services (to be reviewed in 2 years) 16-Dec-15 Version

26 Director of Operations Division of Integrated & Community Professional Nursing Structure 16-Dec-15 Version

27 Director of Operations Division of Support Services Management Structure Same Post 16-Dec-15 Version

28 Director of Operations Division of Support Services Medical Professional Structure 16-Dec-15 Version

29 Director of Operations Division of Support Services Professional Nursing Structure 16-Dec-15 Version

30 Director of Operations Elective Access Management Structure 16-Dec-15 Version

31 Director of Operations Elective Access Professional Medical Structure 16-Dec-15 Version

32 Director of Operations Elective Access Professional Nursing Structure 16-Dec-15 Version

33 Director of Strategy & Commercial Development 16-Dec-15 Version

34 Strategy Corporate strategy Enabling strategies Business planning Annual plan Modelling Public Health Service Improvement LIA Partnerships External relationships Strategic alliances Stakeholder mapping Public consultation Director of Strategy & Commercial Development Portfolio Commercial Development Marketing Market & Competitor analysis Interpretation of commissioning intentions NHS Policy interpretation Relationship manager Branding Tendering Business cases with divisions New business Transformation PMO Programmes FT Workforce and leadership Service transformation Safety CIP SLR 16-Dec-15 Version

35 Director of Strategy & Commercial Development Structure 16-Dec-15 Version

36 Chief Nurse 16-Dec-15 Version

37 External Relationships NMC HPA CQC HSE Chief Inspector of Hospitals Universities Other regulatory bodies Professional Leadership Deputy Chief Nurse Divisional Nurse Directors Lead Nurses NMC AHPs Nursing Workforce Redesign 3 Steps to Excellence Chief Nurse Portfolio Patient Experience Engagement Privacy & Dignity PALS Complaints Patient forums Volunteers Equality and Diversity Interpretation End of Life Clinical Governance and Patient Safety Overall coordination and management of the clinical governance and safety function Quality strategy & Accounts SUI incident policy, reporting, and management Clinical Effectiveness assurance Health & Safety Ward Assurance Infection control, DIPSI Risk management Safeguarding Clinical Audit Guidelines & Nice Compliance CQC Compliance 16-Dec-15 Version

38 Chief Nurse Structure * Under development 16-Dec-15 Version

39 Medical Director Structure 16-Dec-15 Version

40 Information Governance Caldicott Advice to IT Patient Consent Medical Workforce External Relationships GMC, HT, universities Study Leave & CPD Revalidation & Appraisal Doctors in Difficulty Responsible Officer Job Planning Policy, Mediation & Appeals Locums Policy Medical Director Portfolio Medical Education Foundation Programme Specialty Training Medical Students GP Training Placements Medical Director lead employer AHSN Professional Leadership Deputy Med Directors x2 Divisional Medical Directors x5 Clinical Directors Chief Pharmacist Directors of Education x2 Clinical Service Transformation SRO Trustwide clinical service transformation programme Innovation Research & Development Organ Donation Clinical Outcomes (with Chief Nurse) 16-Dec-15 Version

41 Medical Director Structure 16-Dec-15 Version

42 Medical Director Structure Research & Development Structure A 16-Dec-15 Version

43 Medical Director Structure Revalidation Structure B 16-Dec-15 Version

44 Medical Director Structure Medical & Dental Education Structure C 16-Dec-15 Version

45 Director of Workforce & Organisational Development 16-Dec-15 Version

46 Employment services Bank and agency Recruitment and retention Recruitment of volunteers Workplace Health and Wellbeing Workplace assessment & advice Staff benefits Child care Health Promotion Occupational Health Workforce information ESR Workforce data Workforce analysis Workforce modelling Organisational development Leadership programmes Professional development Workforce Strategy Staff College Director of Workforce & Organisational Development Portfolio HR Management Workforce advice Disciplinaries and grievances Support to divisions Staffside partnership working Medical Staffing Ts & Cs Lead employer EWTD Learning and Education LETB Induction and mandatory training Practice placements CPD Libraries 16-Dec-15 Version

47 Director of Workforce & Organisational Development Structures 16-Dec-15 Version

48 Director of Support Services 16-Dec-15 Version

49 Estates Operations Maintenance Energy Grounds EBME Sterile services Waste Medical illustration Sustainability Estates Development Capital programme Property management Estates strategy Space Utilisation Director of Support Services Portfolio Elective Access Booking & Scheduling Clinical Admin & Health Records Lead Cancer Manager Private Patients Facilities Catering Portering Domestics Security Transport Laundry Switchboard Car parks Emergency planning Business Continuity 16-Dec-15 Version

50 Director of Support Services Structure *Same post 16-Dec-15 Version

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