How To Manage A Health Board
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1 Organisational Structures: line management accountability to Tier 4 Facilities and Corporate Services Unit Finance and Procurement Unit Primary, Community and Mental Health Unit Public Health Unit Strategic and Operational Planning Unit Workforce and Organisational Development Unit 07/21/2010
2 Organisational Structures content Key to Cwm Taf Health Board s Management Structure page 3 Board Structure page 4 Health Board s Units: 1. Facilities and Corporate Services Unit 2. Finance and Procurement Unit Primary, Community and Mental Health Unit 5. Public Health Unit 6. Strategic and Operational Planning Unit 7. Workforce and Organisational Development Unit Appendix One: Triumvirate Model page 5 page 7 page 14 page 24 page 31 page 33 page 38 Page 43
3 Key to Cwm Taf Health Board s Management Structure Independent Members Associate Members Tier One : Chief Executive Tier Two : Executive Directors Board Secretary Tier Three Tier Four WHSSC Director Director of Welsh Health Estates 3 Facilities and Corporate Services Unit Finance and Procurement Unit Primary, Community and Mental Health Unit Public Health Unit Strategic and Operational Planning Unit Workforce and Organisational Development Unit Board Members
4 Cwm Taf Health Board Board Structure Independent Members Chairman Chris Jones Chris Turner University John Hill-Tout Finance Vice Chair Vivienne Harpwood Russell Roberts Local Authority Donna Mead Community Clive Jones Community Anthony Seculer Legal Geoffrey Bell Community Jennifer Ludlow Third Sector Gaynor Jones Trade Unions Associate Members Board Secretary / Corporate Director Stephen Harrhy Chief Executive Margaret Foster Ellis Williams Director of Social Services VACANT Chair Professional Forum VACANT Chair Stakeholder Forum Executive Directors Director of Finance and Procurement / Deputy Chief Executive Director of Strategic and Operational Planning Medical Director Director of Therapies and Health Science David Lewis Alison Lagier Shona Sullivan Christopher White Director of Primary, Community and Mental Health Interim Director of Workforce and Organisational Development Director of Nursing Director of Public Health Allison Williams Ian Stead Angela Hopkins Nicola John 4
5 Facilities and Corporate Services Unit 5
6 Facilities and Corporate Services Unit Structure Facilities and Corporate Services Unit Board Secretary / Director of Corporate Services Stephen Harrhy Facilities Corporate Services Corporate Risk / Safety Corporate Operations Assistant Director of Facilities Head of Corporate Services Head of Corporate Risk / Safety (Dawn Walters) Head of Corporate Operations 6
7 Finance and Procurement Unit 7
8 Finance and Procurement Unit Structure Finance and Procurement Unit Director of Finance and Procurement David Lewis Finance and Procurement Unit Assistant Director of Finance Acute (Sue Holroyd) Finance and Procurement Unit Assistant Director of Finance Primary, Community and Mental Health (Mark Thomas) Finance and Procurement Unit Assistant Director of Finance Clinical and Corporate (Brian Hopkins) Finance and Procurement Unit Head of Corporate Finance (Huw Evans) Finance and Procurement Unit Head of Procurement (Adele Cahill) Finance and Procurement Unit Head of Financial Sustainability Local Counter Fraud Specialist and P.A. also have direct reporting line to DoF DoF of WHSSC likely to have professional reporting line to DoF 8
9 Finance and Procurement Unit Acute Structure Finance Unit Acute Assistant Director of Finance Acute (Sue Holroyd) Finance Unit Acute Head of Financial Support (Felicity Stainthorpe) 9
10 Finance and Procurement Unit PCMH Structure Finance Unit PCMH Assistant Director of Finance Primary, Community and Mental Health (Mark Thomas) Finance Unit PCMH Head of Financial Support (Andrew Jones) 10
11 Finance and Procurement Unit Clinical and Corporate Support Structure Finance Unit Clinical and Corporate Assistant Director of Finance Clinical and Corporate (Brian Hopkins) Finance Unit Clinical and Corporate Head of Financial Support (Shane Evans) Finance Unit Clinical and Corporate Head of Financial Flows (Kendal Smith) 11
12 Finance and Procurement Unit Corporate Structure Finance Unit Head of Corporate Finance (Huw Evans) Finance Unit Finance Unit Finance Unit Head of Capital Finance (Ana Mladenovic) Head of Financial Accounts (Mike Ramsey) Head of Systems / Governance (Colin Barrett) 12
13 Finance and Procurement Unit Procurement and P2P Structure Finance Unit Head of Procurement (Adele Cahill) Finance Unit Finance Unit P2P Manager (Esther Price) Procurement Nurse (Sally Howells) 13
14 14
15 Structure: Phase 1 Medical Director* Shona Sullivan Postgraduate Organiser (Kamal Assad) Assistant Medical Director Quality Improvement and Governance (David Cassidy) Undergraduate Organiser Honorary Senior Lecturer (Victor Aziz) Assistant Director of and Safety** (Susan Morgan) Clinical Lead for Clinical Audit and Effectiveness Undergraduate Organiser Honorary Senior Lecturer Clinical Lead for Research and Development Clinical Lead for Cancer Standards (Salih Aslan) (Ruth Alcolado) (John Geen) (Richard Winter) * professional accountability for all medical staff across Cwm Taf ** direct accountability to Medical Director with professional accountability also to Director of Therapies and Health Science and Director of Nursing 15
16 Structure: Phase 1 Postgraduate Organiser (Kamal Asaad) Associate Postgraduate Organiser RGH (Gareth Davis) Associate Postgraduate Organiser PCH (Bleddyn Davies) 16
17 Structure: Phase 1 Assistant Director of and Safety (Susan Morgan) Clinical Audit and Effectiveness Manager Clinical Governance Manager Patient Safety Manager Research and Development Manager Library Services Manager RGH Medical Education Centre Manager PCH Head of Resuscitation Library Services Manager PCH Undergraduate Education Manager RGH Postgraduate Education Manager RGH 17
18 Structure Patient Nursing Care and Safety Unit Director of Therapies and Health Science Christopher White Clinical Support Asst Medical Director Therapies Head of Therapies* (Gill Bowtell) al General Mgr (Alan Lewis) al Nurse (Andrea Gristock) * denotes professional accountability 18
19 Structure Clinical Support Asst Medical Director al General Mgr (Alan Lewis) Assistant Director of Professional Regulation / al Nurse for Clinical Support (Andrea Gristock) Pathology Directorate Clinical Director (Jason Shannon) Directorate Manager (Glyn Evans) Radiology Directorate Clinical Director (Eryl Hicks) Directorate Manager (Chris Kalinka) Outpatients and Medical Records Directorate Directorate Manager 19
20 Structure Therapies Head of Therapies (Gill Bowtell) Therapies Strategic Lead / Research, Education and Training 20
21 Structure Patient Nursing Care Director of Nursing * Angela Hopkins Assistant Director of Professional Regulation / al Nurse for Clinical Support (Andrea Gristock) Assistant Director of Safeguarding and Public Protection / al Nurse for Localities (Lynda Williams) * accountability for registered nurses, midwives and specialist public health nurses in Cwm Taf 21
22 Structure Assistant Director of Professional Regulation / al Nurse for Clinical Support* (Andrea Gristock) Senior Nurse: Workforce, Education Research and Development Senior Nurse: Professional and Clinical Standards Lead Chaplain * see Clinical Support structure 22
23 Structure Assistant Director of Safeguarding and Public Protection / al Nurse for Localities * (Lynda Williams) Head of Safeguarding Lead Nurse Infection and Prevention Control * See Primary, Community and Mental Health Unit structure 23
24 Primary, Community and Mental Health Unit 24
25 Primary, Community and Mental Health Unit Structure Primary, Community and Mental Health Unit Director of Primary Community and Mental Health Allison Williams Localities Integrated Services Medicines Management Partnerships Asst Medical Director (Richard Quirke) al General Mgr (Craige Wilson) Asst Dir of S&PP * / al Nurse (Lynda Williams) Asst Medical Director (Kamal Asaad) al General Mgr (Paul Davies) al Nurse (Kath McGrath) Head of Medicines Management (Howard Rowe) Assistant Director Partnerships (Samia Saeed) * See structure 25
26 Primary, Community and Mental Health Unit Primary Care & Localities al Structure: Phase 1 Localities Asst Medical Director (Richard Quirke) al General Mgr (Craige Wilson) Asst Dir of S&PP * / al Nurse (Lynda Williams) Communications Hub Rhondda & Taff Locality Merthyr & Cynon Locality Primary Care Support Unit Clinical Director Operational Manager Senior Nurse Clinical Director Rhondda (Richard Dewar) Clinical Director Taff Ely (Kurt Burkhardt) Locality Manager (Jan Harries) Head of Nursing (Lesley Lewis) Clinical Director Merthyr Tydfil (Kevin Thomas) Clinical Director Cynon (Jonathan Richards) Locality Manager (Sarah Bradley) Head of Nursing Clinical Director PCSU Manager Senior Nurse HOSTED FUNCTIONS: HOSTED FUNCTIONS: CMP : RCT / Bridgend Porth Dental Unit CMP : Merthyr Tydfil Eastern Valleys Primary Care Team: GMS, Dental, Estates, Admin * See structure 26
27 Primary, Community and Mental Health Unit Integrated Structure: Phase 1 Integrated Services Asst Medical Director (Kamal Asaad) al General Mgr (Paul Davies) al Nurse* (Kath McGrath) CAMHS Directorate Women and Children's Directorate Mental Health Directorate Therapies Directorate Clinical Director (Meraj Hassan) Directorate Manager (Sue Brannam) Head of Child & Adolescent Mental Health Nursing (Julie Morris-Cude) Clinical Director: O&G (Steve Vine) Clinical Director: C&YP (Robert Evans) Directorate Manager (Jonathan Haxton) HoN: Midwifery (Jackie Davies) HoN: Children s (Ann Roberts) Clinical Director (Huw Griffiths) Directorate Manager (Diane Davies) Head of Mental Health Nursing (Daphne James) Directorate Manager (Gill Bowtell) * Professional accountability for all senior nurses within the division 27
28 Primary, Community and Mental Health Unit Continuing Healthcare / NHS Funded Care Structure Primary, Community and Mental Health Unit Director of Primary Community and Mental Health Allison Williams Primary, Community and Mental Health Unit Assistant Director of Safeguarding & Public Protection / al Nurse* (Lynda Williams) Primary, Community and Mental Health Unit Senior Nurse CHC & NHS Funded Care * Professional accountability for all senior nurses within the Primary Care and Localities division 28
29 Primary, Community and Mental Health Unit Medicines Management Structure Medicines Management Head of Medicines Management (Howard Rowe) Rhondda Pharmacy Medicines Management Chief Pharmacist / Medicines Management Lead (Martin Davies) Taff Ely Pharmacy Medicines Management Chief Pharmacist / Medicines Management Lead (Kate Walker / Jenny Harries Merthyr & Cynon Pharmacy Medicines Management Chief Pharmacist / Medicines Management Lead (Suzanne Scott-Thomas) Medicines Management Practice Unit Chief Pharmacist Medicines Management Practice Unit (Brian Hawkins) 29
30 Primary, Community and Mental Health Unit Partnerships Structure Partnerships Assistant Director Partnerships (Samia Saeed) Partnerships Partnerships Partnerships Partnerships Head of Health & Well-being RCT Head of Out of Hospital Redesign Head of Children & Young People s Service Redesign Head of Partnerships Support 30
31 Public Health Unit 31
32 Public Health Unit Structure Nursing Public Health Unit Director of Public Health Nicola John Public Health Unit Public Health Unit Public Health Unit Principal Health Promotion Specialist (Margaret Munkley) Principal Health Promotion Specialist (Diane Gibbons) Principal Health Promotion Specialist (Carol Owen) * Public Health Unit staff are employed by Public Health Wales. **Public Health Wales is still in the process of determining the organisational structure across Wales. 32
33 Strategic and Operational Planning Unit 33
34 Strategic and Operational Planning Unit Structure Strategic and Operational Planning Unit Director of Strategic and Operational Alison Lagier Acute Assistant Medical Director (Mike Page) al General Mgr (Rob Thomas)* al Nurse (Jason Roberts) Planning Assistant Director of Strategy, Planning & Service Re-design (Marie Burrow) Performance and IM&T Assistant Director of Performance and Information (Rachel Marsh) * secondment 34
35 Strategic and Operational Planning Unit Structure Acute Structure Acute Assistant Medical Director (Mike Page) al General Mgr (Rob Thomas)* al Nurse (Jason Roberts) Acute Medicine and A&E Directorate Clinical Director (Sadiyah Hand) Directorate Manager (Neil Cooper) Head of Nursing (Christine England) Anaesthetics, Critical Care and Theatres Clinical Director (Ashish Wagle) Directorate Manager (Paul Wilkins) Head and Neck Directorate Clinical Director (Ragu Ram) Directorate Manager (Lucy Timlin) Head of Nursing (Amanda Cassidy) Surgery, Trauma and Orthopaedics & Urology Directorate Clinical Director (Tim Havard) Directorate Manager (Rachel Rendle)* * secondment 35
36 Strategic and Operational Planning Unit Structure Planning Structure Planning Assistant Director of Strategy, Planning & Service Re-design (Marie Burrow) Capital Directorate Capital Directorate Planning Directorate Planning Directorate Head of Major Projects Service Project Manager Major Capital Planning* Head of Strategy Acute and Clinical Support Head of Strategy Corporate Support Capital Directorate Capital Directorate Planning Directorate Head of Capital (Discretionary), Land & Property Service Project Manager Major Capital Planning* Head of Strategy Primary, Integrated and Mental Health * posts aligned and financially supported via capital schemes 36
37 Strategic and Operational Planning Unit Structure Performance and IM&T Structure Performance and IM&T Assistant Director of Performance and Information (Rachel Marsh) Information Directorate Information Technology Directorate Performance Directorate Head of Information Services Head of ICT Head of Performance 37
38 Workforce and Organisational Development Unit 38
39 Workforce and Organisational Development Unit Structure Workforce and Organisational Development Unit Interim Director of Workforce and Organisational Development Ian Stead Workforce Management Assistant Director of Workforce Management (Stephen James) Organisational Development Head of Organisational Development (Gwenan Roberts) Workforce Development Head of Workforce Development (Sandra Marshall) 39
40 Workforce and Organisational Development Unit Workforce Management Structure Workforce Management Assistant Director of Workforce Management (Stephen James) Workforce Management Workforce Management Workforce Management Workforce Management Head of Employee Services Head of Staff Bank and Recruitment Occupational Health Manager Head of Policy Development, Equality and Compliance Workforce Management Workforce Management Business Partner for Acute, Planning and Medical Personnel Workforce Management Workforce Management Business Partner for Clinical Support and Corporate Workforce Management Workforce Management Business Partner for Primary, Community and Mental Health 40
41 Workforce and Organisational Development Unit Organisational Development Structure Organisational Development Head of Organisational Development (Gwenan Roberts) Organisational Development Organisational Development and Change Management Manager 41
42 Workforce and Organisational Development Unit Workforce Development Structure Workforce Development Head of Workforce Development (Sandra Marshall) Benefits Realisation Directorate Benefits Realisation Manager Workforce Planning Directorate Workforce Planning and Role Redesign Manager (Beth Winder) Learning and Development Directorate Learning and Development Manager (Mark Gibbs) 42
43 Appendix 1: Triumvirate model What is a Triumvirate model? A triumvirate model includes a clinical lead (Medical / Clinical Director or similar), a management lead (General / Operational Manager or similar) and a nurse lead (Head of / Senior Nurse or similar). These three key roles work in partnership within the triumvirate model. Clinical Lead How does a Triumvirate model work? All three roles within a triumvirate operate at the equivalent organisational tier in order to support the principle of a partnership of equals. However, in terms of general line management the accountabilities must be through one individual and that is the clinical lead (i.e. Assistant Medical Director at al level or the Clinical Director at Directorate level). Professional accountabilities within the s and Directorates will however be through the relevant Executive Director. Management Lead TRIUMVIRATE Nurse Lead Why use a Triumvirate model? As an organisation we recognise the pivotal role of clinical leadership which the triumvirate model supports. 43
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