Gloucestershire Care Services New Structures The structures have

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

Board & Senior Management Structures

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

Figure 2. Gloucestershire Care Services Senior Management Structure Chief Executive Designate Communications & Marketing Manager 1. 0 wte Band 8 a Vacant Executive Assistant PA to Executive Office 1. 0 wte Band 4 Vacant Commercial Finance Director* Head of Employee Excellence Finance & Information See Figures 7 & 8 Employee Excellence See Figure 6 *(Deputy Chief Executive) Patient and Public Involvement Manager Joint Director of Operations Adult Services See Figure 9 Governance See Figure 5 Joint Director of Operations Clinical Director (4 – 5 Sessions pwk) Vacant Children Services Subject to separate review Clinical Quality & Development See Figures 3 & 4

Support Services Structures

Figure 3. Clinical Quality & Development Structure (1) Clinical Director (4 - 5 sessions pwk) Vacant Medical Director Head of Social Care 1. 0 wte PMG 2 (Gloucestershire County Council Funded Post) Lead Pharmacist Head of Nursing* Medical Leads *(Deputy Clinical Director)

Figure 4. Clinical Quality & Development Structure (2) Head of Nursing (Deputy Clinical Director) Clinical Quality Administrator Clinical Quality Manager Clinical Education Lead Teacher (District Nursing Service) Clinical Trainer Fixed term until October 2011 Team Secretary Advanced Nursing Practitioner Unscheduled Care Staff Rostering Manager (Electronic Rostering) Clinical Service Change Manager Clinical Development Facilitator – End of Life 0. 6 wte Band 7 Clinical Development Facilitator – IV Therapy Lead Nurse Infection Control Team

Figure 5. Governance Structure Joint Director of Operations Head of Governance Team Secretary Band 3 1. 00 wte Vacant Complaints & Litigation Manager Complaints & Litigation Administrative Assistant Information Governance Manager Health Records Manager Risk & Patient Safety Manager Incident Information Officer Assistant Health Records Manager Health Records Administrator Health Records Clerical Officers Project Officer (Emergency Planning) PCAG Manager PCAG Officer

Figure 6. Employee Excellence Structure Head of Employee Excellence Team Secretary 1. 0 wte Band 3 Vacant Skills, Safety & Estates Business Partner Safety & Corporate Facilities Manager Security Management Specialist Safety, Security, Skills & Estates Senior Administrator* Corporate Facilities Officer Training Manager 1. 0 wte Band 7 Vacant *Supports: - Skills, Safety & Estates Business Partner - Safety & Corporate Facilities Manager - Security Management Specialist Training (L&D) Administrator Training (L&D) Admin Assistant HR Systems Business Partner Recruitment Manager Pay & Benefits Manager Workforce Information Analysts ESR System Manager HR Locality Advisors Vacant. Band 6 Trainers Clinical: Non-Clinical: Health, Safety & Environment Training Admin Receptionist / Post Room Assistants HR Operations Business Partner (Children & Corporate) (Adults) Equality & Diversity Manager Smartcard Assistant HR & Recruitment Assistant Vacant: Band 3 Expenses Administrator To Support Business Units Expenses Assistant ESR Support Assistant 1: 00 wte Band 3 Vacant

Figure 7. Finance & Information Structure (1) Team Secretary Company Secretary & Board Governance Administrator 1. 0 wte Band 6 Vacant Commercial Finance Director (Deputy Chief Executive) Governance Project Support Officer (Members & Shareholders) Head of Finance & Performance* 1. 0 wte Band 8 c Vacant Head of Business Development Head of IT Development & Operations IT Project Support Project Management Officer See separate chart Project Officers (Career Break) 1: 00 wte Vacant Business Change Manager Treasury & Accounts Receivable Accountant 1. 0 wte Band 6 (tbc) Vacant IT Manager Accounts Assistant 1. 0 wte Band 4 (tbc) Vacant Child Health Team * (Deputy Finance Director) Financial Accountant 1. 0 wte Band 8 a (tbc) Vacant Project Support Officer To support Business Units

Figure 8. Finance & Information Structure (2) Head of Finance & Performance* 1. 0 wte Band 8 c Vacant Head of Corporate Accounting Costing Accountant Snr Performance Management Accts Performance Management Acct Assistants Vacant: 2. 0 wte Band 5 To support Business Units * (Deputy Finance Director) Head of Information Officer Information Analyst Information Assistant Database Administrator 1. 0 wte Band 7 (tbc) Vacant Data Production Analyst ICS Information Analyst 2. 0 wte Band 5 Vacant Performance Support Officer ICS Systems Manager ICS System Trainer 1. 00 wte Band 5 Vacant Data input clerks

Operational Management Structures

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

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

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

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

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

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 MIi. U (Stroud Hospital) Team Manager Medical Beds – Stroud Hospital Team Manager Theatre & Endoscopy Team Manager Vale Hospital – includes MIi. U Team Manager Surgical Ward & Outpatients

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 SMG 5 Service Support Co-ordinator 1. 0 wte Band 6 Team Manager MIi. U 1. 0 wte Band 7 Team Manager Medical Beds 1. 2 wte Team Manager Outpatients Dilke and Lydney 0. 6 wte Band 7

Figure 16. Community Hospital Structure Forest of Dean & Tewkesbury Locality Manager Forest of Dean & Tewkesbury Matron Tewkesbury Hospital Service Support Co-ordinator 1. 0 wte Band 6 Team Manager MIi. U 0. 5 wte Band 7 Team Manager Theatre (Tewksbury & Forest Hospitals) & Outpatients Tewkesbury & Winchcombe Team Manager Medical beds

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

Figure 18. Community Hospital Structure Cheltenham & Cotswolds Locality Manager Cheltenham & Cotswolds Matron Moreton & Bourton Service Support Co-ordinator 1. 0 wte Band 6 Team Manager MIi. U 0. 5 wte Band 7 Team Manager Moreton Hospital & Outpatients (both sites) Team Manager Bourton Intermediate Care beds

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

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

Figure 21. Countywide Capacity & Unscheduled Care Structure Countywide Services Manager Service Manager Community Manager (Social Work/Care) Community Manager (Health) Team Manager ENDNS 8 x EDNS teams Nurse Coordinators Team Manager OOH Nurses Team Manager SPCA In reach Unscheduled Care Business Manager Salaried GP’s x 3 Team Manager Acute Hospital SW Vacant SPCA Team Manager Homeless Healthcare Team Acute Hospital SWs • OOH Reablement • Urgent Response Team • Carers Emergency Scheme • Cold Harbour System Team Manager • Shared Lives • Community Development Team • Care Home Review Team • Sensory Services

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