Joint Organisational Structure August 2019 ICC Integrated Pathways

Joint Organisational Structure| August 2019 ICC Integrated Pathways Care Group ICC Place based ICCs (Collaborative leadership) Specialist Care Group ICC ICC • • • • • • • • Acquired Brain Injury (ABI) Acute Pain Adult Therapy Dermatology Diabetes Disablement Services Cardiology Children’s Services (County Wide) Child Therapies Elderly Care Endocrinology General Medicine Gynae Haverigg Paediatrics Persistent Physical Symptoms (PPSS) Renal Respiratory Rheumatology Sexual Health Specialist Palliative Care Stroke Maternity Musculoskeletal (MSK) Neuro rehab Medical Procedures Unit (MPU) Obstetrics Outpatients Women & Children Also responsible for: CHIS, IDT, System flow Emergency Care Village responsible for the UEC pathway including: • Same day emergency care • Acute Emergency Department • Emergency Admissions Unit • Emergency Assessment Centre? • Urgent Treatment Centres • GP Streamlining • Frailty access • Home First • Community Hospital • • • • • • Anaesthetics Audiology Breast Cancer Services Critical Care Dental Diabetic Eye Screening Ear, Nose & Throat Endoscopy Upper and Lower Gastro Intestinal (GI) Haematology Medical Physics Nuclear Medicine Orthopaedics Oral and maxillofacial surgery Oncology Ophthalmology Pathology Radiology Surgery Trauma Radiotherapy Urology Vascular

Associate Medical Director Dr Raj Verma Deputy Director of Operations Yannick Raimbault Associate Director of Nursing & Governance Lesley Paterson Operational Structure Awaiting Photo Service Manager Colin Holmes Service Manager Ellie Clark Service Manager Joanna Manley Service Manager Louise Rossall Cardiology/ Respiratory Composite Workforce/ Gen Med/ Renal / Diabetes / Endocrinology Elderly Care/ Stroke/ Neuro rehab/ ABI/ Adult Therapy/ Disablement Services Specialist Palliative Care Rheumatology Sexual Health/Acute Pain/PPSS/Dermatology/ MSK/MPU/Out patients Women & Children Adults & Community Paediatrics County Wide Children’s Services. Obstetrics /Maternity/ Gynae/ Child Therapies/ CHIS Awaiting Photo Deputy Service Manager Rachel Brown Deputy Service Manager Sue Reynolds Deputy Service Manager Jacqui Donald Locality manager North To be appointed Locality manager South To be appointed Integrated Pathways Care Group Senior Management Structure Integrated Pathways Care Group | August 2019

Integrated Pathways Care Group / Emergency Care Village | August 2019 Deputy Director of Operations Yannick Raimbault Operational Structure The Emergency Care Village includes the UEC pathway including: same day emergency care, Acute ED, EAU, EAC, UTCs, GP Streamlining, Frailty access, Home First, IDT, Community Hospital and system flow Emergency Care Village Manager Clare Sinclair Awaiting Photo ECV Service Manager Barbara Fleary Joint Executive Management Team Community Hospitals Service Lead Val Buchanan Emergency Service Manager (CIC) Jen Lambert Awaiting Photo Patient Journey Coordinator (CIC) Emergency Service Manager (WCH) To be appointed Deputy Service Manager To be appointed Patient Journey Coordinator (WCH) Gemma Hattrick

Senior Management Structure Integrated Care Communities | August 2019 Associate Medical Director Dr Matt Philips Carlisle Healthcare Brampton & Longtown Carlisle Network Copeland Deputy Director of Operations To be appointed Interim Associate Director of Nursing Salli Pilcher Eden Keswick & Solway Maryport & Cockermouth Workington ICC manager Eden Christine Stewart ICC development manager Keswick & Solway Vanessa Connor ICC manager Maryport & Cockermouth Zoe Larmour ICC manager Workington To be appointed Operational Structure Awaiting Photo ICC manager Carlisle Healthcare Angie Reynolds ICC development manager Brampton & Longtown Richard Lloyd ICC manager Carlisle Network Kerry Harmer ICC manager Copeland Zoe Fullagar

Operational Structure Senior Management Structure Specialist Care Group| August 2019 Associate Meical Medical Director Raj Mr. Dr Ioannis Verma Michalakis Deputy Director of Operations To be appointed Associate Director of Nursing & Governance Salli Pilcher Imaging & Diagnostics Sharon Jenner Electives & Theatres Operational Lead David Glover Cancer Operational Lead Hazel Raby Endoscopy, GI, Surgery, Breast, Urology, Vascular Anaesthetics & Critical Care, Trauma & Orthopaedics, ENT, Audiology, OFMS, Dental, DESP, Ophthalmology Cancer Services, Nuclear Medicine, Radiotherapy, Haematology, Medical Physics, Oncology, Pathology, Radiology Awaiting Photo Deputy Service Manager James Mc. Court Deputy Service Manager Paula Mc. Bride Deputy Service Manager To be appointed Locality manager To be appointed

Nursing: professional structure Matrons, Quality & Safety leads – across the system | August 2019. System Executive Nurse Alison Smith Director of Nursing Ali Budd Associate Director of Nursing & Governance Salli Pilcher Lead Nurse ICCs Richard Joint Executive Management Team To be Heaton appointed Associate Director of Nursing & Governance Lesley Paterson Lead Nurse To be appointed Head of Midwifery Integrated Pathways Group Jane Anderson Assistant Director of Nursing, Children & Young People Integrated Pathways Group Lyn Moore Professional Heads of Nursing Head of Safeguarding Team Practice Development Nurse To be appointed Specialist Care Group Practice Development Nurse To be appointed Matron To be appointed Deputy Head of Midwifery Christine Cuncar Integrated Pathways Care Group Governance Team

Medical Structure Cross cutting Corporate Medical Team – support to all Care Groups | August 2019. System Medical Director Dr Vince Connelly Specialist Care Group AMD Mr Ioannis Michalakis ICCs AMD Dr Matt Philips Clinical Directors Integrated Pathways Care Group AMD Dr Raj Verma Clinical Leads Deputy Medical Director Dr Rod Harpin Director of Medical Education Prof Sam Dearman Medical Examiner Dr Clive Graham Associate Medical Director Quality To be appointed Research & Development To be appointed Associate Medical Director Chief Clinical Information Officer Grayham Putnam Governance Team