How NHS FIFE is managed Chief Executive Chief Executive NHS Fife Fife Council Director of Finance Medical Director Nurse Director Director of Public Health Chief Operating Officer Director of Workforce Director of Estates, Facilities and Capital Services Director of Health and Social Care Partnership Deputy Chief Operating Officer Associate Medical Director Associate Nurse Director Planned Care Directorate Emergency Care Directorate Women and Children's and Clinical Support Directorate Divisional General Manager (Fife Wide) Divisional General Manager (East) Divisional General Manager (West) Chief Financial Officer Associate Medical Director Associate Nurse Director Director of Pharmacy Head of Strategic Planning, Commissioning & Performance

Acute Services Division Medical Director Director of Nursing Chief Operating Officer Senior Manager – Access Waiting Times & Access Associate Medical Director Head of Midwifery Associate Director of Nursing Deputy Chief Operating Officer General Manager Planned Care General Manager Emergency Care General Manager W&C Clinical Support Leadership for doctors and dentists in ASD Overview and assurance of Quality & Safety Medical Workforce Planning & Professional Leadership for Midwifery, Paediatrics & Neonates Tissue Viability (Acute) Volunteers (Acute) Health Promotion (Acute) Nurse Bank (Professional Leadership) Anaesthetics Admissions Unit 2 Audiology Breast Surgery Cancer Services Day Intervention Unit Ear, Nose and Throat Endoscopy Units General Surgery Ophthalmology (inc. Orthoptics) Oral & Maxillofacial Surgery Orthopaedic and Trauma Surgery Orthodontics Pain Management Plastic Surgery Resuscitation Team Theatres and Day Surgery Urology (inc Diagnostic and Treatment Centre) Vascular Surgery VHK Site Management Acute Medicine Admissions Unit 1 Cardiology Clinical Intervention Unit Clinical Oncology Critical Care Services Dermatology Emergency Department Emergency Care Ambulatory Service (ECAS) Endocrinology/Diabetes Gastroenterology General Medicine Haematology Infectious Diseases Medical Oncology Medicine of the Elderly Nephrology Neurology (inc Neurophysiology) Outpatient Departments Respiratory Medicine Stroke Medicine Gynaecology Maternity Services Paediatrics including Neonatology Health Records Laboratory Services - Fife Wide Medical Photography Radiology - Fife Wide Therapies and Rehab Cancer Services

Health and Social Care Partnership Divisional General Manager (East) Divisional General Manager (West ) Divisional General Manager (Fife wide) Integrated Community Services: ICASS including SPOA and AHPs, District Nursing and Hospital at Home and support worker functions General Medical Services General Dental Services Community Ophthalmic Services Community Pharmacy Services Primary Care Teams and aligned roles to General Practice e.g. development Pharmacy Local Commissioning (Older People Social Work) Assessment and Care Management (Older People Social Work) Review team (Older People) Homecare including community alarms, tele-care and Nightlink Assessment and care Management OT services (Social Work) Community Hospital Inpatient Fife Rehabilitation Service & Sir George Sharp Unit Day assessment and Day Hospitals Day Centre Services Residential Care homes and intermediate care facilities Commissioned Voluntary Organisations and Local Co-ordination hub Lead for Fife wide review of In House Home Care (2015) Integrated Community Services: ICASS including SPOA and AHPs, District Nursing and Hospital at Home and support worker functions General Medical Services General Dental Services Community Ophthalmic Services Community Pharmacy Services Primary Care Teams and aligned roles to General Practice e.g. development Pharmacy Local Commissioning (Older People SW) Assessment and Care Management (Older People Social Work) Review Team (Older People) Homecare including community alarms, tele-care and Nightlink Assessment and Care Management OT Services (Social Work) Community Hospital Inpatient Services (QMH) Fife Palliative Care Services (community and hospice) Integrated Discharge Hub (VHK) Day Assessment and Day Hospitals Day Centre Services Residential Care homes and intermediate care facilities Commissioned Voluntary Organisations and Local Co-ordination Hub Joint Equipment Store Lead for Fife wide review of OT services (2015) Primary Care Emergency Service (PCES) Integrated Mental Health, Learning Disability and Psychological Services:   Mental Health Services (hospital inpatient and community based); CAMHS ; Addictions Learning Disability (inpatient, community and forensic) Clinical Psychology MHO Team Adult Resources Assessment and Care Management (Adults Fife-Wide) Adult Protection Policy Team SDS Team Adults Commissioning (SW) Integrated Children’s Services: Children’s /Paediatric services School Nursing, Health Visiting and Child Protection Children’s OT Other Fife-wide Services: Community Dental Service Sexual Health FRDU (Rheumatology) Health Promotion and Health Improvement Dietetics, SALT, Podiatry and MSK Physiotherapy