Integrated Pathways Care Group Joint Care Group Structures| August 2019 Integrated Pathways Care Group ICC Specialist Care Group Place based ICCs (Collaborative leadership) 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 Gynaecology 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 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 Streaming Frailty access Home First Anaesthetics Audiology Breast Cancer Services Critical Care Dental Diabetic Eye Screening Ear, Nose & Throat (ENT) Endoscopy Upper and Lower Gastro Intestinal (GI) Haematology Medical Physics Nuclear Medicine Orthopaedics Oral and maxillofacial surgery OMFS Oncology Ophthalmology Pathology Radiology Surgery Trauma Radiotherapy Urology Vascular

Integrated Pathways Care Group | August 2019 Associate Medical Director Dr Raj Verma Senior Management Structure Deputy Director of Operations Yannick Raimbault Associate Director of Nursing & Governance Lesley Paterson Awaiting Photo Service Manager Colin Holmes Service Manager Ellie Clark Integrated Pathways Care Group Service Manager Joanna Manley Service Manager Louise Rossall Cardiology/ Respiratory General Medicine/ 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 ServicesObstetrics /Maternity/ Gynae/ Child Therapies Operational Structure Awaiting Photo Awaiting Photo Awaiting Photo Deputy Service Manager Rachel Brown Deputy Service Manager Sue Reynolds Deputy Service Manager Jacqui Donald Deputy Service Manager Amy Thompson * One of the deputy service manager posts will be dedicated to the Emergency Care Village.

Integrated Pathways Care Group / Emergency Care Village | August 2019 Deputy Director of Operations Yannick Raimbault 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 Community Hospitals Service Lead Val Buchanan Emergency Service Manager (CIC) To be appointed Patient Journey Co-ordinator (CIC) To be appointed Emergency Service Manager (WCH) To be appointed Patient Journey Co-ordinator (WCH) To be appointed Operational Structure Joint Executive Management Team * One of the deputy service manager posts will be dedicated to the Emergency Care Village.

Integrated Care Communities | August 2019 Senior Management Structure Associate Medical Director Prof Matt Philips (Sessional) Senior Operational Programme Lead To be appointed Lead Nurse To be appointed Carlisle Healthcare Brampton & Longtown Carlisle Network Copeland Eden Keswick & Solway Maryport & Cockermouth Workington ICC manager Carlisle Network Kerry Harmer Awaiting Photo ICC manager Eden Christine Stewart ICC development manager To be appointed ICC manager Carlisle Healthcare Angie Reynolds ICC development manager To be appointed ICC manager Copeland To be appointed ICC manager Keswick & Solway Vanessa Connor ICC manager Workington To be appointed Operational Structure

Specialist Care Group| August 2019 Associate Medical Director Mr Ioannis Michalakis Associate Meical Director Dr Raj Verma Senior Management Structure 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 Operational Structure Awaiting Photo Deputy Service Manager James McCourt Deputy Service Manager Paula McBride Deputy Service Manager To be appointed Deputy Service Manager To be appointed Deputy Service Manager To be appointed

Integrated Pathways Care Group 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 Associate Director of Nursing & Governance Lesley Paterson 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 Governance Team Lead Nurse Richard Heaton Lead Nurse ICCs To be appointed Lead Nurse To be appointed Joint Executive Management Team Safeguarding Team Practice Development Nurse To be appointed Practice Development Nurse To be appointed Deputy Head of Midwifery Christina Cuncarr Matron Claire Moore Specialist Care Group ICCs Integrated Pathways Care Group

Medical Structure Cross cutting Corporate Medical Team – support to all Care Groups | August 2019. System Executive Medical Director Dr Vince Connelly Specialist Care Group AMD Mr Ioannis Michalakis ICCs AMD Prof Matt Philips Integrated Pathways Care Group AMD Dr Raj Verma Deputy Medical Director & Responsible Officer Dr Rod Harpin Director of Medical Education Dr Sam Dearman Director of Infection Prevention & Medical Examiner (AMD) Dr Clive Graham Governance Team AMD Quality and Insight To be appointed Research & Development Prof Dave Dagnan Associate Medical Director - Chief Clinical Information Officer (CCIO) Graham Putnam