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

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

Gloucestershire Care Services Senior Management Structure Figure 2. Gloucestershire Care Services Senior Management Structure Chief Executive Designate Executive Assistant Communications & Marketing Manager 1.0 wte Band 8a Vacant PA to Executive Office 1.0 wte Band 4 Vacant Patient and Public Involvement Manager Commercial Finance Director* Head of Employee Excellence Joint Director of Operations Joint Director of Operations Clinical Director (4 – 5 Sessions pwk) Vacant Finance & Information See Figures 7 & 8 Employee Excellence See Figure 6 Adult Services See Figure 9 Governance See Figure 5 Children Services Subject to separate review Clinical Quality & Development See Figures 3 & 4 *(Deputy Chief Executive)

Support Services Structures

Clinical Quality & Development Structure (1) Figure 3. Clinical Quality & Development Structure (1) Clinical Director (4 - 5 sessions pwk) Vacant Medical Director Head of Social Care 1.0 wte PMG2 (Gloucestershire County Council Funded Post) Lead Pharmacist Head of Nursing* Medical Leads *(Deputy Clinical Director)

Clinical Quality & Development Structure (2) Figure 4. Clinical Quality & Development Structure (2) Head of Nursing (Deputy Clinical Director) Clinical Quality Administrator Team Secretary Advanced Nursing Practitioner Unscheduled Care Clinical Quality Manager Clinical Service Change Manager Lead Nurse Infection Control Clinical Education Lead Staff Rostering Manager (Electronic Rostering) Clinical Development Facilitator – End of Life 0.6 wte Band 7 Clinical Development Facilitator – IV Therapy Infection Control Team Teacher (District Nursing Service) Clinical Trainer Fixed term until October 2011

Governance Structure Figure 5. Joint Director of Operations Head of Team Secretary Band 3 1.00 wte Vacant Complaints & Litigation Manager Health Records Manager Information Governance Manager PCAG Manager Risk & Patient Safety Manager Incident Information Officer Project Officer (Emergency Planning) PCAG Officer Complaints & Litigation Administrative Assistant Assistant Health Records Manager PCAG Officer Health Records Administrator Health Records Clerical Officers

Employee Excellence Structure Figure 6. Employee Excellence Structure Head of Employee Excellence Team Secretary 1.0 wte Band 3 Vacant HR Operations Business Partner (Children & Corporate) (Adults) Skills, Safety & Estates Business Partner Equality & Diversity Manager HR Systems Business Partner Safety & Corporate Facilities Manager Security Management Specialist Training Manager 1.0 wte Band 7 Vacant Recruitment Manager Pay & Benefits Manager Workforce Information Analysts ESR System Manager To Support Business Units Trainers Clinical: Non-Clinical: HR Locality Advisors Vacant. Band 6 Safety, Security, Skills & Estates Senior Administrator* Smartcard Assistant ESR Support Assistant Corporate Facilities Officer Health, Safety & Environment Training Admin HR & Recruitment Assistant Vacant: Band 3 Expenses Administrator ESR Support Assistant 1:00 wte Band 3 Vacant Receptionist / Post Room Assistants Training (L&D) Administrator Expenses Assistant Training (L&D) Admin Assistant *Supports: - Skills, Safety & Estates Business Partner - Safety & Corporate Facilities Manager - Security Management Specialist

Finance & Information Structure (1) Figure 7. Finance & Information Structure (1) Team Secretary Commercial Finance Director (Deputy Chief Executive) Company Secretary & Board Governance Administrator 1.0 wte Band 6 Vacant Governance Project Support Officer (Members & Shareholders) Head of IT Development & Operations Financial Accountant 1.0 wte Band 8a (tbc) Vacant Head of Finance & Performance* 1.0 wte Band 8c Vacant Head of Business Development IT Project Support Business Change Manager Treasury & Accounts Receivable Accountant 1.0 wte Band 6 (tbc) Vacant Project Management Officer Child Health Team See separate chart Project Officers (Career Break) 1:00 wte Vacant IT Manager Accounts Assistant 1.0 wte Band 4 (tbc) Vacant Project Support Officer * (Deputy Finance Director) To support Business Units

Finance & Information Structure (2) Figure 8. Finance & Information Structure (2) Head of Finance & Performance* 1.0 wte Band 8c Vacant Head of Corporate Accounting Snr Performance Management Acct Head of Information Costing Accountant Performance Management Accts Information Officer Data Production Analyst ICS Systems Manager Information Analyst Information Assistant Performance Management Acct Assistants Vacant: 2.0 wte Band 5 ICS Information Analyst 2.0 wte Band 5 Vacant ICS System Trainer 1.00 wte Band 5 Vacant Database Administrator 1.0 wte Band 7 (tbc) Vacant Performance Support Officer Data input clerks To support Business Units * (Deputy Finance Director)

Operational Management Structures

Overarching Structure - Adult Operational Services Figure 9. Overarching Structure - Adult Operational Services Joint Director of Operations (Adults) Locality Manager Forest of Dean & Tewkesbury Business Units Locality Manager Gloucester & Stroud Business Units Locality Manager Cheltenham & Cotswolds Business Units Countywide Services Manager District Nursing Social Work/Care Occupational Therapy Physiotherapy Reablement Community Hospitals Day Care Centres Dentistry Podiatry Sexual Health Hotel Services SALT Specialist Nursing Unscheduled Care Physiotherapy Occupational Therapy 13

Locality Team Structure Figure 10. Cheltenham & Cotswold Locality Team Structure Joint Director of Operations (Adults) Locality Manager Matrons (Cirencester & Fairford) (Moreton & Bourton) (see figures 17 & 18) Business Manager Community Manager (Cotswold) Community Manager (Cheltenham) Team Manager (South Cotswolds 1 – Cirencester Hospital) Team Manager (South Cotswolds 2 Lewis Lane) Team Manager (Leckhampton & Charlton Kings) Team Manager (Hesters Way) Team Manager (North Cotswolds) *Team Managers Physiotherapy: Team Manager (Locality Hub) Team Manager (Locality Hub) Team Manager (Cheltenham Town) Vacant* Professional Team Leads Social Care - Occupational Therapy - Physiotherapy - Professional Team Lead (Nursing) Taken Wheatridge and GWC out of community hospital structure and put with the ODM who only had one team – have therefore put this up to 1.0wte Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Locality Hub: Reablement Co-ordination - Review Team - Admin & Clerical - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Locality Hub: Reablement Co-ordination Review Team - Admin & Clerical - Pharmacy Day Centres Intermediate Care Centres Day Centres Intermediate Care Centres *Each locality will need to ensure appropriate representation across each discipline: SW/DN/OT/PT 14

Locality Team Structure Figure 11. Gloucester & Stroud Locality Team Structure Joint Director of Operations (Adults) Locality Manager Matron (Stroud & Vale) (see figure 14) Business Manager Community Manager (Gloucester) Community Manager (Stroud) Team Manager (Gloucester 1) Team Manager (Gloucester 2) Team Manager (Stroud 1) Team Manager (Stroud 2) *Team Managers Vacant Physiotherapy: Team Manager (Stroud 3) Team Manager (Stroud 4) Team Manager (Gloucester 3) Team Manager (Gloucester 4) Professional Team Leads Nursing - Social Care - Occupational Therapy - Physiotherapy - Team Manager (Gloucester 5) Taken Wheatridge and GWC out of community hospital structure and put with the ODM who only had one team – have therefore put this up to 1.0wte Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Locality Hub: Reablement Co-ordination Review Team Admin & Clerical - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Locality Hub: Reablement Co-ordination Review Team Admin & Clerical - Pharmacy Day Centres Intermediate Care Centres Day Centres Intermediate Care Centres *Each locality will need to ensure appropriate representation across each discipline: SW/DN/OT/PT 15

Tewkesbury & Forest of Dean Locality Team Structure Figure 12. Tewkesbury & Forest of Dean Locality Team Structure Joint Director of Operations (Adults) Locality Manager Matron Vacant (Dilke & Lydney) (Tewkesbury) (see figures 15 &16 ) Business Manager *Team Managers Nursing Social Care Occupational Therapy Physiotherapy: Community Manager (Forest of Dean) Community Manager (Tewkesbury) Professional Team Leads Nursing Social Care - - Occupational Therapy - Physiotherapy - Taken Wheatridge and GWC out of community hospital structure and put with the ODM who only had one team – have therefore put this up to 1.0wte Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Locality Hub: Reablement Co-ordination Review Team Admin & Clerical - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Locality Hub: Reablement Co-ordination Review Team Admin & Clerical - Pharmacy Day Centres Intermediate Care Centres Day Centres Intermediate Care Centres *Each locality will need to ensure appropriate representation across each discipline: SW/DN/OT/PT 16

Reablement Structure in Locality Multidisciplinary Teams Figure 13. Reablement Structure in Locality Multidisciplinary Teams Team Manager Reablement Co-ordinators Grade I Based within the Locality Hub Senior Reablement Workers Grade F Reablement Workers Grade E Based within MDTs Shaded out box refers to the fact that this post is managed by the matron for Tewksbury community hospital – can be switched round if need be 17 17

Community Hospital Structure Gloucester & Stroud 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 MIiU (Stroud Hospital) Team Manager Medical Beds – Stroud Hospital Team Manager Theatre & Endoscopy Team Manager Vale Hospital – includes MIiU Team Manager Surgical Ward & Outpatients

Community Hospital Structure Forest of Dean & Tewkesbury 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 SMG5 Service Support Co-ordinator 1.0 wte Band 6 Team Manager MIiU 1.0 wte Band 7 Team Manager Medical Beds 1.2 wte Team Manager Outpatients Dilke and Lydney 0.6 wte Band 7 Shaded out box refers to the fact that this post is managed by the matron for Tewksbury community hospital – can be switched round if need be 19

Forest of Dean & Tewkesbury 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 MIiU 0.5 wte Band 7 Team Manager Theatre (Tewksbury & Forest Hospitals) & Outpatients Tewkesbury & Winchcombe Team Manager Medical beds Made BOW/Ashley manager fixed term but put up to 1.0wte – suggestion from Rosi 20

Community Hospital Structure Cheltenham & Cotswolds 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 MIiU Team Manager Endoscopy & Outpatients (inc Cirencester & Fairford)

Community Hospital Structure Cheltenham & Cotswolds Figure 18. Community Hospital Structure Cheltenham & Cotswolds Locality Manager Cheltenham & Cotswolds Matron Moreton & Bourton Service Support Co-ordinator 1.0wte Band 6 Team Manager MIiU 0.5 wte Band 7 Team Manager Moreton Hospital & Outpatients (both sites) Team Manager Bourton Intermediate Care beds

JOINT OPERATIONS DIRECTOR - ADULTS Figure 19. JOINT OPERATIONS DIRECTOR - ADULTS Countywide Services Structure Countywide Services Manager Business Manager Service Manager (Professional Lead for OT) Band 8b Vacant Community Manager Service Manager (Professional Lead for Specialist Nursing) Service Manager (Professional Lead for SALT) Service Manager (Professional Lead for Podiatry) Telecare Wheelchair Services Strategic Lead Reablement Equipment Services Specialist Palliative Care OT SALT Team Podiatry Team MSKCATTeam See Figure 20 Hotel Services Service Manager (Professional Lead for Physiotherapy) Band 8b Vacant Service Manager (Professional Lead for Dentistry) Matron (Sexual Health) Taken out reference to ‘adults’ under SALT and left as 1.0wte (Rosi suggestion – will allow for changes later) Taken out specific reference to HIV workers in ODM title (Kath suggestion) Service Manager Dentistry Team See Figure 22 Sexual Health Team Capacity and Unscheduled Care Teams See Figure 21 23

Countywide Specialist Nursing Structure Figure 20. Countywide Specialist Nursing Structure Countywide Services Manager Service Manager (Professional Lead for Specialist Nursing) Community Manager 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 Diabetes Nursing Tissue Viability Nursing Respiratory Nursing End of Life Coordination Bone Health Service Telehealth Made BOW/Ashley manager fixed term but put up to 1.0wte – suggestion from Rosi 24 24

Countywide Capacity & Unscheduled Care Structure Figure 21. Countywide Capacity & Unscheduled Care Structure Countywide Services Manager Service Manager Community Manager (Health) Community Manager (Social Work/Care) Made BOW/Ashley manager fixed term but put up to 1.0wte – suggestion from Rosi Team Manager Homeless Healthcare Team Manager SPCA In reach Vacant Team Manager Unscheduled Care Business Manager Salaried GP’s x3 Team Manager Acute Hospital SW OOH Reablement Urgent Response Team Carers Emergency Scheme Cold Harbour System Team Team Manager ENDNS Team Manager OOH Nurses Homeless Healthcare Team Shared Lives Community Development Team Care Home Review Team Sensory Services 8 x EDNS teams Nurse Coordinators SPCA Acute Hospital SWs 25 25

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