1. Gloucestershire Care Services Support Services and Locality Management Structures Current structures as at 31.10.2012 Date: October 2012

2. Board & Senior Management Structures

3. Gloucestershire Care Services Board Chief Executive Designate Commercial Finance Director (Deputy Chief Executive) Non-Executive Director (Staff Council) Non-Executive Director – Audit Clinical Director Non-Executive Director – IGC Chair Figure 1.

4. Gloucestershire Care Services Senior Management Structure Chief Executive Designate Commercial Finance Director* Interim Director of C&YP Services Head of Employee Excellence Executive Assistant PA to Executive Office *(Deputy Chief Executive) Figure 2. Joint Director of Operations Finance & Information See Figures 7, 7a & 8 Employee Excellence See Figure 6 Adult Services See Figure 10 Children Services Subject to See Figure 21 Governance See Figure 5 Clinical Quality & Development See Figures 3 & 4 Communications & Marketing Manager Clinical Director Communications Officer

5. Support Services Structures

6. Clinical Director Medical DirectorHead of Social Care Head of Nursing * Medical Leads Lead Pharmacist Clinical Quality & Development Structure (1) *(Deputy Clinical Director) Figure 3. Team Secretary Reports to Head of Nursing Reports to Chief Executive Designate See figure 4

7. Clinical Quality & Development Structure (2) Head of Nursing (Deputy Clinical Director) Clinical Quality Manager Named Nurse Safeguarding (Adults) Clinical Service Change Manager w/c 24 Dec 2012 Lead Nurse Infection Control Infection Control Team Clinical Quality & Development Facilitator Clinical Education Lead Clinical Quality Administrator Teacher (District Nursing Service) 2 x apprentices Staff Bank Rostering Manager (Electronic Rostering) Team Secretary Figure 4. Advanced Nursing Practitioner Unscheduled Care Clinical Development Facilitator Rostering Assistant Vacancy Designated Nurse Children in Care Named Nurse Safeguarding Children

8. Governance Structure Head of Governance Information Governance Manager Team Secretary Complaints & Litigation Manager Complaints & Litigation Administrative Assistant Health Records Manager Assistant Health Records Manager Health Records Administrator Health Records Clerical Officers Risk & Patient Safety Manager Vacant post Incident Information Officer Vacant post Project Officer (Emergency Planning) Clinical Audit Manager Clinical Audit Officer Figure 5. Joint Director of Operations Patient and Public Experience Manager Clinical Audit Support Officer

9. Employee Excellence Structure Head of Employee Excellence Team Secretary HR Operations Business Partner (Children & Corporate) (Adults) HR Systems Business Partner Skills, Safety & Estates Business Partner Recruitment Manager Pay & Benefits Manager HR Locality Advisors (4 wte) HR & Recruitment Assistant To Support Business Units Safety & Corporate Facilities Manager Security Management Specialist Training Manager Vacant Corporate Facilities Officer Receptionist / Post Room Assistants Apprentice Safety, Security, Skills & Estates Senior Administrator* Workforce Information Analysts ESR System Manager ESR Support Assistant *Supports: - Skills, Safety & Estates Business Partner - Safety & Corporate Facilities Manager - Security Management Specialist Training Admin Equality & Diversity Manager Expenses Administrator Expenses Assistant ESR Support Assistant Admin Assistant Figure 6. Clinical Trainer Non-Clinical: Volunteer Co-ordinator Volunteer Co-ordinator HR Administrator

10. Finance Structure (1) Commercial Finance Director (Deputy Chief Executive) Head of Finance Commercial Manager Head of IT Development & Operations See separate chart Figure 7. Company Secretary & Board Governance Administrator Vacant Governance Project Support Officer (Members & Shareholders) Head of Information & Performance See separate chart Personal Assistant Contracts Assistant Vacant See separate chart

11. Finance Structure (IM&T) Head of IT Development & Operations Clinical Systems Officer System Administrator Figure 7a. Child Health Systems Manager Data Quality Officer Training Support IM&T Clinical Systems & Change Manager IM&T Manager Data Quality Administrator Technical Office Telecommunications Technical Lead Systems Developer Vacant Systems Trainer Vacant Project Support Administrator Vacant

12. Finance & Performance/Information Structure (2) Commercial Finance Director Financial Accountant Performance Management Accountants Head of Performance & Information Income Accountant Performance Management Account Assistants Information Officers Information Analyst ICS Systems Manager ICS Information Analyst ICS System Trainer 1.00 wte Vacant Senior Performance Management Acct Data Production Analyst Database Administrator Vacant Figure 8. Performance Support Officer Information Assistant Data input clerk Head of Finance Costing Accountant Financial Accounts Assistants Vacant Team Secretary PA

13. Operational Management Structures

14. Joint Director of Operations (Adults) Locality Manager Gloucester & Stroud & Unscheduled Care & Hotel Services Business Unit (Interim) See figure 16 Locality Manager Cheltenham & Cotswolds Business Unit See figure 11 Countywide Services Manager (Interim) See figure 18 Locality Manager Forest of Dean & Tewkesbury Business Unit See figure 14 Overarching Structure - Adult Operational Services 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 Figure 9. Service Improvement Manager See Figure 9 Personal Assistant

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

16. Locality Manager Cheltenham & Cotswolds Team Manager Medical Inpatient Beds Service Support Co-ordinator Team Manager MIiU Team Manager Endoscopy & Outpatients (inc Cirencester & Fairford) Community Hospital Structure Cheltenham & Cotswolds Matron Cirencester & Fairford Hospitals Vacant Figure 11.

17. Locality Manager Cheltenham & Cotswolds Matron North Cotswolds & Bourton Community Hospital Structure Cheltenham & Cotswolds Team Manager MIiU Team Manager North Cotswolds Hospital & Outpatients (both sites) Figure 12.

18. Joint Director of Operations (Adults) Tewkesbury & Forest of Dean Locality Team Structure Locality Manager Matron (Dilke & Lydney) (Tewkesbury) Tewkesbury Community Manager Professional Team Leads Nursing - Social Care - Occupational Therapy - Physiotherapy - Vacant Business Manager Day Centres Intermediate Care Centres Locality Hub: -Reablement Co-ordination - Review Team - Admin & Clerical - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Figure 13. Forest Community Manager Day Centres Intermediate Care Centres Locality Hub: -Reablement Co-ordination - Review Team - Admin & Clerical - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Team Secretary Team Managers Nursing Team Managers Nursing Vacancy

19. Locality Manager Forest of Dean & Tewkesbury Matron Dilke & Lydney Community Hospitals Team Manager MIiU Forest & Tewkesbury Hospitals Team Manager Medical Beds Community Hospital Structure Forest of Dean & Tewkesbury Figure 14. Team Manager Theatre & Outpatients (Tewksbury & Forest Hospitals) Matron Tewkesbury Community Hospital Team Manager Medical Beds

20. Joint Director of Operations (Adults) Gloucester & Stroud Locality Team Structure Locality Manager (Interim) Matron Vacant (Stroud & Vale) Community Manager (Gloucester) Professional Team Leads Nursing - Social Care - Vacant Occupational Therapy - Physiotherapy - Vacant Day Centres Intermediate Care Centres Locality Hub: -Reablement Co-ordination - Review Team - Admin & Clerical - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Figure 15. Community Manager (Stroud) Day Centres Intermediate Care Centres Locality Hub: -Reablement Co-ordination - Review Team - Admin & Clerical - Pharmacy Multi-Disciplinary Teams Physiotherapists/Occupational Therapists/District Nurses/Social Workers/Reablement Team Manager (Gloucester 1) Team Manager (Gloucester 2) Team Manager (Gloucester 3) Team Manager (Gloucester 4) Team Manager (Stroud 1) Team Manager (Stroud 2) Team Manager (Stroud 3) Team Manager (Stroud 4) Team Manager (Gloucester 5) (Great Western Court) Community Manager (Gloucester)

21. Locality Manager Gloucester & Stroud (Interim) Matron Stroud & The Vale Hospital Vacant Community Hospital Structure Gloucester & Stroud Team Manager MIiU (Stroud Hospital) Team Manager Medical Beds – Stroud Hospital Team Manager Theatre & Endoscopy Team Manager The Vale Hospital – includes MIiU InterimTeam Manager Surgical Ward & Outpatients Figure 16.

22. Service Manager (Professional Lead for SALT) Service Manager (Professional Lead for Podiatry) Countywide Services Structure Service Manager (Professional Lead for Specialist Nursing) Matron (Sexual Health) JOINT OPERATIONS DIRECTOR - ADULTS Countywide Services Manager (Interim) Service Manager (Professional Lead for Physiotherapy) Vacant Dentistry Team Service Manager (Professional Lead for Dentistry) (interim) SALT Service Podiatry Team Sexual Health Team Service Manager (Professional Lead for OT) Vacant Figure 17. MSKCAT Team Wheel Chair Service Community Equipment Service Team Expert Patient Programme Team Secretary Community Manager

23. Countywide Services Manager (Interim) Countywide Specialist Nursing Structure Community Manager Matson Lane Surgery Healthy Living Centre Service Manager (Professional Lead for Specialist Nursing) 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 Figure 18.

24. Locality Manager Capacity & Unscheduled Care Structure Team Manager ENDNS Team Manager OOH Nurse Practitioner Service Manager OOH Complaints Manager Figure 19a Team Secretary Salaried GPs OOH Community Manager OOH Nurse Practitioners Nurse Coordinator & Nurses Gloucestershire GP’s (Self-Employed) Medical Lead Gloucestershire OOH A&C Team USC Admin Manager OOH Receptionists GP Locums

25. Locality Manager Hotel Services & Capacity & Unscheduled Care Structure SPCA Team Team Manager SPCA In reach Vacant Homeless Healthcare Team Service Manager Team Manager Homeless Healthcare Shared Lives Community Development Team Care Home Review Team Sensory Services OOH Reablement Urgent Response Team Carers Emergency Scheme Cold Harbour System Team Figure 19b Community Manager Team Secretary Team Leads (FoD/Glos) (Chelt/Tewks ) Capacity Community Manager Team Manager Acute Hospital SW Early Supported Discharge Team/ Life After Stroke / Stroke Programme Teams CDT Team Manager CDT Team Professional Lead Vacant Acute Hospital Social Work Team Manager Hotel Services Manager

26. Children and Young People’s Services Structure

27. Interim Director of CYP Services 1.0 FTE Specialist Services Locality Lead OT Professional Portfolio 1.0 FTE AHP Service Covering Cheltenham, Cotswolds and Tewkesbury Interim Specialist Services Locality Lead SLT Professional Portfolio 1.0 FTE AHP Service Covering Gloucester North and Forest of Dean Specialist Services Locality Lead PT Professional Portfolio 1.0 FTE AHP Service Covering Stroud and Gloucester South CYPS Deputy Manager 1.0 FTE Figure 20

28. Staffing: HV, SN, Locality SNSC Staffing: HV, SN, Locality SNSC Countywide posts for Prevention (Imms Service, Home Safety Service, Henry) Staffing: HV, SN, Locality SNSC Countywide posts for Community Nursing Staffing: HV, SN, Locality SNSC Staffing: HV, SN, Locality SNSC Countywide posts for NBH Service Staffing: HV, SN, Locality SNSC Countywide posts for SG and CIC CYPS Countywide Manager 1.0 FTE CYPS Deputy Manager 1.0 FTE Locality Service Lead Stroud HV Professional Portfolio 1.0 FTE Locality Service Lead Gloucester South HSG/CIC Professional Portfolio 1.0 FTE Locality Service Lead Gloucester North National Screening Programmes Professional Portfolio 1.0 FTE Locality Service Lead Cheltenham HV Professional Portfolio 1.0 FTE Locality Service Lead Cotswolds Health Prevention/ Promotion Professional Portfolio 1.0 FTE Locality Service Lead Tewkesbury CCN Professional Portfolio 1.0 FTE Locality Service Lead Forest of Dean School Nursing Professional Portfolio 1.0 FTE Figure 21

29. Interim Director of C&YP Services 1.0 FTE Designated Nurse for CIC 1.0 FTE Based in Clinical Development Interim Named Nurse for Safeguarding 0.8 FTE Based in Clinical Development CYPS Deputy Manager 1.0 FTE Figure 22