1. 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

2. 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

3. 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