1. 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

2. Board & Senior Management Structures

3. 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

4. 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)

5. Support Services Structures

6. 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)

7. 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

8. 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

9. 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

10. 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

11. 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)

12. Operational Management Structures

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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)

22. 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

23. 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

24. 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

25. 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

26. 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