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Design of the Chief Operating Officer’s Directorate - Identifying Staffing Structures Final Version (12 September 2012

Design of the Chief Operating Officer’s Directorate - Identifying Staffing Structures Final Version (12 September 2012). Core Role and Purpose, Summary of Functions.

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Design of the Chief Operating Officer’s Directorate - Identifying Staffing Structures Final Version (12 September 2012

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  1. Design of the Chief Operating Officer’s Directorate - Identifying Staffing Structures Final Version (12 September 2012)

  2. Core Role and Purpose, Summary of Functions Current estimate for end-state WTE is circa 5000. In addition, during 2013/14, non-recurrent funding will allow the employment of circa 1300 additional FHS staff. ISTC allocation of £1.1m (tbc) plus estates allocation of £0.8m (tbc) will be added to the pay budget. Non pay running costs for clinical senates and networks will be deducted from the pay budget.

  3. Directorate budget plan Note – £32m programme costs for clinical senates and networks programme costs have been excluded from these figures which relate to running costs only. Other will be used to fund additional requirements eg non medical and nursing professional nursing advice, cross-border healthcare, controlled drugs officers, etc. Senates non pay running costs of £2.8m is on top of this. 3 3

  4. Assumptions about other Directorates 4

  5. General assumptions 5

  6. NHS CB Regional Team structure 12 September 2012 Final Version

  7. Regional Team structure (59 WTE staff excl 28-33 devolved HR/P&I/analytics) • Business office key functions • small team to support the RD in leading and organising the NHS CB across the region, liaising with key external stakeholders, and supporting key briefing and (internal) communications requirements. Head of Office (AfC band 8a) Regional Director (VSM) Business Manager (AfC band 7) Senior Admin Support (AfC band 5) Director of HR and OD (VSM) (plus team of 2 wte) Business Office (4 WTE staff) Admin Assistant (AfC band 4) Director for Patients and Information (8wte staff) Medical Director’s Team (8 WTE staff) Chief Nurse’s Team (8 WTE staff) Finance Director’s Team (11 WTE staff) Director of Operations & Delivery Team (9 WTE staff) Commissioning Director’s Team (13 WTE staff) Project team (5 WTE staff) – detailed on slide 11 Embedded national support centre HR, P&I and analytics staff will support both local area and regional teams.

  8. Medical Director (M&D T&Cs) Admin Assistant (AfC band 4) Senior Admin Support (AfC band 5) Deputy Director (Revalidation and direct commissioning) (AfC band 8d/9 / M&D T&Cs) Deputy Director (Clinical quality improvement) (AfC band 8d/9 / M&D T&Cs) Deputy Director (Clinical Senates and Clinical Networks) (AfC band 8d/9 / M&D T&Cs) Manager (AfC band 6-8c) Manager (AfC band 6-8c) Regional Medical Director’s Team (8 WTE staff) • Key functions • providing regional clinical leadership for domains 1-3 of the NHS Outcomes Framework; • supporting the regional and area teams to provide clinical input to direct commissioning and CCG oversight; • supporting the Medical Director to undertake the statutory Responsible Officer (RO) role in the Region (inc. c8,000 GPs) and for medical staff employed by the regional team; • providing professional and clinical leadership including: • - across the LAT medical director • network; • - establishing, developing and • managing clinical senates and • clinical networks; • - providing and quality assuring • clinical advice; and • - addressing professional • performance issues (responding • to service failure, complaints, • untoward incidents and poor • performance in primary care).

  9. Regional Chief Nurse’s Team (8 WTE staff) • Key functions • providing regional clinical leadership for domains 4 and 5 of the NHS Outcomes Framework; • providing professional leadership for nursing and midwifery within the health and social care system (over 60,000 nurses in a region); • supporting regional and local area teams to provide nursing input to direct commissioning and CCGs oversight; • leading assurance of quality and safety including: • - convening risk summits where appropriate; • - through reconfigurations, including working with LETBs on workforce planning; and • - oversight of serious incident reporting and learning. • lead on patient and public involvement, acting as champion for patients and their interests and involving the public and patients in the work of the NHS CB. Chief Nurse (VSM) Admin Assistant (AfC band 4) Senior Admin Support (AfC band 5) Deputy Director (Patient Experience) (AfC band 8d/9) Deputy Director (Quality Assurance) (AfC band 8d/9) Manager (AfC band 6-8c) Manager (AfC band 6-8c) Manager (AfC band 6-8c)

  10. Regional Finance Director’s Team (11 WTE staff) Finance Director (VSM) • Key functions • providing strategic financial leadership for the NHSCB across the Region, including co-ordination and oversight of local area teams; • designing and implementing a clear financial strategy for the Region consistent with the NHS Commissioning Board’s clinical strategy, investment priorities and resource assumptions – covering £5-6bn of direct commissioning funding and £15bn+ allocated to CCGs; • assuring and supporting the effective financial performance of CCGs and CSS; • overseeing and assuring the financial planning and re-design of services, particularly large scale and complex service reconfigurations, working in partnership with CCGs, HWBs, NHSCB local area teams, NTDA and other stakeholders; • . Senior Admin Support (AfC band 5) Admin Assistant (AfC band 4) Head of Finance (CCG assurance) (AfC band 9) Head of Finance (specialised/QIPP) (AfC band 9) Assistant Head of Finance (Corporate) (AfC band 8d) Finance Manager (2x AfC band 8a/8b) Financial Analyst (AfC band 7/8a) Financial Analyst (2x AfC band 7/8a)

  11. Intervention and Support Office key functions • small team to provide flexible resource during the early part of the NHS CB’s operations. Also supports matrix working and coherent delivery across the Regional teams and the Local Area teams, in line with the single operating model. Programme Manager (Intervention and Support) (AfC band 9) Senior Manager (Intervention and Support) (AfC band 8c) 3x Managers (Intervention and Support) (AfC band 8a) Regional Director of Operations and Delivery Team (9 WTE staff) • Key functions • Strategically leading, supporting and holding to account CCGs in their commissioning of high-quality, safe, patient and client-centred services within the framework of the NHS CB’s single operating model; • Setting and implementing the planning framework for CCGs, ensuring agreed Mandate priorities are planned for, and delivered; • Implementing and leading an effective emergency planning and resilience system for the NHS in the Region; • leading in managing national predictable events (i.e. ‘Winter’) and other less predictable events such as industrial action; • co-ordinate single, coherent relationships with all key external stakeholders. Director of Operations and Delivery (VSM) Admin Assistant (AfC band 4) Senior Admin Support (AfC band 5) Head of Planning and Assurance (AfC band 8d/9) Head of Delivery (AfC band 8d/9) Head of EPRR (AfC band 9) Head of Business Intelligence (AfC band 9) 3 x Manager (AfC band 6-8c) Devolved analytical team (15-20 AfC band 6-8d) 11 (The Intervention and Support Office will support all teams)

  12. Regional Commissioning Director’s Team (13 WTE staff) Commissioning Director (VSM) • Key functions • lead Direct Commissioning for the Region, including identifying needs, contracting, development, assurance and interventions of numerous services including NHS primary medical care services, specialist services, Public Health services (screening), military health services, offender health services, dentists, optometrists and pharmacies. Senior Admin Support (AfC band 5) Admin Assistant (AfC band 4) Head of Public Health and Primary Care (AfC band 8d/9) Head of Specialised, Military and Offender Health (AfC band 8d/9) Highly Specialised Commissioning Manager (AfC band 8c) Programme of Care Managers x4 (AfC band 8b/8c) Manager (AfC band 6-8c) Manager (AfC band 6-8c) Manager (AfC band 6-8c)

  13. Regional Director for Patients & Information (VSM) Head of Intelligence (8d) Head of Patient & Public Voice (8d) Head of Communications (8d) Head of Strategic Systems & Technology (8d) Support Team 1 x 8a 1 x 7 1 x 5 Regional Director for Patients and Information (8 WTE staff) • Key functions • Supports Regions/Local Area Teams to implement Patients and Information Priorities • 900k to be funded from Patients and Information Directorate, remainder by COO Directorate 13

  14. NHS CB Local Area Team structure 12 September 2012 Final Version

  15. NHS CB Local Area Team structure Introduction These slides set out an outline structure for Local Area Teams. Local Area Teams will have a core team which does not vary with size. Local Area Teams which have responsibility for specialised commissioning, military or offenders will have core teams for these staff. These teams will vary in size depending on the size of the areas to be covered. Local Area Teams will all commission primary care and public health but will have flexed numbers of staff for primary care and public health commissioning dependent on size. The assumption is that Local Area Teams will range in size between 71 and 123 WTEs. There is a small amount of funding to provide additional staffing for very large LATS. This will increase staffing numbers. The slides in some cases only provide detail to third-in-line levels (i.e. to 2 levels below the Local Area Team Director). This is deliberate and is intended to provide flexibility.

  16. Local Area Team structure (71-123 WTE plus embedded PHE staff) Local Area Director (VSM) Business Office (3 WTE staff) A small team (3 WTE staff, AfC bands 4-7) to support the LAT Director in leading and organising the Local Area Team. Medical Director’s Team (11-26 WTE staff*) Nurse Director’s Team (9 WTE staff) Finance Director’s Team (13-19 WTE staff*) Director of Operations and Delivery Team (9 WTE staff) Commissioning Director’s Team (25-56 WTE staff*) • Team sizes are dependent on the direct commissioning responsibilities of the Local Area Team and whether they host clinical senates/networks.

  17. Medical Director’s Team (11 WTE staff) Medical Director (VSM) Senior Admin Support (AfC band 5) Assistant Director (Clinical Strategy) (AfC band 8d/9 / M&D T&Cs) Assistant Director (Revalidation) (AfC band 8d/9 / M&D T&Cs) Admin Assistant (AfC band 4) 6 Posts (3x AfC band 8a) (3x AfC band 6) Note where medical directors are responsible for clinical senates – their staffing numbers are 26

  18. NHS CB LOCAL AREA TEAM MEDICAL DIRECTOR NETWORK AND SENATE ASSOCIATE DIRECTOR 1 AfC band 9 NETWORK.SENATE MANAGERS 3.5 AfC band 8c PA 1 AfC band 5 ADMINISTRATION AND SUPPORT OFFICER/PA 1.5 AfC band 4 NETWORK ASSISTANT 1 AfC band 5 Clinical Support Networks and Senates Core Support Team Structure This structure shows those posts to be funded through running costs only. There will be other posts supporting clinical networks and senates relating to programmes, funded through programme budgets. All clinical and some additional quality improvement lead posts will be funded through programme budgets. Discussions continue. 18

  19. Nurse Director’s Team (9 WTE staff) Nurse Director (VSM) Senior Admin Support (AfC band 5) Assistant Director (Quality Assurance) (AfC band 8d/9) Assistant Director (Patient Experience) (AfC band 8d/9) Admin Assistant (AfC band 4) 4 Posts (2x AfC band 8b) (2x AfC band 6)

  20. Finance Director’s Team (13-19 WTE staff) The size of the team will depend on the direct commissioning responsibilities of the Local Area Team. The green box models a standard LAT finance structure. The pink box shows the additional posts required where LATs have specialised commissioning responsibility. Every team, regardless of LAT size, will cover CCG assurance, primary care financial advice and technical leadership. Finance Director (VSM) Senior Admin Support (AfC band 5) Admin Assistant (AfC band 4) Head of Finance (Specialised) (AfC band 8d) Head of Finance (AfC band 9) Financial Manager (2x AfC band 8b) Finance Managers/Analysts (1x AfC band 8a) (1x AfC band 7) (1x AfC band 6) Assistant Head of Finance (Primary care) (AfC band 8c/8d) Assistant Head of Finance (Corporate) (AfC band 8c) Financial management / analyst team (7 WTE, AfC bands 6-8b) LATs with Specialised Commissioning All Local Area Teams

  21. Director of Operations and Delivery Team (9 WTE staff) Ops and Delivery Director (VSM) Senior Admin Support (AfC band 5) Head of Assurance/ Delivery (AfC band 8d/9) Head of EPRR (AfC band 8c) Admin Assistant (AfC band 4) 4 Posts (2x AfC band 8b) (2x AfC band 6) .

  22. Commissioning Director’s Team (25-56 WTE plus embedded PHE staff) Some staff are funded from outside the COO budget Commissioning Director (VSM) Head of Primary Care AfC band 8d Head of Public Health AfC band 8d Head of Specialised Commissioning AfC band 8d/9 Head of Offender Health AfC band 8d Head of Military Health AfC band 8d Screening & Immunisation Team Funded by Public Health England* Public Health Commissioning Manager AfC band 8b Offender Health Commissioning Manager AfC band 8b Military Health Commissioning Manager AfC band 8b Clinical Leadership Team 2x AfC Band 8b (equivalent) Primary Care Support 4x AfC band 7 Contract Managers 3x AfC band 8b Offender Health Commissioning Manager AfC band 8b Support Post AfC band 6 Public Health Programme Contracts AfC band 7 Support Team 1 x Band 3 Specialised Commissioning Team Assistant Contract Managers 5x AfC band 8a Public Health Programme AfC band 8a Support Team 1 x Band 4 The following LATs will have Offender Health responsibility: North of England: * Durham, Darlington and Tees * Lancashire * West Yorkshire Midlands and East: * East Anglia * Derbyshire and Nottinghamshire * Shropshire and Staffordshire South of England: * Bristol, North Somerset, Somerset and South Gloucestershire * Kent and Medway * Wessex London The following LATs will have Military Health responsibility: North of England: * North Yorkshire and Humber Midlands and East: * Derbyshire and Nottinghamshire South of England: * Bath, Wiltshire, Swindon and Gloucestershire 2222 (inc London) The following LATs will have Specialised responsibility: North of England: * Cheshire, Warrington and Wirral * Cumbria, Northumberland, Tyne and Wear * South Yorkshire and Bassetlaw Midlands and East: * Birmingham and the Black Country * East Anglia * Leicestershire and Lincolnshire South of England: * Bristol, North Somerset, Somerset and South Gloucestershire * Surrey and Sussex * Wessex London Support Team 1x AfC band 4 2x AfC band 3 Support Team 2x AfC band 3 All LATs will have Primary Care and Public Health responsibility. FHS staff will also report to the Commissioning Director. Within direct commissioning teams staff will be deployed flexibly across primary care and public health commissioning based on business needs. This structure gives an indication of deployment. Details of screening and immunisations teams on following slide.

  23. Commissioning Director’s Team (Screening and immunisation) (this team will be funded by and seconded from PHE – team size will vary by LAT) Head of Public Health Commissioning Screening & Immunisation Lead 8d / 9 / Consultant T&Cs Screening & Immunisation Manager 8a/8b Screening & Immunisation Manager 8a/8b Screening/Imms Co-ordinator 6/7 Screening/Imms Co-ordinator 6/7 Screening/Imms Co-ordinator 6/7 Screening/Imms Co-ordinator 6/7 Screening/Imms Co-ordinator 6/7 Number of staff per LAT will be adjusted according to population, deprivation, number of providers, GP practices and complexity. The above structure is therefore illustrative.

  24. Commissioning Director’s Team (Specialised commissioning – up to 27 WTE) (this applies to 10 LATs only and London will be larger) The posts within the orange box show the structure of the Specialised Commissioning Teams. Each team will have different configurations in terms of banding and numbers of staff employed. Commissioning Director (VSM) Head of Specialised Commissioning (AfC Band 8d/9) Administrative support (3x AfC Band 4) Mental Health Lead and PoC (AfC Band 8c/8d) Supplier Managers (1x AfC Band 8c and 1-4x AfC Band 8b) Local Service Specialists (1x AfC Band 8c and 1-2x AfC Band 8b) Pharmacy Support (AfC Band 8c) High Secure Performance Manager (1x AfC Band 8c) Mental Health Supplier Managers (1x AfC Band 8b and 1-3x AfC Band 8a) Mental Health Case Managers (2-6x AfC Band 8a) CDF or IFR Team* (1x AfC Band 8a, 1x AfC Band 7 and 1x AfC Band 4) * To achieve economies of scale and improved processes, it is proposed that two functions should be provided across the region for all LATs. It is also proposed that these functions are hosted by one LAT on behalf of all. The national transition team have acknowledged that individual funding requests are best administered at a regional level; this would need 3 staff. In addition, cancer drugs fund would need two staff. This structure does not show the associated specialised commissioning finance team posts which are in finance.

  25. NHS CB London Regional Team: Organisation Structure Final Version 12 September 2012

  26. Regional Team structure Regional Director Business Office Director of HR and OD Director for Patients and Information Medical Director Director of Nursing Finance Director Director of Operations and Delivery Director of Commissioning Transformation Director 26

  27. Director of Delivery South (VSM) Director of Delivery NW (VSM) Head of EPRR (Band 9) Business Manager (AfC band 7) Director of Delivery NE (VSM) Assurance Team (1x band 9) (4x band 8a-7) (1x band 5) (1x band 4) Assurance Team (1x band 9) (4x band 8a-7) (2x band 5) Assurance Team (2x band 9-8d) (4x band 8a-7) (2x band 5) Rectification (1x band 8d/8c) (2x band 8a) (2x band 7) Resilience Team (4x band 8c-8b) (3x band 6-7) EPRR (1x band 8a) (2x band 6-5) EP Network (6x band 8b-8a) (6x band 7-6) Director of Operations and Delivery Team Director of Operations and Delivery (VSM) Head of Rectification and CCG support (VSM/Band 9) 27

  28. Head of Primary Care NW (VSM) Head of Primary Care South (VSM) Head of Primary Care NE (VSM) Primary Care Team NE (2 x band 8d) (9 x band 8b -8a) (14 x band 7-6) (8 x band 5 -4) Primary Care Team South (2 x band 8d) (7 x band 8b -8a) (16 x band 7-6) (5 x band 5 -4) Performance improvement (3 x band 8a) Primary Care Team NW (1 x band 8d) (4x band 8b -8a) (12 x band 7-6) (4 x band 5 -4) Director of Delivery South (VSM) Director of Delivery NW (VSM) Business Manager (AfC band 7) Director of Delivery NE (VSM) Director of Operations and Delivery (VSM) Director of Operations and Delivery Team London-Wide Dental & Optometry Team (1 x band 8d) (4x band 8b) (16 x band 7-6) (2 x band 5-4) 6 28

  29. Devolved Analytical Team 15-20 x band 6-8d Director of Operations and Delivery (VSM) Director of Operations and Delivery Team Head of Business Intelligence and Analysis (VSM) 29

  30. Major Reconfiguration Team (1x AfC band 8b) (4x AfC band 8a) (2x AfC band 7) (1x AfC band 5) (1x AfC band 4) Head of Service Redesign (VSM/Band 9) Head of Commissioning Development (VSM/Band 9) Commissioning Development Support (2 x AfC band 8d/8c) Business Manager (AfC band 7) Head of Service Reconfiguration (VSM/ Band 9) Major Reconfiguration Leads (2x band 8d/8c) Director of Transformation (VSM) Director of Transformation Team Head of Service Redesign (VSM/Band 9) Redesign Programme Leads (5 x AfC band 8c-d) Flexible Programme Resource ( 3x AfC 8b), (4x AfC 8a), (4x AfC 7), (1x AfC 6), (1x AfC 5) • Transformation resource supporting the: • Delivery and completion of ongoing London Health Programmes and the work of the London Health Improvement Board (Mayor, GLA, London Councils and Health) • Delivery of CB wide transformation programmes through the implementation of the NHS Change Model 30

  31. Director of Commissioning Team Director of Commissioning (VSM) PA to Director of Commissioning (AfC band 5) Head of Public Health and Offender Health (VSM) Head of Specialised Commissioning (VSM) • See section for detail • See section for detail 3a 3b 31

  32. 3a Head of Specialised Commissioning Team Team Coordinator (Band 4) Head of Specialised Commissioning (VSM) Head of Supplier Management (VSM) Regional Lead for Mental Health PoC (Band 9) Highly Spec PoC Lead (1 x band 9) Acute Programmes of Care Leads (2 x band 9) Senior Supplier Managers (3 x band 8d) (4 x band 8c) Supplier Managers (6 x band 8a) Team Support (1 x band 6) High Secure Supplier Manager (1 x band 8c) Supplier Contract Manager (2 x band 8b) Case Manager (Mental Health) (5 x band 8a) Mental Health Supply Managers (3 x band 8a) Service Specialists (8 x band 8c) (5 x band 8b) (7 x band 8a) (3 x band 5) Pharmacy Advisor (1 x band 9) Commissioning support (1 x band 8a) (1 x band 7) (1 x band 4) 32

  33. 3a Head of Specialised Commissioning Team Head of Specialised Commissioning (VSM) Head of Financial Management (VSM) See Director of Finance team slide for detail Divisional Finance Manager (1 x Band 8d) Senior PA (1 x Band 5) Finance (Adults) (1 x band 8a) (3 x band 7) (1 x band 6) (2 x band 5) (1 x band 2) Finance (Mental Health) (1 x band 8a) (1 x band 7) (1 x band 6) (0.5 x band 2) Finance (Women & Children) (1 x band 8c) (1 x band 8b) (1 x band 7) (1 x band 6) 33

  34. 3b Head of Public and Offender Health Team Head of Public and Offender Health (VSM) Assistant Head of Offender Health (Band 8d) Assistant Head of Screening* (Band 9/8d) Assistant Head of Early Year Immunisations* (Band 9/8d) Offender Commissioning (1 x band 8b) (2 x band 8a) (3 x band 7) (1 x band 5) Screening (4 x band 8d / 8c) (2 x band 4) Commissioning Manager (3 x band 8d / 8c) Immunisation (1 x band 8d / 8c) (1 x band 8b) (1 x band 8a) (2 x band 4) Health visiting (1 x band 8b (1 x band 8a) • PHE posts are in the process of being formally agreed by Public Health England; Population Health Services and Screening & Immunisation coordinators will be provided 34

  35. Director of Finance Team Business Manager (1 x band 7) Admin Support (1 x band 6/5) Regional Director of Finance (VSM) Head of Financial Management (VSM) Head of Financial Strategy (VSM) Head of Financial Assurance (VSM) Finance Assurance: 3 x band 8d 3 x band 8b 4 x band 7 Financial Strategy: 1 x band 9 1 x band 8d 2 x band 8c Financial Management 1 x band9 1 x band 8d 2 x band8c 4 x band 8b 1 x band 8a 4 x band 7 10 x band 6 35

  36. Medical Directorate Business Mgt Team (1x band 8a) (2x band 6/5) Asst Medical Director – Service Quality & Design (MED) Area Medical Director NW Lead for Domain 3 (MED) Asst Director (Band 9) Assistant Director (Revalidation / Practitioner Investigation) (1 x band 8d / 9) Practitioner Investigation & Revalidation Team (3 x 8c; 3 x 6; 14 x7) Quality Team (1x band 8d ) (1x band 5 ) Medical Director Team Medical Director (MED) Area Medical Director NE Lead for Domain 1 (MED) Area Medical Director South Lead for Domain 2 (MED) S 12 Mental Health (0.8 x MED) 36

  37. Clinical Support Networks and Senates Core Support Team Structure This structure shows those posts to be funded through running costs only. There will be other posts supporting clinical networks and senates relating to programmes, funded through programme budgets. All clinical and some additional quality improvement lead posts will be funded through programme budgets. Discussions continue. NHS CB LOCAL AREA TEAM MEDICAL DIRECTOR NETWORK AND SENATE ASSOCIATE DIRECTOR 1 AfC band 9 NETWORK.SENATE MANAGERS 3.5 AfC band 8c PA 1 AfC band 5 ADMINISTRATION AND SUPPORT OFFICER/PA 1.5 AfC band 4 NETWORK ASSISTANT 1 AfC band 5 37

  38. Patient Safety Team (1x band 8d ) (5 x band 8c-8b ) (2x band 6-4 ) Infection control (1 x band 8b) Asst Director of Nursing NE Domain 5 (VSM) Asst Director of Nursing NW Health Improvement (VSM) Admin Support Team (1 x band 8a) (1 x band 6/5) Asst Director of Nursing South (VSM) Vulnerable Adults (1 x band 8c) (3 x band 8a) (1.5 x band 5) Safeguarding (1 x band 8d) (0.2 x band MED) Maternity (0.5 x band 8d) Director of Nursing (VSM) Director of Nursing Team Patient Experience (1x band 9) (1x band 8d ) (3 x band 8a) (1 x band 5) Primary Care (1 x band 8c) LSA and CHC services will be reprovided on an ‘as is’ basis 38

  39. Head of HR Head of OD Director of HR and OD (VSM) Director of HR and OD team 39

  40. Regional Director for Patients & Information (VSM) Head of Intelligence (8d) Head of Patient & Public Voice (8d) Head of Communications (8d) Head of Strategic Systems & Technology (8d) Support Team 1 x 8a 1 x 7 1 x 5 Regional Director for Patients and Information (8 WTE staff) • Key functions • Supports Regions/Local Area Teams to implement Patients and Information Priorities • 900k to be funded from Patients and Information Directorate, remainder by COO Directorate 40

  41. NHS CB Chief Operating Officer National Support Team 12 September 2012 Final Version

  42. Chief Operating OfficerOverarching Directorate Structure

  43. Director of NHS Operations and Delivery (Corporate)(National Support Team)

  44. Head of Planning and Assurance(National Support Team)

  45. Head of Delivery(National Support Team)

  46. 1 – this could include the work programme on ISTCs, the collection and collation of local business intelligence from the Service, Cross-Border work as well as any regular non-resilience incidents ie, PIP Implants, Libyans. 2 – This work will include the reconfiguration agenda which will largely be led by the LATs and the Regions but will be coordinated centrally and needs to be resourced fully over the next 2-3 years as we go through the FT pipeline. It will also include the management of winter and all other operational issues. There are still a number of “orphan” issues which, following discussion with Ian, may well move into this role eg, Continuing Healthcare Head of NHS Operations(National Support Team)

  47. Director of NHS Commissioning (Corporate) (National Support Team) Director of NHS Commissioning (Corporate) Head of Public Health, Military and Offender Health Commissioning VSM Head of Primary Care Commissioning VSM Head of Specialised Commissioning VSM

  48. Head of Specialised Commissioning (National Support Team) Head of Specialised Commissioning Assistant Head of Highly Specialised Services AFC Band 9 Assistant Head of High Secure Mental Health Services AFC Band 9 Assistant Head of Policy and Contracting AFC Band 9 Support Team 1 x Band 7 1 x Band 5 1 x Band 3

  49. Head of Public Health, Military and Offender Health Commissioning (National Support Team) • * Specialist Public Health advice • 1 WTE Head of Public Health, Military and Offender Health Commissioning Assistant Head of Public Health Commissioning AFC Band 8d Assistant Head of Military and Offender Health Commissioning ** AFC Band 8d Public Health Commissioning Manager AFC Band 8a Commissioning Manager AFC Band 8b Commissioning Manager AFC Band 8a Support Team 1 x Band 7 1 x Band 5 1 x Band 3 • Seconded from and funded by Public Health England. If further public health or offender health posts are to be transferred from • the DH teams it is assumed that £ for these posts will also transfer

  50. Head of Primary Care Commissioning (National Support Team) Head of Primary Care Commissioning Assistant Head of Primary Care Commissioning: stakeholder relationships for operational delivery AFC Band 8d Assistant Head of Primary Care Commissioning: Strategy implementation AFC Band 8d Support Team 1 x Band 7 1 x Band 5 1 x Band 3 If further Central Support Posts are to be transferred from the DH, it is assumed that £ for these posts will also transfer

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