MLHD: Executive Management Restructure

Dear Member,

Attached is correspondence the HSU has received from Murrumbidgee Local Health District regarding a proposed realignment of the Executive Management structure.

Member feedback requested

The HSU industrial team is currently reviewing the potential impacts of the proposed restructure upon affected employees. We are now seeking feedback, views and comments from our members.

Please review the attached documentation and provide comment and feedback by 24 May 2019. You can submit it by email to brendan.edghill@hsu.asn.au with subject line Murrumbidgee Executive Management.

Not a member of the HSU? Now is time to join and have your say! You can join online at www.hsu.asn.au/join or call 1300 HSU NSW and join over the phone.

A union’s effectiveness and negotiation power depends upon the strength and density of its membership base. Join your work colleagues today by becoming a member of the Health Services Union and help us continue to protect and improve your working life.

In unity,

Gerard Hayes Secretary, HSU NSW/ACT/QLD

Newsletter: 313/2018 Date: 13 May 2019

Distribution: Murrumbidgee LHD members Contact: Your HSU Organiser

Murrumbidgee Local Health District Wagga Wagga Base Hospital

ABN 71 172 428 618 260-280 Edward Street, Wagga Wagga NSW 2650

Tel 02 5943 1000 Fax 02 5943 3880 www.mlhd.health.nsw.gov.au

10 May 2019

Mr Gerard Hayes Secretary Health Services Union NSW/ACT/Qld Locked Bag 3 Australia Square NSW 1515 secretary@hsu.asn.au Dear Mr Hayes Realignment of executive management structure for Murrumbidgee Local Health District We want to advise you of the realignment that we intend to make. In accordance with Clause 35 Health Employees Conditions of Employment (State) Award, (“The Award”), Murrumbidgee Local Health District (“MLHD”) is aware of its responsibility to consult with staff and their representatives should we wish to introduce changes that have a potential significant effect on employees. MLHD is currently undergoing a review and proposed structural realignment in the executive functions and portfolios. Whilst MLHD does not consider the proposed realignment of structure to have any significant effect on staff, by way of courtesy we would like to advise you of intentions. We are meeting with executive leaders and their teams during the week of 6 May 2019 and will make briefing discussion documents available to all staff by the end of that week. We will invite and consider all staff feedback and aim to appoint to the new roles and functions by end June 2019. The changes aim to enhance contemporary ways of working and improve the patient’s

journey through the local health system.

As a result of the proposal, a number of current executive and supporting administrative

positions will be affected and new clinically-focused positons will be created.

There are no planned redundancies and the proposed new structure will be cost neutral.

Should you require extra information on the realignment of executive and related functions, and the affect it may have on the staffing and the service provision, please contact me directly. I look forward to further communication and dialogue. Yours sincerely

Helen Emmerson Executive Director People and Culture Murrumbidgee Local Health District

CHIEF EXECUTIVE

DIRECTOR

OPERATIONS

DIRECTOR

INTEGRATED

CARE

EXECUTIVE

DIRECTOR

MEDICAL

EXECUTIVE

DIRECTOR

NURSING

MIDWIFERY

DIRECTOR

PEOPLE AND

CULTURE

DIRECTOR

CLINICAL

GOVERNANCE

DIRECTOR

STRATEGY AND

PLANNING

DIRECTOR

FINANCE AND

PERFORMANCE

CHIEF

INFORMATION

OFFICER

DIRECTOR

MENTAL HEALTH

DRUG AND

ALCOHOL

CE OFFICE

GOVERNANCE

RISK AND

AUDIT

Current StructureMLHD EXECUTIVE - TIER 2Draft V1

APRIL 2019

P1 P2 P3 P4 P5 P6 P7 P8 P9

N/C

N/C

N/C

N/C – No Change

P# - For Reference Only

1- Proposed Affected Positions

DIRECTOR

OPERATIONS

*Previously known as Director Allied Health (vacant)

EXECUTIVE ASSISTANT

ADMINISTRATION ASSISTANT

Current StructureOPERATIONS - TIER 3 and direct reports

Draft V1

APRIL 2019

GENERAL

MANAGER

REGIONAL

GENERAL

MANAGER

GRIFFITH

BASE HOSPITAL

DIRECTOR

WAGGA WAGGA

HEALTH SERVICE

GENERAL

MANAGER

OPERATIONS

*DISTRICT

MANAGER

ALLIED HEALTH

MANAGER

NDIS

P1

P1.1 P1.3P1.2 P1.4 P1.5 P1.6

P1.7

P1.8

2

- Proposed Affected Positions

GENERAL

MANAGER

REGIONAL

EXECUTIVE ASSISTANT

Current StructureOPERATIONS - TIER 4 and direct reports

Draft V1

APRIL 2019

MPS 5 PROJECT

MANAGER

CLUSTER

MANAGER

DENILIQUIN

CLUSTER

MANAGER

FINLEY

CLUSTER

MANAGER

COROWA

CLUSTER

MANAGER

NARRANDERA

CLUSTER

MANAGER

TUMUT

CLUSTER

MANAGER

YOUNG

CLUSTER

MANAGER

COOTAMUNDRA

CLUSTER

MANAGER

TEMORA

P1.1

P1.1.1 P1.1.2 P1.1.3 P1.1.4 P1.1.5 P1.1.6 P1.1.7 P1.1.8

P1.1.9

P1.1.10

3

- Proposed Affected Positions

GENERAL MANAGER

GRIFFITH BASE

HOSPITAL

EXECUTIVE ASSISTANT

Current StructureOPERATIONS - TIER 4

Draft V1

APRIL 2019

REDEVELOPMENT

CHANGE MANAGER

REDEVELOPMENT

COMMUNCATIONS

MANAGER

HEALTH

INFORMATION

DIRECTOR

MEDICAL

SERVICES

MANAGER

QUALITY AND

SAFETY

BUSINESS

OPERATIONS

MANAGER

DIRECTOR

NURSING AND

MIDWIFERY

CLUSTER

MANAGER LEETON

SOCIAL

WORKERDIETICIAN

MANAGER

RADIOLOGY

P1.2

P1.2.5P1.2.1

P1.2.11

P1.2.10

P1.2.2 P1.2.3 P1.2.4 P1.2.6 P1.2.7 P1.2.8 P1.2.9

P1.2.12

4

DIRECTOR

WAGGA WAGGA

HEALTH SERVICE

OPERATIONS SUPPORT MANAGER

Current StructureOPERATIONS - TIER 4

Draft V1

APRIL 2019

MANAGER

FINANCE AND

ANALYTICS

DIRECTOR

MEDICAL

SERVICES

MANAGER

QUALITY AND

SAFETY

DIRECTOR

NURSING AND

MIDWIFERY

REDEVELOPMENT

PROJECT

MANAGER

MANAGER

CORPORATE AND

BUSINESS

MANAGER ALLIED

HEALTH

MANAGER WHOLE

OF HOSPITAL

P1.3

P1.3.5P1.3.1 P1.3.2 P1.3.3 P1.3.4 P1.3.6 P1.3.7 P1.3.8

P1.3.9

5

- Proposed Affected Positions

MANAGER PATIENT

FLOW AND

TRANSPORT

MANAGER ASSET AND

CLINICAL TECHNOLOGY

MANAGEMENT

MANAGER CANCER

SERVICES AND

INNOVATION

GENERAL

MANAGER

OPERATIONS

MANAGER

TELEHEALTH

EXECUTIVE ASSISTANT

BUSINESS

MANAGER

MEDICAL IMAGING

Current StructureOPERATIONS - TIER 4

Draft V1

APRIL 2019

P1.4

P1.4.1 P1.4.4P1.4.3P1.4.2 P1.4.5

P1.4.6

6

DISTRICT

STERILISATION

MANAGER

P1.4.7

- Proposed Affected Positions

DIRECTOR MENTAL

HEALTH DRUG AND

ALCOHOL

EXECUTIVE ASSISTANT

Current StructureMENTAL HEALTH DRUG AND ALCOHOL - TIER 3

Draft V1

APRIL 2019

DISTRICT

MANAGER

COMMUNITY

MENTAL HEALTH

DRUG AND

ALCHOL

MANAGER

STRATEGIC

PLANNING AND

INNOVATION

GOVERNANCE

MANAGER

BUSINESS AND

INFORMATION

MANAGER

MANAGER

INPATIENT

SERVICES/

MHECS

DIRECTOR OF

NURSING

DISTRICT

CLINICAL

DIRECTOR DRUG

AND ALCOHOL

DISTRICT

CLINICAL

DIRECTOR

MENTAL HEALTH

MANAGER DRUG

AND ALCOHOL

CAMHS /

PPEI / YMH

P2

P2.1 P2.6P2.5P2.4P2.3P2.2 P2.8P2.7

7

P2.9

MANAGER BREAST

SCREEN

DIRECTOR

INTEGRATED CARE

AND PARTNERSHIPS

EXECUTIVE ASSISTANT

Current StructureINTEGRATED CARE - TIER 3

Draft V1

APRIL 2019

DIRECTOR PUBLIC

HEALTH

MANAGER HEALTH

PROMOTION

MANAGER WOMEN’S

HEALTH VIOLENCE

PREVENTION AND

CARE

MANAGER

COMMUNITY CARE

MANAGER ORAL

HEALTH

MANAGER CHILD

YOUTH AND FAMILY

HEALTH

MANAGER

INTEGRATED CARE

MANAGER

ABORIGINAL

HEALTH

AGED CARE

PROGRAM

MANAGER

SUPPORT SERVICES

COORDINATOR

MANAGER

PALLIATIVE CARE

P3

P3.1

P3.2

P3.3

P3.4

P3.5

P3.6

P3.7

P3.8

P3.9

P3.10 P3.10.1

P3.11

P3.12

WOUND AND STOMA

MANAGER

EXECUTIVE

DIRECTOR NURSING

AND MIDWIFERY

EXECUTIVE ASSISTANT

Current StructureN&MS - TIER 3

Draft V1

APRIL 2019

NURSE MANAGER

WORKFORCE AND

LEADERSHIP

DISASTER

MANAGER

NURSE MANAGER

CLINICAL PRACTICE

AND DEVELOPMENT

RENAL STREAM

MANAGER

Cluster Managers have professional reporting relationship to the MLHD Executive Director of Nursing and Midwifery. P4

P4.1 P4.2 P4.3

P4.4P4.5

9

CLUSTER MANAGERS

P4.6

EXECUTIVE

DIRECTOR MEDICAL

SERVICES

EXECUTIVE ASSISTANT

Current StructureMEDICAL SERVICES - TIER 3

Draft V1

APRIL 2019

BLOOD

MANAGEMENTCHIEF

PHARMACIST

DIRECTOR

TRAUMA

CNC

PERIOPERATIVE

P5

P5.1 P5.2 P5.3 P5.4

10

Dotted professional reporting relationships to the MLHD Executive Director Medical Services.

DIRECTOR MEDICAL SERVICES

– WAGGA WAGGA BASE HOSPITAL

DIRECTOR MEDICAL SERVICES

– GRIFFITH BASE HOSPITAL

VISITING MEDICAL STAFF

CLINICAL EDUCATION

TRAINING UNIT (CETU)

- Professional Directors Post

Graduate Education and Training

P5.9

P5.8

P1.3.5

P1.2.5

DIRECTOR

CRITICAL CARE

P5.5

P5.7

DIRECTOR PEOPLE

AND CULTUREEXECUTIVE ASSISTANT

Current StructurePEOPLE AND CULTURE - Direct Reports

Draft V1

APRIL 2019

MANAGER

WORKFORCE

PLANNING

MANAGER WORK

HEALTH SAFETY

AND WELLBEING

MANAGER MEDICAL

WORKFORCE

MANAGER

MANAGER

RECRUITMENT AND

STAFF SCHEDULING

MANAGER

ORGANISATIONAL

DEVELOPMENT

HUMAN RESOURCE

BUSINESS PARTNER

DEVELOPMENT

MANAGER

HUMAN RESOURCE

BUSINESS PARTNER

OPERATIONS

MANAGER

P6

P6.1 P6.3 P6.4 P6.5 P6.6 P6.7P6.2

P6.8

11

DIRECTOR CLINICAL

GOVERNANCEEXECUTIVE ASSISTANT

Current StructureCLINICAL GOVERNANCE - Direct Reports

Draft V1

APRIL 2019

CLINICAL ADVISORY

(VMO AND STAFF

SPECIALIST)

DEPUTY DIRECTOR /

MANAGER CAPABILITY

AND IMPROVEMENT

PROFESSIONAL

PRACTICE MANAGER

SENIOR HEALTH

STATISTICIAN AND

ANALYST

MANAGER QUALITY

SYSTEMS AND

COMPLIANTS

P7

P7.1 P7.2 P7.3 P7.4

P7.5P7.6

12

DIRECTOR STRATEGY

AND PLANNING

Current StructureSTRATEGY AND PLANNING – Direct Reports

Draft V1

APRIL 2019

MANAGER

RESEARCH

MANAGER

REDESIGN, LBVC

AND INNOVATION

MANAGER SERVICE

PLANNINGPROJECT

COORDINATOR

P8

P8.4P8.3P8.1 P8.2

13

- Proposed Affected Positions

DIRECTOR FINANCE

AND PERFORMANCEEXECUTIVE ASSISTANT

Current StructureFINANCE AND PERFORMANCE - Direct Reports

Draft V1

APRIL 2019

ASSOCIATE DIRECTOR

FINANCE AND

PERFORMANCE

MANAGER FINANCIAL

PROJECTS AND

SUPPORT

MANAGER FINANCIAL

SERVICES

MANAGER CONTRACTS

AND PROCUREMENT

SYSTEMS

MANAGER REVENUE

DEVELOPMENT AND

SYSTEMS IMPROVEMENT

P9

P9.1 P9.5P9.4P9.3P9.2

P9.6

14

CHIEF EXECUTIVE

DIRECTOR

INTEGRATED

CARE

EXECUTIVE

DIRECTOR

MEDICAL

SERVICES

EXECUTIVE

DIRECTOR

NURSING

MIDWIFERY

DIRECTOR

PEOPLE AND

CULTURE

DIRECTOR

CLINICAL

GOVERNANCE

DIRECTOR

FINANCE AND

PERFORMANCE

CHIEF

INFORMATION

OFFICER

DIRECTOR

MENTAL HEALTH

DRUG AND

ALCOHOL

EXECUTIVE

SERVICES

GOVERNANCE

RISK AND

AUDIT

DIRECTOR

CLINICAL

OPERATIONS

GREATER

GRIFFITH*

DIRECTOR

CLINICAL

OPERATIONS

GREATER

WAGGA*

Proposed StructureExecutive Team - Tier 2

DIRECTOR

CLINICAL

OPERATIONS

LOWER

MURRAY*

Operational Business Partners

P2 P3 P4 P5 P6 P7 P9

Revised

N/C

N/C

1

EXECUTIVE SERVICES

MANAGER, STRATEGY

P8.4

N/C – No Change

Changes noted: P1 – Director Operations Affected PositionP8 – Director Strategy and Planning Affected PositionP8.4 – Project Coordinator from Strategy and Planning to Chief Executive’s Executive Service Unit with title change

P# - For Reference Purposes Only

Draft For Consultation

v1 MAY 2019

The proposed structure has the same number of executive positions and is cost neutral. There are 5 affected executive positions proposed, replaced by 5 revised positions. There are 5 affected administration roles proposed, replaced by 5 revised positions.

*Sector names to be determined as part of engagement with staff

Revised Revised

Paediatric & Maternity Clinical Network

Critical Care & Surgery Services Clinical Networks

Integrated Care / Primary Health Clinical Network

Mental Health, Drug and Alcohol Clinical Network

Chronic Care Clinical Network

*Previously known as Director Allied Health (vacant)

EXECUTIVE ASSISTANT

Proposed StructureDCO – LOWER MURRAY

DIRECTOR CLINICAL

OPERATIONS

LOWER MURRAY

CLUSTER

MANAGER

DENILIQUIN

CLUSTER

MANAGER

FINLEY

CLUSTER

MANAGER

COROWA

GENERAL

MANAGER

AGED CARE

STREAM

*DISTRICT

MANAGER

ALLIED HEALTH

and NDIS

CLINICAL

NETWORK

LEAD/s

AGED CARE

PROGRAM

MANAGER

P3.4

P1.5P1.1.1 P1.1.2 P1.1.3

2

*MLHD existing services in other directorates but working as part of the Lower Murray Sector

People and Culture

Business Partners (HR BP)

Finance

Business Partners

Clinical Governance

Business Partners

EXECUTIVE

DIRECTOR

MEDICAL

SERVICES

P5

Draft For Consultation

v1 MAY 2019

MANAGER

RENAL STREAM

P4.4

Dotted line to demonstrates working relationship / not reporting line, with EDMS

Key: Organisational/District Responsibility

Revised

Revised

Paediatric & Maternity Clinical Network

Critical Care & Surgery Services Clinical Networks

Integrated Care / Primary Health Clinical Network

Mental Health, Drug and Alcohol Clinical Network

Chronic Care Clinical Network

EXECUTIVE ASSISTANT

Proposed StructureDCO – GREATER GRIFFITH SECTORDraft For Consultation

v1 MAY 2019

MANAGER

INFRASTRUCTURE

REDEVELOPMENT

MANAGER ASSET

AND CLINICAL

TECHNOLOGY

MANAGEMENT

REDEVELOPMENT

CHANGE

MANAGER - GRBH

REDEVELOPMENT

COMMUNCATIONS

MPS 5 PROJECT

MANAGER

REDEVELOPMENT

PROJECT

MANAGER - WWBHP1.2.11

P1.2.12

P1.3.8

P1.1.10

P1.4.2

3

*MLHD existing services in other directorates but working as part of Greater Griffith Sector

People and Culture

Business Partners (HR BP)

Finance

Business Partners

Clinical Governance

Business Partners

HI Funded(temporary)

CLINICAL

NETWORK

LEAD/s

DIRECTOR

MEDICAL

SERVICES

P1.2.5

GENERAL

MANAGER

GRIFFITH BASE

HOSPITAL AND

LEETON CLUSTER

P1.2

MANAGER

REDESIGN, LBVC

AND INNOVATION

P8.2

MANAGER

CLINICAL SERVICE

PLANNING

P8.3

DIRECTOR CLINICAL

OPERATIONS

GREATER GRIFFITH

Key: Organisational/District Responsibility

MANAGER

PATIENT FLOW

AND TRANSPORT

P1.4.1

MANAGER

TELEHEALTH

P1.4.4

Dotted line to demonstrates working relationship / not reporting line, with DMS

Revised

GENERAL MANAGER

GRIFFITH BASE HOSPITAL

AND LEETON CLUSTER

EXECUTIVE ASSISTANT

Proposed StructureDCO – GREATER GRIFFITH SECTORGriffith Base Executive – Tier 3/4

Changes noted:P1.2.11 - Redevelopment Change Manager (GrBH) to Manager Infrastructure/Redevelopments (Greater Griffith Sector)P1.2.12 - Redevelopment Communications (GrBH) to Manager Infrastructure/Redevelopments (Greater Griffith Sector)

Notes: P1.2.5 – Director Medical Services will continue to report through to the General Manager Griffith Base Hospital

P1.2

P1.2.10

4

MANAGER

HEALTH

INFORMATION

MANAGER

QUALITY AND

SAFETY

BUSINESS

OPERATIONS

MANAGER

DIRECTOR

NURSING AND

MIDWIFERY

MANAGER

RADIOLOGY

P1.2.3 P1.2.4 P1.2.6 P1.2.7 P1.2.8

CLUSTER

MANAGER LEETON

P1.2.9

*MLHD existing services in other directorates but working as part of Greater Griffith Sector

People and Culture

Business Partners (HR BP)

Finance

Business Partners

Clinical Governance

Business Partners

SOCIAL

WORKER

P1.2.2

MANAGER

DIETICIAN

P1.2.1

Draft For Consultation

v1 MAY 2019

DIRECTOR MEDICAL

SERVICES

P1.2.5

EXECUTIVE ASSISTANT

Proposed StructureDCO – GREATER WAGGA WAGGA SECTOR

Draft For Consultation

v1 MAY 2019 DIRECTOR CLINICAL

OPERATIONS

GREATER WAGGA

WAGGA

5

GENERAL

MANAGER

WAGGA WAGGA

BASE HOSPITAL

CLUSTER

MANAGER

NARRANDERA

CLUSTER

MANAGER

TEMORA

CLUSTER

MANAGER

TUMUT

CLUSTER

MANAGER

YOUNG

CLUSTER

MANAGER

COOTAMUNDRA

MANAGER

CANCER

SERVICES AND

INNOVATION

BUSINESS

MANAGER

MEDICAL

IMAGING

P1.1.4 P1.1.5

Paediatric & Maternity Clinical Network

Critical Care & Surgery Services Clinical Networks

Integrated Care / Primary Health Clinical Network

Mental Health, Drug and Alcohol Clinical Network

Chronic Care Clinical Network

P1.1.6 P1.1.7 P1.1.8 P1.4.3P1.4.5

*MLHD existing services in other directorates but working as part of Greater Wagga Sector

People and Culture

Business Partners (HR BP)

Finance

Business Partners

Clinical Governance

Business Partners

CLINICAL

NETWORK

LEAD/s

DIRECTOR

MEDICAL

SERVICES

P1.3.5

DIRECTOR

CRITICAL

CARE

P5.5

CNC PERI-

OPERATIVE

P5.3

DIRECTOR

TRAUMA

P5.4

QUALITY

ASSURANCE

MANAGER

Key: Organisational/District Responsibility

P1.4.7

Revised

Revised

GENERAL MANAGER

WAGGA WAGGA

BASE HOSPITAL

Proposed StructureDCO 3 – GREATER WAGGA SECTORWagga Wagga Base Executive Tier 3/4

Changes noted:P1.3.8 - Redevelopment Project Manager (WWBH) to Manager Redevelopments/Infrastructure (Greater Griffith Sector)P1.3.5 – Director Medical Services to Director Clinical Operations – Greater Wagga Wagga SectorP4.5 – Wound Management (district-wide functions) reporting through Acute Ambulatory Care

6

MANAGER

QUALITY AND

SAFETY

DIRECTOR

NURSING AND

MIDWIFERY

MANAGER

CORPORATE AND

BUSINESS

MANAGER ALLIED

HEALTH

MANAGER WHOLE

OF HOSPITAL

P1.3.1 P1.3.2 P1.3.3 P1.3.6 P1.3.7

MANAGER

FINANCE AND

ANALYTICS

P1.3.4

EXECUTIVE ASSISTANT

*MLHD existing services in other directorates but working as part of Greater Wagga Sector

People and Culture

Business Partners (HR BP)

Finance

Business Partners

Clinical Governance

Business Partners

Draft For Consultation

v1 MAY 2019

WOUND AND

STOMA

MANAGER

P4.5

ACUTE

AMBULATORY

CARE

Key: Organisational/District Responsibility

Revised

DIRECTOR MENTAL

HEALTH DRUG AND

ALCOHOL

EXECUTIVE ASSISTANT

Current StructureMENTAL HEALTH DRUG AND ALCOHOLNo Change

7

MANAGER DRUG

AND ALCOHOL

CAMHS /

PPEI / YMH

DISTRICT

MANAGER

COMMUNITY

MENTAL HEALTH

DRUG AND

ALCHOL

MANAGER

STRATEGIC

PLANNING AND

INNOVATION

GOVERNANCE

MANAGER

BUSINESS AND

INFORMATION

MANAGER

MANAGER

INPATIENT

SERVICES/

MHECS

DIRECTOR OF

NURSING

DISTRICT

CLINICAL

DIRECTOR DRUG

AND ALCOHOL

DISTRICT

CLINICAL

DIRECTOR

MENTAL HEALTH

P2.1 P2.6P2.5P2.4P2.3P2.2 P2.8P2.7

P2

P2.9

N/C – No Change

N/C

Draft For Consultation

v1 MAY 2019

DIRECTOR

INTEGRATED CARE

AND PARTNERSHIPS

EXECUTIVE ASSISTANT

Proposed StructureINTEGRATED CARE - TIER 3Minor Change to reporting lines (Tier 3/4)

MANAGER CHILD

YOUTH AND FAMILY

HEALTH

SUPPORT SERVICES

COORDINATOR

Changes noted:

P3.4 - Manager Aged Care Program to Director Clinical Operations – Lower Murray P3.1 – Manager Aboriginal Health to work across Acute and Community (orange)P3.10.1 - Manager Palliative Care to work across Acute and Community (orange)

P3.2

P3.11

P3.12

8

P3

MANAGER

ABORIGINAL

HEALTH

P3.1

MANAGER HEALTH

PROMOTION

MANAGER WOMEN’S

HEALTH VIOLENCE

PREVENTION AND

CARE

MANAGER

COMMUNITY CARE

MANAGER ORAL

HEALTH

MANAGER

INTEGRATED CARE

P3.6

P3.7

P3.8

P3.9

P3.10

Draft For Consultation

v1 MAY 2019

MANAGER

PALLIATIVE

CARE

MANAGER BREAST

SCREEN

P3.3

DIRECTOR PUBLIC

HEALTH

P3.5

P3.10.1

EXECUTIVE

DIRECTOR NURSING

AND MIDWIFERY

EXECUTIVE ASSISTANT

Proposed StructureN&MS - TIER 3 Change in reporting lines

Changes noted:P4.4 - Manager Renal Stream to Director Clinical Operations – Lower Murray SectorP4.5 - Wound and Stoma Manager to Acute Ambulatory Care - Wagga Wagga Base Hospital

NURSE MANAGER

WORKFORCE AND

LEADERSHIP

DISASTER

MANAGER

NURSE MANAGER

CLINICAL PRACTICE

AND DEVELOPMENT

P4

P4.1 P4.2 P4.3

P4.5

9

Site Managers have dotted professional reporting relationship to the MLHD Executive Director of Nursing and Midwifery.

CLUSTER MANAGERS

Draft For Consultation

v1 MAY 2019

EXECUTIVE ASSISTANT

EXECUTIVE

DIRECTOR MEDICAL

SERVICES

Proposed StructureMEDICAL SERVICES - TIER 3Changes in reporting lines

Changes noted:P5.7 - Clinical Education Training Unit to People and CultureP5.4 – CNC Perioperative to Director Clinical Operations – Greater Wagga Wagga SectorP5.5 – Director Trauma to Director Clinical Operations – Greater Wagga Wagga SectorP5.6 – Director Critical Care to Director Clinical Operations – Greater Wagga Wagga Sector

10

DIRECTOR MEDICAL SERVICES

– Greater Wagga Wagga Sector

P5

DIRECTOR MEDICAL SERVICES

– Greater Griffith Sector

VISITING MEDICAL STAFF

P1.3.5

P1.2.5

P5.8

Professional Leadership / Business Partner support provided by MLHD Executive Director Medical Services across the district. Dotted line to demonstrates working relationship / not reporting line.

P5.7

DIRECTOR CLINICAL

OPERATIONS

LOWER MURRAY

Draft For Consultation

v1 MAY 2019

CHIEF

PHARMACIST

P5.2

BLOOD

MANAGEMENT

P5.1

DIRECTOR PEOPLE

AND CULTUREEXECUTIVE ASSISTANT

Proposed StructurePEOPLE AND CULTURE - Direct ReportsAddition to reporting lines

CLINICAL EDUCATION

TRAINING UNIT (CETU)

- Professional Directors Post

Graduate Education and Training

Addition/s noted:p5.7 - Clinical Education Training Unit – from Medical Services

MANAGER

WORKFORCE

PLANNING

MANAGER WORK

HEALTH SAFETY

AND WELLBEING

MANAGER MEDICAL

WORKFORCE

MANAGER

MANAGER

RECRUITMENT AND

STAFF SCHEDULING

MANAGER

ORGANISATIONAL

DEVELOPMENT

HUMAN RESOURCE

BUSINESS PARTNER

DEVELOPMENT

MANAGER

HUMAN RESOURCE

BUSINESS PARTNER

OPERATIONS

MANAGER

P6.1 P6.3 P6.4 P6.5 P6.6 P6.7P6.2

P6.8

P5.7 P6

11

Draft For Consultation

v1 MAY 2019

DIRECTOR CLINICAL

GOVERNANCEEXECUTIVE ASSISTANT

Proposed StructureCLINICAL GOVERNANCE - Direct ReportsAdditional Reporting Lines

CLINICAL ADVISORY

(VMO AND STAFF

SPECIALIST)

Additions noted:P8.1 - Manager Research – from Strategy and Planning

MANAGER

RESEARCH

P8.1

P7

P7.5

P7.6

12

Draft For Consultation

v1 MAY 2019

MANAGER CAPABILITY

AND IMPROVEMENT /

ASSOC. DIRECTOR

PROFESSIONAL

PRACTICE MANAGER

SENIOR HEALTH

STATISTICIAN AND

ANALYST

MANAGER QUALITY

SYSTEMS AND

COMPLIANTS

P7.1 P7.2 P7.3 P7.4

DIRECTOR FINANCE

AND PERFORMANCEEXECUTIVE ASSISTANT

Current StructureFINANCE AND PERFORMANCE - Direct ReportsNo Change

ASSOCIATE DIRECTOR

FINANCE AND

PERFORMANCE

MANAGER FINANCIAL

PROJECTS AND

SUPPORT

MANAGER FINANCIAL

SERVICES

MANAGER CONTRACTS

AND PROCUREMENT

SYSTEMS

MANAGER REVENUE

DEVELOPMENT AND

SYSTEMS IMPROVEMENT

P9.1 P9.5P9.4P9.3P9.2

P9.6

P9

13

N/C – No Change

N/C

Draft For Consultation

v1 MAY 2019

DRAFT FOR COMMENT

Integrated Care / Primary Health Clinical Network

Paediatric & Maternity Clinical Network

Critical Care / Surgery Services Clinical Networks

Mental Health, Drug and Alcohol Clinical Network

Chronic Care Clinical Network

Key: Organisational/District ResponsibilityClinical OperationsVisual Map

Aged Care Stream(MPS and aged care

community services)

Deniliquin Cluster

• Barham

• Deniliquin

• Hay

Director

Clinical Operations (Revised)

Lower Murray Sector*

Allied Health

Rehabilitation

Clinical Network Lead/s

Corowa Cluster

• Corowa

• Culcairn

• Henty

• Holbrook

Finley Cluster

• Berrigan

• Finley

• Tocumwal

• Jerilderie

Key: Clinical NetworksProposed Organising Principles Clinical Operations / Sectors

Cootamundra Cluster

• Cootamundra

• Gundagai

• Junee

Director

Clinical Operations (Revised)

Greater Wagga Wagga Sector*

Cancer Services

Medical Imaging

Narrandera Cluster

• Narrandera

• Urana

• Lockhart

Temora Cluster

• Coolamon

• West Wyalong

• Temora

Clinical Network Lead/s

Young Cluster

• Young

• Boorowa

• Harden/Murrumburrah

Tumut Cluster

• Tumut

• Tumbarumba

• Batlow/Adelong

Wagga Wagga Base Hospital

Renal Services

Telehealth

Director

Clinical Operations (Revised)

Greater Griffith Sector*

Infrastructure Projects /

Redevelopments

Asset Management

Clinical Planning (Service Planning)

Clinical Network Lead/s

Griffith Base Hospital

Leeton Cluster

• Leeton

• Hillston

• Lake Cargelligo

Critical Care

Patient Flow and

Transport Services

Redesign / LBVC

Draft For Consultation

v1 MAY 2019

District Sterilisation *Sector names to be determined as part of engagement with staff

DRAFT FOR COMMENTProposed Map of SectorsDraft For Consultation

v1 MAY 2019

Greater Wagga SectorGreater Griffith Sector

Lower Murray Sector

*Sector names to be determined as part of engagement with staff