New Executive Leadership Team 15 December 2004

1. New Executive Leadership Team15 December 2004 Ms Heather Gray Chief Executive

2. Background • Over the past few months CYWHS has been operating within a transitional environment. • We have implemented a number of transitional projects and commenced several plans. • The Board is undertaking Strategic Planning and have commenced work to identify the strategic priorities for our region. Senior staff have also been involved in strategic thinking sessions. • The emerging strategic directions have helped inform the leadership structure.

3. Background • As part of the Transitional plans, the CE made a commitment to announcing a new Executive structure by December 31, 2004. This was endorsed by the Board of Directors. • The CNAHS announced their Regional Executive structure on December 1, 2004. • The Department of Health announced their new Departmental structure on December 14, 2004. • The SAHS will be announcing their Executive structure on December 16, 2004.

4. Our Purpose Our constitution is clear in describing the primary purpose of our region: To promote, maintain & restore the health of women, children & young people. In order to fulfil this, we will be providing a broad range of services, including: • Specialist hospital services • Primary health care and population health programs • Integrated community care services • Services to address the health and wellbeing of particular populations, including Aboriginal Health programs • Education and training programs • Research. • Our Executive team needs to provide leadership for this range of services.

5. Leadership for reform • Our Executive team also needs to ensure strategic leadership for reform and drive our key strategic priorities. The Health Reform Objectives – Why change? • Sustainable and integrated health services • Primary health care • Health inequalities including Aboriginal health • Quality and safety of health care • Improved community participation • Better systems - Population based funding, workforce development, information systems & efficiency.

6. Our Emerging Vision Key themes …. • The health of children, young people and women is improved • Good health is available to everyone - this means that we must have a sustainable, integrated & affordable health system • Health inequalities are exposed and removed • The health system makes a real contribution to improving health • When people do get sick or become injured, patients are safe in our care and our services are responsive and compassionate.

7. Our Emerging Priorities • Aboriginal Health Key elements – Access, workforce development, cultural respect, maternal and infant health programs. 2. Primary Health Care Key elements – PHC networks, prevention, health promotion, early intervention and advocacy to improve population health outcomes, integration with acute services to develop accessible & responsive outreach services. PHC services will be underpinned by a population health approach. 3. Sustainable and Integrated Acute Services Key elements – Clinical networks, maintaining the viability of acute services in the context of falling birth rates, clinical governance, quality and safety.

8. Our Emerging Priorities 4. Keeping Children Safe Key elements – Leadership and networks with other regions and sectors, family support, prevention and promotion, reforming work practices and culture, improved accountability. 5. Health Inequalities Key elements - Developing and tailoring services to meet the most disadvantaged, providing services to promote the health of the segments of the population. 6. Workforce development Key elements – Developing a sustainable and effective workforce, planning for shortages, succession and responding to the ageing workforce.

9. New Executive Structure The new Executive structure will… • Increase our focus on primary health care • Provide a sustainable and integrated service based on the individual and population health needs of children, young people and women • Respond to the objectives of Health Reform and address key themes of First Steps Forward • Enable us to work in a collaborative and coordinated way with the other health regions and other sectors • Implement the Health Service Agreement. To achieve this, I have included both strategic and clinical service leadership positions.

10. Clinical Governance Advisory Group Chief Executive General Manager Services Executive Director Corporate Services Executive Director Strategic Development & Management Executive Director Population and Primary Health Care Services Executive Director Clinical Services Executive Director Clinical Governance, Education & Research

11. New Leadership Structure Clinical service leadership positions: • General Manager, Services • Executive Director, Primary Health Care • Executive Director, Clinical Services • Executive Director, Clinical Governance and Research.

12. New Leadership Structure Strategic leadership positions: • Executive Director, Corporate Services • Executive Director, Strategic Development and Management.

13. New Leadership Structure Clinical Governance Advisory Group: • Advice to Chief Executive and Regional Executive • Senior clinicians in Medical, Community Child Health, Nursing and Allied Health services • Professional advice on clinical and population health planning, professional workforce issues, service reform.

14. Chief Executive Officer Executive Director Clinical Services Medical Executive Director Clinical Services Nursing Executive Director Marketing and Organisational Development Executive Director Corporate Services Chief Operating Officer Previous Women’s and Children’s Hospital Executive Structure

15. Previous Child and Youth Health Executive Structure Senior Paediatric Consultant Chief Executive Officer Marketing and Public Relations Resource Management Services Nursing, Policy and Universal Services Universal Child Health Knowledge and Information Services Youth Services Centre for Parenting Specialist Services Major Projects

16. The Process Communication and Consultation • Labour Relations unit in the Department of Health • Office for the Commissioner of Public Employment • Unions • Communication newsletter and media release • Comments and feedback from staff and Unions by Jan 4, 2005 Recruitment • Will be based on merit and skill • Advertising in public press, planned for mid-late January 2005 • Direct appointment on 80% rule Further Development of the Structure • Chief Executive and Executive Directors will finalise the configuration of units and divisions • Note this is an Executive structure not the final organisational structure Change • A changing environment can be both exciting and challenging • Support to staff

17. Benefits of the New Structure Include: • Clear leadership for Primary Health Care • Combined leadership for Primary Health Care and Acute services will promote innovation and integration • Quality and Safety and Clinical Reform are high on the agenda • Designated leadership focus on Research • Executive Directors have responsibilities linked to priorities including Aboriginal Health and Child Protection • The Strategic Development position will ensure delivery of the Health Reform within the CYWHS • The Clinical Governance Advisory Group ensures clinicians have a strong voice and key influence without assuming extra management responsibilities.

18. Summary The Board and I are confident that this Executive structure will provide a leadership team with the necessary experience, qualifications and skills so that we can deliver on: • The Constitution • The Health Service Agreement • Government Health Reform • Strategic Priorities

19. Summary I would like you to consider the New Executive structure and welcome feedback and comments. I ask you to return any comments to me by Tuesday January 4, 2005 via my Personal Assistant, Karen Ross.