DIRECTOR, CLINICAL GOVERNANCE NORTHERN NSW LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK

 
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DIRECTOR, CLINICAL GOVERNANCE NORTHERN NSW LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK

DIRECTOR, CLINICAL GOVERNANCE
NORTHERN NSW LOCAL HEALTH DISTRICT
DIRECTOR, CLINICAL GOVERNANCE NORTHERN NSW LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director, Clinical Governance

TABLE OF
CONTENTS

Executive Summary                    3

Northern NSW Local Health District   4

Director, Clinical Governance        7

Employment Terms & Conditions        10

How to Apply                         11

  HardyGroup | IN CONFIDENCE              2
DIRECTOR, CLINICAL GOVERNANCE NORTHERN NSW LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director, Clinical Governance

EXECUTIVE
SUMMARY

Northern NSW Local Health District’s (NNSWLHD) vision is a health community through quality care. The
District (NNSWLHD) provides a diverse range of public healthcare to over 300,000 residents through eight (8)
hospitals and four (4) multi-purpose services, 21 community health centres including HealthOnes. The District
covers a large area in northeastern NSW extending from Tweed Heads in the north to Tabulam and Urbenville
in the west and to Nymboida and Grafton in the south, an area of 20,732 square kilometers.

A Director, Clinical Governance is now sought to participate as an integral member of the local health district
executive team and provide leadership of the clinical governance function, to promote and support patient
safety, clinical excellence, research and innovation across the district. The Director provides high level expert
advice to the Chief Executive and LHD Executive on all clinical governance issues and works collaboratively
with managers, staff and key stakeholders to analyse, maintain and improve patient safety and clinical quality
systems across the District.

The role will suit a health care professional with a passion for working in a high performing Local Health District
with a connected and engaged clinical workforce that is progressive and innovative. With major capital
development program underway across the District this is an opportunity to provide clinical governance
oversight to clinical redesign and the development of innovative models of care to support the health and
wellbeing of the communities of Northern NSW.

The successful applicant will have:

    •   demonstrated senior management experience in a major health care institution
    •   extensive practical knowledge of clinical systems and health services, including understanding of
        human and other factors impacting on patient safety
    •   knowledge and understanding of public health policy issues including evidence based practice, health
        care safety and quality, health service evaluation, health care funding and resource allocation.

  HardyGroup | IN CONFIDENCE                                                                                     3
DIRECTOR, CLINICAL GOVERNANCE NORTHERN NSW LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director, Clinical Governance

NORTHERN NSW
LOCAL HEALTH DISTRICT
                           A health community through quality care

Northern NSW Local Health District (NNSWLHD) provides a diverse
range of public healthcare to over 300,000 residents across the district
through eight (8) hospitals and four (4) multi-purpose services, 21
community health centres including HealthOnes.

NNSWLHD covers a large area in northeastern NSW extending from
Tweed Heads in the north to Tabulam and Urbenville in the west and
to Nymboida and Grafton in the south, an area of 20,732 square
kilometers.

In 2011 the estimated population within NNSWLHD was 288,241 and
is projected to increase by an estimated 16.3% by 2031.The population
of persons aged 65 years and older is expected to increase by
approximately 71% in the same period.

People of Aboriginal and Torres Strait Islander heritage make up 4.5
per cent of the population in Northern NSW compared to 2.9 per cent for all NSW.

The District delivers a broad range of health services in state-of-the-art facilities, with access to general and
specialist services. Staff are connected to best-practice medical care throughout Australia thanks to a growing
network of training opportunities and relationships with local and metropolitan tertiary education providers.

NNSWLHD is undertaking major capital projects at several facilities, which will support staff and clinicians in
providing excellent care to the District’s communities well into the future.

Continued developments in Information Communication Technologies and Integrated Care have resulted in
improved patient outcomes and hospital services.

Vision

A healthy community through quality care

Purpose

Work together to deliver quality health outcomes across our communities.

  HardyGroup | IN CONFIDENCE                                                                                   4
DIRECTOR, CLINICAL GOVERNANCE NORTHERN NSW LOCAL HEALTH DISTRICT - CANDIDATE INFORMATION PACK
CANDIDATE INFORMATION PACK
Director, Clinical Governance

Values

Collaboration: We are committed to working collaboratively with each other to achieve the best possible
outcomes for our patients who are at the centre of everything we do. In working collaboratively, we
acknowledge that every person working in the health system plays a valuable role that contributes to achieving
the best possible outcomes.

Openness: A commitment to openness in our communications builds confidence and greater cooperation. We
are committed to encouraging our patients and all people who work in the health system to provide feedback
that will help us provide better services.

Respect: We have respect for the abilities, knowledge, skills and achievements of all people who work in the
health system. We are also committed to providing health services that acknowledge and respect the feelings,
wishes and rights of our patients and their carers.

Empowerment: In providing quality health care services we aim to ensure our patients are able to make well
informed and confident decisions about their care and treatment.

  HardyGroup | IN CONFIDENCE                                                                                5
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Director, Clinical Governance

Strategic Plan 2019 – 2024

The strategic plan set out the direction for NNSWLHD over the next five years, consistent with the vision of a
healthy community through quality care. These six Strategic Priorities will guide future development of the
health services across NNSWLHD.

  HardyGroup | IN CONFIDENCE                                                                                6
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Director, Clinical Governance

DIRECTOR,
CLINICAL GOVERNANCE
POSITION PURPOSE

The Director, Clinical Governance (Director) is responsible for establishing, directing and managing the clinical
governance function of the Local Health District (LHD) to promote and support patient safety and clinical
excellence within health services.

The Director provides high level expert advice to the Chief Executive and LHD Executive on all clinical
governance issues and works collaboratively with managers, staff and key stakeholders to analyse, maintain
and improve patient safety and clinical quality systems across the District.

KEY DUTIES AND RESPONSIBILITIES

The Director is responsible for the following:

Develop and lead organisational capacity and capability to support a safe culture throughout the organisation.
Ensure effective identification, investigation, management, monitoring and reporting of clinical safety risks
and adverse patient events within the Health Service.

Oversee the LHD incident reporting and complaints handling systems and investigate concerns/complaints
regarding clinicians, working with line managers to facilitate fair and speedy resolution.

Work collaboratively with and support clinical staff of the LHD to ensure rigorous review and audit of patient
outcomes with effective uptake of safety initiatives (e.g. deteriorating patient, medication safety).

Lead and manage an effective Clinical Governance Unit to ensure state and LHD priorities are met in a timely
and effective manner.

Support the District's peak clinical governance meetings – i.e. NNSWLHD Health Care Quality & Safety (Board)
Committee and NNSWLHD Research and Innovation Committee.

Contribute to corporate improvements by working with LHD Clinical Governance Units, the NSW Ministry of
Health, the NSW Clinical Excellence Commission, the Agency for Clinical Innovation, the Clinical Education and
Training Institute and other key clinical and health and education organisations.

  HardyGroup | IN CONFIDENCE                                                                                   7
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Director, Clinical Governance

Role model and lead a culture of excellence based on the organisations values and Transforming Your
Experience strategy to ensure the organisation delivers patients/client focused service in an adaptive,
responsive and performance oriented manner.

ESSENTIAL CRITERIA

The Director will demonstrate experience, skill and knowledge in the following criteria:

    1. Relevant tertiary qualifications in medicine, nursing/midwifery, allied health or other relevant
       discipline.
    2. Extensive practical knowledge of clinical systems and health services, including understanding of
       human and other factors impacting on patient safety.
    3. Knowledge and understanding of public health policy issues including evidence based practice, health
       care safety and quality, health service evaluation, health care funding and resource allocation.
    4. Experience in a similar role or function.

TARGETED QUESTIONS

When applying for the position, you are required to respond to the two target questions below.

    1. Detail your previous experience in successfully leading change within a complex and diverse health
       system that directly led to improvements in clinical governance systems, and patient safety.
    2. Describe your approach to leading a large and complex health organisation to meet standards of
       accreditation and transition to new standard frameworks are they arise.

ESSENTIAL QUALIFICATIONS & EXPERIENCE

The incumbent must have:

    •   Relevant tertiary qualifications in medicine, nursing/midwifery, allied health or other relevant
        discipline

CHALLENGES

Major challenges currently associated with the role include:

     • Harnessing clinical support for implementation of key patient safety strategies where competing
       priorities exist.

  HardyGroup | IN CONFIDENCE                                                                             8
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Director, Clinical Governance

     • Ensuring clinical staff have access to the information needed to facilitate improvement in patient
       safety.
     • Supporting the LHD to meet national priorities including access and flow, mental health and digital
       health.
     • Maintaining robust clinical governance over the operations of the organisation but also the change
       and reform underway across the district.

REPORTING & KEY RELATIONSHIPS

The Director reports directly to the Chief Executive, NNSWLHD.

The Director provides high level expert advice to the Chief Executive and LHD Executive on all clinical
governance issues and works collaboratively with managers, staff and key stakeholders to analyse, maintain
and improve patient safety and clinical quality systems across the District.

View other key relationships and expectations in the Role Description.

KEY DATA

Staffing                                        14.62 FTE

Annual Budget                                   $2,396,640

Service Location                                Northern NSW

Useful Links                                    Role Description
                                                Northern NSW LHD Website
                                                Strategic Plan
                                                Organisational Chart

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Director, Clinical Governance

EMPLOYMENT TERMS
& CONDITIONS

REMUNERATION                            Remuneration is dependent on qualifications, skills and experience
                                        and an indication of potential range can be discussed with the
                                        Consultant.

CLASSIFICATION                          NSW Executive Band 1. Depending on qualifications consideration
                                        will be given to a medical officer salary band.

PRE-EMPLOYMENT PROBITY CHECKS
Information on a person’s suitability for appointment is obtained for all appointments. Potential appointees
will be asked whether there are any reasons why they should not be appointed such as: Information on a
person’s criminal history and other associated probity checks will be sought from those candidates whose
application has progressed to shortlisting for interview.

Applicants unsure about the definition of disclosable criminal convictions or status of any criminal conviction
may wish to seek legal advice in responding to the probity check questions. (A ‘disclosable’ conviction is one
that is recorded by the court and has not been rehabilitated or spent under the Criminal Law (Rehabilitation
of Offenders) Act 1986 and, in the case of Commonwealth convictions, the Crimes Act 1914 (Commonwealth),
and does not breach the confidentiality provisions of the Youth Justice Act 1992.)

NSW PUBLIC SECTOR CAPABILITY FRAMEWORK

The NSW Public Sector Capability Framework applies to all NSW public sector employees. The Capability
Framework is available in the Position Description and via the Public Service Commission website.

 HardyGroup | IN CONFIDENCE                                                                                 10
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Director, Clinical Governance

HOW TO APPLY

The closing date for applications is Wednesday 4 August 2021
The reference number to include in your application is H19_3772

For a confidential discussion, please contact Principal Consultant, Liz Hlipala

M:         +61 (0)401 122 301
E:         lhlipala@hardygroupintl.com

For queries relating to applications please contact Senior Executive Search Coordinator, Anna Brownjohn:

T:         +61 (0)409 977 847
E:         abrownjohn@hardygroupintl.com

It Is standard practice for HardyGroup to acknowledge receipt of your application no later than the next
business day. We request that if you do not receive the acknowledgement, you contact the search coordinator
listed above as soon as possible after the 24-hour business period and arrange to resend your application if
necessary.

Your application must include:

     1.   Completed HG Application Form
     2.   Cover letter addressed to the Principal Consultant;
     3.   A written response addressing the two targeted questions, found on page 8; and
     4.   An up to date copy of your Curriculum Vitae.

  HardyGroup | IN CONFIDENCE                                                                              11
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Director, Clinical Governance

REFEREES
You will need to provide details of three (3) professional referees. To do so, complete the relevant fields in
the Candidate Profile. You should carefully consider who you select to approach to provide reference advice.
Your current manager must be included. It is customary for referee reports to be requested after interview
and if you are the preferred candidate, your permission will be requested prior to contacting your referees.

PERSONAL INFORMATION
HG complies with the Privacy Act 1988 (Cth), all applications are treated by HG in strict confidence, however
in submitting an application you are extending permission to share your application with the Selection Panel.

Personal Information will be used to assess your suitability for appointment to this Positions Health Services.
As part of the selection process, personal information will be dealt with in accordance with HG’s Privacy Policy
and the Information Privacy Act 2009.

 HardyGroup | IN CONFIDENCE                                                                                  12
Role Description
 Director Clinical Governance

Cluster                                   NSW Health
Agency                                    Northern NSW Local Health District
Division/Branch/Unit                      Northern NSW Local Health District
Location                                  Negotiable
Classification/Grade/Band                 HSSE Band 1
Senior Executive Work Level Standards     Work Contribution Stream: Professional/Technical/Specialist
Kind of employment                        Ongoing
Role Number                               52090
ANZSCO Code                               132411
PCAT Code                                 2331192
Date of Approval                          July 2021
Agency Website                            http://nnswlhd.health.nsw.gov.au and www.health.nsw.gov.au

Agency overview
Northern NSW Local Health District (NNSWLHD) covers an area of 20,732 square kilometers, extending
from Clarence Valley LGA in the south to the Tweed LGA in the north. The western and southern borders of
NNSW LHD join the Hunter New England LHD and Mid North Coast LHD.

NNSWLHD provides quality health care at public hospitals and multi-purpose centers in Ballina, Bonalbo
Byron Bay, Casino, Grafton, Kyogle, Lismore, Maclean, Murwillumbah, Nimbin, Tweed Heads and
Urbenville as well as 20 Community Health Services and HealthOnes across the LHD.

NNSWLHD has a vision for better health and excellence in health care by working together to promote
better health across our diverse community and provide person centred, integrated care through a valued,
skilled, motivated and sustainable workforce.
For more information go to http://nnswlhd.health.nsw.gov.au and www.health.nsw.gov.au

Primary purpose of the role
The Director Clinical Governance is responsible for establishing, directing and managing the clinical
governance function of the Local Health District (LHD) to promote and support patient safety and clinical
excellence within health services. The role provides high level expert advice to the Chief Executive on all
clinical governance issues and works collaboratively with other members of the LHD Executive and key
stakeholders to analyse, maintain and improve patient safety and clinical quality systems across the District.

                                                    1
Key accountabilities
•      Develop and lead organisational capacity and capability to support a safe culture throughout the
       organisation
•      Ensure effective identification, investigation, management, monitoring and reporting of clinical safety risks
       and adverse patient events within the LHD
•      Oversee the LHD incident reporting and complaints handling systems and investigate concerns/complaints
       regarding clinicians, working with line managers to facilitate fair and speedy resolution
•      Work collaboratively with and support clinical staff of the LHD to ensure rigorous review and audit of patient
       outcomes with effective uptake of safety initiatives (e.g. deteriorating patient, medication safety)
•      Lead and manage an effective Clinical Governance Unit to ensure state and LHD priorities are met in a
       timely and effective manner
•      Support the District's peak clinical governance meetings – i.e. NNSWLHD Health Care Quality & Safety
       (Board) Committee and NNSWLHD Research and Innovation Committee
•      Contribute to corporate improvements by working with other LHD Clinical Governance Units, the NSW
       Ministry of Health, the NSW Clinical Excellence Commission, the Agency for Clinical Innovation, the
       Clinical Education and Training Institute and other key clinical and health and education organisations
•      Role model and lead a culture of excellence based on the organisations values and Transforming Your
       Experience strategy to ensure the organisation delivers patients/client focused service in an adaptive,
       responsive and performance-oriented manner.

Key challenges

•      Harnessing clinical support for implementation of key patient safety strategies where competing priorities
       exist
•      Ensuring clinical staff have access to the information needed to facilitate improvement in patient safety
•      Overcoming resistance to open disclosure, investigation, quality assessment and clinician performance
       management.

Key relationships

Who                                                 Why
Internal
Chief Executive                                     •   Provide the Chief Executive with information, reports and
                                                        recommendations regarding the clinical safety, quality and
                                                        governance systems of the Local Health District.
Other LHD Executives                                •   Provide advice to other executive staff to ensure a consistency of
                                                        approach to clinical quality and patient safety and work with them as a
                                                        team to ensure the best service possible is delivered to patients.
Director of Clinical Operations and                 •   Ensure good coordination and support for safety and quality activities
Director Mental Health, Alcohol and                     by clinical staff and ensure barriers to implementationof sound clinical
other Drugs                                             governance principles at the workplace are overcome.
Chairs & Members of District and                    •   Ensure a consistency of approach to clinical quality and patientsafety
Facility/ServiceClinical & Quality                      and work with them as a team to ensure the best servicepossible is
Councils                                                delivered to patients.

    Role Description Director Clinical Governance                 2
Who                                              Why
External
Ministry of Health                               •   Liaise with senior executives to ensure state-wide coordinationof
                                                     safety and quality activities.
Agency for Clinical Innovation, Clinical         •   Works co-operatively with these agencies to ensure mutual support
Excellence Commission and Health                     for assessment and support activities, including Quality System
Education and Training Institute,                    Assessments.
Bureau of Health Information, Health
Infrastructure, Cancer Institute (NSW)
and other entities established following
the health reforms
Senior Clinical Staff                            •   Work with senior clinical staff to support and promote clinical process
                                                     improvement activities.
NSW Health Directors of Clinical                 •   Participate as an active member of the Forum to ensure ideas,
Governance Forum                                     research and initiatives are shared and services are based on best
                                                     practice and available evidence.
Local community organisations and                •   Regularly to ensure effective consultation and input into LHD planning
stakeholders                                         and decisions and dissemination of information about the LHD to the
                                                     public.
Hospital Quality Committees/Lead                 •   These are established in each LHD at a hospital level to provide
Clinician Groups                                     advice to local management on improving quality and safety in
                                                     hospitals; planning efficient allocation of services within an LHD;
                                                     developing innovative solutions to address the needs of local
                                                     communities; translating national best practice into local delivery of
                                                     service.
Employee/Employer Organisations                  •   As required to ensure industrial harmony amongst the numerous
                                                     employee and contractor groups within NSW Health as the delegate
                                                     of the Employer of NSW Health Service staff working in the LHD.
Health Care Complaints Commission,               •   As required to meet statutory accountability requirements and ensure
Ombudsman and other Government                       sound governance of the LHD.
accountability agencies

Role dimensions
Decision making
The Director, Clinical Governance has day-to-day autonomy in directing and managing the Clinical
Governance Unit’s activities and deploying its resources within the overall budget allocation.

Reporting line
Chief Executive

Direct reports
5

 Role Description Director Clinical Governance                 3
Budget/Expenditure
$2.4 million

Essential requirements

•      Relevant tertiary qualifications in medicine, nursing/midwifery, allied health or other relevant discipline
•      Extensive practical knowledge of clinical systems and health services, including understanding of human
       and other factors impacting on patient safety

Key knowledge and experience

•      Knowledge and understanding of public health policy issues including evidence based practice, health care
       safety and quality, health service evaluation, health care funding and resource allocation
•      Demonstrated capacity to lead clinicians and to initiate and achieve significant change and improvement in
       clinical governance
•      Extensive proven experience at a senior management level in a substantial and complex organisation.

Capabilities for the role
The NSW Public Sector Capability Framework applies to all NSW public sector employees. The Capability
Framework is available at www.psc.nsw.gov.au/capabilityframework

Capability summary
The full list of capabilities and the level required for this role are set out below. The focus capabilities appear in
bold. Refer to the next section for further information about the focus capabilities.

    Role Description Director Clinical Governance         4
NSW Public Sector Capability Framework
Capability Group         Capability Name                                               Level

                         Display Resilience and Courage                                Advanced
                         Act with Integrity                                            Advanced
                         Manage Self                                                   Advanced
                         Value Diversity                                               Advanced
                         Communicate Effectively                                       Highly Advanced
                         Commit to Customer Service                                    Advanced
                         Work Collaboratively                                          Advanced
                         Influence and Negotiate                                       Advanced
                         Deliver Results                                               Advanced
                         Plan and Prioritise                                           Advanced
                         Think and Solve Problems                                      Advanced
                         Demonstrate Accountability                                    Advanced
                         Finance                                                       Adept
                         Technology                                                    Adept
                         Procurement and Contract Management                           Adept
                         Project Management                                            Advanced
                         Manage and Develop People                                     Advanced
                         Inspire Direction and Purpose                                 Adept
                         Optimise Business Outcomes                                    Adept
                         Manage Reform and Change                                      Advanced

Focus capabilities
The focus capabilities for the role are the capabilities in which occupants must demonstrate immediate
competence. The behavioural indicators provide examples of the types of behaviours that would be expected
at that level and should be reviewed in conjunction with the role’s key accountabilities.

NSW Public Sector Capability Framework
Group and Capability        Level                  Behavioural Indicators
Personal Attributes         Advanced               • Act as a professional role model for colleagues, set high personal
Manage Self                                          goals and take pride in their achievement
                                                   • Actively seek, reflect and act on feedback on own performance
                                                   • Translate negative feedback into an opportunity to improve
                                                   • Take the initiative and act in a decisive way
                                                   • Demonstrate a strong interest in new knowledge and emerging
                                                     practices relevant to the organisation
Relationships               Highly Advanced        • Articulate complex concepts and put forward compelling arguments
                                                     and rationales to all levels and types of audiences

 Role Description Director Clinical Governance                5
NSW Public Sector Capability Framework
Group and Capability       Level                Behavioural Indicators
Communicate                                     • Speak in a highly articulate and influential manner
Effectively                                     • State the facts and explain their implications for the organisation
                                                  and key stakeholders
                                                • Promote the organisation’s position with authority and credibility
                                                  across government, other jurisdictions and external organisations
                                                • Anticipate and address key areas of interest for the audience and
                                                  adapt style under pressure
Relationships              Advanced             • Recognise outcomes achieved through effective collaboration
Work Collaboratively                              between teams
                                                • Build cooperation and overcome barriers to information sharing,
                                                  communication and collaboration across the organisation and
                                                  across government
                                                • Facilitate opportunities to engage and collaborate with l
                                                  stakeholders to develop joint solutions
                                                • Network extensively across government and organisations to
                                                  increase collaboration
                                                • Encourage others to use appropriate collaboration approaches and
                                                  tools, including digital technologies
Results                    Advanced             • Undertake objective, critical analysis to draw accurate conclusions
Think and Solve                                   that recognise and manage contextual issues
Problems                                        • Work through issues, weigh up alternatives and identify the most
                                                  effective solutions in collaboration with others
                                                • Take account of the wider business context when considering
                                                  options to resolve issues
                                                • Explore a range of possibilities and creative alternatives to
                                                  contribute to system, process and business improvements
                                                • Implement systems and processes that are underpinned by high-
                                                  quality research and analysis
                                                • Look for opportunities to design innovative solutions to meet user
                                                  needs and service demands
                                                • Evaluate the performance and effectiveness of services, policies
                                                  and programs against clear criteria
Business Enablers          Advanced             • Prepare and review project scope and business cases for projects
Project Management                                with multiple interdependencies
                                                • Access key subject-matter experts’ knowledge to inform project
                                                  plans and directions
                                                • Design and implement effective stakeholder engagement and
                                                  communications strategies for all project stages
                                                • Monitor project completion and implement effective and rigorous
                                                  project evaluation methodologies to inform future planning
                                                • Develop effective strategies to remedy variances from project plans
                                                  and minimise impact
                                                • Manage transitions between project stages and ensure that
                                                  changes are consistent with organisational goals
                                                • Participate in governance processes such as project steering
                                                  groups

Role Description Director Clinical Governance              6
NSW Public Sector Capability Framework
Group and Capability       Level                Behavioural Indicators
People Management          Advanced             • Refine roles and responsibilities over time to achieve better
Manage and Develop                                business outcomes
People                                          • Recognise talent, develop team capability and undertake
                                                  succession planning
                                                • Coach and mentor staff and encourage professional development
                                                  and continuous learning
                                                • Prioritise addressing and resolving team and individual performance
                                                  issues and ensure that this approach is cascaded throughout the
                                                  organisation
                                                • Implement performance development frameworks to align workforce
                                                  capability with the organisation’s current and future priorities and
                                                  objectives

Role Description Director Clinical Governance              7
NORTHERN NSW LOCAL HEALTH DISTRICT ORGANISATIONAL CHART

          Manager Media & Corporate
                 Communications
                   Fiona Baker                                                                                        Chief Executive
                                                          Manager, Office of Chief                                     NNSW LHD
       Media and Communications Officer                        Executive
                   Casey Fung                                                                                         Wayne Jones
                                                            Jennifer Cleaver
        Community Engagement Manager
                   Gerald May
          Senior Administration Officer
                  Kerryn Taylor
                                                                                                                                                                     Internal Audit
      Administration Officer Governing Board                                                                                                                         Emma Webb
              Kathryn Greenwood

 Director of Workforce       Director of Corporate         Director Clinical                                      Director of Clinical Operations                                        Director of Integrated/
                                                                                       Executive Director                                           Director Nursing, Midwifery                                          Director, Finance   General Manager Mental
                                   Services                 Governance                 Medical Services                                                and Aboriginal Health             Value Based Care &                                   Health and Drug and
                                                                                                                                                                                         Allied Health Services                                      Alcohol

    Richard Buss               Matthew Long                David Hutton                                                  Lynne Weir                     Katharine Duffy                      Vicki Rose
                                                                                        Dr Tim Williams                                                                                                                  Brett Skinner         Deidre Robinson
   EA Susan Palmer            EA Sandra Martin           A/EA Yasmin Bull                                            EA Kaylene Stanford              EA Georgia Mohenoa                  EA Jenny Parsons
                                                                                        EA Susan Brown                                                                                                                 EA Trish McKinnon      EA Ashlee Wallwork
- Medical Administration   - Capital, Assets and     - Clinical Governance                                    -   Ballina Hospital                                                    - Allied Health, Chronic
                                                                                     - Medical engagement                                           Leadership, Culture &                                            - Finance               - Mental Health
- Work Health Safety         Resources               - Consumer Relations and                                 -   Byron Central Hospital            Workforce Development               and Primary Care
                                                                                     - Medical workforce                                                                                                             - Procurement           - Drug and Alcohol
  and Insurable Risk       - Planning and              Privacy                                                -   Lismore Base Hospital             Clinical Practice                 - National Disability
                                                                                       models                                                                                                                        - Performance Unit        Services
- Learning and               Performance             - Patient Safety and                                     -   The Tweed Hospital                                                    Insurance Scheme
                                                                                     - JMO education &                                              Workforce                                                        - Culture & Wellbeing   - Culture & Wellbeing
  Development              - Chief Information         Corporate Risk                                         -   Clarence Network                                                    - Hosted Services
                                                                                       training                                                     Education and Professional
- Human Resources            Officer                 - Clinical Quality                                       -   MPS Network                                                           management for Public
                                                                                     - Medico Legal matters                                         Development
- Workforce                - Business Units          - Research Support and                                   -   Casino Hospital                   Community and Patient Care          Health and Sexual Health
                                                                                     - Medical Contracts
  Transactions             - Commercial and            Development                                            -   Murwillumbah Hospital             Initiatives                       - Child and Family Health
                                                                                     - Culture & Wellbeing
- Culture & Wellbeing        Contracts               - Research Ethics/                                       -   Community Health Services                                           - Integrated Care
                                                                                                                                                    Safety Culture
                           - Business and Finance      Governance                                             -   North Coast Cancer Institute      Essentials of Care                - Professional lead – Allied
                           - Service Redesign        - Culture & Wellbeing                                    -   Oral Health                       Disaster and Trauma                 Health
                           - Culture & Wellbeing                                                              -   Renal Services                    Aboriginal Health                 - Health Promotion
                                                                                                              -   Culture & Wellbeing               Breast Screen                     - Value Based Care
                                                                                                                                                    Child Protection                    Program
                                                                                                                                                    Culture & Wellbeing               - Culture & Wellbeing
Clinical Governance Unit – Organisational Structure
                               Northern NSW Local Health District
                                                                                                 Updated July 2021

                                                                                                  Director Clinical
                                                                                                    Governance

                                                                                  Executive Assistant

                                                      Patient Safety &
Consumer Relations                                                                                                                       Clinical Quality
                                                       Corporate Risk                                                                                                                              Director of Research
& Privacy Manager                                                                                                                           Manager
                                                          Manager

                                                                                                                                                                Program Manager,
      Clinical Support /                                                                                                               Infection Prevention                             Research Ehtics &
                                                                                                          Clinical Information                                  Between the Flags,                              Research Operations
     Consumer Relations    Patient Safety Officer   Patient Safety Officer   Patient Safety Officer                                     & Control / Clinical                           Research Governance
                                                                                                                Manager                                        Clinical Handover and                                 Manager
         Coordinator                                                                                                                     Nurse Consultant                                  Coordinator
                                                                                                                                                                     Sepsis Kills

                                                                                                                Clinical Information
                                                                                                                    Coordinator
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