The Board of Directors are responsible for the running and
management of the Trust. The group is made up of Directors,
including the Chief Executive, who are full time senior staff, plus
an independent lay Chairman and Non-Executive Directors who hold
part time positions.
The Directors bring expertise from their positions in key areas
of the Trust, while the Chair and Non-Executive Directors offer
their skills and experience from a wide variety of roles in the
community.
More information
about the Board of Directors
In July 2005, the Trust reorganised its management structure,
moving from thirteen clinical directorates to five clinical
divisions.
The clinical Divisions are shown below. A sixth Division, Trust
Services, consists of all corporate services including Facilities
and Estates, Information Management and Technology and the Trust
headquarters function.
Women's & Children's Services
- Children's Services
- Paediatric A&E
- Paediatric theatres
- Neonatology
- Obstetrics
- Gynaecology
- Reproductive Medicine
- Paediatric Anaesthesia
- Paediatric Intensive care
Medicine
- General Medicine
- Adult A&E
- Respiratory
- Endocrinology
- Neurology
- Dermatology
- Rheumatology
- Sexual Health
- Gastroenterology
- Care of the Elderly
Surgery, Head & Neck
- General Surgery
- Breast Surgery
- Thoracic Surgery
- Urology
- Orthopaedics
- Maxillo-facial surgery
- Adult Ear Nose and Throat
- Ophthalmology
- Dental
- Bristol Royal Infirmary and St Michael's operating
theatres
- Central Sterile Supplies Department
- Critical Care
- General & obstetric anaesthesia
Specialised Services
- Cardiac Surgery
- Cardiology
- Cardiac Anaesthesia
- Cardiac Intensive Care
- Clinical and Medical Oncology
- Clinical Haematology
- Homeopathy
Diagnostics & Therapies
- Physiotherapy
- Occupational Therapy
- Orthotics
- Nutrition & Dietetics
- Adult Speech & Language Therapy
- Adult Audiology
- Laboratory Medicine
- Pharmacy
- Radiology
- Medical Physics & Bioengineering
- Medical Equipment Management
The Divisional structure and supporting governance arrangements
deliver a number of significant benefits for the Trust:
- Maximising clinical involvement in corporate
decision-making
- Placing accountability closer to the point of resource use
- Devolving authority closer to the point of service
delivery
- Improving the speed of decision-making, simplifying internal
communications and reducing bureaucracy
View the Trust Organisational Structure
Chart
The Divisions have been established in a way that fosters
multidisciplinary team- working, organised around appropriate
patient pathways rather than physical boundaries.
Each clinical Division is led by a Head of Division, drawn from
a clinical background, supported by a Divisional Manager, Lead
Doctor, Head of Nursing, Lead Allied Health Professional,
Divisional Human Resources Manager and Divisional Finance Manager.
Together with a University representative, lead manager for
administrative and clerical functions and other representatives
appropriate to Divisional circumstances, these individuals meet
formally as the Divisional Board.
Divisions prepare strategic and annual plans. These are
co-ordinated centrally and reviewed corporately through performance
management arrangements.
Alongside the Divisional structure, the Trust established
designated care pathway leads in areas such as Emergency care,
Elective care, Older People's services and Cancer services.
This was to help ensure a focus on the entire patient pathway,
particularly where these still cross divisional boundaries. A
Clinical Reference Group was put in place to ensure that clinical
views were debated and could feed into the different layers of
decision-making within the Trust and Divisions.
