This is CNWL Your guide to the new divisions
2 This is CNWL Your guide to the new divisions From Claire Murdoch It is getting harder to sum up all we do; we know we do a lot of it! Last year we saw 270,000 patients; 83% in our physical and sexual health services; ffender Care is now providing healthcare in 17 prisons and immigration removal centres. We cover a very large area from High Wycombe and Milton Keynes, through London into Winchester and Kent! It is a fabulous achievement! However there is a downside people speak about our size making us less local; about problem areas taking our corporate eye off the local ball. This is a genuine concern for the outside world, especially commissioners and local councils, but also for staff too. So we ve responded. This is the main reason we have reorganised ourselves to be much more local when issues arise, they do so locally, so we will sort them out locally too. It makes us more nimble where it counts. We didn t want to lose the quality safeguards that come from bringing experts in particular services together so we ve created Clinical Networks, where valuable work like professional oversight and benchmarking can continue. This booklet explains all this and tells you more about the people involved; we are first and foremost about people. Inevitably everyone wants to know how it affects them, where they fit in. This tells you but let s also remember we are one organisation. We have a CNWL way. That s not a structure but staff who professionally demonstrate compassion, respect, empowerment and partnership alongside their skills. So wherever you are, you can proudly say, This is CNWL.
This is CNWL Your guide to the new divisions 3 The divisions CNWL s new divisional structure is about local accountability and local focus for commissioners and for staff. It is about integration not centralisation, because the structure has to work for the divisions but also save time through intelligent use of systems. First phase The first phase of the new structure came into operation on 1 September, with appointments to the divisional director, borough director, medical and nursing director roles. Second phase The second phase has now begun and will finish at the end of December. ppointments will be announced on 5 January 2015. The three divisions are: dult and lder dult Mental Health Services (Kensington and Chelsea, Westminster, Brent and Harrow) and Learning Disability Services. Hillingdon (mental health and community health), Camden (community health), CMHS and Eating Disorders. Milton Keynes (all services), ffender Care, Sexual Health and ddictions. Managing the divisions Robyn Doran, the Trust s Chief perating fficer (C) is to manage the divisions. With the new structure there are three divisional directors who report to Robyn Doran. Each is in charge of individual boroughs/ areas as well as specific services. Clinical Leads will help to support the smooth transition to borough structures. Information correct as at 19 December 2014.
4 This is CNWL Your guide to the new divisions The divisions have the following leaders: Division : dult and lder dult Mental Health Services (Kensington and Chelsea, Westminster, Brent and Harrow) and learning disability services. Charlie MacNally, Dr Con Kelly, Medical Division B: Hillingdon (mental health and community health), Camden (community health), CMHS and Eating Disorders (London). Stephanie Bridger, Nursing Maria Brien, Dr Pramod Prabhakaran, Interim Medical Michelle Johnson, Nursing Division C: Milton Keynes (all services), ffender Care, Sexual Health and ddictions. Lorna Payne, Dr Sarah Marriott, Medical Helen Willetts, Nursing Dr lex Lewis, the Trust s Medical will manage the three divisional medical directors. ndy Mattin, the Trust s of Nursing and Quality will manage the three divisional nursing directors.
This is CNWL Your guide to the new divisions 5 Service lines Two service line mergers will go ahead: CMHS and Eating Disorders ddictions and ffender Care CMHS and Eating Disorders There is a careful transition plan in place to bring these two services together. Doing so will realise some financial efficiency at managerial and clinical level. Jackie Shaw is the Service. Jackie Shaw, Service ddictions and ffender Care These two services will also be brought together under the management of Richard Comerford, Service. The middle management level below the service director role will be reviewed to support this change. Richard Comerford, Service Learning Disabilities The level of specialism and risk within the service from a safeguarding/cqc perspective is such that it is not felt appropriate to make significant changes to this service line as part of this review. However, we expect to review this service line in the next year for the most appropriate long-term solution. Jo Carroll is the Service. Jo Carroll, Service Mental Health Rehabilitation The service line will be retained for all the inpatient elements but we will explore shared management structures/functions with other areas to realise immediate management savings. Like Learning Disabilities, a review of the service line will take place within the year. The Mental Health Rehabilitation Service is David Dunkley. David Dunkley, Service Sexual Health Sexual Health was not affected by the consultation and Mark Maguire is the Service. Mark Maguire, Service
6 This is CNWL Your guide to the new divisions Division : Charlie MacNally charlie.macnally@nhs.net Dr Con Kelly Medical Reporting to Dr lex Lewis Medical cornelius.kelly@nhs.net Stephanie Bridger Nursing Reporting to ndy Mattin of Nursing & Quality stephanie.bridger@ nhs.net Brent Natalie Fox Borough natalie.fox@nhs.net Harrow Tanya Paxton Borough tanya.paxton@nhs.net Kensington & Chelsea ngela McGee Borough angela.mcgee@nhs.net Westminster Nicola Hazle Borough nicola.hazle@nhs.net Learning Disabilities Jo Carroll Service josephine.carroll@ nhs.net
Division B: Maria Brien mariaobrien@nhs.net Dr Pramod Prabhakaran (Interim) Medical Reporting to Dr lex Lewis Medical pprabhakaran@nhs.net Hillingdon Kim Cox Borough kcox@nhs.net Michelle Johnson Nursing Reporting to ndy Mattin of Nursing & Quality michelle.johnson15@ nhs.net Hillingdon dult Services Gill Dickinson Head gill.dickinson@nhs.net Hillingdon Children s Services nnette Patterson Head annette.patterson@ nhs.net Camden Community Graeme Caul ssociate graeme.caul@nhs.net Mental Health Rehabilitation David Dunkley Service d.dunkley@nhs.net CMHS and Eating Disorders Jackie Shaw Service jackieshaw2@nhs.net
Division C: Lorna Payne lorna.payne1@nhs.net Dr Sarah Marriott Medical Reporting to Dr lex Lewis Medical sarah.marriott@nhs.net Helen Willetts Nursing Reporting to ndy Mattin of Nursing & Quality helen.willetts@nhs.net Milton Keynes Mental Health Pete Raimes Service pete.raimes@nhs.net Sexual Health Mark Maguire Service mark.maguire@nhs.net ddictions & ffender Care Richard Comerford Service richard.comerford@ nhs.net Milton Keynes Community Sheila Begley Service s.begley@nhs.net
9 This is CNWL Your guide to the new divisions Division Barnet Enfield LD Harrow MH LD Brent LD MH Camden Islington LD Hillingdon Ealing City Hounslow City of Westminster MH LD Richmond Hammersmith & Fulham Kensington & Chelsea MH LD Kingston MHH dult Mental mental Health health Services service s LD Learning disabilities services (Inpatient service accepts national referrals)
Division B C R MH CH London Surrey R Division B Enfield Barnet Harrow C R C R Brent Islington MH CH C R Camden Ealing CH Hillingdon City Hounslow City of Westminster R C Richmond Hammersmith & Fulham Kensington & Chelsea R C Kingston C Child and adolescent mental health services (CMHS) MH Mental health services CH Community physical health services R Mental health rehabilitation
Milton Keynes MH CH C Division C Buckinghamshire CH SH London Surrey Kent Hampshire West Sussex Division C Enfield Barnet SH Harrow Brent Islington Ealing SH Camden SH SH Hillingdon City Hounslow City of Westminster Richmond Hammersmith & Fulham Kensington & Chelsea Kingston ddictions (Some services accept national referrals) MH Mental health services C Child and adolescent mental health services (CMHS) Prison healthcare and offender care services CH Community physical health services (Buckinghamshire: dentistry only) SH Sexual health services (walk-in services)
12 This is CNWL Your guide to the new divisions Borough directors Brent Natalie Fox Westminster Nicola Hazle Kensington & Chelsea ngela McGee Harrow Tanya Paxton Hillingdon Kim Cox Camden Community Graeme Caul
This is CNWL Your guide to the new divisions 13 Clinical Networks Clinical Networks have been set up. Each of these networks will be hosted by a division. They are: lder dults Psychological Medicine Urgent Care (mental health) - this will support work to deliver integrated services across boroughs, and an effective urgent care pathway, aligning where appropriate with CMHS Primary Care this recognises that a number of our services need to be delivered in a more primary-care focused manner and would include an element of ssessment and Brief Treatment, Early Intervention Services, Crisis Resolution Teams and Improving ccess to Physiological Therapies Clinical Networks will: Identify core objectives for service improvement Work with borough leads to develop new models of innovative practice Provide expert advice across the Trust and externally with stakeholders Identify new business opportunities and develop business cases with divisional or borough leads cute Inpatients
14 This is CNWL Your guide to the new divisions profiles Lorna Payne Lorna Payne joined the Trust on 3 July 2014 as the new for Division C. ver the past 25 years Lorna has worked in a number of senior positions in health and social care in ustralia, France and the UK. Lorna s most recent role was as the of Service Integration for Cambridgeshire and Peterborough NHS Foundation Trust where she was also a member of the Board and led on partnerships with the Local uthorities, recovery, integration and learning disabilities. Prior to this she worked in social care in three Local uthorities Norfolk, Thurrock and Havering, more recently at Norfolk County Council where she was ssistant for Community Care. Lorna was born in Manchester but grew up in Perth, ustralia, where she met her husband, Kevin. She has three children who all live in different cities and welcomed a new grandson last year who she says is a great joy. She likes to knit or run - but never at the same time - to relax at the end of the day and her ideal job would be an author.
This is CNWL Your guide to the new divisions 15 Charlie MacNally Charlie MacNally joined the Trust on 22 February as the for Division. Charlie has extensive experience of social care services having previously been the of dult and Children s Services at Northamptonshire County Council and prior to this the of Health and dult Social Care at the same council. Before joining CNWL, Charlie started his own business, Cmac Solutions Limited. It was in this role that he built up a relationship with CNWL. Charlie was born in Belfast and moved to England 30 years ago. He lives in Hitchin and has two children a son aged 20 and a daughter who is 21. He likes watching Rugby live, reading anything from fiction to biographies and history books I m currently reading about the civil war - and he likes buying vintage watches and walks in the countryside with his two dogs. nother of his passions is falconry. If he had to choose any career then his ideal job would be as a professional yachtsman. Maria Brien Maria is the for Division B and a registered nurse. She completed her training at Guy s Hospital and after qualifying worked in a variety of clinical nursing posts with a specialist focus in cardiac nursing and intensive care. She has held a number of operational and management posts and in 2004 became of the North West London Cardiac and Stroke Network. In 2008 she joined the Board of Hillingdon Primary Care Trust (PCT) where she took on responsibility for the community health services as well as the of Nursing role. Maria joined CNWL in 2011 following the integration with community health services in Hillingdon and in 2012 she also took on the management of our community health services in Camden. Maria lives in Ruislip, Hillingdon with her husband and teenage daughter.
16 This is CNWL Your guide to the new divisions Medical profiles Dr Sarah Marriott Dr Sarah Marriott is the Medical for Division C. Sarah trained in Psychiatry at the Maudsley Hospital and was a Research Fellow at the Royal College of Psychiatrists College Research Unit before becoming a consultant psychiatrist in Westminster. dditionally she also works with an outreach team working with roofless homeless people with mental illness and those at risk of homelessness in the Royal Borough of Kensington and Chelsea. In her free time she sings in a Cappella Group and tries to grow orchids. Dr Con Kelly Dr Con Kelly is the Medical for Division. Con qualified in Ireland 30 years ago before moving to London to train in psychiatry across several north London hospitals. He spent eight years as a psychiatrist for lder geing in City and Hackney, where he also had a number of other roles including Clinical for older adult services, Medical and Chair of Medical Staff Committee. For a number of years Con had a close association with the lzheimer s Society and presented a workshop for carers at their annual general meeting. Dr Pramod Prabhakaran Dr Pramod Prabhakaran is the interim Medical for Division B. Pramod has been with the Trust since 1998, and has undertaken various roles including West Sector Lead for lder People and Healthy ging, Co- for Undergraduate Psychiatry at Imperial College and Clinical for Camden Community Services. Pramod is from India and he did his basic medical training in Kerala, then worked as a GP in Mumbai, before moving to the UK.
This is CNWL Your guide to the new divisions 17 Nursing profiles Stephanie Bridger Stephanie Bridger is the Nursing for Division. Stephanie has worked in the NHS for over 20 years and brings a wealth of experience from her roles in cute dmissions Wards; Criminal Justice Liaison Services (including police stations and prisons) and as a specialist Community Mental Health Practitioner. Stephanie has also been responsible for Medium Secure and Forensic Intensive Care beds both from a clinical and operational perspective. Prior to joining CNWL, Stephanie was the Non-Executive of Nursing for Clinical Effectiveness in North East London NHS Foundation Trust. Michelle Johnson Michelle Johnson is the Nursing for Division B. Michelle is a child and adult registered nurse with over 25 years experience. She has held senior management and nurse leadership posts in hospital and community children s health services in London for the last 12 years. She has a MSc in Child Health and has been a Florence Nightingale Children and Young People s Leadership Scholar. Prior to CNWL she was on secondment at Barts Health as Head of Nursing for Tower Hamlets Community Health Services. Helen Willetts Helen Willetts is the Nursing for Division C. Helen has been a nurse for 29 years, predominantly working in the community as a District Nurse and specialising in end-of-life care, HIV and mental health. She was the Head of Clinical Practice for Hillingdon and Camden and prior to that the ssistant of perations in Hillingdon. Helen has also worked in the RCN as a Regional representing nurses in the East Midlands and South East England and has a masters in coaching.
Central and North West London NHS Foundation Trust, Stephenson House, 75 Hampstead Road, London NW1 2PL. Tel: 020 3214 5700 www.cnwl.nhs.uk Central and North West London NHS Foundation Trust Ref: 0049_DEC2014 December 2014