Proposed Restructure: RCCP St George & Sutherland · Proposed Restructure: RCCP St George & Sutherland Dear Member, Attached is correspondence the HSU has received from South Eastern

Proposed Restructure:

RCCP St George & Sutherland Dear Member, Attached is correspondence the HSU has received from South Eastern Sydney Local Health District regarding a proposed restructure of the Respiratory Coordinated Care Program. 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 close of business 17 March. You can submit it by email to [email protected] with subject line St George & Sutherland RCCP. 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-hsu/ or call 1300 478 679 and join over the phone. A union’s effectiveness and negotiation power strongly 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 to continue to protect, build and improve your working life. In unity,

Gerard Hayes Secretary, HSU NSW/ACT

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RESPIRATORY COORDINATED CARE PROGRAM (RCCP)

February 2017

Restructure Consultation Paper

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TABLE OF CONTENTS

1. OVERVIEW OF RCCP 3

1.1 Current Organisational Structure 3 1.2 Responsibilities of the RCCP 3 1.3 Current Budget 4

2. PROPOSED STRUCTURE OF RCCP 4 2.1 Proposed Organisational Structure 4

2.2 Rationale/business case 5

3. PROPOSED CHANGES 5

4. RECRUITMENT/MATCHING PROCESS 6

5. CONSULTATION 6

6. RESTRUCTURE TIMEFRAME 6

The information in this document is confidential and intended for the use of the addressee only. If you are not the intended

recipient, any dissemination, copying or use of the information is strictly prohibited

1. Overview of RCCP

1.1. Current Organisational Structure

ORGANISATION CCPOSITION

NUMBER

POSITION

CLASSIFICATIONPOSITION FTE ASG. CATEGORY ASG WORKING HOURS ASG FTE

SES STG Medicine 1 Respiratory Medicine RCCP 161272 161272 506071 Physiotherapist Lvl 1 0.71

SES STG Medicine 1 Respiratory Medicine RCCP 161272 161272 608179 Nurse Unit Mgr Lvl 2 1.04 Full Time - Permanent 38 1.00

SES STG Medicine 1 Respiratory Medicine RCCP 161272 161272 656002 Physiotherapist Lvl 3 1.00 Part Time - Permanent 32 0.84

SES STG Medicine 1 Respiratory Medicine RCCP 161272 161272 99828 Registered Nurse 3.77 Part Time - Permanent 28 0.74

161272 Full Time - Permanent 38 1.00

161272 Part Time - Permanent 20 0.53

161272 Full Time - Permanent 38 1.00

SES TSH Medicine & Critical Care TSH Cardiac & Respiratory TSH Netw ork 163198 102113 Registered Nurse 2.80 Part Time - Permanent 32 0.84

163198 Full Time - Permanent 38 1.00

163198 Full Time - Permanent 38 1.00

SES TSH Medicine & Critical Care TSH Cardiac & Respiratory TSH Netw ork 163198 102114 Admin Off Lvl 2 1.00 Full Time - Permanent 38 1.00

SES TSH Medicine & Critical Care TSH Cardiac & Respiratory TSH Netw ork 163198 102118 Physiotherapist Lvl 3 0.00

SES TSH Medicine & Critical Care TSH Cardiac & Respiratory TSH Netw ork 163198 617377 Physiotherapist Lvl 1 0.53

RCCP Nursing Organisation Chart

The St George Hospital

Hosted service - all staff work over both sites

Nursing Organisational Chart - Respiratory Coordinated Care Program

Registered Nurses PhysiotherapistAdministration

OfficerPhysiotherapistRegistered Nurses

Nurse Manager Medicine - St George Hospital

Nurse Unit Manager RCCP

St George Hospital Sutherland Hospital

Director of Nursing & Midwifery, St George Hospital

1.2 Responsibilities of the RCCP The Respiratory Coordinated Care Program (RCCP) is a specialised, multidisciplinary community based program designed to manage people within the St George and Sutherland LGA’s with chronic respiratory disease. The service aims to provide specialist nursing, physiotherapy and medical care to this patient cohort in their home environment with a view to achieving improved outcomes through timely access to specialty specific clinicians; through reduced presentations and admissions to hospital and via the delivery of health care in a supportive and familiar environment

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1.3 Current Budget

2016/2017 budget:- RCCP STG 161272 – Annual budget = $581,677 RCCP TSH 163198 – Annual budget = $342,702 Combined RCCP budget 2016/2017 = $924,379 2. Proposed Structure of RCCP 2.1 Proposed Organisational Structure

The St George & Sutherland Hospitals

Proposed Nursing Organisational Chart - Respiratory Coordinated Care Program

Registered Nurses PhysiotherapistPhysiotherapistRegistered Nurses

Nurse Manager Medicine - St George Hospital

Nurse Unit Manager RCCP

Director of Nursing & Midwifery, St George Hospital Director of Nursing & Midwifery, Sutherland Hospital

Nurse Manager - Southcare & Rehabilitation

Physiotherapy Unit Head /SHALT - Southcare

St George Hospital Sutherland Hospital

Administration

2.2 Rationale/business case

The RCCP is currently a St George Hospital hosted service providing a satellite service to Sutherland Hospital and is operationally managed by the Medicine 1 Service Line Nurse Manager. Medical governance for RCCP is managed independently at both St George and Sutherland Hospitals through the respective Respiratory Departments. Nursing and physiotherapy staff currently work across both sites in line with demand under the direction of a Nurse Unit Manager employed by St George Hospital. Administration support is provided for the service by a position located at St George Hospital, but funded by Sutherland Hospital This restructure proposal is to align the nursing, physiotherapy and administration staff to a specific site to allow for improved management of the program in line with site specific demand, indicators and service vision.

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The benefits of the restructure include:

Site specific nursing management structure

Improved medical governance working in collaboration with site based Nursing Management structure

Single (site) team for projects & service development

Clarity of medical staff practices and protocols at each site

Transparency and governance over site based projects and product trials

Improved service model specific for each site

Nursing and financial management of Sutherland Hospital nursing staff by Sutherland Hospital nursing management structure

Improved supervision of Sutherland Hospital RCCP nursing staff by local nursing management

Removal of nursing management layer, based at St George Hospital, within nursing structure

Opportunity for nursing staff at Sutherland Hospital to professionally develop in RCCP service through secondments

Model of care improvement & expansion at each site in line with vision and demand:- o Improvements in discharging process o Redistribution of resources & design of model of care for peak activity o Adaptation of time limited service o Introduction of technology & models of care

Alleviation of confusion of the hosted service model

3. Proposed Changes The is one proposed change: Change of Reporting Lines

The reporting line for 2.8 Registered Nurse’s, 0.53 Level 1 Physiotherapist and 1 Administration Officer Level 2 will change. These staff will report to the Nurse Manager – Southcare & Rehabilitation via the Physiotherapy Unit Head / SHALT – Southcare at Sutherland Hospital The remaining 3.77 Registered Nurses and 1.71 physiotherapists (1 FTE level 3, 0.71 FTE level 1) will continue to report to the Nurse Unit Manager RCCP at St George Hospital. There are no proposed changes to position descriptions, classifications or grades of the positions. The changed reporting line will be reflected in the position descriptions. 4. The recruitment and matching process No recruitment matching process is necessary as the restructure will result in a change of reporting line for 4.33 staff. The work location of the current staff will be discussed on an individual basis and personal preferences will be considered. Any staff members not located for all their rostered hours at their preferred work location will be offered available hours at their preferred location. It is anticipated that the majority of staff’s preferences will be able to be accommodated.

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5. Consultation Consultation with staff and relevant Union will be undertaken as per the Award and Health and

District policies.

6. Restructure Timeframe

RESTRUCTURE CONSULTATION

DOCUMENTS COMPLETED AND

APPROVED

Restructure Consultation Paper W/B 27 February 2017

CONSULTATION WITH STAFF

AND UNIONS/ASSOCIATIONS

Restructure Consultation Paper W/B 27 February 2017

CLOSURE OF CONSULTATION

PROCESS

W/B 27 March 2017

STAFF WITH CHANGE OF

REPORTING LINES ADVISED IN

WRITING

Staff who require a change of

reporting lines will be advised

in writing

W/B 27 March 2017