clinical directorate

A team of healthcare professionals within a specialty, or group of specialties, which is responsible for the provision of patient care within allocated resources. A clinical directorate is usually led by a clinician and is accountable for its management function to the board of management of the trust, unit or division to which it belongs. The patients' clinical care is the responsibility of the clinician in charge. Clinical directorates are functional, service-oriented divisions of a particular NHS trust, and co-managed by a medical doctor (the clinical director, e.g., paediatrician for the clinical directorate of women and children), and a non-doctor designated as a general manager or assistant director of operations. They are supported in their duties by clinical, general, finance and human resource managers. Clinical directorates (CDs) are responsible for managing medical and other staff, delivering performance targets and achieving agreed financial objectives. CDs answer to the director of operations and are subdivided into clinical management groups.

Clinical directorates, BCF Trust, London
Medicine & Emergency
Surgery & Anaesthesia
Women & Children
Diagnostics, Therapies and Cancer

Mentioned in

References in periodicals archive

Ruth Williams, clinical directorate lead at Sandwell and West Birmingham Hospitals, set up the iCares scheme five years ago after realising how difficult it was for patients to navigate the system and the waste created by multiple teams.

iCares scheme cuts hospital admissions by 2,500 a year

The Medical Imaging clinical directorate was formed in 2015 with its own governance structure and in 2016 the DON position was introduced, resulting in an increased emphasis and focus on nursing, safety and quality and values based leadership.

Many Parts--One Body

Implementating National Health Insurance (NHI) also calls for better management of health facilities and health districts, and proposes that smaller hospitals be managed by doctors while larger ones have a clinical directorate. This would require a specialist medical manager with competence in evidence-based medicine, clinical medicine, clinical economics and administrative medicine, acquired through theoretical and experiential learning under constant supervision.

Re-launch of the South African Society of Medical Managers (previously known as the Medical Administrators Group)

A full breakdown of the jobs affected was not available, but several senior nursing jobs and some general management positions will be affected in the shake up of its clinical directorate.

Cash crisis sees jobs axed at Birmingham Women's Hospital

Second, the clinical directorate structure at the three Trust hospitals selected as study sites is charted.

'Two-way Windows': Clinicians as Medical Managers [*]

In an attempt to imbue doctors with a more managerial ethos the clinical directorate structure was introduced into hospitals in the UK.

SURGEONS ARE COUNTERS, PHYSICIANS ARE PHILOSOPHERS: MANAGING SURGERY AND MEDICINE DIFFERENTLY

It was a pilot site for resource management and was one of the first hospitals to introduce a clinical directorate structure.

A psychoanalytic perspective on organizational change

A key feature of all models is a devolution of responsibility as far as possible, these devolved units of management are termed Clinical Directorates. The Clinical Directorate philosophy is now the dominant philosophy.

In management