JOB DESCRIPTION Chief Medical Officer Executive



JOB DESCRIPTION Chief Medical Officer Executive
Chief Medical Officer
Position Title:
Chief Medical Officer
Organisation Unit:
Northland District Health Board
Responsible to:
Chief Executive, Northland District Health Board
Primary Functions of
the Position:
The position is responsible to the CEO for clinical
governance, medical workforce management and
compliance with professional standards across the DHB,
including support for medical staff
The position shall contribute at an executive level to
progressing clinical governance and quality management
As a member of the Executive Leadership Team and
Service Management Group, it is expected the position will
effectively contribute to the successful strategic and
operational management of the whole organisation
The position is responsible for ensuring that major clinical
incidents and complaints, including those being dealt with
by the Coroner or the Health & Disability Commission, in
relation to NDHB clinical services, are responded to in a
timely and appropriate manner.
Functional Relationships
The Chief Medical Officer will develop and maintain excellent relationships with:
 General Managers
 Clinical Directors
 Quality Unit staff
 Safety and Quality Facilitators
 Clinical Heads of Department
 Director of Nursing & Midwifery
 Other professional leaders
 Intern Supervisor and RMOs
 Other NDHB staff
Chief Medical Officer
October 2011
 Other Chief Medical Officers
 Ministry of Health
 Northern Regional District Health
Boards (DHBs)
 Other DHBs
Key Responsibilities and Expected Outcomes
Northland District Health Board has established a set of values by which the organisation will
respond, in part, to achieving its goals and objectives through their workforce. The following
Values and supporting statements are expected behaviours of each individual employed with
Supporting Statement
People First
Tangata I te tuatahi
Whakaute (tuku mana)
Whakawhitiwhiti korero
Taumata teitei (hirangi)
People are central to all we do
We treat others as we would like to be treated
We nurture those around us, and treat all with dignity and
We communicate safely, openly and with respect to promote clear
Our attitude of excellence inspires success, competence,
confidence and innovation
The position of Chief Medical Officer encompasses the following major functions or key result
 Leadership and strategic direction
 Support to managers and clinical leaders regarding clinical and medical staff issues
 Financial sustainability
 Education
 Clinical Governance
 Major incident management
 Clinical (Primary-secondary and inter-service) integration
 Treaty of Waitangi
 Health and Safety
Chief Medical Officer
October 2011
The outcome requirements of the above key responsibility areas are outlined below:
Key Responsibility Area
Leadership and
strategic direction
Chief Medical Officer
October 2011
Expected Outcomes
Provide leadership and strategic direction for all clinical
 Ensure effective quality management framework and
culture is implemented and maintained
 Support the implementation of government strategy for
 Contribute to and support the implementation of Regional
and Northland health plans
 Ensure medical and clinical policies and procedures are
current, reflect best practice and comply with the relevant
 Liaise and collaborate with external service partners,
government organisations, professional groups, PHOs and
NGOs, and consumer/community groups to ensure health
services are appropriate, integrated and responsive to
community needs
 Facilitate and support clinical risk management approaches
that ensure accountability for clinical practice and safety
within a clinical governance framework
 Manage sentinel events and associated activities as
 Support implementation of financially responsible quality
improvement and work practice reform initiatives to achieve
integrated patient care across the continuum, and utilise
consumer input to improve services to patients
 Ensure the organisation meets relevant clinical standards
and accreditation requirements
 Ensure all required reporting time frames are met
 Chair the Service Management Group and Medical
Executive Leadership Team
 Participate in regional forums including Regional
Governance Group, CEO/CMO group, Regional CIO/CMO
group, Regional Clinical Leaders group, Northern Region
Health Plan Steering group, and other regional committees,
networks and working parties, as they arise
Key Responsibility Area
Support to Managers
and Clinical Leaders
regarding clinical and
medical staff issues
Financial Sustainability
Chief Medical Officer
October 2011
Expected Outcomes
 Provide expert advice with regard to the recruitment and
selection process for senior medical staff
 Ensure medical appointees are subject to an objective and
transparent credentialing process that is regularly
 Oversee medical appointments and credentialing/induction
for clinicians
 Oversee medical workforce development in liaison with
clinical leaders and managers, including retention of talent
and succession planning for future clinical leaders
 Foster collaborative working relationships, employee
relations and professional behaviours
 Ensure legislative requirements are met in relation to
medical practice and medical registration
 Represent NDHB in initiatives relating to the changing
medical workforce
 Provide advice to improve systems concerning recruitment,
training, development, education, performance and
retention of doctors
 Ensure the preparedness of the Northland DHB for surveys
by the Medical Council of New Zealand, specialist colleges
and other accreditation bodies
 Oversee post-graduate education and encourage
appropriate continuing medical education for senior
 Ensure management systems are in place for professional
issues concerning all doctors, in consultation with Human
Resources staff
 Develop and maintain effective liaison with all medical staff
in respect to the organisation of clinical services,
management of staff issues, medical appointments,
contracts, credentials and clinical privileges
 Support managers and clinical leaders in district hospitals.
 Advise managers in business cases that concern clinical
services and the medical workforce
 Maintain a balanced budget for the Chief Medical Officer’s
departmental costs and Quality Resource Unit
 Facilitate the development of a learning culture for all staff
 Assist with promoting education as a key DHB employment
driver at executive level
 Facilitate the development of learning resources and
appropriate education strategies for doctors
 Establish and maintain links with appropriate university
departments, professional associations , the regional
training hub and Health Workforce New Zealand
 Chair the Medical Education Committee.
Key Responsibility Area
Clinical Governance
Major Incident
Clinical (PrimarySecondary) Integration
Treaty of Waitangi
Chief Medical Officer
October 2011
Expected Outcomes
 Develop the clinical governance framework for the DHB.
Ensure the establishment and development of systems of
peer review throughout the DHB and provide monitoring
and continual improvement of these systems
 Facilitate the ongoing development and implementation of
critical incident and adverse event monitoring for the DHB
 Facilitate the ongoing development of systems concerning
complaints management and handling for the DHB
 Lead ongoing compliance with the Health Practitioners
Competency Assurance Act across all disciplines
 Ensure that all clinical safety and quality issues are
reported through to the Board
 Oversee medico-legal matters in conjunction with the other
relevant staff. Duties may include liaison with the ACC,
Coroner and legal Officers for matters under consideration
 Ensure a DHB wide system for meeting medico-legal
requirements in a timely and effective manner Inform the
CEO/General Managers of critical incidents relating to
clinical practice and act to safeguard Northland DHB
interests in medico-legal matters including Coroner’s
 Represent NDHB as Privacy Officer.
 Ensure that the DHB engages in appropriate planning and
training to deal with major incidents
 Lead response to major incidents in conjunction with
General Managers and other staff.
 Promote the development of relationships between DHB
and PHOs that are of mutual benefit for health care
providers and the community
 Facilitate educational linkages
 Participate in joint primary-secondary clinical governance
 Participate in/chair committees as necessary to achieve
outcomes associated with the role.
 Contribute to the promotion of the principles of Treaty of
Waitangi and the involvement if Maori within the decision
making process for their health and independence, within
District Health Board management processes and
 Include the principles of the Treaty of Waitangi within all
aspects of the role and its outcomes
 Ensure that consultation and engagement processes
include appropriate mechanisms to meet the need of Maori
in a culturally appropriate and safe manner
Attend the Northland District Health Board Maori Health
Cultural Quality Programme, Module 1.
Key Responsibility Area
Health & Safety
Expected Outcomes
 Ensure compliance with designated responsibilities detailed
in Northland District Health Board’s Health and Safety
 Promote an environment of physical, occupational, cultural,
ethical and legal safety
Participate in the organisation’s Health and Safety
Management training programme.
 Observe safe work practices, rules and instructions relating
to work, and be pro-active in hazard management
 Willingly co-operate in the achievement of all health and
safety goals and initiatives by:
- Practising and observing safe work methods;
- The use of safety equipment;
- Reporting unsafe conditions or equipment; and
- Reporting and documenting all accidents or
Variation of Duties
Duties and responsibilities described above should not be construed as a complete and
exhaustive list as it is not the intention to limit in any way the scope or functions of the
position. Duties and responsibilities may be amended from time to time, in consultation with
the employee, to meet any changing conditions and service requirements.
Chief Medical Officer
October 2011
Person Specification
Education and Qualifications
 Medical Practitioner, registered or eligible for
 Membership of RACMA is preferable.
 Relevant Tertiary Clinical, Business,
registration in New Zealand
Specialist qualification and Medical Council
vocational registration.
Management Qualifications are
 Demonstrated achievement as a senior medical
administrator in a complex health service
responsible for overseeing clinical governance
Demonstrated understanding of key health delivery
Demonstrated performance in Quality
Management practices
Demonstrated experience in Education and
preferably in Occupational Health and Safety,
Employment Relations and Performance
Demonstrated leadership in Change Management
Awareness and Understanding of
Health and Disability Commissioner
(Code of Health and Disability Services
Consumers’ Rights) Regulations (1996)
New Zealand Council of Healthcare
The Treaty of Waitangi and its application
to the health setting
Privacy Act (1993) and Health
Information Privacy Code (1994)
Health and Safety in Employment Act
Skills & Personal Attributes
 Superior analytical and reasoning skills
 Demonstrated ability to manage organisational change
 Demonstrated high level communication skills including:
o Interpersonal
o Negotiation
o Cultural sensitivity / responsiveness
o Representation
o Consultation
o Liaison
Chief Medical Officer
October 2011
Performance Development Review
An initial review of performance will be conducted after three months, with an annual review
An individual Development Plan will be developed to reflect the contribution this position is
expected to make towards achieving the team’s objectives and measures. Key result areas
will be developed and agreed at this time.
Authorised by:
Chief Executive
Acceptance of the position implies acceptance of this position description.
Position Title:
Signature of employee:
Chief Medical Officer
October 2011
Chief Medical Officer

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