The Southern NSW Local Health District (SNSWLHD) has released a consultation paper to staff and unions detailing a restructure of the organisation.
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The district said most of the 3000 staff members were not affected by the restructure.
However, 50 full-time equivalent roles (53 people) in managerial and support would be directly affected.
Additionally, approximately 94 staff members would be affected through changes to reporting lines and changes of grades.
SNSWLHD Chief Executive Margaret Bennett said the restructure has been ongoing over the past four years and would allow the district to meet the health needs of the community.
It would establish a range of new positions and opportunities for our staff focusing on patient care.
"It is critical to note at the outset that there will be no forced redundancies," Ms Bennett said.
"All of our staff will remain employed following implementation of the proposed restructure.
"There is an absolute commitment to support staff through this process.
"Twenty-seven new positions will be created in the restructure that go to the heart of patient care.
"In an environment of ongoing workforce growth, I am confident the proposed new structure will best enable Southern NSW Local Health District to meet the needs of the community we serve both now and into the future."
The district would now undertake four weeks of final consultation that would build on feedback previously provided by staff and unions.
"The District will reallocate and support impacted employees to move to other meaningful roles, and take up vacancies as they become available over the next year," Ms Bennett said.
"To the greatest extent possible, all of these staff will be matched into like positions.
"The main focus now is to engage in consultation with staff and unions over the next four weeks."