In the performance of his functions, the Medical Superintendent is answerable to the Director General of GHS, through the Regional Director of Health Services. The exercise of authority and responsibilities by the Medical Superintendent is derived from and consistent with the GHS Act, 1996 (Act 525) section 29 (1) as well as authority and responsibilities delegated by the immediate superiors.

Directly under the Head of the Medical Superintendent are the Heads of the five main Department of the Hospital, i.e., Heads of
Clinical Care, Nursing Services, Pharmaceutical Services, Health Administration & Support Services and Finance & Accounts
Department. The Heads of these five Department act as the line managers, but with interlocking working relationships. 

Each Departmental Head reports directly to the Medical Superintendent in his /her day-to-day administration of the Department. 

The Headsof the Department exercise authority as derived from and consistent with their responsibilities as well as authority delegated by their immediate superior (Medical Superintendent of the Hospital). In effect, the Heads of the Department are directed, guided and
accountable to the Medical Superintendent of the Hospital.

The Heads of the five Department together with the Medical Superintendent form the Core Hospital Management Committee
(CHMC) and are responsible for the day-to-day administration of the respective Directorates, with the Medical Director exercising
overall supervisory responsibility over the divisions of the Hospital.

The Internal Audit Unit is independent of the Administration and performs independent auditing functions. The Unit is directly
responsible to the Hospital House Management Committee and indirectly to the Medical Superintendent