London Rheumatic & Musculoskeletal Disorders Commissioning Network (LRCN) Wednesday 5th October Mary Ward House, London This meeting has been sponsored and supported financially by Janssen-Cilag Ltd & Merck Sharp & Dohme Ltd

Housekeeping Mr Paul Midgley Director of NHS Insight, NHiS Ltd; Chair Patient Cabinet and Vice chair Rushcliffe Active, NHS Rushcliffe CCG; Patient and Public senate member, East Midlands Academic Health Network @NHiSLTD #LRCN

AGENDA Chair: Dr Shahir Hamdulay - Consultant In General Internal Medicine and Rheumatology, London North West Healthcare NHS Trust and BSR Regional Chair, London North 12.00 Registration and buffet lunch 13.00 Welcome & Introduction, aims and objectives: Dr Shahir Hamdulay 13.10 Update from Specialised Commissioning Rheumatology Clinical Reference Group: Dr Bridget Griffiths – Consultant Rheumatologist and Chair of Specialised Commissioning Rheumatology Clinical Reference Group SESSION ONE: Commissioning for Rheumatic and MSK (Chronic Care) Disorder Services 13.20 Challenges of Commissioning Rheumatology Services: Ms Laura Guest - Chief Executive Officer BSR 13.35 What the patient wants: Ms Ailsa Bosworth MBE – Chief Executive, National Rheumatoid Arthritis Society 13.55 Data: What is the national data telling us? (HES data insight and key messages from the Inflammatory Arthritis audit data): Dr Patrick Gordon – Consultant Physician and Rheumatologist, King's College Hospital NHS Foundation Trust and BSR Regional Chair, London South 14.15 Facilitated table discussion: What are the service and outcomes gaps for patients with RMD and how do we address these in line with the 5 Year Forward View/STP footprints? 14.45 Feedback/Panel Q&A, Speakers & Panel Members 15.05 Break SESSION TWO: Best practice examples for commissioning rheumatic & musculoskeletal disorders services 15.20 Recommissioning MSK services – a cautionary tale: Dr Henry Penn – Consultant Rheumatologist, Northwick Park Hospital 15.40 Improving outcomes for all in a sustainable model – the Southampton Gain Share approach: Ms Sarah Kerr – Commissioning Pharmacist, West Hampshire CCG 16.00 Facilitated table discussion: Which examples of improved outcomes and value are best suited to meet our local challenges and how can they be implemented? 16.30 Feedback/Panel Q&A, Speakers & Panel Members 16.50 Summary and key learning points: Dr Shahir Hamdulay 17.00 Close @NHiSLTD #LRCN

Welcome and Introduction - aims and objectives Dr Shahir Hamdulay Consultant In General Internal Medicine and Rheumatology, London North West Healthcare NHS Trust; BSR Regional Chair, London North @NHiSLTD #LRCN

How BSR is organised by region

Aims To facilitate effective communication between organisations and the leadership at regional level: Patients, providers, commissioners, charities, industry, local authority, AHSNs and other stakeholders To bring decision makers together in order to: Have a clearer appreciation of the key issues Be better informed Enable solutions through collaborative working Develop a forum for communication between individuals and organisations Share ideas and experiences Share patient experiences, innovation, data, clinical and technological advances

Outcomes Each of us leaves today with more knowledge and information than we arrived with A sustainable and relevant model for effective communication within and outside the locality We will provide a write up of the event, particularly the agreed/identified actions

“Update from Specialised Commissioning Rheumatology Clinical Reference Group” Dr Bridget Griffiths Consultant Rheumatologist and Chair of Specialised Commissioning Rheumatology Clinical Reference Group @NHiSLTD #LRCN

“Challenges of Commissioning Rheumatology Services” SESSION ONE: Commissioning for Rheumatic and MSK (Chronic Care) Disorder Services “Challenges of Commissioning Rheumatology Services” Ms Laura Guest Chief Executive Officer BSR @NHiSLTD #LRCN

“What the expert patient wants” SESSION ONE: Commissioning for Rheumatic and MSK (Chronic Care) Disorder Services “What the expert patient wants” Ms Ailsa Bosworth MBE Chief Executive, National Rheumatoid Arthritis Society @NHiSLTD #LRCN

SESSION ONE: Commissioning for Rheumatic and MSK (Chronic Care) Disorder Services “Data: What is the national data telling us?” Dr Patrick Gordon Consultant Physician and Rheumatologist, King's College Hospital NHS Foundation Trust and BSR Regional Chair, London South @NHiSLTD #LRCN

Feedback from Tables & Panel response at 2.45 pm Facilitated table discussion What are the service and outcomes gaps for patients with RMD and how do we address these in line with the Five-Year Forward View? Introduce yourselves around the table 30 minutes facilitated discussions Feedback from Tables & Panel response at 2.45 pm @NHiSLTD #LRCN

Table feedback, discussion and panel Q&A Dr Shahir Hamdulay Dr Bridget Griffiths Ms Laura Guest Ms Ailsa Bosworth Dr Patrick Gordon @NHiSLTD #LRCN

Tea break and networking - back at 3.20 pm please @NHiSLTD #LRCN

“Recommissioning MSK services – a cautionary tale” SESSION TWO: Best practice examples for commissioning rheumatic & musculoskeletal disorders services “Recommissioning MSK services – a cautionary tale” Dr Henry Penn Consultant Rheumatologist, Northwick Park Hospital Hyperlink Andrew’s slides here @NHiSLTD #LRCN

SESSION TWO: Best practice examples for commissioning rheumatic & musculoskeletal disorders services “Improving outcomes for all in a sustainable model – the Southampton Gain Share approach” Ms Sarah Kerr Commissioning Pharmacist, West Hampshire CCG @NHiSLTD #LRCN

Facilitated table discussion Which examples of improved outcomes and value are best suited to meet our local challenges and how can they be implemented? 30 minutes facilitated discussions Feedback from Tables & Panel response at 4.30 pm @NHiSLTD #LRCN

Table feedback, discussion and panel Q&A Dr Shahir Hamdulay Dr Henry Penn Ms Sarah Kerr Ms Laura Guest @NHiSLTD #LRCN

Evaluation, Reflections and key points What are the main points you have learnt today? What do you intend to feed back to your local clinical or commissioning team? What do you want to change locally as a result? 2.55pm @NHiSLTD #LRCN

Feedback please on: Faculty volunteers and agenda ideas.... Who else would you invite to the LRCN? Are you registered for the RCN website? The link will be emailed to you – all you have to do is click and follow instructions! Please give your feedback on the forms provided Your input will help shape the LRCN’s future activities @NHiSLTD #LRCN

Thank you for attending the LRCN Slides, handouts & group work will be published on the website: https://www.networks.nhs.uk/nhs-networks/regional- rheumatology-commissioning-networks Please see website for latest updates Follow your network on twitter @NHISLtd #LRCN @NHiSLTD #LRCN