1. 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

2. 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
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3. 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
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4. 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
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5. How BSR is organised by region

6. 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

7. 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

8. “Update from Specialised Commissioning Rheumatology Clinical Reference Group” Dr Bridget Griffiths Consultant Rheumatologist and Chair of Specialised Commissioning Rheumatology Clinical Reference Group
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9. “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
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10. “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
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11. 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
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12. 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
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13. Table feedback, discussion and panel Q&A
Dr Shahir Hamdulay
Dr Bridget Griffiths
Ms Laura Guest
Ms Ailsa Bosworth
Dr Patrick Gordon
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14. Tea break and networking - back at 3.20 pm please
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15. “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
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16. 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
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17. 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
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18. Table feedback, discussion and panel Q&A
Dr Shahir Hamdulay
Dr Henry Penn
Ms Sarah Kerr
Ms Laura Guest
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19. 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
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20. 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 ed 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
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21. Thank you for attending the LRCN
Slides, handouts & group work will be published on the website: rheumatology-commissioning-networks Please see website for latest updates Follow your network on #LRCN
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