1. How does the NHS work? Dr Venkat Reddy Community Paediatrician
Cambridgeshire and Peterborough FT

2. What matters to You? What is your context?
One thing you always wanted to find out
What problem you might solve?

3. Junior Doctors strike as a symptom
What are the root causes?
What does it teach us about how NHS works?
How can we influence the working of NHS?

4. Micro Level
Your Team
Your service
Your Directorate
Your organisation

5. Local Health System Primary Care Community Care Hospital care
Mental Health

6. Commissioning
Central
Local
Joint with Local Authority

7. Finance Devolution in NHS Autonomy for devolved nations Funding flows
Resource allocation

8. Performance Monitoring
Quality
Activity
Business

9. Workforce
Health Education England
Royal Colleges
GMC / NMC

10. Reforms and the future Integration Vanguard pilot sites
Sustainability and Transformation Plans

11. Pulling it all together
Understand your local system
Be prepared for more change