1. Long Term Strategy of the Trust Alan Foster, Chief Executive

4. Proposed New Hospital

6. Yarm New Hospital One Life Hartlepool Stockton Billingham Sedgefield

7. Strategy Consultation 2008 Progress 2011 Health Reforms New Hospital 2016

8. Background: White Paper and Health Bill Abolition of PCTs and SHAs; Establishment of NHS Commissioning Board, and GP Commissioning consortia; Transfer of responsibility for public health to local government; Establishment of Health & Wellbeing Boards; Greater emphasis on ‘choice’ under Any Qualified Provider. Major changes to the NHS are proposed:

9. So what does this mean for us? Local GP Commissioning Consortia –Stockton (1) –Hartlepool (1) –Durham (5+1) –Chairs / Membership –Responsibilities PCT & SHA timeline (2013) – further clustering of SHAs later this year; NHS Commissioning Board (+ “local arms”) – October 2012; Health, Wellbeing Boards and our involvement; Clinical networks and senates – strengthen our involvement;