1. Wendy Saviour Director of Commissioning Development Safer, high quality care Better patient experience Improved health Value for money Real influence More accessible services

2. Commissioning for Patients White Paper Refresh & Health Bill White Paper Refresh :  Commissioning of maternity and paediatrics services  Regulations governing procurement activities - right of appeal to Monitor - powers to order a retender  Duty to involve other health professionals in commissioning decisions  Duty to promote improvements in primary care Health Bill :  Consortia can be authorised from April 2012  Scrutiny of commissioning decisions by H&WB Board  Compliance with legislation (as per PCTs) e.g. Equality Legislation  High Level criteria for authorisation

3. Operating Framework and General Update Operating Framework  A % of resources will need to be transferred to consortia to support their development  Announcement of running costs allowance  Review of standard contracts prior to transfer of responsibility Pathfinders  East Midlands Panel 30 th November  Criteria  SoS announcement of 1 st tranche of pathfinders early December  Phased programme to test ideas and concepts Commissioning Support  Consortia to decide what to build buy or share  Stimulate the market

4. Any Questions?