1. NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands Douglas Smallwood Clinical Commissioning Update How to Engage NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

2. “The government’s ambition to create the best healthcare system in the world is rooted in the three principles of giving patients more power, focusing on health outcomes and quality standards, and giving frontline professionals much greater freedoms and a strong leadership role. At the heart of these proposals are clinical commissioning groups” Sir David Nicholson

3. Means Authorisation Ends Delivering QIPP Quality – clinical outcomes, safety and patient experience Challenges for CCGs

4. 6 domains to satisfy – criteria not yet finalised Risk Assessment to complete Commissioning Support to organise Relationship with National Commissioning Board to establish Prospect of Authorisation with conditions Means – “Towards Authorisation”

5. Patients more power –Making “no decision about me without me” a reality Outcomes and Quality –Money and size v responsiveness –Balancing quality and cost effectiveness –Protecting the most vulnerable Professional leadership and freedom –Leadership development –Ensuring good governance and link to quality –Managing risk –Making joint commissioning and integrated care work Ends – It will take time to deliver

6. The crucial importance of patient advocacy How to secure air time – address the whole of QIPP Who to deal with – it will vary from area to area until April 2013 Potential to champion prevention Importance of being relevant to integrated care Room for commissioning and advocacy Implications for those seeking to ensure high quality eye care and sight loss services