1. CSP English Regional Networks (ERN) – Development Event The Importance of Relationships Adele Madin Professional Head of Physiotherapy Director of Adult Service East Coast Community Healthcare CIC

2. “The importance of networking and the power of your relationships” The Key to our survival Influencing Commissioners Decision Making Processes Influence “Provider” Partners to work together Efficiencies that increase capacity and achieve system wide savings without compromising quality How? 19/03/2013CSP ERN Development Event2

3. East Coast Community Healthcare Board : Exec : Peers : Internal groups e.g. Ed & T Great Yarmouth and Waveney Integration Steering group HealthEast / Great Yarmouth and Waveney CCG Board / Clinical Commissioning Committee / Exec Program Boards (x4) Clinical Leads Meetings / Practice Managers Meetings / Protected time for learning (GPs) 19/03/2013CSP ERN Development Event3

4. Where next? Carry on! Work closer with GPs on front line Build relationships with retained GPs Use their language (commissioners from clinical perspective and business background) “Head off at the pass” “Sew seeds” Customer service DEMONSTRATE WHAT WE ARE DOING AND WHAT WE HAVE ACHIEVED! 19/03/2013CSP ERN Development Event4

5. Some Outcomes Direct Referral to Orthopaedic and Neurology Consultants (MDT). Direct Referral to Orthotics (MDT) Redesigned neurology pathways raised profile of therapies and as a result gained funding for additional therapy posts (CQUIN) Been at the heart of the redesign of Out of Hospital care (they asked us) Therapy Centre: Identified a need, gained support to address, commissioners used it in the local press to promote themselves (good for them and us). Influencing the estates agenda; estate developed to meet needs of service provision. 19/03/2013CSP ERN Development Event5