1. Implementation of GMS2 Glebe Centre 2nd October 2003

2. Workshop 1 Key Issues consider some key issues in more detail help with action planning share thinking with colleagues from other organisations working on the same agenda

3. Workshop 1: structure Groups: Finance Out of Hours Quality Framework Commissioning Practice Management Nominate a chair for your group Use domain mapping to structure discussion All record the discussion using the domain map: you will need this for next session Coffee at 2.45 then re-assemble here at 3.05

4. Domain Map 1.Big Ideas 2.Factors that need to be dealt with 3.Status Quo 4.Steps to close the gap 5.How we want it to be Sequence: 1, 2, 5, 3, 4 2 3 4 5 1

5. Domain mapping is a creative thinking tool Provides a structure for problem solving and action planning Helps to identify key issues quickly Helps to generate new ideas Helps to focus discussions Gives a framework for helping you to move from where you are now, to where you want to be

6. Looks complex, but its actually very simple and easy to use The key is the sequence 1.Big Idea 2.Factor that needs to be dealt with FOR EACH FACTOR 5.How we want it to be 3.Status Quo 4.Steps to close the gap Discussion follow the sequence: 1, 2, 5, 3, 4

7. Domain Map 1.Big Ideas 2.Factors that need to be dealt with 3.Status Quo 4.Steps to close the gap 5.How we want it to be Sequence: 1, 2, 5, 3, 4 2 3 4 5 1

8. Domain Map 1.Big Ideas 2.Factors that need to be dealt with 3.Status Quo 4.Steps to close the gap 5.How we want it to be Sequence: 1, 2, 5, 3, 4 Engage clinicians to lead commissioning and system reform 2 3 4 5 1

9. Domain Map 1.Big Ideas 2.Factors that need to be dealt with 3.Status Quo 4.Steps to close the gap 5.How we want it to be Sequence: 1, 2, 5, 3, 4 Engage clinicians to lead commissioning and system reform Do we know what we mean by clinical engagement? Is there a shared view? 2 3 4 5 1

10. Domain Map 1.Big Ideas 2.Factors that need to be dealt with 3.Status Quo 4.Steps to close the gap 5.How we want it to be Sequence: 1, 2, 5, 3, 4 Engage clinicians to lead commissioning and system reform Do we know what we mean by clinical engagement? Is there a shared view? 2 3 4 5 1 Clear and shared understanding of what clinical engagement means

11. Domain Map 1.Big Ideas 2.Factors that need to be dealt with 3.Status Quo 4.Steps to close the gap 5.How we want it to be Sequence: 1, 2, 5, 3, 4 Engage clinicians to lead commissioning and system reform Do we know what we mean by clinical engagement? Is there a shared view? 2 3 4 5 1 Empty phrase- almost seen as and in itself Clear and shared understanding of what clinical engagement means

12. Domain Map 1.Big Ideas 2.Factors that need to be dealt with 3.Status Quo 4.Steps to close the gap 5.How we want it to be Sequence: 1, 2, 5, 3, 4 Engage clinicians to lead commissioning and system reform Do we know what we mean by clinical engagement? Is there a shared view? 2 3 4 5 1 Empty phrase- almost seen as and in itself Clear and shared understanding of what clinical engagement means Identify egs of where we think there is clinical engagement: use to agree shared vision