1. A Day in the Life of……… ……….…a Clinical Network Group Chairman

2. Sir Peter Blake

3. Woke up, fell out of bed Dragged a comb across my head Found my way downstairs and drank a cup And looking up I noticed I was late Found my coat and grabbed my hat Made the bus in seconds flat Found my way upstairs and had a smoke And somebody spoke and I went into a dream A Day in the Life. Lennon and McCartney

6. Buy In Access to high cost drugs Chemotherapy Organisation Shared guidelines

8. Merseyside & Cheshire Haematology Cancer Network Population 2.3m Isle of Man

9. NICE IOG Published 2004 Multidisciplinary haemato-oncology teams which serve populations of 500,000 or more Results of tests should be interpreted by experts who provide a specialised service at network level Rapid-access diagnostic services for patients with lymphadenopathy Clinical nurse and palliative care specialists to have central roles in haemato-oncology teams

10. Sensible configuration may look like this: *Knowsley PCT is part of both North Liverpool & St Helens & Knowsley LHCs Leukaemia SMDT Lymphoma SMDT Myeloma SMDT North Cheshire & St Helens & Knowsley LHCs (population 640,000) Wirral & West Cheshire LHCs (population 610,000) Central & South Liverpool LHCs (population 480,000 + tertiary referral) Southport, Formby & West Lancs & North Liverpool & Sefton LHCs (population 550,000 incl Knowsley PCT*) ) = existing arrangements Recommendation 1: MDT serve population > 500,000

11. HaematologyHistopathology Cytogenetics ---Genetics Immunology Haematopathology

13. Agenda Peer Review High Cost Therapies Chemotherapy Nursing and Pharmacy Groups Patient advocates National Cancer Research Network Guidelines, policies etc

15. Street Scene, Pendlebury, Manchester. LS Lowry

17. Examples of Roles Guideline writing review High Cost Drug submissions Chairmanship of Special Interest Groups Performance Criteria Representation on other groups

19. I read the news today oh boy Four thousand holes in Blackburn, Lancashire And though the holes were rather small They had to count them all Now they know how many holes it takes to fill the Albert Hall A Day in the Life Lennon and McCartney