1. Setting the context

2. NHS Plan and PPF Modernising the health service Increasing investment

3. Reform of the consultant contract Revised job planning Structured working week New system of pay progression Recognition of on-call duties Relationship with private practice

4. Setting the context Investment in facilities Increased staffing Maintenance of skills Appraisal and revalidation Linked to Agenda for Change Skills escalator

5. Setting the context Core standards Best practice NHS Modernisation Agency National service frameworks Commissioning around the needs of the patient Multi-disciplinary team work

6. Setting the context Other medical workforce changes - NCCG reform - MMC - working time regulations Patient choice

7. Setting the context Priorities And Planning Framework (2003-06) 62 targets Health & Social Care Standards and Planning Framework (2006/7) 20 targets

8. Priorities and Planning Framework (PPF) The PPF sets out to increase the range and quality of services give more choice for patients give payments by results ensure patient safety involve users change practice provide training and development modernise IT systems

9. Priorities Improving access to all services Focusing on improving services & outcomes Improving the overall experience of patients Reducing health inequalities