1. The NHS as a Challenged Institution- still a great benefit to mankind Dame Donna Kinnair

2. The professional as a part of a College of Medicine  Clinically Effective, efficient professionals dominated patients and values (Muir Gray)  William Harvey in 1665 (RCP) instructs feast, oration, honour our profession(s)

3. Great Moments in Medicine YearDevelopment 1941 1949 1950 1952 1955 1961 1963 1964 1971 1972 1977 1978 1984 Penicillin Cortisone Smoking identified as the cause of lung Cancer. TB cured with streptomycin Formation of ITU/ Copenhagen polio epidemic Open Heart surgery Charnley’s hip replacement Kidney Transplantation Stroke Prevention Cure of childhood leukemia Development of CT scans Development of MRI First test tube baby Helicobacter cause of peptic Ulcer

4. Spend in Health care

5. Regulation  Necessary but needs to be transparent  Not the whole answer  Trust place on the basis of evidence honesty reliability and competence  Too many standards to comply with  The ethical responsibilities for professionals needs to be acknowledged.

6. Co-productive Relationships

8. Thank you Any questions?