1. Christian care in the context of health reforms Opportunities and Challenges for the Churches

2. Health and social care reforms Understanding Challenging Engaging Supporting those involved Opportunities

3. New NHS Structure NHS Commissioning Board Test Sectors (4) Clinical Networks Local Area Teams (20-30) CCGs (>200) Commissioning Support Services Health & Wellbeing Boards Local Authorities (Public Health Role) Clinical Senates Health Education England LETBs Health and Academic Science Networks Deaneries

4. Clinical Commissioning Groups Not just GPs Not just replacements for PCTs Focus on secondary and community care commissioning improving quality of primary care Patient and public engagement Judged by achieving Financial balance Commissioning Outcomes Framework

5. Local Authorities Public health role Social care Health and Wellbeing Board Elected members Financial balance

6. Commissioning Support Units Regional support for CCGs Hosted by the National Commissioning Board until 2015 Independent of NHS post 2015 Potential for multinational take-over CSU tail wagging the CCG dog?

7. National Commissioning Board Mandate from Department of Health Primary care commissioning Specialist service commissioning Local Area Teams

8. Other bodies Care Quality Commission Monitor Healthwatch Senates Foundation Trusts Public Health England Local Education and Training Bodies

9. Challenging Profit before quality Health inequalities Conflict of interest Continuity of care v fragmentation of care Service redesign Reasonable expectations of a financially limited NHS Rationing services Patient and public voice Imposition v consensus

10. Engaging “No decision without me” Lay representatives in CCGs Non-executive directors Foundation Trust membership Healthwatch Attendance at board meetings Taking part in consultations Practice patient participation groups

11. Engaging (2) Choice consequences of making choices Understanding data Electronic access to records safeguarding the vulnerable Offering an ethical perspective abortion time limits research assisted dying

12. Supporting those involved Staff losing jobs or living with uncertainty Individuals taking on new responsibilities Patients anxious about services Politicians, officials and managers making decisions

13. Opportunities Voluntary sector working within NHS Providing services Any qualified provider Premises Offering space eg AA, CAB, consultation meetings New buildings working in partnership Patient advocates

16. Time for Churches to respond Enabling understanding Challenging injustice Engaging with confidence Pastoral support for those involved Opportunities for mission