1. Being an Integrated Respiratory SpR April 2013- March 2014 Melissa Heightman, SpR to Dr Myra Stern

2. The bid for the post First integrated respiratory SpR in the UK Vision of Dr Myra Stern: response to NHS and BTS policy and the 2010 respiratory curriculum – “Integrated care and the promotion of self care” Why the Whittington? ICO, 2 integrated consultants, well established integrated service Currently approved as a pilot for 12 months Aim for 6 month post, full time in NE Thames

3. My week 60% full time unbanded supernumerary 1 day: ambulatory care or acute medicine 1 day: “community” – CORE MDT Islington/ home visits/ GP practices 1 day: respiratory inpatients/ outpatients

4. Integrated projects SpR Nurse Champions Pathways in AEC ILD clinics/ integrating ILD COPD strategy/ LES Supporting self management Pulmonary rehab/ Singing! Weekly CORE MDT + audit GP/ home visits,social services Horizontal integration Champion

5. My impressions A privilege Final year revelation Following patients journeys Understanding their challenges Getting to know GPs and community teams Attending meetings and contributing to service improvement/ development

6. Conclusions This pilot will be a success Hope to springboard more posts +/- integrated blocks in conventional jobs Incorporating roles with current service provision will be challenging 75% were interested in integrated working at consultant level