1. Commissioning Intentions Wednesday 27 th November 2013

2. A Call to Action

3. Affordability gap

4. Who are Commissioners? CCGNHS EnglandPublic Health Acute care (e.g. hospital admissions); Mental Health; Community Health Services. Primary Care (e.g. GPs); Specialist Care (e.g. cancer, kidney dialysis); Other (e.g. Health visitors, Immunisation and Screening). Sexual health; Health checks; Smoking cessation; Substance and alcohol misuse; Health promotion; Ill-health prevention; Obesity

5. Our Programme Boards Prescribing; Mental Health; Children’s; Maternity; Urgent Care; Planned Care; Long Term Conditions; Primary Care Quality.

6. Current state of health services in City and Hackney Homerton University Hospital Foundation Trust (HUHFT) is our acute trust. They provide 70% of our hospital and community health services East London Foundation Trust (ELFT) is our main mental health provider We have 44 GP member practices Local GPs are now running our GP Out of Hours Service as CHUHSE social enterprise.

7. Our achievements We are near the top of QoF for GP quality, and eye screening for patients with diabetes and for prevention of stroke. Our “Tavi service” (mental health in primary care) were awarded Psychiatric Team of the Year. Our Trusts are well regarded and financially stable

8. The Future Tonight is your chance to have your say. We would like to achieve the best possible health outcomes by integrated care and sharing ideas with: Patients The public London Borough of Hackney Social services City of London Corporation.