1. Bassetlaw Commissioning Organisation (BCO) Steve Kell Executive Chair

2.  Formed April 2010  110k approx patients  5 Exec members (Planned, Unplanned, Prescribing, Follow-Ups, Finance/Chair)  Practice Leads, members involved.  Constitution/Heads of Agreement. Summary

3.  PCT Support  Achievements  Key Partnerships and support  Practice commissioning reports  Reward Scheme/referrals already reducing.  Practice Support Teams  Website  Winter planning group.  Pathways – MSK/Dermatology/Ophthalmology  Palliative Care spec completed Progress

4. iTracker Innovative Commissioning into secondary care Real time information on patient care while in hospital Identifies/reduces delayed discharges Example of partnership working. All wards soon at DBHFT.

5.  About to go to consultation  Encourages patient awareness and engagement  Learning curve/in at the deep end! Clinical Services Review

6.  Monthly Exec to Exec meetings  Place on PCT Board/NED support.  Shadow role – budgets to be delegated soon.  LA/Public Health key  Secondary Care engagement.  Agreed (flexible) structure for future Working in Partnership

7. MEMBERS FORUM (SHAREHOLDERS) - Hold board to account - Give local mandate to board - Vote on elected members - % voting rights - 2 x NED - 1 x Patient Rep - 1 x Local Authority - 1 x independent GP Total of 5 Hold chair appointed GPs to account Clinical Engagement Group Supportive challenge to board Governance and external links Executive Chair Local GP 3.5 Sessions per week Appointed – 3 year contract * GP1 *GP2 GP3 GP4 GP5 GP6 Appointed Appointed Elected Elected Elected Elected 2 yr Contract 2 yr Contract 2-3 yearly 2 – 3 yearly term * Need JD - Advert - Who would interview BCO GP PCT MD Acute trust – PCT CE Commissioning Support Unit GPs 3, 4, 5 & 6 should ideally not be from the same practice One of GPs 3, 4, 5, or 6 should be vice chair. Chief Executive