1. REAL BUDGETS IN THE EAST MIDLANDS Tuesday 8 th June 2010 Lawrence Suite Eastwood Hall Programme 6.00pm Registration & Buffet 6.30pm Welcome & Introduction Andy Gregory 6.40pm The Key Issues Dr Stephen Shortt 6.50pm Initial Thoughts & Observations ALL 7.10pm Group Work ALL 7.40pm Feedback Tables 7.50pm Group Work ALL 8.20pm Feedback Tables 8.25pm Next Steps & Close

2. Clinical Commissioning – Real Budgets Why are we here? – why now? Aim of the session What are real / hard budgets ? ‘budgets over which GPs have absolute control’

3. Clinical Commissioning – Real Budgets GP Commissioning – option or duty? Primary Care Commissioning – who does it? Size ? Accountable Officer – GP or manager? Opportunity to look at different models of piloting real budgets We need to identify, support and develop clinical leaders

4. Clinical Commissioning – Real Budgets Group Work 1 What are the key issues and challenges that need to be addressed to make a success of ‘real budgets’?

5. What do you / would you need to do to address the issues identified in task 1 and prepare for taking on real budgets this year? Are there any emerging models for taking real budgets forward? What can be done regionally to support this workstream? Clinical Commissioning – Real Budgets Group Work 2

6. Clinical Commissioning – Real Budgets Next Steps Write up of 8 th June 2010 Dialogue between PCTs and GPs Expressions of Interest in piloting real budgets Testing of the draft East Midlands Vision for Clinical Commissioning Real Budgets Action planning session early July post White Paper Share approaches and learning from East of England What else?