1. South East Coast Respiratory Programme Clinical Co-Leads: Jo Congleton, Jo Wookey and Julia Bott Programme Manager: Rachel Collins

2. Programme Configuration Full Time Programme Manager: –Resource management –Planning –Administration 3 Clinical Leads, 1 day per week each, 1 lead per PCT Cluster –Leading on individual workstreams –Clinical Leadership –Clinical Engagement

3. SEC Respiratory Programme Board Rachel Collins Programme Manager Jo Congleton Clinical Lead Jo Wookey Clinical Lead Julia Bott Clinical Lead SEC Oxygen Clinical Working Party SEC PR Network SEC Early Identification and Prevention Project Board SEC Respiratory Industry Alliance William Roche Medical Director Senior Responsible Owner

4. Governance Annual Stocktake Review with DH Quarterly Progress Reports to Programme Board Quarterly Data Reviews with Local Networks Bi Monthly Workstream Reviews with clinical leads

5. Benefits Map

6. Clinical Network Development Discussions at PCT cluster level –Surrey –Sussex –Kent Programme Board discussion on what clinical networks should look like

7. Workstreams Prevention and Early Identification –Stop Smoking –Public Awareness Campaign –Staff Awareness Campaign –Proactive Case Finding Self Management –BLF SMP Pilot x 4 sites

8. Workstreams Pulmonary Rehabilitation –Network / Masterclasses –Influencing Commissioning Medicines Management –5 Prescribing Principles –MURs and the NMS –Inhaler Technique

9. Workstreams Oxygen –Procurement –Network / Masterclass –Influencing Commissioning –Emergency Oxygen Asthma –Dashboard NIV –Influencing Service Models and Commissioning

10. Key Lessons to date It’s not what you know – It’s who you know –People and Relationships! Communications –Clear Key Message –Repetition –Be inclusive –It takes time to influence decision making Give recognition and help others celebrate success

11. Issues and Challenges Clustering arrangements at SHA and PCT level Changing roles Battle for Investment Timescales - everyone expects a reduction in admissions NOW! Information overload for Primary Care

12. Support needed and gaps Media, Marketing and Communications Data Analysis Financial Forecasting Public Health Forecasting Training and Education ? Ambulatory Care ? Working across new SHA regions