1. Making a case for an integrated care consultant: respiratory exemplar Agenda Introductions and what you want from the session (5) Irem Patel, Integrated Care Consultant: the day job (7) Melissa Heightman, Integrated Care SpR: the day job (7) Reflections (10) Discussion and prioritising of key themes

2. Make introductions within London Share examples and learning Ask questions Contribute to a BTS publication(s) Purpose

3. Questions we may wish to answer WHY have these posts been created? What problem(s) do they solve/tackle from the system, hospital, primary care, commissioner and patient perspectives? Vertical integration - what about horizontal integration? WHAT do they do? How is their time spent to maximise their value? How are they different from the gradual evolution of a respiratory consultant role? Do they evolve as relationships build? What needs to be in place for them to work? Environment Contract Job description Support system Opportunities to work with general practice (eg LES)

4. Making a case for an integrated care consultant: respiratory, supported by BTS What does the individual need to have/demonstrate? Experience Capability Behaviours Motivation Values Beliefs Identity How do you measure their value (Porter and Lee NEJM 2011)? Qualitatively Quantitatively What formal collaborations are possible in the role? eg 2 physicians, physician/nurse, physician/physiotherapist

5. Making a case for an integrated care consultant: respiratory, supported by BTS What are the enablers and barriers? Shared information Financial/other incentives Contract mechanisms What could make it easier to have more? If a trainee wanted to be one, how do they get started? If a commissioner wanted to commission one, how do they get started? WHERE are they working now?