Existing arrangements for East of England Respiratory Programme

1. Professor Tony Davison, Chest Consultant based in Essex , Joint Clinical Lead, (0.2 wte)

2. Lianne Jongepier, Respiratory Services Manager, North East Essex, Joint Clinical Lead (0.2 wte)

3. Jan Cassidy, Respiratory Programme Manager, NHS Midlands and East (1.0 wte)

4. Sophie Moss, Project Manager, GSK (0.2 wte)

Professor Tony DavisonJoint Regional Clinical

Lead/ Joint Chair of Respiratory Board

Lianne JongepierJoint Regional Clinical

Lead/ Joint Chair of Respiratory Board

Jan CassidyProgramme Manager

Dr Robert Winter National Clinical Director Respiratory Programme

NHS East of England (EoE) Respiratory Board

NHS East of England (EoE) Respiratory Board

Professor Chris Welsh NHS Midlands and East Medical Director (Budget Holder)

BOARD STRUCTURE

Current links to other work streams and programmes at SHA level: Personalisation and Empowerment, Long Terms Conditions, Health

Improvement, Regional HOS, High Impact Changes

Line Manager

Cluster PCT locality/organisation Name Designation1. Norfolk Gwen Davenport Commissioner PCT - Network Lead Great Yarmouth and Waveney Anna Blackburn

Jane Fuller

Consultant James Paget Hospital – Network Lead

Service Improvement Lead - commissioner2. Suffolk Linda Pearce

Simon Pitts

Nurse Consultant – Network Lead

Assistant Director of Public Health/Commissioning Lead - Respiratory3. Cambridgeshire Jonathan Fuld

Robert Buttery

Consultant Addenbrooke’s

Consultant Addenbrooke’sPeterborough Seema Brij

Judith Williams

Consultant Peterborough – Network Lead

Respiratory Nurse Specialist4. Luton Talib Abubacker

Corrine Steel

GP – Network Lead

Specialist Community NurseBedfordshire Judy Baxter

Fran Ross

Alexia Stenning

GP

GP

Commissioner – Network Lead5. West Hertfordshire David Evans

Glenda Esmond

Consultant West Herts hospital

Nurse Consultant – Network LeadEast and North Herts Dr Thida Win

Richard Dent

Consultant – Network Lead

Consultant – Network Chair6. South East Essex Duncan Powrie

Emily Hughes

Consultant Southend

Commissioner PCT – Network LeadSouth West Essex Vikki Harding

Emily Hughes

Nurse Consultant – Joint Network Lead

Commissioning Manager – Joint Network Lead7. North East Essex Peter Hawkins

Jo Broadbent

Consultant Colchester – Network Lead

Consultant Public HealthWest Essex Ram Gulrajani

Helen Hodges

Respiratory Nurse Consultant – Network Lead

Assistant Director Long Term Conditions PCTMid Essex Tracey Porter

Sue Stephens

Commissioning Manager PCT – Network Lead

Commissioner: Long Term ConditionsBritish Lung Foundation Ashley Green Support and Development Manager

Asthma UK Rosie Newbigging Executive DirectorNHS Improvement Ori Okosi National Improvement Lead for London and East of England

NHS East of England Carol Roberts

Heather Ballard

Regional Prescribing & Pharmacy Lead (PrescQIPP Workstream Lead)

Long Term Conditions Lead

Gwen Davenport

Dr Seema Brij

Dr Ravi Mahadeva

Alexia Stenning

Dr Talib Abubacker

Glenda Esmond

Dr Thida Win Dr Richard Dent Ram Gulrajani

Vikki Harding Emily Hughes

Dr Duncan Powrie

Tracy Porter Su Stephens

Dr Peter Hawkins

Linda Pearce

Jane FullerDr Blackburn

East of England Respiratory Network Leads

Seven Clusters: each Cluster moving towards single Director of Commissioning

Key lessons……………..

• Review of Respiratory Board – structure, function, purpose and direction

• SHA to have line management responsibility for Programme Managers

• Roles, responsibilities and accountability made more explicit

ISSUES and CHALLENGES SOLUTIONS

Size of region, number of networks • Encourage cross boundary working, especially within Clusters. Look for shared agendas, opportunities to collaborate

Identifying ‘good’ & ‘bad’ networks • ‘Traffic Lights’ matching networks against criteria for successful networks• Using research on network development to help formulate concepts and ideas

Methods of support – how to effectively work with networks

• Qualitative questionnaire• Working with network leads to develop ‘owned’ network profile/Annual Report• Providing varied support to individual projects

Encouraging and supporting change: across networks, with individuals within networks, individuals in the organisations that make up a network and other stakeholders

• Providing information• Help with obtaining data• Evidence base, examples of good practice• Encouraging new ways of working• Putting people in touch with one another

Engagement – within networks and between organisations

• Facilitate and encourage relationships• Encourage positive commitment to multidisciplinary, cross boundary working, focusing on national priorities

Understanding ‘transition’ and the direction of network development

• READ! Keep up with DH Guidance, emerging policy documents, forums, conferences, workshops then promulgate across networks

• Isolation• Developing effective, mutually beneficial working relationships • The difference between ‘managing’ and building a foundation for sustainability

• Networks (clinicians and commissioners) would benefit from high level support and guidance re ‘transition’ and all that………

• Networks would benefit from more opportunities to participate in improvement projects, particularly around national priorities

• Networks would benefit from increased opportunities to undertake research in key areas

Support needed and current gaps