1. 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) 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)

2. Professor Tony Davison Joint Regional Clinical Lead/ Joint Chair of Respiratory Board Lianne Jongepier Joint Regional Clinical Lead/ Joint Chair of Respiratory Board Jan Cassidy Programme Manager Dr Robert Winter National Clinical Director Respiratory Programme 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

3. ClusterPCT locality/organisationNameDesignation 1.NorfolkGwen DavenportCommissioner PCT - Network Lead Great Yarmouth and Waveney Anna Blackburn Jane Fuller Consultant James Paget Hospital – Network Lead Service Improvement Lead - commissioner 2.Suffolk Linda Pearce Simon Pitts Nurse Consultant – Network Lead Assistant Director of Public Health/Commissioning Lead - Respiratory 3.Cambridgeshire Jonathan Fuld Robert Buttery Consultant Addenbrooke’s Peterborough Seema Brij Judith Williams Consultant Peterborough – Network Lead Respiratory Nurse Specialist 4.Luton Talib Abubacker Corrine Steel GP – Network Lead Specialist Community Nurse Bedfordshire Judy Baxter Fran Ross Alexia Stenning GP Commissioner – Network Lead 5.West Hertfordshire David Evans Glenda Esmond Consultant West Herts hospital Nurse Consultant – Network Lead East and North Herts Dr Thida Win Richard Dent Consultant – Network Lead Consultant – Network Chair 6.South East Essex Duncan Powrie Emily Hughes Consultant Southend Commissioner PCT – Network Lead South West Essex Vikki Harding Emily Hughes Nurse Consultant – Joint Network Lead Commissioning Manager – Joint Network Lead 7.North East Essex Peter Hawkins Jo Broadbent Consultant Colchester – Network Lead Consultant Public Health West Essex Ram Gulrajani Helen Hodges Respiratory Nurse Consultant – Network Lead Assistant Director Long Term Conditions PCT Mid Essex Tracey Porter Sue Stephens Commissioning Manager PCT – Network Lead Commissioner: Long Term Conditions British Lung FoundationAshley GreenSupport and Development Manager Asthma UKRosie NewbiggingExecutive Director NHS ImprovementOri OkosiNational 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

4. Gwen DavenportDr 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 Fuller Dr Blackburn East of England Respiratory Network Leads

5. Seven Clusters: each Cluster moving towards single Director of Commissioning

6. 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 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

7. ISSUES and CHALLENGESSOLUTIONS 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

8. 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 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