1. Improving Quality and Productivity in Musculoskeletal services – Learning from the Glen Cove Exchange Programme etc.venues – Dexter House, No 2 Royal Mint Court, Tower Hill, London, EC3N 4QN Tuesday 6 th October 2009 09:30 Registration and refreshments 10:00 Introduction and national orthopaedic 18 Week update Robin Davis/ Piers Young, Musculoskeletal Team Department of Health 10:20 Outline of Department of Health spread objectives from the exchange programme Robin Davis/ Piers Young, National Programme Manager, Musculoskeletal Team Department of Health 10:30 An overview of the Glen Cove Orthopaedic Model Dr Eugene Krauss MD, Krauss Center, North Shore LIJ Glen Cove Hospitals & Henry Weinert, HJW Associates International The alignment of clinical and managerial objectives 11:15 Networking coffee break 11:40 NHS exemplar site updates and lessons learnt from the programme (20 mins each plus Q&A) Pennine MSK Ltd, West Suffolk Hospitals NHS Trust, The Wrightington, Wigan & Leigh Foundation Trust. This will include: Exploring the elements from the Glen Cove model the sites have adopted The differences in their approaches from the Glen Cove model The process the sites went through in redesigning their services The results from their work How managers and clinicians worked together on this programme 13:00 Lunch 14:00 Developing MSK Advanced Practitioner Roles in the NHS Maxine Foster Director of NHS Engagement, Department of Health Eilis Parker Director NHS Elect The national picture and current models that exist Common barriers to spread and sustainability with advanced roles 14:30 Improving quality and productivity plus the role of the US physician assistant Dr Eugene Krauss MD, Krauss Center, North Shore LIJ Glen Cove How the physician assistant role at Glen Cove was enhanced How the physician assistant can improve productivity 15:00 Panel discussion with DH National Steering Group and Glen Cove Hospitals 15:30 Inter-organisational care, (Integrated health care systems) Henry Weinert HJW Associates International 16:00 Close remarks

2. How to get there... Follow the instructions below to walk from Tower Hill to Dexter House – keep an eye out for a large stone arch which forms the entrance to Royal Mint Court. Once through the arch, follow the signs to Dexter House. From Tower Hill tube From the Westbound platform. Come up the stairs into the entrance hall and pass through the barriers, to exit follow the sign for Tower Gateway DLR. From the Eastbound platform. Come up the stairs into the entrance hall and pass through the barriers to exit, follow the sign to Tower Gateway DLR (also signed Tower Millennium Pier and Tower of London). Follow the pathway for 200 yards past the London Metropolitan University (on your left) and at the pedestrian crossing, cross over the Minories (Societe Generale building will be in front of you). Turn right at the Societe Generale building and * cross over the next pedestrian crossing (Sceptre Court will be on your left) and at the next pedestrian crossing, cross over East Smithfield and the entrance to Royal Mint Court (a large stone arch) is straight ahead of you. If you are arriving from Tower Gateway DLR, follow instructions from * Bus routes : Dexter House sits on many bus routes, including the 42, 78, 15 and RV1 Parking: There is a NCP car park situated within close proximity to Dexter House in Whitechapel. For further details visit www.ncp.co.uk.