1. Northern England Strategic Clinical Network 15th May 2015 - Conference Cardiovascular Update Dr D Muir & Dr JP Bourke

2. Top 3 achievements to celebrate and share Something fundamental:  Stakeholder engagement & strong sub-group structure  Helping deliver the National Priorities for Health Something winning national acclaim:  Familial hyperlipidaemia service  Commissioning by Evaluation (LAA-occlusion; PFO-closure) Something things highly practical:  NOAC – patient alert card  Help & advice for specialist commissioners  Care pathway for heart failure & defibrillator services

3. Top 3 priorities Looking ahead (2015-17) Priorities Focus on themes common to stroke, renal & DM Continue to foster clinical relations across 1 0, 2 0 & specialist care providers Ensure that quality of care is not compromised over time by an inappropriate focus on financial rectitude. Expected outcome Stop ‘working in silos’ to facilitate greater effectiveness Resist adverse consequences of ‘health-care market’ mentality, eroding patient care over time Highlight any clinically inappropriate consequences of financial constraints

4. What we need & what we fear Needed to achieve top 3 priorities Clear vision by clinical network leads & effective clinical team- working within the specialty Clinicians to remain ‘patient- focused’ at all stages of care- planning & delivery Manpower / recruitment & other essential resources What might stop this happening Low morale & lack of stake- holder engagement, combined with competing time pressures Break-up of traditional work- ethos / fragmentation of care delivery arrangements …. ‘the devil take the hindmost’ Insolvency / NHS no longer viewed as a good career