1. The Tollgate patient meeting The role of practices in the new NHS April 19 th 2012

2. Introduction NHS Reforms; GP’s responsible for majority of Health commissioning (buying); Clinical Commissioning Groups (CCG’s) formed; NEE CCG well established; Increased responsibility; Emphasis on listening to the public.

3. A greater voice for the public NEE CCG delivers public, patient, carer Engagement; GP lead for PPCE; Consultation of understanding Gaps; North East Essex Health Forum; Meaningful engagement

4. Practices as “commissioners” 44 practices make up NEE CCG; Engage with CCG; New ways of working; Need to listen to patients for change; Influence health services; Need to manage commissioned services

5. What will practices do differently Understanding of services; Management of budgets; Management of patient demand; Introduce innovate ways of working; Practice patient groups; Evidence and outcomes

6. Questions ?