1. Implementation considerations Key tasks Operational responsibilities Primary care responsibilities Secondary care responsibilities

2. Key tasks Define services & service strategy Review and sign off service definitions Transfer services to Choose and Book Maintain services Engage & train staff Develop the Directory of Services Review services & Directory of Services entries regularly

3. Operational responsibilities  PCTs and service providers to work together  Clinicians to lead the process of:  engaging staff  building the Directory of Services  Business managers and clinic/service managers to play key roles  working with clinicians to manage the changes to operational practices

4. Primary care responsibilities  Defining Service Selection Booking Guidance  Managing patient expectations  Commissioning services

5. Secondary care responsibilities  Defining and naming services  Defining lead and freeze times for referral letters  Defining Service Specific Booking Guidance  Mapping clinics to services  Agreeing workgroups for each specialty