1. Presentation title: 32pt Arial Regular, black Recommended maximum length: 1 line Making a positive impact on health, exploring the context. Paul Unsworth, NHS Institute of Innovation and Improvement

2. Policy Context Our Health, Our Care, Our Say. Foundation Trusts. World Class Commissioning. Social Enterprise Organisations. Contestability. Darzi Reviews

3. Our Health, Our Care, Our Say Patient focused care pathways. Expert Patients, particularly with chronic illnesses. Care closet to home. Reducing health inequalities. Public sector joining forces to address the underlying causes of ill health. Health Promotion.

4. Foundation Trusts Local Accountability to the population through the Board of Governors. Freedom to retain surpluses. Culture of ‘best practice’

5. World Class Commissioning Health Needs Assessment. Joint Strategic Needs Assessment. Research Best Practice. Redesign Care Pathways. Commissioning for better health.

6. Social Enterprise Organisations Not for profit local interest organisations. In competition to provide community and primary care services. Health Promotion. Bromley by Bow example. Other public services in the future.

7. Contestability All sectors of healthcare. Primary care interest in best practice will increase. Market with the independent sector. NHS Institute of Innovation and Improvement.

8. Darzi Reviews Strategic Health Authority Strategies. Clinical Leadership. Polyclinic opportunities.

9. The End? No the Beginning! Thank you, a huge well done to all those leading the way in their success stories and lets work together for even greater success.