1. Structure Chief Executive Contracting and Performance System Management Director of Public Health Investment Planning Strategy, Planning and Involvement Clinical Director Improvement and Innovation Strategy Engagement – public & clinical Planning Reputation Management Corporate Governance Knowledge Management Workforce 5 PH needs assessment inc evidence Investment planning Priority setting Procurement Specifications Estates Clinical engagement Clinical governance Nursing and AHPs R+D Meds management Primary care delivery (interim) Pathways design Reform OD Leadership Contract management Performanc Capacity and capability Market & system management (inc new enterprises) PBC Market Intelligence 2,3,4,5 6,9,11 7,10 10 4 8

2. The Commissioning Cycle (including PBC) Performance Strategy (based on health need) Development of the market Procurement Designing services/ care pathways Information Intelligence Knowledge Adapted from Health reform in England, Department of Health, July 2006 Priorities Managing demand and the health care system Director of System Management Director of Public health Director of Contract Performance Director of Strategy 12345 6 789 10 113 3 4 4 4 45 Director of Improvement and Innovation Director of Investment Planning 11 7 Director of Investment Planning Director of System Management Director of Contract Performance Clinical Director Director of Strategy 10

3. National targets Published evidence NICE NSF’s National standards Knowledge Management System Governance PCPI Evidence/Guidance Synthesis Data/Information Management Right person Right time Right data/ Information Right interpretation Right Guidance Right Question Right decision Right action Strategy Specification Performance

5. Workstream 1 The systems Workstream 2 The products Workstream 3 The questions