Structure

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

2. The Commissioning Cycle (including PBC) 1 Strategy (based on health need) 2 3 4 5 Director of Public health 11 4 Performance 3 10 Director of Strategy Director of Contract Performance 11 Priorities 3 4 5 6 Director of Investment Planning Director of Strategy Information Intelligence Knowledge Managing demand and the health care system 4 10 Director of Contract Performance Director of System Management Designing services/ care pathways 4 Director of System Management Director of Improvement and Innovation Procurement 7 8 9 Clinical Director Director of Investment Planning Development of the market 7 Director of System Management Adapted from Health reform in England, Department of Health, July 2006

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

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