David Nicholson

3. David Nicholson

4. Dr Johnny Marshall NAPC Chair However we, ……… know where waste exists, which tests are duplicated by secondary care, which hospitals deliver good outcomes, which patients need attention most urgently and which practices are underperforming.'

5. Budgetary Responsibility • GPs Clinical decisions impact on the use of resources- absorbing clinical and financial risk • GPs know how to cut costs safely • GPs deliver the patient experience • GPs deliver Clinical effective interventions • GPs deliver patient safety • GPs know where the waste is (Productivity) • Most GP’s want to do it all better (Innovative)-’make more and but less’

11. OLD LEODIS EXEC BOARD Board Chair-GP Vice Chair-GP Chief Executive 4 GPs 1 Practice Manager 1 Practice Nurse 1 Lay Person

12. Board Setup Proposed Structure‘NHS LEODIS’ Leeds East and South Clinical Commissioning Group Board 7 Exec Directors 7 Non Exec Directors • GP CEO • GP ‘Medical Director’ • GP Exec Portfolio 1 • C.O.O • Director Of Finance • Executive Nurse • Public Health Consultant • Chair • PPI Lead • Audit/Finance Lead • 4 GPs (elected from membership) Executive Medicine Management

13. Board Setup Proposed StructurePCT BOARD Board 8 Non Exec Directors 9 Exec Directors CEO Directors of Public Health Director of Delivery & Service Transformation Director of Finance, Contracting & Estates Director of Public Health Director of Quality & Nursing Director of Corporate Development Director of Commissioning Development Medical Director • Chair-non clinical • 7 non clinical NEDs Executive

14. NEW LEODIS BOARD WITH PRACTICES 7 Non Exec Directors 7 Exec Directors • GP CEO • GP ‘Medical Director’ • GP Exec Portfolio 1 • C.O.O • Director Of Finance • Executive Nurse • Public Health Consultant • Chair • PPI Lead • Audit/Finance Lead • 4 GPs (elected from membership) Executive Practice 1 GP 1 PM 1 Practice 2 GP 2 PM 2 Practice 45 GP 45 PM 45

15. David Nicholson