The Hurley Group Story

1. The Hurley Group Story Dr Arvind Madan Partner and CEO

2. The Burning Platform

5. How many patients are registered with the Hurley Group?

6. How many minor illnesses and injuries do we treat a year?

8. 2.5% 1% 2% 59% 4% 11% 29% % of borough registered with Hurley 2% 11% 4% 40% 25% % of borough’s urgent care 4%

9. Our growth strategy working? PMS Reviews Reduced Funding The highest quality care for the most deprived NHS Reforms Rising Patient Demand CQC Revalidation Practice Failures Exceptional Clinical Teams Strong Management Capability NHS Values Increasing Regulation Cuts Increasing Community Engagement Continuous Performance Improvement Geographical Focus Rising Patient Demand Low Morale PCT meltdown 17 Practices Nearly 100,000 patients 8 Urgent Care Sites Over 200,000 cases 10 of 33 London Boroughs 272 Staff Recruitment Issues Contract Reviews Setting standards in Quality Patient centered care for ALL Operationalising Innovation Nurturing Talent Clinically Led KPIs PCT Redundancies Public Health Hurley Academy Benefits Scheme Staff awards GP Leaders PIF 10,000 surveyed Active PPGs Telehealth New Care Models (PHP) Nursing Leaders 1% Audit In-house Training Training Grants LEAN Staff Barometer Clinical Governance Committee Food Bank Social Enterprise

14. 53 1 4 Strouts Pl Blithehale 2 Bethnal Green 3 Pollard Row LAP 7. Limehouse, East India Lansbury 30 28 Limehouse Chrisp St All Saints 29 31 32 Selvan Aberfeldy 16 Jubilee St 17 18 St Katherine’s Dock Wapping The 36 Tower Hamlets practices have formed 8 geographic networks LAP 5. Bow West, Bow East LAP 1. Weavers, Bethnal Green North, Mile End and Globe Town 19 22 Grove Surgery St. Stephen’s 20 23 Tredegar Ruston Street 5 Mission 23 21 Harley Grove 6 Globe Town LAP 5 5 5 LAP1 20 LAP 6. Mile End East, Bromley by Bow 6 6 19 3 StroudleyWalk Bromleyby Bow Merchant Street 22 24 26 7’ 1 4 26 2 21 27 25 27 St Paul’sWay Nischal 24 LAP 2 7 LAP 2. Spitalfields and Banglatown, Bethnal Green South LAP 6 10 8 25 14 9 8 10 Health E1 Albion 13 30 12 32 LAP 3 9 7 Spitalfields XX place* 11 29 15 31 16 LAP 3. Whitechapel, St. Duncan’s and Stepney Green LAP7 28 11 13 Shah Jalal Varma LAP 4 12 14 17 Tower Stepney 18 LAP 8. Millwall, Blackwall and Cubitt town LAP 4. St. Katharine’s and Wapping, Shadwell LAP 8 33 35 Barkantine Island Health 15 East One 34 33 36 Docklands Island Med Ctr 36 35 34 * Estimated registered population, calculated as ½ of Bromley-by-Bow and XX place combined list Source: http://www.towerhamlets.gov.uk/data/in-your-ward; Allocation practice to LAP as per Team Analysis (Aug 2008); Number of patients per practice based on LDP data (Jan 2009) *

15. Why Grow? Is bigger better? • Grow to Survive • Challenging financial climate • Bigger is better for economies of scale • Ability to flex resources across the whole organisation • Ability to protect our teams more • Maintain this critical mass as many contracts time limited • Grow to Invest • People are our greatest asset • Growth enables our nurturing talent programme • Career progression opportunities for all • Our ambition is to become London's employer of choice • Grow to Make a Difference • Best care to the most deprived communities • Being larger gives us influence • Scope to innovate and develop Primary Care

16. The Journey?