LETB Development Stakeholder Event – Report14th June 2012, Park Plaza Westminster

Introduction

The event provided an opportunity for stakeholders to hear about developments in the design of Local Education & Training Boards (LETBs) in London. The three London LETBs – South London, North West London and North Central & East – described their emerging operating models, and how these will work together across London. There were opportunities to discuss the emerging designs, and to provide feedback on their strengths and development areas.

The overall structure of the day was (see Appendix A for a detailed agenda):1. Welcome from Professor Mike Spyer2. Introduction to the Programme: Laurie McMahon3. The Future Context for Education and Training – Sir Keith Pearson HEE Chair4. The Vision for London:

a. David Fish b. Anne Greenough - South London LETBc. Heather Lawrence - North West London LETBd. Chris Fowler - North Central & East London LETB

5. Open Access session: tables clustered in 3 LETB sectors, using 5 scenarios6. Exploring the Arrangements: table-top discussions to highlight key issues7. Close – Anne Rainsberry

What follows are the key points from each section of the day.

1. Welcome: Prof. Mike Spyer

This is an opportunity for LETBs to work closely with providers and ensure education and training supports the move to integrated care settings.

2. Introduction to the Programme: Laurie McMahon

Laurie provided an outline of the agenda, and its purpose, which is to: Give stakeholders an orientation to the emerging design Provide an opportunity to ‘snag’ the design and refine it – which is better to do while

designs are evolving, and can be improved

3. The Future Context for Education & Training: Sir Keith Pearson

Appointments Sir Keith takes up post 28th June. HEE then goes-live as Special Health Authority, and

will eventually become an Arms Length Body in due course

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Adverts for HEE NEDs are going out this weekend HEE Chief Executive will be appointed by 29 June in time for first HEE Board, followed

shortly by HEE top team appointments

Sir Keith outlined what success will look like for HEE in the next 12 months: Meaningful Provider engagement A safe transition Empowering LETBs An effective Scheme of Delegation to LETBs to maximise funding at local level Ensuring right LETB Chairs to drive success Getting the authorisation process right to enable LETB ambitions All LETBs will be authorised from April 2013, and this will include intensive support

where required, to ensure this is the case.

4. The Vision for London

David Fish described the key challenges for the London system being: to make the system better for patients and the next generation of staff; to ensure there is collaborative work between LETBs on a common vision, and overall a relentless focus on delivery.

Agreed LETB London Principles

Three LETBs for London, led by employers in partnership with key stakeholders o Allocations made from HEE to individual LETBso Accountable bodies for education, training & workforce planningo Require means to exercise authority invested in themo Employer-led with input from key stakeholders

Complete the roll-out of the MDECS process o Fewer direct commissions for individual placements – all medical and dental

commissioning through Lead Providerso Lead Providers take up QA responsibilities in relation to individual

placements/rotationso Potential development of LP model to i) multi-specialty, ii) integrated primary &

secondary care, iii) multi-professional education Setting a direction of travel

o Local where possible, centralised where necessaryo Move to planning and commissioning education and training on a multi-

professional basis which is across a care pathway and patient focused Focus on efficiency

o Establish a shared service working to the LETBs to deliver functions that are most effectively done together across London

o Requirement to meet challenging reductions in running costso Commissioning support from other agencies as well, eg CfWI to provide certain

workforce analysis Safe transition

o The LETBs are committed to safe transitiono The model proposed allows for certain current NHSL/PGD functions to be

integrated in a single shared support service

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o Some functions will transfer to individual LETBs and LPs at the outset, others can follow and those elements that are best delivered once for all three LETBs have a sustainable basis for the future.

The accompanying slides provide the detailed vision, governance and priorities for London LETBs as presented at the event by the LETB Design Leads:

South London LETB: Prof. Anne GreenoughThe South London LETB’s Vision is fully inclusive of the healthcare workforce, and will ensure continuity from initial training to CPPD. Its priorities are: the integration of care, moving care closer to home, Long Term Conditions, the potential reduction of docs in training, improving access to psychological care, and outside NHS care. It will aim to reduce attrition, work closely with placement providers, complete the MDECS rollout, and engage primary care. The SLLETB’s Governance & Stakeholders will ensure it has a comprehensive constituency.

North West London LETB: Heather LawrenceThe central vision of the North West London LETB is to embed innovation. Its priorities are informed by alignment to CCGs. And their emerging priorities: localising care closer to home, centralising specialist services, and integrating primary and secondary care. It will have a small board focused on care pathways, and will work closely with the HIEC/AHSP/N, CLAHRC, and CCGs.

North Central East London LETB: Chris FowlerThe NCEL Vision is closely aligned to other LETBs. Its priorities are to be expressed via the 5 year plan. It will utilize a partnership model, which will mean the Infrequent need for large-scale procurement exercises. Governance and Stakeholder engagement will be provided by a Council, a small Board, and relationship managers. UCLP and the AHSN for NENC London are the key building blocks, with a focus on better outcomes for people and patients, building on the existing capabilities of NHSL and Deanery.

5. Open Access session:

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The three LETBs provided input to 5 tables, each of which explored the following scenarios:

1. Frail elderly2. Emergency workload3. Integrated care4. Postgraduate medicine5. Managing performance.

6. Exploring the Arrangements

After lunch, table-top discussions were facilitated to capture key issues arising from the emergent LETB operating model designs. The LETBs will use the questions raised to inform the detail of Gateway 2 submission.

Each table’s top questions were posed to the Design Leads. These are captured below. Detailed comments from each table were captured on a feedback form. This feedback is provided in highlight below and in detail in Appendix C.

Top table: Heather Lawrence, Chris Fowler, David Fish, Miles Scott, Anne Greenough, Technical table: Rob Smith, Julie Screaton, Fiona Moss, Helen Jameson.

Plenary discussion questions

No.

Question

1 How will the split between provision and commissioning, and conflicts of interest be managed?

2 How will 3 LETBs be cheaper than one?

3 What would success look like for LETBs?What are the behaviours that support that?

4 What if things go wrong?

5 How ensure LETBs address patient needs, not professional interests?For trainees, how will they be engaged?

6 How will LETBs work with local authorities and social care?

7 How will LETBs make sure they have right membership of advisory groups

8 How will LETBS engage with primary care?

9 Will each LETB produce a report?

10 How will small specialties be picked up as they are now?

Written Feedback

1. Shared working: How do they manage quality given the different/ incongruous structures?

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How will the 3 LETBs work together and how will they work with LETBs outside of London?

How will pan-London Commissioning and London as exporter and small professions work?

2. Governance: How do the LETBs see the relationship between AHSC/Networks and the LETB? How do LETBs intend to manage conflict of interest on their Boards? How do you ensure that individuals represent the views of the whole workforce?

3. Priorities How is it decided how the money is split/prioritised? How will pan- London decisions be made - where decisions made may affect other

LETBs? How can the professional balance of power become more equitable?

4. CCG Engagement Role of CCGs - how will they be engaged? How will LETBs influence the CCGs? Important to work closely with CCGs/ LA/H&W Boards/Social Care

5. Commissioning Will LETB be prepared to jointly commission? How will this work? How will the dialogue between commissioners and providers reflect local education

needs? How will the LETBs manage the commissioning & operational functions?

6. Quality Data issues - especially around primary care - how do we capture this? Is the quality monitoring process going to be the same across all 3 LETBs or will there

be local arrangements? How will Lead providers manage quality without being conflicted?

7. Close: Anne Rainsberry

Two key themes: Continuity and Change

For the last 4-5 years there has been a shared vision, centered on World Class Healthcare for London, partnered by research, innovation e.g. stroke and care pathways for frail elderly, underpinned by workforce changes.

The priority has been the reform of workforce planning and a clear focus on transforming the existing workforce. We spend as little as 10% on our existing workforce – despite fact that in 10 years time 60% of staff will still be working in London.

How can this system be developed, and be done differently? HEE will only be as good as the LETBs they support, and to the extent that it really putting employers in driving seat, which LETBs will allow us to do.

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Some questions remain: How are LETBs actually going to work with the system? How do you ensure the local flavor, at the same time as doing what can best be done

once for London? How do you innovate during a period of change?

Next Steps: Gateway 2 submission Visit from DH and HEE Commence appointments of staff to LETBs Move to shadow running in October, in parallel with commissioning planning round

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Appendix A – Detailed Outline of the day

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Time Topic Presented by

10.00am Welcome Prof Mike Spyer

10.05am Introduction to the Programme Laurie McMahon

10.10am The Future Context for Education and Training Sir Keith Pearson

10.20am The LETB Visions for London:• South London LETB• North West London LETB• North Central East London LETB

Prof David FishProf Anne Greenough Heather Lawrence Prof Chris Fowler

11:00am ‘Open Access’ session & coffee Laurie McMahon

12.30pm Lunch

1.15pm Exploring the Arrangements – Preparation Laurie McMahon

1.45pm Exploring the Arrangements – The Open Conversation

Laurie McMahon

2.45pm Coffee break

3.00pm What we have learned LETB Design Leads

3.15pm Closing words Dr Anne Rainsberry

Appendix B – Operating Model provided by LETBs (see attachment)

South London LETB

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Board Composition & Operating Model

Director of Finance

Director of Education and Quality

LETB Manage

r

LETB Manage

r

LETB Manage

r

Managing Director

Voting Voting Voting

Voting Voting Voting

Voting

Voting

Voting

6 service provider seats 3 other seats

Non-Executive Group

Executive Group

Independent ChairNon Voting

Board SecretaryNon Voting

Non Voting

Non VotingNon Voting

South London LETB Board

Membership

Stakeholders

HEE

AHSN

CCGs / LPNs

Commissioning Board

Audit Sub-Committee

Quality Sub-Committee

Professional Advisory Groups

Workforce re-design GroupOther groups form as needs

are identified by stakeholders or

Board

Standing Committees

Advisory and Working Groups

Pan London LETB

governance

Once for London or Pan London

Advisory Groups

Other BodiesAccountable

Accountable

Reviews annual planInfluence and representation

Shared Services

Lead Providers

Health & Wellbeing

Board

South London

LETB

North West London LETB

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NWL LETB Governance will support these improvements

Health Education England

All parties are members of – and informed by – Imperial AHSP/N

Other London LETBs

Governance of shared services

The LETB’s guiding document is its 5-year plan for delivering an appropriately skilled workforce. It will update its plan annually. The governance shown above is designed to ensure the plan is aligned with commissioner, pathway, employer and profession plans.

North Central East London LETB

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High-level Target Operating Model

LETB Operational Delivery

Advisory Groups

NCEL LETB Board‘Hybrid composition’ – Composed of

10-12 Representative and Skills-based members

Membership

(join constituencies

)

Membership, Constituencie

s & Council engagement

model shared with AHSN

Workforce Reconfigura

tion Priorities

Quality Managem

ent

HEEAdvisory Council

(LETB representation approved by a simple

majority of the Council)

The LETB seeks input from Council & Constituencies

re planning priorities

HEE Mandated Executive

Leadership

Service Requiremen

ts & Provider Selection

Constituencies(nominate members on to the Advisory

Council)

The LETB instructs

Executive to form Advisory

Groups to address specific

prioritiesLETB Portfolio Managers

coordinate the work of the

Advisory Groups

Strategic Priorities

identified by the LETB

Advisory Groups

report back to the LETB Board

Input from Council &

Constituencies provided in the form of

engagement in LETB

Advisory Groups and providing input into planning priorities,

recommendations,

endorsements, and

exception reports to the LETB

LETB Portfolio Managers

Operations supported by

Commissioning Support Services Provider Support Services

Process Overvie

w

Appendix C – Detailed feedback from ‘Exploring the arrangements’

Overall 75 questions posed

Ranking:Ranking Category Frequency Percentage

1 Shared working 11 14%2 Governance 8 10%3 Priorities 7 9%4 CCG engagement 6 8%5 Commissioning 4 5%6 Quality 4 5%7 Small specialities 3 4%8 Future of the Deanery 3 4%9 Finance 3 4%10 Delivery issues 3 4%

Examples of questions in top 6 categories:

1. Shared working: What is the mechanism for LETBs working together? How does London relate to the further differing LETB structures and how do they

communicate? How do they manage quality given the different/ incongruous structures? Co-operation between LETBs? How will training/education be delivered if it is cross- LETB boundary? What

arrangements will be in place? How will the 3 LETBs work together and how will they work with LETBs outside of

London? How will pan-London Commissioning and London as exporter and small professions

work? How will we ensure that we don’t duplicate between LETBs ? How will the three LETBs avoid duplicating work? Where LETBs can add value and what do they see as essential to maintain London-

wide? What is the governance structure to ensure that the 3 LETBs work together effectively?

2. Governance:

How do the LETBs see the relationship between AHSC/Networks and the LETB?

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How will their governance model permit transfers of funds to CPPD? How do LETBs intend to manage conflict of interest on their Boards? How will questions/queries from the general workforce get fed through the LETB? How do you ensure that the representative individuals represent the views of the whole

workforce? How do you get adequate student representation - is there a different model that could

be used to represent this group? Where is the regulation & governance? How are advisory groups to be chosen?

3. Priorities How is it decided how the money is split/prioritised? How are difficult decisions going to be made? How will HEE meet their vision without funding in this area (Band 1-4?) How will pan- London decisions be made - where decisions made may affect other

LETBs? Could we use learning from the OLM model to uniform prioritisation for LETBs? Moderating competing demands and allocating scarce resources How can the professional balance of power become more equitable?

4. CCG Engagement How is engagement with service commissioners going to work? Role of CCGs - how will they be engaged? How will LETBs influence the CCGs? Triangulation between service & workforce planning How is it envisaged that CCGs will be engaged? Important to work closely with CCGs/ LA/H&W Boards/Social Care

5. Commissioning Will LETB be prepared to jointly commission? How will this work? What is the difference between the 3 LETBs - needs to have a clear separation of

commissioners There needs to be dialogue between commissioners and providers to reflect local

education needs How will the LETBs manage the commissioning & operational functions?

6. Quality Data issues - especially around primary care - how do we capture this? Secure Quality assurance - how does the DoE&Q work? Is the quality monitoring process going to be the same across all 3 LETBs or will there

be local arrangements? How will Lead providers manage quality without being conflicted?

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Full List of Questions

No. Question

1 How will LETBs ensure that CCGS contracts with NHS Providers require them to deliver high quality placements?

2 How do the LETBs see the relationship between AHSC/Networks and the LETB?

3 How will their governance model permit transfers of funds to CPPD?

4 How do LETBs intend to manage conflict of interest on their Boards?

5 How do LETBs ensure their investment planning supports pathways rather than organisational/professional based?

6What is happening to the Deanery & Deanery functions e.g Commissioning, Provider Support, Provision for Dental/ GP training?

7 What is the mechanism for LETBs working together?

8 How are small specialties going to be catered for, e.g. Occupational Medicine?

9 How do we avoid diluting expertise?

10 When & how will the day-to-day operational detail be added?

11 What will the relationship be between LETBs in and out of London?(30% trained in London go elsewhere)

12 How does London relate to the further differing LETB structures and how do they communicate?

13 How do they manage quality given the different/ incongruous structures?

14 How will LETB generate relationships with private care & GPs?

15 Will LETB be prepared to jointly commission? How will this work?

16 How is it decided how the money is split/prioritised?

17 How do we enable innovation?

18 Co-operation between LETBs?

19 What is the role of HEE over LETBs?

20 What is the difference between the 3 LETBs - needs to have a clear separation of commissioners

21 How is engagement with service commissioners going to work?

22 How are difficult decisions going to be made?

23 Small specialties might be overlooked

24 There needs to be dialogue between commissioners and providers to reflect local education needs

25 Is London going to commission for London only? (we export some specialties)

26 Do we train people outside London?

27 Where do the Deans fit in to the model?

28 Data issues - especially around primary care - how do we capture this?

29 Secure Quality assurance - how does the Dean of Education & Qulaity work?

30 How are HEE going to fund Bands 1-4?

31 How will HEE meet their vision without funding in this area (Band 1-4?)

32 How will questions/queries from the general workforce get fed through the LETB?

33 How do you ensure that the representative individuals represent the views of the whole workforce?

34 How will pan- London decisions be made - where decisions made may affect other LETBs?

35 How will training/education be delivered if it is cross- LETB boundary? What arrangements will be in place?

36 How will 3 LETBs be cheaper than one single organisation without compromising quality?

37 Is the quality monitoring process going to be the same across all 3 LETBs or will there be local arrangements?

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38 How do you get adequate student representation - is there a different model that could be used to represent this group?

39 Could we use learning from the OLM model to uniform prioritisation for LETBs?

40 How will the 3 LETBs work together and how will they work with LETBs outside of London?

41 How will pan-London Commissioning and London as exporter and small professions work?

42 Moderating competing demands and allocating scarce resources

43 Role of CCGs - how will they be engaged?

44 How will LETBs influence the CCGs?

45 Triangulation between service & workforce planning

46 MPET Review - inequality of funding streams- managing gains & losses within and for London as a whole

47 How can the professional balance of power become more equitable?

48 How are Health & Social care boundaries being managed

49 How will we ensure that we don’t duplicate between LETBs ?

50 How will we work with LETBs outside?

51 How is it envisaged that CCGs will be engaged?

52 How will the three LETBs avoid duplicating work?

53 How will Lead providers manage quality without being conflicted?

54 Where is the regulation & governance?

55 How will we ensure equal access for medical trainees to specialise centres in London e.g. Forensic Medicine?

56 Important to work closely with CCGs/ LA/H&W Boards/Social Care

57 More trainees/students should have been invited to this event

58 Concern that patient/trainee/student voice will be lost as agenda will be too dominated by large provider organisations

59How do we make sure that the approach also covers non-professionally affiliated staff (bands 1-4) and also social services staff, carers & volunteers?

60 How do we ensure that all professions are equally represented?

61 How do we ensure appropriate focus on developing the existing workforce?

62 How are advisory groups to be chosen?

63 How can we use innovative methods to avoid people attending too many meetings?

64 How will LETBs address conflicts of interest & avoid professional bias?

65 How do we plan for the long-term and not just 3-5 years ahead?

66 How do we ensure LETBs address patient needs?

67 What is happening to SIFT funds - will LETBs be responsible for this money?

68 How will LETBs, Deanery, other Education Bodies operate in the Transition period?

69 What will happen to the schools and their functions?

70 Where LETBs can add value and what do they see as essential to maintain London-wide?

71 Should there be 3 LETBs or 1 with 3 sub LETBs?

72 How will the LETBs manage the commissioning & operational functions?

73 How will the effectiveness of the LETBs be affected by having to deal with a large number of organisations?

74 How will the LETBs liaise effectively with Primary Care?

75 What is the governance structure to ensure that the 3 LETBs work together effectively?

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Appendix D – Delegate list

241 Delegates registered194 Delegates attended

Full Delegate listing (attendees)Name Job title Organisation

Adedoyin Ogunbiyi Business Analyst Chelsea & Westminster Hospital

Alan Randle Associate Head of School, Nursing, Midwifery and Social Work University of Hertfordshire

Alastair Henderson Chief Executive Academy of Medical Royal Colleges

Alison Crombie Director of educationBarking, Havering & Redbridge University Hospitals

Alpesh Patel GP Enfield PCTAmanda Coyle Director of Health and Communities Greater London AuthorityAndrew Barton Regional Coordinator British Medical AssociationAndrew Long Head of School of Paediatrics London DeaneryAngela Huxham Director of Workforce Development King's College Hospital NHS Foundation TrustAnna Knowles Professional Education Lead Hounslow and Richmond Community HealthcareAnne Greenough South London LETB Design Lead King's Health Partners

Anne RainsberryDirector of People and Organisational Development / Regional Director

NHS London / London Region National Commissioning Board

Anousha Hari Medical Advisor Kensington & Chelsea PCTAnthea Parry Consultant Stroke Physician The Hillingdon HospitalAnton Obholzer Project Manager North West London LETBAntony Senner LETB Development Support NHS LondonAurea Jones North West London LETB Relationship Manager NHS LondonAxel Heitmueller Director of Strategy Chelsea and Westminster HospitalBarbara Byrne Chief Executive West London Mental Health NHS TrustBeryl De Souza Honorary Clinical Lecturer in Plastic Surgery Imperial CollegeBill Travers Deputy Head of School of Psychiatry London DeaneryBob Klaber  Consultant Paediatrician  Imperial College Healthcare NHS TrustCamilla Wiley Director of Nursing Royal National Orthopaedic HospitalCarl Biddle Area Manager, London & the South East Skills for CareCarol Alexander Head of Acute Therapies HomertonCarol Sacchett Clinical Education Lead University College LondonCaroline Linden HR Business Partner NHS South East LondonCarolyn Green Deputy Director of Education & Training South London & Maudsley NHS Foundation TrustCatharine Berwick LETB Operating Model Team PA Consulting GroupCatherine Wilkins Deputy Head of Midwifery Chelsea and Westminster HospitalCatriona Chatfield Darzi Fellow London DeaneryChris Donlan Deputy Associate Dean Univeristy College LondonChris Drew Project Manager South London LETBChristian Murley Training Manager Royal College of RadiologistsChristine Catlin Assistant Director of Education Learning & Development Ealing Hospital NHS TrustCynthia Conquest Deputy Director of Finance Chelsea and Westminster HospitalDavid Burbidge Member Tower Hamlets LinkDavid Bushby Resuscitation Service Lead Chelsea and Westminster Hospital

David Fish Managing Director / ChairUCLPartners / North Central and East London LETB

David Grantham Director of Workforce & OD Kingston HospitalDavid Sines Pro Vice Chancellor / Executive Dean, Faculty Society & Buckinghamshire New University

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HealthDavid Wherret Workforce Director University College of LondonDebbie Mellor Deputy Director Workforce Education Department of HealthDiana Hamilton-Fairley

Dean of Secondary Care Specialties and Clinical Lead for Quality London Deanery

Diane Morgan Assistant Director of HR, Education and Development St George's Healthcare NHS TrustDina Dhorajiwala CCG GP Board, Education Lead Haringey (shadow) CCGDruid Fleming Senior Service Manager / Associate Clinical Director Camden and Islington Foundation TrustFatuma Hassan Regional Coordinator for London Royal College of Surgeons of EnglandFiona Carragher Lead Scientist NHS London

Fiona Moss Dean DirectorLondon Commissioner for Medical and Dental Education, London Deanery

Gary Waltham Deputy Director of Operations Provider Shared Service Organisation Geoff Speed Head of Learning, Education & Development Great Ormond Street HospitalGeoffrey Berg LETB Embedded Support NHS LondonGeorge Ikkos Director of Medical Education Barking, Enfield and HaringeyGeraint Day Supporting Regional Co-ordinator Royal College of Surgeons of EnglandGerald Coakley Director of Medical Education South London Healthcare TrustGeraldine Strathdee Assistant Medical Director, Mental Health NHS LondonGiles Mahoney LETB Operating Model Team PA Consulting GroupGill Heuchan Assistant Director of Professional Education Development London Ambulance ServiceGill McCarthy Director of Medical Education Kingston Hospital NHS TrustGillian Holdsworth Consultant Southwark PCT

Gillian Hooper Director of Quality and CommissioningLondon Commissioner for Medical and Dental Education, London Deanery

Harriet Oppenheimer LETB Operating Model Team PA Consulting Group

Heather Lawrence Chief Executive / Design LeadChelsea & Westminster Hospital / North West London LETB

Helen Jameson Director of MPET Finance NHS LondonIain Beith Head of School of Rehabilitation Sciences St Georges University of London

Ian Fleming Director of Workforce & PartnershipsSouth West London and St Georges Mental Health Trust

James Cain LETB Development Support NHS LondonJan Williams Pro Vice Chancellor and Dean Middlesex UniversityJane Clegg Director of Nursing, Quality and Assurance Central London Community Healthcare

Jessica YakeleyConsultant Psychiatrist and Director of Medical Education, and Associate Medical Director Tavistock & Portman NHS Trust

Joan Pitkin Consultant Gynaecologist North West London Hospitals NHS TrustJoanne McConnell People Transition HR Operational Lead NHS LondonJohn Carrier Chair of Strategic Advisory Board / Lay Chair London DeaneryJohn Cossar Director of Physiotherapy Brunel UniversityJohn Firth Consultant Histopathologist Notrth Middlesex HospitalJohn Harrison Head of Occupational Medicine Specialty School London DeaneryJohn Lowe DPME, Consultant Psychiatrist Central North West London NHS Trust

John Pope Managing DirectorLondon Commissioner for Medical and Dental Education, London Deanery

John Robinson Finance Director Brunel UniveristyJohn Spicer Head of School of GP London Deanery

Julie ScreatonDirector of Workforce Transformation / South London LETB Relationship Manager NHS London

Justin Creigh LETB Programme Director NHS LondonKarl Carrier LETB Operating Model Team PA Consulting GroupKate Wark   Royal College of AnaesthetistsKathryn Mitchell Pro Vice-Chancellor Academic and Student Services University of West London

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Kathy Tyler Director England - London and South East Skills for HealthKerrie O’Connor Forth LETB Operating Model Team PA Consulting GroupLaura Paynter Business Manager British Association of PsychotherapistsLaurence Benson Director South West London AHSNLeah Benson Primary Care Strategy Executive Londonwide LMCsLesley Wilson Lecturer Brunel UniversityLinda Dyson Deputy Director of OD & Workforce West London Mental Health NHS TrustLinda Gnanasekaran Lecturer Brunel UniversityLinda Madeley Deputy Director of Human Resources Ealing Hospital NHS TrustLisa Cunningham Senior Public Affiars & PR Officer Royal College of Physicians, LondonLiz Jones Dean of Postgraduate Dentistry London DeaneryLyn Ronnie Head of Neonatal Nursing Chelsea and Westminster HospitalM K Sahi GP Bromley LMC GPMalcolm Plumber Director of Organisational Development London DeaneryMandy Jones Programme Director Physiotherapy Brunel UniversityMarcia Saunders North West London LETB Chair North West London LETBMargaret Murphy Associate Director of Education Guy's and St Thomas' NHS Foundation TrustMarilyn Plant GP Richmond & Twickenham PCTMartin Herd Head of Finance UCLHMartin Munro Executive Director of HR & OD North East London Foundation TrustMartin Steggall Associate Dean, Undergraduate Studies City UniversityMartin Watson Specialist Registrar Moorfields Eye Hospital NHSFTMary Billington Lead Midwife for Education Greenwich UniversityMary Currie Associate Director : Workforce Planning King's College Hospital NHS Foundation TrustMatthew Walker Head of LETB Office NHS LondonMaureen Choong Deputy Chief Nurse NHS LondonMichael Beckett Clinical tutor West Middlesex HospitalMichael Glynn Director North East Thames Foundation SchoolMichal Grenville GP ONEL/LMCMichelle Drage CEO Londonwide LMCsMike Robinson Director of Public Health, Hounslow London Borough of HounslowMike Spyer Chair NHS London

Miles Scott Chief Executive / ChairSt.George's Healthcare NHS Trust / South London LETB

Nav Chana Postgraduate Dean of GP & Community Based Education London DeaneryNeville Punchard Dean of School of Health, Sport and Bioscience University of East LondonNicholas Bass Director of Medical Education East London NHS Foundation TrustNicki Latham Director of Operations and Partnerships Health Education EngalndNicole Callaghan LETB Programme Manager East of England Shadow LETBNigel Burgess Workforce and Education Commissioning strategy Manager Guy's and St Thomas'Nigel Standfield Head of School of Surgery London DeaneryOrla Lacey Consultant Anaesthetist and Clinical Tutor The Royal Marsden Hospital NHS TrustPatricia Hurton CCG Board Member Hillingdon / GP Hillingdon HospitalPaul Feeney Head of Quality Assurance General Dental CouncilPaul Taylor LETB Organisational & People Development Lead NHS Midlands and EastPaul Tomlinson Director of Resources Londonwide LMCsPeter Emery Professor King's College LondonRamesh Bhatt GP LMC GPRebecca Viney CCG board member / Associate Dean CCG / DeaneryRichard Money GP Bexley LMC GP

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Rita Daly Senior Area Officer, London & the South East Skills for Care

Rob SmithDirector of System Strategy and Development / North Cental and East London LETB Relationship Manager NHS London

Rosalind Murphy Professional Development Manager Whittington HealthSally Quinn Deputy Director of Workforce Development and OD Croydon Health Sally Storey HR Director Moorfields Eye Hospital NHSFTSarah Hill Head of School of Pathology London DeanerySarah James Associate Director- Education & Development King's College Hospital NHS Foundation TrustSaroj Patel Director Of Workforce, IM&T and Corporate Affairs Royal National Orthopaedic HospitalSheena Mitchell Consultant Whittington HealthShelley Dolan Chief Nurse The Royal Marsden NHS Foundation TrustSimon Kane LETB Operating Model Team PA Consulting GroupSimon Thompson Deputy Director of Workforce Capacity & Funding Department of HealthSimon Tinling LETB Operating Model Team PA Consulting GroupSinead Mehigan Head of Department of Initial and Acute Nursing Middlesex UniversitySir Keith Pearson Chair Health Education EngalndStephanie Fade Head of Strategy and Systems Development NHS LondonStephen Jackson Project Manager North Central and East London LETB

Stuart Adams Consultant PsychiatristSouth West London and St Georges Mental Health Trust

Sue Lord Head of Department Anglia Ruskin UniversitySusan Heenan Head of London School of Radiology London DeanerySusan Labrooy Medical Director Hillingdon HospitalSusan Sanders Director London Pharmacy Education and TrainingTeresa McHugh Deputy Director of Nursing Barnet and Chase Farm Hospitals NHS TrustTim Swanwick Dean of Professional Development London Deanery

Tim YatesAcademic Clinical Fellow in Neurology; BMA JDC Executive member UCLH NHSFT; BMA

Tunji Lasoye Director of Medical Education & Assistant Medical Director King's College Hospital LondonWendy Gay Joint Director of HR & OD SGUL / St Georges Healthcare TrustYuri Gupta Fellow School of RadiologySimon Rattenbury Manager for the Department of Microbiology Royal FreeRachel Abraham Associate Director for Education Imperial College NHS TrustLesley Johnson SHA Allied Health Professional Lead NHS London

Judith EllisExecutive Dean for Health and Social Care at London South Bank University London South Bank University

Rachel Jarvis Education Academy Administration Manager King's Health PartnersSarah Faulkner Head of Leadership and Regional team Centre for Workforce IntelligencePepe Shirland Consultant Dental Services Guys and St Thomas NHS Foundation TrustOliver Warren Honorary Clinical Research Fellow Imperial College NHS TrustAngela Farmer Dentist Kings College Hospital

Kim TolleyPrincipal Lecturer , Nursing Assessments & Quality Enhancements Nursing and Midwifery Council

Alan Naftalin Director of Medical Education Newham University HospitalThirza Sawtell Director of Strategic Commissioning NHS North West LondonSusan Sinclair Deputy Director NHS North West LondonMark Cole Head of Learning & Development Camden and Islington NHS Foundation Trust

Wendy Reid Dean of Postgraduate Medicine / Vice PresidentLondon Deanery / Royal College of Obstetricians and Gynaecologists

Deepti Radish PD Pathology Lead  

Sanjeev AhluwaliaDeputy GP Director and Deputy Head of the London School of General Practice London School of General Practice

Karen Tanner Senior Clinical Lecturer in Social Care Tavistock & Portman NHS Trust

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Zubaathl Bagra   South East LondonKerry Johnstone Quality & Commissioning Manager London DeaneryIan Bateman Head of Quality London DeaneryChris Barrett Quality & Commissioning Manager London DeaneryHelen York    Fleur Hansen Head of Project Office North West London LETBChris Owen Senior Consultant Centre for Workforce IntelligenceDebbie Dzikjurasz Associate Director of Nursing Barts Health NHS TrustMartin O' Rowe    Laura Quirke   London wide LMCs, LETB Project TeamJohn Callery Director of Information Management London Deanery

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