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Cheere House 
12.30 Lunch for 1pm start, Meeting from 1-3pm

•	Timing- could have a PBC debrief afterwards
•	Sponsorship for Lunch
•	How Many Attendees- will a reply be put on agenda/ flyer

In view of the feedback and concerns and the lack of new Exec members I feel that for the first item I will present a talk on “Whose Agenda Is It?”
This would include issues that have arisen out of my two remits – prescribing and counselling.
The original aim was to save money in some clinical service delivery areas to enable investment and development in others. Practices were given indicative budgets for the purpose.

1.	Clinical Leadership – getting the GPs to back your moves.
2.	Dacorum’s clinical priorities agenda that we wish to commission.
3.	The PCT’s clinical, financial and clinical governance priorities- must they over ride everything – the biggest hurdle to PBC!! How do we know how much money will be left for our projects? Can ours be ring fenced?
4.	Commissioning and providing – How can we be impartial. Should the Exec. have any input into providing, or are these separate meetings? COPD/Heart Failure, Diagnostic Centre at Hemel, UCC, OOH, Surgical Outpatients are some examples. 
5.	What is the role of the PCT commissioners in assisting develop service provision.

Then one must ask the question about the huge number of outside meetings occurring – the Conclave, Clinical Governance, PBC Leads meeting, as well as Herts Prescribing , UCC, OOH,  Cardiac Network etc. It is nice to know what others are doing, but is it constructive, does it affect our agenda.

Can we address these issues one at a time and discuss their application to Dacorum PBC.

We are not getting interest from GPs in Commissioning because we are not making a difference after two years. I hope that answering some of these questions will attract GPs as they will feel that they are contributing to the local health agenda

If we do go ahead with my suggestion, it is possible that there may be some sensitive areas that the PCT should not attend. Can these be placed at end of meeting.