2. the background story
✤ services at risk
✤ GP collaboration borne out of the co-operative movement
✤ PMS / GMS and the 2004 contract
✤ Practice Based Commissioning
✤ Louth and District Medical Services
3. shaping health for Louth
✤ active engagement of clinical staff, general public and council officials
✤ three month public consultation
✤ implementation
4. lessons
✤ it takes time and patience
✤ don’t presume everyone shares, or even understands, your vision
✤ the need for full integration of clinicians and managers
✤ the process is always ongoing