Here are some further thoughts and responses from me:
1. To clarify; the concern I have heard about secondary care (which I wrote about here) is how do both primary care clinicians and specialists/secondary care clinicians design pathways that influence the commissioners to commission them?
I’m really keen to hear your ideas about how to facilitate this. Are there issues which prevent it from happening? What role do you think clinical networks could/should have in this?
2. The listening exercise is now developing and I am looking forward to meeting more people over the next few weeks in order to hear concerns and also suggestions which I can then share with other groups.
3. Some of you have raised issues about diagnostics and I would extend that to scientists and others. I am still keen to hear about any other groups who may not have been mentioned so far.
Who do you think is missing or could be better represented?
4. @Jessica raised the issue of midwifery representation in response to this post. This point is one I have also heard from others and will take note of.
The listening exercise is helping me to develop my thinking as we go along. All your posts are really helpful so please keep contributing to the exercise.
Dr Kathy McLean