{"version":"1.0.0","segments":[{"startTime":1.02,"endTime":3.93,"body":"- [Presenter] Welcome to this"},{"startTime":1.02,"endTime":3.93,"body":"Petauri Evidence webinar."},{"startTime":3.93,"endTime":5.1,"body":"At Petauri Evidence,"},{"startTime":5.1,"endTime":7.83,"body":"we deliver market access and HEOR support,"},{"startTime":7.83,"endTime":9.99,"body":"throughout the product lifecycle,"},{"startTime":9.99,"endTime":13.263,"body":"to bring new treatments to"},{"startTime":9.99,"endTime":13.263,"body":"patients across global markets."},{"startTime":14.46,"endTime":18.96,"body":"Follow us on LinkedIn for more"},{"startTime":14.46,"endTime":18.96,"body":"great content from our team."},{"startTime":18.96,"endTime":21.36,"body":"We hope you enjoy the discussion."},{"startTime":21.36,"endTime":24.18,"body":"- Welcome, everyone, to"},{"startTime":21.36,"endTime":24.18,"body":"our live Q and A session"},{"startTime":24.18,"endTime":27.18,"body":"in this NHS Whispers webinar series."},{"startTime":27.18,"endTime":28.013,"body":"In this series,"},{"startTime":28.013,"endTime":30.66,"body":"we've been following the"},{"startTime":28.013,"endTime":30.66,"body":"evolving structure of the NHS,"},{"startTime":30.66,"endTime":32.76,"body":"now shaped by the new 10 year plan,"},{"startTime":32.76,"endTime":34.02,"body":"and exploring your questions"},{"startTime":34.02,"endTime":35.91,"body":"around what these changes really mean,"},{"startTime":35.91,"endTime":37.53,"body":"what's happening on the ground,"},{"startTime":37.53,"endTime":38.55,"body":"and what you need to consider"},{"startTime":38.55,"endTime":39.84,"body":"in the coming weeks, and months,"},{"startTime":39.84,"endTime":42.06,"body":"in terms of your market access strategies."},{"startTime":42.06,"endTime":43.35,"body":"So I'm Charlotte Harding."},{"startTime":43.35,"endTime":45.39,"body":"I'm part of the UK market access team,"},{"startTime":45.39,"endTime":46.95,"body":"here at Petauri Evidence,"},{"startTime":46.95,"endTime":49.14,"body":"a global market access,"},{"startTime":46.95,"endTime":49.14,"body":"and HEOR consultancy,"},{"startTime":49.14,"endTime":51.0,"body":"within the Petauri platform."},{"startTime":51.0,"endTime":52.41,"body":"For those of you who may not know,"},{"startTime":52.41,"endTime":55.17,"body":"we specialise in supporting"},{"startTime":52.41,"endTime":55.17,"body":"bio-pharma companies"},{"startTime":55.17,"endTime":57.63,"body":"across the full spectrum"},{"startTime":55.17,"endTime":57.63,"body":"of market access strategy,"},{"startTime":57.63,"endTime":59.7,"body":"with particular expertise in UK launches,"},{"startTime":59.7,"endTime":61.89,"body":"and navigating NHS dynamics."},{"startTime":61.89,"endTime":65.04,"body":"Our work is informed by deep"},{"startTime":61.89,"endTime":65.04,"body":"in-house expert experience,"},{"startTime":65.04,"endTime":67.44,"body":"and enriched by our"},{"startTime":65.04,"endTime":67.44,"body":"network of NHS partners,"},{"startTime":67.44,"endTime":69.72,"body":"who provide valuable insights"},{"startTime":67.44,"endTime":69.72,"body":"through advisory boards,"},{"startTime":69.72,"endTime":70.62,"body":"strategic input,"},{"startTime":70.62,"endTime":73.23,"body":"and feedback on value"},{"startTime":70.62,"endTime":73.23,"body":"propositions and messaging."},{"startTime":73.23,"endTime":75.84,"body":"We're delighted to welcome"},{"startTime":73.23,"endTime":75.84,"body":"our guest for today's session,"},{"startTime":75.84,"endTime":77.55,"body":"Yousaf Ahmed, Chief Pharmacist"},{"startTime":77.55,"endTime":81.06,"body":"and Director of Medicines"},{"startTime":77.55,"endTime":81.06,"body":"Optimization at Frimley ICS,"},{"startTime":81.06,"endTime":81.93,"body":"and we're looking forward"},{"startTime":81.93,"endTime":83.73,"body":"to a lively, and insightful, discussion."},{"startTime":83.73,"endTime":85.62,"body":"So, welcome, Yousaf."},{"startTime":85.62,"endTime":87.99,"body":"Yousaf is an experienced pharmacy lead"},{"startTime":87.99,"endTime":89.64,"body":"with over 20 years in NHS"},{"startTime":89.64,"endTime":91.62,"body":"and international healthcare systems."},{"startTime":91.62,"endTime":93.99,"body":"He leads medicines,"},{"startTime":91.62,"endTime":93.99,"body":"optimization, and strategy"},{"startTime":93.99,"endTime":95.43,"body":"across Frimley ICS,"},{"startTime":95.43,"endTime":98.55,"body":"and has worked in senior roles"},{"startTime":95.43,"endTime":98.55,"body":"within acute care settings."},{"startTime":98.55,"endTime":101.01,"body":"He has represented pharmacy nationally"},{"startTime":101.01,"endTime":102.24,"body":"through committee roles"},{"startTime":102.24,"endTime":104.7,"body":"within the UK Clinical"},{"startTime":102.24,"endTime":104.7,"body":"Pharmacy Association,"},{"startTime":104.7,"endTime":106.59,"body":"the Royal Pharmaceutical Society,"},{"startTime":106.59,"endTime":108.15,"body":"and as an advisor to NICE."},{"startTime":108.15,"endTime":110.13,"body":"Yousaf also sits on the governing council"},{"startTime":110.13,"endTime":111.9,"body":"of the General Pharmaceutical Council,"},{"startTime":111.9,"endTime":114.54,"body":"overseeing the regulation"},{"startTime":111.9,"endTime":114.54,"body":"of pharmacy professionals"},{"startTime":114.54,"endTime":116.49,"body":"and premises across the UK."},{"startTime":116.49,"endTime":118.56,"body":"He is passionate about"},{"startTime":116.49,"endTime":118.56,"body":"workforce transformation,"},{"startTime":118.56,"endTime":119.85,"body":"innovation in practice,"},{"startTime":119.85,"endTime":120.96,"body":"and improving patient care"},{"startTime":120.96,"endTime":123.54,"body":"through strategic pharmacy leadership."},{"startTime":123.54,"endTime":124.48,"body":"So just to remind you,"},{"startTime":124.48,"endTime":125.91,"body":"there is a question box"},{"startTime":125.91,"endTime":127.92,"body":"for you to submit any"},{"startTime":125.91,"endTime":127.92,"body":"further questions to us"},{"startTime":127.92,"endTime":129.06,"body":"throughout the session,"},{"startTime":129.06,"endTime":131.673,"body":"so, please just check"},{"startTime":129.06,"endTime":131.673,"body":"that you can see this,"},{"startTime":132.6,"endTime":135.3,"body":"and we will come to these"},{"startTime":132.6,"endTime":135.3,"body":"at the end, if we have time."},{"startTime":136.17,"endTime":137.79,"body":"So, I'm conscious that we have quite a lot"},{"startTime":137.79,"endTime":138.63,"body":"to get through today."},{"startTime":138.63,"endTime":139.77,"body":"So thank you to everyone"},{"startTime":139.77,"endTime":141.78,"body":"who submitted their questions in advance."},{"startTime":141.78,"endTime":143.46,"body":"But just before we dive in,"},{"startTime":143.46,"endTime":145.98,"body":"Yousaf, how are things going"},{"startTime":143.46,"endTime":145.98,"body":"in your world right now,"},{"startTime":145.98,"endTime":147.543,"body":"and how are you doing?"},{"startTime":148.65,"endTime":149.85,"body":"- Yeah, thanks, Charlotte,"},{"startTime":149.85,"endTime":154.44,"body":"and thank you very much"},{"startTime":149.85,"endTime":154.44,"body":"for the kind invitation"},{"startTime":154.44,"endTime":158.463,"body":"to come and speak to lots"},{"startTime":154.44,"endTime":158.463,"body":"of colleagues this morning,"},{"startTime":160.14,"endTime":161.73,"body":"and I look forward to the chat."},{"startTime":161.73,"endTime":163.113,"body":"So, how am I?"},{"startTime":165.78,"endTime":166.73,"body":"You know, weeks are flying by,"},{"startTime":166.73,"endTime":169.26,"body":"if I was to be really"},{"startTime":166.73,"endTime":169.26,"body":"honest with you, Charlotte,"},{"startTime":169.26,"endTime":172.14,"body":"it's Friday already, and,"},{"startTime":169.26,"endTime":172.14,"body":"you know, it's been a blur,"},{"startTime":172.14,"endTime":175.05,"body":"and I felt like I've been going"},{"startTime":175.05,"endTime":178.893,"body":"like one of those high speed"},{"startTime":175.05,"endTime":178.893,"body":"trains through the week."},{"startTime":180.12,"endTime":182.1,"body":"There's lots of change in the NHS,"},{"startTime":182.1,"endTime":184.05,"body":"and we'll talk about that today,"},{"startTime":184.05,"endTime":186.15,"body":"as well as, there's a lot of anxiety,"},{"startTime":186.15,"endTime":188.58,"body":"and stress, and worry, I think,"},{"startTime":188.58,"endTime":190.533,"body":"with what people that are working."},{"startTime":191.527,"endTime":193.02,"body":"And also more importantly,"},{"startTime":193.02,"endTime":195.188,"body":"from what I can say to colleagues,"},{"startTime":195.188,"endTime":197.01,"body":"there's a lot of opportunity here,"},{"startTime":197.01,"endTime":201.75,"body":"and we need to look at this"},{"startTime":197.01,"endTime":201.75,"body":"restructure, reorganisation,"},{"startTime":201.75,"endTime":203.76,"body":"and the policy documents that"},{"startTime":201.75,"endTime":203.76,"body":"we're going to chat about,"},{"startTime":203.76,"endTime":206.381,"body":"as an opportunity to do things"},{"startTime":203.76,"endTime":206.381,"body":"differently going forward."},{"startTime":206.381,"endTime":207.93,"body":"- Yeah."},{"startTime":206.381,"endTime":207.93,"body":"- So yeah, I'm okay."},{"startTime":207.93,"endTime":209.553,"body":"But lots to do."},{"startTime":210.54,"endTime":212.73,"body":"- Okay, great, thanks, Yousaf."},{"startTime":212.73,"endTime":215.1,"body":"So in terms of the first question"},{"startTime":215.1,"endTime":216.38,"body":"that we have for you today,"},{"startTime":216.38,"endTime":218.01,"body":"so how do you see the current,"},{"startTime":218.01,"endTime":220.77,"body":"sort of, structural changes"},{"startTime":218.01,"endTime":220.77,"body":"within integrated care systems"},{"startTime":220.77,"endTime":224.4,"body":"shaping the future of"},{"startTime":220.77,"endTime":224.4,"body":"healthcare delivery in England?"},{"startTime":224.4,"endTime":228.39,"body":"And, sort of, what will the ICS mergers"},{"startTime":228.39,"endTime":230.46,"body":"lead to meaningful transformation,"},{"startTime":230.46,"endTime":232.912,"body":"or are they kind of more"},{"startTime":230.46,"endTime":232.912,"body":"of a structural reshuffle?"},{"startTime":232.912,"endTime":234.363,"body":"What's your view on that?"},{"startTime":236.49,"endTime":238.53,"body":"- Yes, a big question."},{"startTime":238.53,"endTime":241.11,"body":"It is a monumental change"},{"startTime":241.11,"endTime":244.65,"body":"to how we do business in"},{"startTime":241.11,"endTime":244.65,"body":"the NHS, this restructure."},{"startTime":244.65,"endTime":247.143,"body":"There's no two ways about it, I think."},{"startTime":248.04,"endTime":253.04,"body":"The current ecosystem"},{"startTime":248.04,"endTime":253.04,"body":"has about 42 ICS systems,"},{"startTime":253.38,"endTime":256.71,"body":"which range from populations"},{"startTime":253.38,"endTime":256.71,"body":"as low as 500,000,"},{"startTime":256.71,"endTime":258.99,"body":"all the way to two and a"},{"startTime":256.71,"endTime":258.99,"body":"half million, 3 million."},{"startTime":258.99,"endTime":260.73,"body":"- Yeah."},{"startTime":258.99,"endTime":260.73,"body":"- So there is"},{"startTime":260.73,"endTime":262.11,"body":"a lot of inconsistency."},{"startTime":262.11,"endTime":265.62,"body":"This restructure brings"},{"startTime":262.11,"endTime":265.62,"body":"it down to around 25-ish,"},{"startTime":265.62,"endTime":267.51,"body":"where the average number"},{"startTime":265.62,"endTime":267.51,"body":"of populations are"},{"startTime":267.51,"endTime":269.22,"body":"two and a half million to 3 million."},{"startTime":269.22,"endTime":271.02,"body":"So more consistency."},{"startTime":271.02,"endTime":272.46,"body":"But also a bit more clarity"},{"startTime":272.46,"endTime":274.65,"body":"in some of the roles,"},{"startTime":272.46,"endTime":274.65,"body":"and responsibilities,"},{"startTime":274.65,"endTime":276.09,"body":"of integrated care systems."},{"startTime":276.09,"endTime":277.32,"body":"And we'll talk about that very shortly"},{"startTime":277.32,"endTime":279.63,"body":"around strategic commissioning."},{"startTime":279.63,"endTime":281.4,"body":"So it's a monumental change, number one."},{"startTime":281.4,"endTime":284.73,"body":"Number two, it really"},{"startTime":281.4,"endTime":284.73,"body":"focuses on the importance,"},{"startTime":284.73,"endTime":285.563,"body":"this change,"},{"startTime":285.563,"endTime":288.05,"body":"the importance of caring for people"},{"startTime":288.05,"endTime":290.76,"body":"at the neighbourhood population level."},{"startTime":290.76,"endTime":292.08,"body":"What are we doing?"},{"startTime":292.08,"endTime":294.12,"body":"How are we understanding our"},{"startTime":292.08,"endTime":294.12,"body":"populations and neighbourhoods,"},{"startTime":294.12,"endTime":296.61,"body":"and what we are doing to really intervene"},{"startTime":296.61,"endTime":298.62,"body":"on seismic changes to their health?"},{"startTime":298.62,"endTime":302.756,"body":"So it's going to focus on some"},{"startTime":298.62,"endTime":302.756,"body":"of the real areas that ICSs"},{"startTime":302.756,"endTime":305.64,"body":"ICBs, and NHS England, and the department,"},{"startTime":305.64,"endTime":307.5,"body":"will need to focus on going forward."},{"startTime":307.5,"endTime":310.77,"body":"And thirdly, I think"},{"startTime":307.5,"endTime":310.77,"body":"this, for me, presents,"},{"startTime":310.77,"endTime":313.62,"body":"as I said, an opportunity but a challenge,"},{"startTime":313.62,"endTime":316.41,"body":"to really make some"},{"startTime":313.62,"endTime":316.41,"body":"transformational impact"},{"startTime":316.41,"endTime":318.72,"body":"to healthcare delivery more long term."},{"startTime":318.72,"endTime":322.11,"body":"Within our system, we talk"},{"startTime":318.72,"endTime":322.11,"body":"about generational change,"},{"startTime":322.11,"endTime":326.22,"body":"and making sure that we invoke"},{"startTime":322.11,"endTime":326.22,"body":"some sort of intervention"},{"startTime":326.22,"endTime":329.31,"body":"that impacts people today,"},{"startTime":326.22,"endTime":329.31,"body":"as well as tomorrow."},{"startTime":329.31,"endTime":331.41,"body":"I think with this restructure,"},{"startTime":331.41,"endTime":333.96,"body":"the challenge and opportunity sits in"},{"startTime":333.96,"endTime":336.48,"body":"being very clear in decision making,"},{"startTime":336.48,"endTime":340.14,"body":"and being very clear on more"},{"startTime":336.48,"endTime":340.14,"body":"impactful interventions."},{"startTime":340.14,"endTime":342.33,"body":"And we can talk about"},{"startTime":340.14,"endTime":342.33,"body":"that shortly, I'm sure."},{"startTime":342.33,"endTime":343.163,"body":"- Yeah."},{"startTime":343.163,"endTime":346.53,"body":"So just in terms of the biggest challenges"},{"startTime":346.53,"endTime":348.15,"body":"that ICBs have faced"},{"startTime":348.15,"endTime":350.1,"body":"and sort of taking on specialist services"},{"startTime":350.1,"endTime":351.69,"body":"previously managed by NHS England,"},{"startTime":351.69,"endTime":353.09,"body":"what are your views on that?"},{"startTime":354.27,"endTime":358.45,"body":"- Yeah, so delegated"},{"startTime":354.27,"endTime":358.45,"body":"commissioning is really a shift"},{"startTime":358.45,"endTime":361.2,"body":"of moving some of that autonomy and power"},{"startTime":361.2,"endTime":363.15,"body":"from the centre to ICBs."},{"startTime":363.15,"endTime":364.95,"body":"We've seen that in some"},{"startTime":363.15,"endTime":364.95,"body":"disciplines already,"},{"startTime":364.95,"endTime":368.76,"body":"such as a pharmacy, optometry,"},{"startTime":364.95,"endTime":368.76,"body":"and dentistry, the pod hub,"},{"startTime":368.76,"endTime":370.74,"body":"where, you know, the market access,"},{"startTime":370.74,"endTime":373.38,"body":"the commissioning of those"},{"startTime":370.74,"endTime":373.38,"body":"particular contractors,"},{"startTime":373.38,"endTime":376.47,"body":"moving to systems."},{"startTime":376.47,"endTime":378.387,"body":"That includes also the money involved,"},{"startTime":378.387,"endTime":381.0,"body":"and the personnel that"},{"startTime":378.387,"endTime":381.0,"body":"were sitting at centre,"},{"startTime":381.0,"endTime":382.86,"body":"and that's been very interesting."},{"startTime":382.86,"endTime":385.59,"body":"Specialist services, spec com, again,"},{"startTime":385.59,"endTime":388.71,"body":"another big body of people, and money,"},{"startTime":388.71,"endTime":391.65,"body":"being delegated to systems,"},{"startTime":391.65,"endTime":394.756,"body":"because of the structural"},{"startTime":391.65,"endTime":394.756,"body":"changes is being a halt"},{"startTime":394.756,"endTime":397.608,"body":"in the mechanics of that."},{"startTime":397.608,"endTime":399.54,"body":"- Okay, yeah."},{"startTime":397.608,"endTime":399.54,"body":"- So, I think,"},{"startTime":399.54,"endTime":400.913,"body":"we are going to get there."},{"startTime":400.913,"endTime":402.838,"body":"What it will mean, I guess,"},{"startTime":402.838,"endTime":403.98,"body":"that the key question is, Charlotte,"},{"startTime":403.98,"endTime":407.19,"body":"what it'll mean is that"},{"startTime":403.98,"endTime":407.19,"body":"individual systems, and regions,"},{"startTime":407.19,"endTime":409.05,"body":"and we'll talk about"},{"startTime":407.19,"endTime":409.05,"body":"regions shortly, I'm sure,"},{"startTime":409.05,"endTime":412.89,"body":"individual systems, and regions,"},{"startTime":409.05,"endTime":412.89,"body":"will have better autonomy"},{"startTime":412.89,"endTime":416.7,"body":"in how the money that's"},{"startTime":412.89,"endTime":416.7,"body":"used at spec com is spent"},{"startTime":416.7,"endTime":417.69,"body":"within their patch."},{"startTime":417.69,"endTime":418.89,"body":"- Yeah."},{"startTime":417.69,"endTime":418.89,"body":"- So we may get"},{"startTime":420.582,"endTime":424.62,"body":"more specificity on earlier"},{"startTime":420.582,"endTime":424.62,"body":"access to innovative medicines,"},{"startTime":424.62,"endTime":426.78,"body":"or, more importantly,"},{"startTime":426.78,"endTime":431.78,"body":"bigger ability to shift services"},{"startTime":431.88,"endTime":433.41,"body":"across the system or region."},{"startTime":433.41,"endTime":436.107,"body":"So I think more autonomy,"},{"startTime":433.41,"endTime":436.107,"body":"more responsibility,"},{"startTime":436.107,"endTime":439.65,"body":"and more influence in direct patient care."},{"startTime":439.65,"endTime":440.64,"body":"- Okay."},{"startTime":440.64,"endTime":444.54,"body":"And how would you say the NHS"},{"startTime":440.64,"endTime":444.54,"body":"10 year plan is influencing"},{"startTime":444.54,"endTime":446.49,"body":"the prescribing of high cost drugs"},{"startTime":446.49,"endTime":447.75,"body":"within community settings?"},{"startTime":447.75,"endTime":449.76,"body":"And do you think there's any barriers"},{"startTime":449.76,"endTime":452.4,"body":"that still exist"},{"startTime":452.4,"endTime":456.37,"body":"in terms of prescribing"},{"startTime":452.4,"endTime":456.37,"body":"these within the community?"},{"startTime":456.37,"endTime":458.328,"body":"- Yeah, so if you look at medicines,"},{"startTime":458.328,"endTime":460.38,"body":"again, I think you need to"},{"startTime":458.328,"endTime":460.38,"body":"think about this question"},{"startTime":460.38,"endTime":462.99,"body":"in a couple of different facets."},{"startTime":462.99,"endTime":464.01,"body":"If you look at the intention"},{"startTime":464.01,"endTime":465.66,"body":"of what we believe"},{"startTime":464.01,"endTime":465.66,"body":"strategic commissioning,"},{"startTime":465.66,"endTime":467.19,"body":"when it comes to medicines, mean,"},{"startTime":467.19,"endTime":469.02,"body":"you need to really be"},{"startTime":467.19,"endTime":469.02,"body":"very clear what that means"},{"startTime":469.02,"endTime":470.58,"body":"when it comes to medicines."},{"startTime":470.58,"endTime":473.34,"body":"The ICB blueprint, the 10 year plan,"},{"startTime":473.34,"endTime":474.78,"body":"and other policy documents"},{"startTime":474.78,"endTime":476.49,"body":"give us an idea on that."},{"startTime":476.49,"endTime":479.22,"body":"But, I think, over time,"},{"startTime":476.49,"endTime":479.22,"body":"over the last six months,"},{"startTime":479.22,"endTime":481.724,"body":"I think pharmacy leaders"},{"startTime":479.22,"endTime":481.724,"body":"have been quite clear"},{"startTime":481.724,"endTime":484.59,"body":"in understanding the"},{"startTime":481.724,"endTime":484.59,"body":"strategic commissioning"},{"startTime":484.59,"endTime":485.73,"body":"when it comes to medicines"},{"startTime":485.73,"endTime":489.93,"body":"really focuses on long-term,"},{"startTime":485.73,"endTime":489.93,"body":"population-based approach"},{"startTime":489.93,"endTime":494.19,"body":"to planning, commissioning,"},{"startTime":489.93,"endTime":494.19,"body":"and delivering medicines."},{"startTime":494.19,"endTime":496.65,"body":"So when we talk about value, for example,"},{"startTime":496.65,"endTime":498.36,"body":"which I talk about quite often,"},{"startTime":498.36,"endTime":501.21,"body":"it's about focusing on"},{"startTime":498.36,"endTime":501.21,"body":"sustainability of medicines"},{"startTime":501.21,"endTime":502.68,"body":"across the system,"},{"startTime":502.68,"endTime":504.57,"body":"not just looking at the pound sign."},{"startTime":504.57,"endTime":506.49,"body":"So it is not a race to the bottom"},{"startTime":506.49,"endTime":507.9,"body":"for the cheapest molecule,"},{"startTime":507.9,"endTime":510.09,"body":"it's about how do we get the"},{"startTime":507.9,"endTime":510.09,"body":"biggest bang for our buck?"},{"startTime":510.09,"endTime":512.16,"body":"How do we use that value base"},{"startTime":512.16,"endTime":513.36,"body":"in getting the most of the medicines"},{"startTime":513.36,"endTime":515.55,"body":"that we have to spend on the medicines?"},{"startTime":515.55,"endTime":518.42,"body":"It's also focusing on"},{"startTime":515.55,"endTime":518.42,"body":"safety, and optimisation,"},{"startTime":518.42,"endTime":520.08,"body":"in this wider sense."},{"startTime":520.08,"endTime":522.96,"body":"So how do we avoid harm in clinical risk,"},{"startTime":522.96,"endTime":525.66,"body":"at the same time reduce"},{"startTime":522.96,"endTime":525.66,"body":"unwanted variation,"},{"startTime":525.66,"endTime":529.32,"body":"but still be amenable to"},{"startTime":525.66,"endTime":529.32,"body":"change in the population?"},{"startTime":529.32,"endTime":531.06,"body":"And the other kind of reported things is"},{"startTime":531.06,"endTime":535.35,"body":"around supporting medicines"},{"startTime":531.06,"endTime":535.35,"body":"in the wider agenda in health."},{"startTime":535.35,"endTime":537.63,"body":"And some of the things which are very new,"},{"startTime":537.63,"endTime":539.4,"body":"which I have always believed in,"},{"startTime":539.4,"endTime":542.22,"body":"but I think might be very"},{"startTime":539.4,"endTime":542.22,"body":"new to many colleagues, is"},{"startTime":542.22,"endTime":545.31,"body":"how does medicine support"},{"startTime":542.22,"endTime":545.31,"body":"the wider ambitions"},{"startTime":545.31,"endTime":547.68,"body":"of the government and healthcare?"},{"startTime":547.68,"endTime":549.9,"body":"So how does it support economic growth?"},{"startTime":549.9,"endTime":552.84,"body":"I.e. does it get people"},{"startTime":549.9,"endTime":552.84,"body":"back to work, for example,"},{"startTime":552.84,"endTime":554.28,"body":"living healthier lives,"},{"startTime":554.28,"endTime":555.99,"body":"using healthcare facilities less,"},{"startTime":555.99,"endTime":557.97,"body":"or just more appropriately?"},{"startTime":557.97,"endTime":559.35,"body":"And, at the same time,"},{"startTime":559.35,"endTime":563.37,"body":"how do we advance the notion"},{"startTime":559.35,"endTime":563.37,"body":"of digital transformation?"},{"startTime":563.37,"endTime":565.74,"body":"What does that mean for"},{"startTime":563.37,"endTime":565.74,"body":"medicines in the wider scape?"},{"startTime":565.74,"endTime":568.53,"body":"How do we facilitate the"},{"startTime":565.74,"endTime":568.53,"body":"adoption of technologies,"},{"startTime":568.53,"endTime":571.14,"body":"wearable technologies, app technologies"},{"startTime":571.14,"endTime":573.87,"body":"to support more effective decision making"},{"startTime":573.87,"endTime":575.4,"body":"when it comes to medicines?"},{"startTime":575.4,"endTime":577.79,"body":"So all of these things,"},{"startTime":575.4,"endTime":577.79,"body":"for me, are very crucial"},{"startTime":577.79,"endTime":581.07,"body":"in understanding the wider"},{"startTime":577.79,"endTime":581.07,"body":"strategic commissioning landscape"},{"startTime":581.07,"endTime":582.6,"body":"when it comes to medicines."},{"startTime":582.6,"endTime":583.92,"body":"The question around"},{"startTime":583.92,"endTime":586.56,"body":"how does a 10 year plan"},{"startTime":583.92,"endTime":586.56,"body":"influence prescribing,"},{"startTime":586.56,"endTime":589.17,"body":"I think it gives us a clear mandate"},{"startTime":589.17,"endTime":591.66,"body":"to really move focus"},{"startTime":589.17,"endTime":591.66,"body":"on looking at medicines"},{"startTime":591.66,"endTime":593.04,"body":"in a different guise."},{"startTime":593.04,"endTime":594.863,"body":"So, as I said, it's not really just"},{"startTime":594.863,"endTime":597.45,"body":"about how much spending we have,"},{"startTime":597.45,"endTime":598.77,"body":"but how does medicines influence"},{"startTime":598.77,"endTime":600.9,"body":"those other parts of the system?"},{"startTime":600.9,"endTime":603.129,"body":"And what we talk about within Frimley is,"},{"startTime":603.129,"endTime":605.25,"body":"what role does medicines play in, say,"},{"startTime":605.25,"endTime":607.62,"body":"the urgent and emergency care agenda?"},{"startTime":607.62,"endTime":610.53,"body":"What role does it play in the"},{"startTime":607.62,"endTime":610.53,"body":"wider primary care agenda?"},{"startTime":610.53,"endTime":613.23,"body":"What role does it play in"},{"startTime":610.53,"endTime":613.23,"body":"neighbourhood health, you know?"},{"startTime":613.23,"endTime":615.27,"body":"So I think it's about translating"},{"startTime":615.27,"endTime":616.83,"body":"what we do in medicines"},{"startTime":616.83,"endTime":620.01,"body":"into every part of the"},{"startTime":616.83,"endTime":620.01,"body":"ecosystem of the ICS,"},{"startTime":620.01,"endTime":622.17,"body":"and if you want to be really effective"},{"startTime":622.17,"endTime":624.36,"body":"at delivering change with medicines,"},{"startTime":624.36,"endTime":625.56,"body":"we need to be really effective"},{"startTime":625.56,"endTime":627.63,"body":"articulating the narrative"},{"startTime":627.63,"endTime":629.91,"body":"of how medicines can be an influencer,"},{"startTime":629.91,"endTime":632.52,"body":"and enabler, to systems."},{"startTime":632.52,"endTime":633.81,"body":"- Yeah, no, thanks, Yousaf."},{"startTime":633.81,"endTime":636.81,"body":"That's very helpful and"},{"startTime":633.81,"endTime":636.81,"body":"obviously makes a lot of sense."},{"startTime":636.81,"endTime":638.37,"body":"So, I'm just going to move on to our,"},{"startTime":638.37,"endTime":640.71,"body":"sort of, next topic of conversation."},{"startTime":640.71,"endTime":641.85,"body":"So, looking ahead,"},{"startTime":641.85,"endTime":644.91,"body":"how do you see the role of"},{"startTime":641.85,"endTime":644.91,"body":"medicines optimization evolving"},{"startTime":644.91,"endTime":645.87,"body":"within ICBs,"},{"startTime":645.87,"endTime":647.91,"body":"particularly in relation"},{"startTime":645.87,"endTime":647.91,"body":"to system-wide priorities?"},{"startTime":647.91,"endTime":649.95,"body":"So you've sort of touched on"},{"startTime":647.91,"endTime":649.95,"body":"this a little bit already,"},{"startTime":649.95,"endTime":651.51,"body":"but, I guess, just in terms of"},{"startTime":651.51,"endTime":654.12,"body":"what types of programmes do"},{"startTime":651.51,"endTime":654.12,"body":"you think ICBs will prioritise"},{"startTime":654.12,"endTime":655.47,"body":"to drive medicines optimization,"},{"startTime":655.47,"endTime":657.48,"body":"and also how involved are you"},{"startTime":657.48,"endTime":660.03,"body":"in decisions around medical"},{"startTime":657.48,"endTime":660.03,"body":"devices, and diagnostics,"},{"startTime":660.03,"endTime":662.253,"body":"and is that changing, and if so, how?"},{"startTime":663.75,"endTime":664.583,"body":"- So, I'm really grateful."},{"startTime":664.583,"endTime":667.2,"body":"I think within that, in my system,"},{"startTime":667.2,"endTime":668.46,"body":"we've got a strong narrative,"},{"startTime":668.46,"endTime":669.72,"body":"and benefit around describing"},{"startTime":669.72,"endTime":671.37,"body":"what medicines can do for the system."},{"startTime":671.37,"endTime":674.46,"body":"So, involved in decision"},{"startTime":671.37,"endTime":674.46,"body":"making at all levels."},{"startTime":674.46,"endTime":678.18,"body":"I think I feel really privileged"},{"startTime":674.46,"endTime":678.18,"body":"to have voice at the table."},{"startTime":678.18,"endTime":679.83,"body":"I guess the question is"},{"startTime":679.83,"endTime":682.38,"body":"is how do we make that the"},{"startTime":679.83,"endTime":682.38,"body":"norm across the country?"},{"startTime":682.38,"endTime":683.803,"body":"How do we ensure medicines,"},{"startTime":683.803,"endTime":686.46,"body":"and people that experts in medicines,"},{"startTime":686.46,"endTime":688.05,"body":"have a voice around the table?"},{"startTime":688.05,"endTime":688.883,"body":"I think medicines,"},{"startTime":688.883,"endTime":690.78,"body":"and medicine devices, and diagnostics,"},{"startTime":690.78,"endTime":693.99,"body":"I think they are very"},{"startTime":690.78,"endTime":693.99,"body":"familiar with one another,"},{"startTime":693.99,"endTime":697.65,"body":"and it's important that"},{"startTime":693.99,"endTime":697.65,"body":"medicine professionals,"},{"startTime":697.65,"endTime":698.55,"body":"pharmacy leadership,"},{"startTime":698.55,"endTime":701.34,"body":"play a pivotal role in that"},{"startTime":698.55,"endTime":701.34,"body":"decision making process"},{"startTime":701.34,"endTime":703.5,"body":"when it comes to devices and diagnostics."},{"startTime":703.5,"endTime":705.63,"body":"So, I'm involved quite heavily"},{"startTime":705.63,"endTime":707.19,"body":"at some of that conversation,"},{"startTime":707.19,"endTime":710.01,"body":"both in the system, but also at region."},{"startTime":710.01,"endTime":712.238,"body":"I think region play a"},{"startTime":710.01,"endTime":712.238,"body":"role at supporting systems"},{"startTime":712.238,"endTime":715.23,"body":"in some of those"},{"startTime":712.238,"endTime":715.23,"body":"non-medicine decision making,"},{"startTime":715.23,"endTime":716.063,"body":"such as devices,"},{"startTime":716.063,"endTime":719.55,"body":"which devices do we want to"},{"startTime":716.063,"endTime":719.55,"body":"use, how effective are they?"},{"startTime":719.55,"endTime":721.65,"body":"How do they support the pathway"},{"startTime":721.65,"endTime":723.78,"body":"and where does medicines fit into that?"},{"startTime":723.78,"endTime":725.01,"body":"Those are sort of the questions"},{"startTime":725.01,"endTime":728.25,"body":"that I think many of the"},{"startTime":725.01,"endTime":728.25,"body":"regional conversations are"},{"startTime":728.25,"endTime":729.54,"body":"bringing people together"},{"startTime":729.54,"endTime":732.3,"body":"are supporting some of"},{"startTime":729.54,"endTime":732.3,"body":"those local decision making."},{"startTime":732.3,"endTime":733.35,"body":"I think, for me,"},{"startTime":733.35,"endTime":736.89,"body":"medicines sit across multiple"},{"startTime":733.35,"endTime":736.89,"body":"different specialties."},{"startTime":736.89,"endTime":737.88,"body":"So I'll give you an example."},{"startTime":737.88,"endTime":740.97,"body":"Like, recently we're"},{"startTime":737.88,"endTime":740.97,"body":"looking at our, kind of,"},{"startTime":740.97,"endTime":743.55,"body":"devices in the catheter stoma space."},{"startTime":743.55,"endTime":746.01,"body":"We've had real significant influence"},{"startTime":746.01,"endTime":747.75,"body":"around what we want to do,"},{"startTime":747.75,"endTime":751.32,"body":"which is traditionally"},{"startTime":747.75,"endTime":751.32,"body":"not a medicine setting."},{"startTime":751.32,"endTime":752.58,"body":"Again, that gives you an example"},{"startTime":752.58,"endTime":755.07,"body":"how different professionals"},{"startTime":752.58,"endTime":755.07,"body":"come into that mix,"},{"startTime":755.07,"endTime":756.15,"body":"and also in other areas,"},{"startTime":756.15,"endTime":757.86,"body":"such as specialised commissioning,"},{"startTime":757.86,"endTime":760.56,"body":"oncology medicines, biosimilars,"},{"startTime":760.56,"endTime":763.08,"body":"but also areas which are associated,"},{"startTime":763.08,"endTime":765.93,"body":"such as wound-care or"},{"startTime":763.08,"endTime":765.93,"body":"gluten-free prescribing."},{"startTime":765.93,"endTime":767.49,"body":"I think there, for me,"},{"startTime":767.49,"endTime":770.04,"body":"that whenever there is an"},{"startTime":767.49,"endTime":770.04,"body":"association of medicines,"},{"startTime":770.04,"endTime":773.7,"body":"they should be an expert within"},{"startTime":770.04,"endTime":773.7,"body":"pharmacy medicines involved."},{"startTime":773.7,"endTime":777.78,"body":"One of the things I think without,"},{"startTime":777.78,"endTime":780.21,"body":"we need to mention, particularly,"},{"startTime":780.21,"endTime":782.452,"body":"is some of the elements"},{"startTime":780.21,"endTime":782.452,"body":"that the 10 year plan,"},{"speaker":"and some of the policy talks about","startTime":785.37,"endTime":788.94,"body":"waste, polypharmacy, over-prescribing,"},{"speaker":"and some of the policy talks about","startTime":788.94,"endTime":790.83,"body":"which really are kind of core components"},{"speaker":"and some of the policy talks about","startTime":790.83,"endTime":793.62,"body":"in some of the future"},{"speaker":"and some of the policy talks about","startTime":790.83,"endTime":793.62,"body":"landscapes of health systems."},{"speaker":"and some of the policy talks about","startTime":793.62,"endTime":795.06,"body":"And when you think about medicine."},{"speaker":"and some of the policy talks about","startTime":795.06,"endTime":796.53,"body":"So how does that,"},{"speaker":"and some of the policy talks about","startTime":796.53,"endTime":799.11,"body":"what we do really well, in that space,"},{"speaker":"and some of the policy talks about","startTime":799.11,"endTime":800.25,"body":"in terms of pharmacy medicines,"},{"speaker":"and some of the policy talks about","startTime":800.25,"endTime":801.75,"body":"how do we translate that"},{"speaker":"and some of the policy talks about","startTime":801.75,"endTime":804.42,"body":"into, say, the kind of"},{"speaker":"and some of the policy talks about","startTime":801.75,"endTime":804.42,"body":"wider neighbourhood system?"},{"speaker":"and some of the policy talks about","startTime":804.42,"endTime":806.28,"body":"And the last thing I'll"},{"speaker":"and some of the policy talks about","startTime":804.42,"endTime":806.28,"body":"mention on this question is"},{"speaker":"and some of the policy talks about","startTime":806.28,"endTime":808.14,"body":"around workforce transformation."},{"speaker":"and some of the policy talks about","startTime":808.14,"endTime":810.368,"body":"So I'm really passionate about this."},{"speaker":"and some of the policy talks about","startTime":810.368,"endTime":811.38,"body":"There's the question is"},{"speaker":"and some of the policy talks about","startTime":811.38,"endTime":815.1,"body":"how do we take the specialists"},{"speaker":"and some of the policy talks about","startTime":811.38,"endTime":815.1,"body":"from their settings"},{"speaker":"and some of the policy talks about","startTime":815.1,"endTime":818.85,"body":"into the more community drived areas?"},{"speaker":"and some of the policy talks about","startTime":818.85,"endTime":820.23,"body":"And we've looked at that"},{"speaker":"and some of the policy talks about","startTime":820.23,"endTime":822.63,"body":"in some of the [] biosimilar space."},{"speaker":"and some of the policy talks about","startTime":822.63,"endTime":824.85,"body":"How do we look at those"},{"speaker":"and some of the policy talks about","startTime":822.63,"endTime":824.85,"body":"specialists prescribing"},{"speaker":"and some of the policy talks about","startTime":824.85,"endTime":825.683,"body":"in other other settings"},{"speaker":"and some of the policy talks about","startTime":825.683,"endTime":827.58,"body":"and how do we deliver care,"},{"speaker":"and some of the policy talks about","startTime":827.58,"endTime":829.59,"body":"and, say, in a primary care setting"},{"speaker":"and some of the policy talks about","startTime":829.59,"endTime":831.75,"body":"that traditionally is"},{"speaker":"and some of the policy talks about","startTime":829.59,"endTime":831.75,"body":"delivered in secondary care?"},{"speaker":"and some of the policy talks about","startTime":831.75,"endTime":833.067,"body":"We are going to see more of that"},{"speaker":"and some of the policy talks about","startTime":833.067,"endTime":835.29,"body":"and I think that's the right way to go."},{"speaker":"and some of the policy talks about","startTime":835.29,"endTime":837.15,"body":"And some of the national drive"},{"speaker":"and some of the policy talks about","startTime":837.15,"endTime":839.55,"body":"around neighbourhood health models,"},{"speaker":"and some of the policy talks about","startTime":839.55,"endTime":841.17,"body":"there's going to be a strong focus on,"},{"speaker":"and some of the policy talks about","startTime":841.17,"endTime":843.66,"body":"not only bringing the primary"},{"speaker":"and some of the policy talks about","startTime":841.17,"endTime":843.66,"body":"care neighbourhood together"},{"speaker":"and some of the policy talks about","startTime":843.66,"endTime":845.4,"body":"by bringing, say, the providers"},{"speaker":"and some of the policy talks about","startTime":845.4,"endTime":847.92,"body":"and secondary care into that landscape."},{"speaker":"and some of the policy talks about","startTime":847.92,"endTime":850.41,"body":"So I think there's going to"},{"speaker":"and some of the policy talks about","startTime":847.92,"endTime":850.41,"body":"be interesting conversations"},{"speaker":"and some of the policy talks about","startTime":850.41,"endTime":852.48,"body":"around how do we effectively prescribe"},{"speaker":"and some of the policy talks about","startTime":852.48,"endTime":854.88,"body":"real high specialist medicines"},{"speaker":"and some of the policy talks about","startTime":854.88,"endTime":856.71,"body":"in line with other medicines"},{"speaker":"and some of the policy talks about","startTime":856.71,"endTime":860.43,"body":"that traditionally have never"},{"speaker":"and some of the policy talks about","startTime":856.71,"endTime":860.43,"body":"been thought of in that way?"},{"speaker":"and some of the policy talks about","startTime":860.43,"endTime":861.81,"body":"So there's a real coming together,"},{"speaker":"and some of the policy talks about","startTime":861.81,"endTime":864.21,"body":"both in terms of competence and skillset,"},{"speaker":"and some of the policy talks about","startTime":864.21,"endTime":866.07,"body":"but also the people that are involved."},{"speaker":"and some of the policy talks about","startTime":866.07,"endTime":868.17,"body":"And that, for me, is exciting."},{"speaker":"and some of the policy talks about","startTime":868.17,"endTime":869.82,"body":"- Yeah, no, thank you, Yousaf."},{"speaker":"and some of the policy talks about","startTime":869.82,"endTime":874.23,"body":"I think, and that moves"},{"speaker":"and some of the policy talks about","startTime":869.82,"endTime":874.23,"body":"nicely into my next question,"},{"speaker":"and some of the policy talks about","startTime":874.23,"endTime":875.063,"body":"which is around,"},{"speaker":"and some of the policy talks about","startTime":875.063,"endTime":875.896,"body":"so where do you"},{"speaker":"and some of the policy talks about","startTime":875.896,"endTime":878.01,"body":"think the prescribing budgets will sit"},{"speaker":"and some of the policy talks about","startTime":878.01,"endTime":879.3,"body":"under the neighbourhood model,"},{"speaker":"and some of the policy talks about","startTime":879.3,"endTime":882.25,"body":"and how do you think that may"},{"speaker":"and some of the policy talks about","startTime":879.3,"endTime":882.25,"body":"affect local decision making?"},{"speaker":"and some of the policy talks about","startTime":883.38,"endTime":887.97,"body":"- Yeah, this is a very,"},{"speaker":"and some of the policy talks about","startTime":883.38,"endTime":887.97,"body":"very interesting question."},{"speaker":"and some of the policy talks about","startTime":887.97,"endTime":890.1,"body":"So, I think there is a narrative,"},{"speaker":"and some of the policy talks about","startTime":890.1,"endTime":893.28,"body":"and that's been publicly,"},{"speaker":"and some of the policy talks about","startTime":890.1,"endTime":893.28,"body":"it's publicly aware,"},{"speaker":"and some of the policy talks about","startTime":893.28,"endTime":896.987,"body":"that systems have an"},{"speaker":"and some of the policy talks about","startTime":893.28,"endTime":896.987,"body":"operating cost target,"},{"speaker":"and some of the policy talks about","startTime":899.67,"endTime":902.07,"body":"i.e. their workforce head count."},{"speaker":"and some of the policy talks about","startTime":902.07,"endTime":905.16,"body":"There's a mandate to reduce that, so."},{"speaker":"and some of the policy talks about","startTime":905.16,"endTime":907.44,"body":"And it varies on size and complexity,"},{"speaker":"and some of the policy talks about","startTime":907.44,"endTime":910.35,"body":"some are 30, some are up to 50%."},{"speaker":"and some of the policy talks about","startTime":910.35,"endTime":912.96,"body":"And it's under the proverbial denominator"},{"speaker":"and some of the policy talks about","startTime":912.96,"endTime":914.46,"body":"of 90 pound per head."},{"speaker":"and some of the policy talks about","startTime":914.46,"endTime":916.86,"body":"Again, public knowledge."},{"speaker":"and some of the policy talks about","startTime":916.86,"endTime":920.503,"body":"There is a mandate to provide"},{"speaker":"and some of the policy talks about","startTime":916.86,"endTime":920.503,"body":"services per population"},{"speaker":"and some of the policy talks about","startTime":920.503,"endTime":923.73,"body":"at no maximum of 90 per head."},{"speaker":"and some of the policy talks about","startTime":923.73,"endTime":924.6,"body":"So, if you think about it,"},{"speaker":"and some of the policy talks about","startTime":924.6,"endTime":927.63,"body":"ICSs have to look at"},{"speaker":"and some of the policy talks about","startTime":924.6,"endTime":927.63,"body":"their operating model,"},{"speaker":"and some of the policy talks about","startTime":927.63,"endTime":929.58,"body":"the services that they commission,"},{"speaker":"and some of the policy talks about","startTime":929.58,"endTime":932.58,"body":"the different providers that"},{"speaker":"and some of the policy talks about","startTime":929.58,"endTime":932.58,"body":"they support in this space,"},{"speaker":"and some of the policy talks about","startTime":932.58,"endTime":936.3,"body":"in a particular defined"},{"speaker":"and some of the policy talks about","startTime":932.58,"endTime":936.3,"body":"financial construct."},{"speaker":"and some of the policy talks about","startTime":936.3,"endTime":937.638,"body":"And when we look at medicines,"},{"speaker":"and some of the policy talks about","startTime":937.638,"endTime":942.09,"body":"which is one of the biggest budget lines"},{"speaker":"and some of the policy talks about","startTime":942.09,"endTime":946.08,"body":"for any chief financial"},{"speaker":"and some of the policy talks about","startTime":942.09,"endTime":946.08,"body":"officer, in their system,"},{"speaker":"and some of the policy talks about","startTime":946.08,"endTime":950.69,"body":"and, I can tell you, in some"},{"speaker":"and some of the policy talks about","startTime":946.08,"endTime":950.69,"body":"of the revised blueprints,"},{"speaker":"and some of the policy talks about","startTime":952.32,"endTime":954.06,"body":"medicine's budget will range from anywhere"},{"speaker":"and some of the policy talks about","startTime":954.06,"endTime":957.24,"body":"between 500 million to a billion pounds."},{"speaker":"and some of the policy talks about","startTime":957.24,"endTime":959.73,"body":"And I think that'd be that average."},{"speaker":"and some of the policy talks about","startTime":959.73,"endTime":960.75,"body":"So, if you think about it,"},{"speaker":"and some of the policy talks about","startTime":960.75,"endTime":963.51,"body":"there's something about where"},{"speaker":"and some of the policy talks about","startTime":960.75,"endTime":963.51,"body":"does that budget line sit,"},{"speaker":"and some of the policy talks about","startTime":963.51,"endTime":964.343,"body":"number one,"},{"speaker":"and some of the policy talks about","startTime":964.343,"endTime":965.73,"body":"and where do the people"},{"speaker":"and some of the policy talks about","startTime":965.73,"endTime":968.49,"body":"that help to support"},{"speaker":"and some of the policy talks about","startTime":965.73,"endTime":968.49,"body":"and manage that budget,"},{"speaker":"and some of the policy talks about","startTime":968.49,"endTime":970.29,"body":"where do they sit?"},{"speaker":"and some of the policy talks about","startTime":970.29,"endTime":972.03,"body":"And I think there's been a"},{"speaker":"and some of the policy talks about","startTime":970.29,"endTime":972.03,"body":"couple of different models"},{"speaker":"and some of the policy talks about","startTime":972.03,"endTime":974.07,"body":"that we've discussed,"},{"speaker":"and some of the policy talks about","startTime":974.07,"endTime":978.99,"body":"where we've looked at seeing"},{"speaker":"and some of the policy talks about","startTime":974.07,"endTime":978.99,"body":"what the pros and cons,"},{"speaker":"and some of the policy talks about","startTime":978.99,"endTime":981.36,"body":"the benefits, and the opportunities are,"},{"speaker":"and some of the policy talks about","startTime":981.36,"endTime":982.32,"body":"in moving this around."},{"speaker":"and some of the policy talks about","startTime":982.32,"endTime":985.26,"body":"Could there be an opportunity for us"},{"speaker":"and some of the policy talks about","startTime":985.26,"endTime":987.78,"body":"to shift the management of that budget"},{"speaker":"and some of the policy talks about","startTime":987.78,"endTime":990.57,"body":"to, say, a provider in the new system?"},{"speaker":"and some of the policy talks about","startTime":990.57,"endTime":993.33,"body":"Is there an opportunity within that?"},{"speaker":"and some of the policy talks about","startTime":993.33,"endTime":994.77,"body":"Which includes moving,"},{"speaker":"and some of the policy talks about","startTime":994.77,"endTime":996.81,"body":"and shifting the people that manage that."},{"speaker":"and some of the policy talks about","startTime":996.81,"endTime":1000.14,"body":"In essence, having a"},{"speaker":"and some of the policy talks about","startTime":996.81,"endTime":1000.14,"body":"more light touch approach"},{"speaker":"and some of the policy talks about","startTime":1000.14,"endTime":1002.27,"body":"from an ICS perspective,"},{"speaker":"and some of the policy talks about","startTime":1002.27,"endTime":1004.58,"body":"but more a heavy approach"},{"speaker":"and some of the policy talks about","startTime":1002.27,"endTime":1004.58,"body":"from a provider lens."},{"speaker":"and some of the policy talks about","startTime":1004.58,"endTime":1006.14,"body":"That's an interesting model."},{"speaker":"and some of the policy talks about","startTime":1006.14,"endTime":1007.01,"body":"And I think there's something"},{"speaker":"and some of the policy talks about","startTime":1007.01,"endTime":1008.777,"body":"around discussing the"},{"speaker":"and some of the policy talks about","startTime":1007.01,"endTime":1008.777,"body":"pros and cons of that."},{"speaker":"and some of the policy talks about","startTime":1008.777,"endTime":1009.86,"body":"And there's another model"},{"speaker":"and some of the policy talks about","startTime":1009.86,"endTime":1014.12,"body":"where we look at retaining"},{"speaker":"and some of the policy talks about","startTime":1009.86,"endTime":1014.12,"body":"some of those core components"},{"speaker":"and some of the policy talks about","startTime":1014.12,"endTime":1015.29,"body":"of medicines optimization,"},{"speaker":"and some of the policy talks about","startTime":1015.29,"endTime":1020.29,"body":"such as formulary assessment,"},{"speaker":"and some of the policy talks about","startTime":1015.29,"endTime":1020.29,"body":"such as guideline production,"},{"speaker":"and some of the policy talks about","startTime":1020.48,"endTime":1023.48,"body":"such as strategic priority setting,"},{"speaker":"and some of the policy talks about","startTime":1023.48,"endTime":1024.77,"body":"that remains at the ICB."},{"speaker":"and some of the policy talks about","startTime":1024.77,"endTime":1026.48,"body":"But in terms of the delivery,"},{"speaker":"and some of the policy talks about","startTime":1026.48,"endTime":1028.37,"body":"such as the operation part,"},{"speaker":"and some of the policy talks about","startTime":1028.37,"endTime":1030.983,"body":"how do we manifest the"},{"speaker":"and some of the policy talks about","startTime":1028.37,"endTime":1030.983,"body":"guideline into practice,"},{"speaker":"and some of the policy talks about","startTime":1032.24,"endTime":1034.623,"body":"working directly with"},{"speaker":"and some of the policy talks about","startTime":1032.24,"endTime":1034.623,"body":"individual practices,"},{"speaker":"and some of the policy talks about","startTime":1034.623,"endTime":1036.08,"body":"and people on the ground,"},{"speaker":"and some of the policy talks about","startTime":1036.08,"endTime":1041.08,"body":"moving that part of the"},{"speaker":"and some of the policy talks about","startTime":1036.08,"endTime":1041.08,"body":"picture outside to providers."},{"speaker":"and some of the policy talks about","startTime":1041.42,"endTime":1045.02,"body":"Almost splitting that strategic"},{"speaker":"and some of the policy talks about","startTime":1041.42,"endTime":1045.02,"body":"and operational aspect,"},{"speaker":"and some of the policy talks about","startTime":1045.02,"endTime":1047.78,"body":"which currently sits"},{"speaker":"and some of the policy talks about","startTime":1045.02,"endTime":1047.78,"body":"within ICB on its own."},{"speaker":"and some of the policy talks about","startTime":1047.78,"endTime":1049.49,"body":"So that's the second model"},{"speaker":"and some of the policy talks about","startTime":1049.49,"endTime":1052.337,"body":"where the object retains the ICS,"},{"speaker":"and some of the policy talks about","startTime":1052.337,"endTime":1054.38,"body":"but the teams are split."},{"speaker":"and some of the policy talks about","startTime":1054.38,"endTime":1056.18,"body":"And the last model is looking at"},{"speaker":"and some of the policy talks about","startTime":1056.18,"endTime":1057.92,"body":"just solely strategic commissioning,"},{"speaker":"and some of the policy talks about","startTime":1057.92,"endTime":1060.02,"body":"i.e. pushing the entirety"},{"speaker":"and some of the policy talks about","startTime":1060.02,"endTime":1062.99,"body":"of the operational aspect to providers."},{"speaker":"and some of the policy talks about","startTime":1062.99,"endTime":1063.83,"body":"That's quite tough"},{"speaker":"and some of the policy talks about","startTime":1063.83,"endTime":1066.17,"body":"because then there's a"},{"speaker":"and some of the policy talks about","startTime":1063.83,"endTime":1066.17,"body":"lot that rides in them."},{"speaker":"and some of the policy talks about","startTime":1066.17,"endTime":1068.36,"body":"So those are going to three aspects"},{"speaker":"and some of the policy talks about","startTime":1068.36,"endTime":1069.41,"body":"that are in current discussion,"},{"speaker":"and some of the policy talks about","startTime":1069.41,"endTime":1071.15,"body":"and maybe systems are looking at that."},{"speaker":"and some of the policy talks about","startTime":1071.15,"endTime":1074.06,"body":"- And do you have a preference"},{"speaker":"and some of the policy talks about","startTime":1074.06,"endTime":1077.42,"body":"on which model that you"},{"speaker":"and some of the policy talks about","startTime":1074.06,"endTime":1077.42,"body":"think would work best,"},{"speaker":"and some of the policy talks about","startTime":1077.42,"endTime":1079.07,"body":"in terms of what you're trying to achieve,"},{"speaker":"and some of the policy talks about","startTime":1079.07,"endTime":1080.136,"body":"or, yeah?"},{"speaker":"and some of the policy talks about","startTime":1080.136,"endTime":1081.6,"body":"(laughing) That might be"},{"speaker":"and some of the policy talks about","startTime":1080.136,"endTime":1081.6,"body":"a tricky one to answer,"},{"speaker":"and some of the policy talks about","startTime":1081.6,"endTime":1082.78,"body":"but what's your opinion on that?"},{"speaker":"and some of the policy talks about","startTime":1082.78,"endTime":1086.18,"body":"- I shifted my thinking, a"},{"speaker":"and some of the policy talks about","startTime":1082.78,"endTime":1086.18,"body":"good question, Charlotte."},{"speaker":"and some of the policy talks about","startTime":1086.18,"endTime":1089.0,"body":"My thinking has more"},{"speaker":"and some of the policy talks about","startTime":1086.18,"endTime":1089.0,"body":"evolved as I learned more"},{"speaker":"and some of the policy talks about","startTime":1089.0,"endTime":1090.59,"body":"out of this past year."},{"speaker":"and some of the policy talks about","startTime":1090.59,"endTime":1093.56,"body":"So what I thought initially is shifted."},{"speaker":"and some of the policy talks about","startTime":1093.56,"endTime":1095.238,"body":"I'm currently toying with the idea is"},{"speaker":"and some of the policy talks about","startTime":1095.238,"endTime":1099.59,"body":"could it be that we shift"},{"speaker":"and some of the policy talks about","startTime":1095.238,"endTime":1099.59,"body":"the entirety out to provider"},{"speaker":"and some of the policy talks about","startTime":1099.59,"endTime":1100.423,"body":"and then,"},{"speaker":"and some of the policy talks about","startTime":1101.632,"endTime":1103.55,"body":"in that shift, have a commissioning"},{"speaker":"and some of the policy talks about","startTime":1103.55,"endTime":1105.47,"body":"agreement, a contract agreement,"},{"speaker":"and some of the policy talks about","startTime":1105.47,"endTime":1108.05,"body":"where the provider commissions the ICS"},{"speaker":"and some of the policy talks about","startTime":1108.05,"endTime":1108.92,"body":"to deliver that service."},{"speaker":"and some of the policy talks about","startTime":1108.92,"endTime":1110.685,"body":"So in essence."},{"speaker":"and some of the policy talks about","startTime":1108.92,"endTime":1110.685,"body":"- Okay, yeah."},{"speaker":"and some of the policy talks about","startTime":1110.685,"endTime":1112.37,"body":"- Everything goes out,"},{"speaker":"and some of the policy talks about","startTime":1112.37,"endTime":1115.82,"body":"but then we still retain some"},{"speaker":"and some of the policy talks about","startTime":1112.37,"endTime":1115.82,"body":"degree of responsibility,"},{"speaker":"and some of the policy talks about","startTime":1115.82,"endTime":1117.89,"body":"and autonomy here."},{"speaker":"and some of the policy talks about","startTime":1117.89,"endTime":1120.483,"body":"So I think, mainly, I'm"},{"speaker":"and some of the policy talks about","startTime":1117.89,"endTime":1120.483,"body":"kind of veering toward that,"},{"speaker":"and some of the policy talks about","startTime":1120.483,"endTime":1122.06,"body":"looking at the pros and cons."},{"speaker":"and some of the policy talks about","startTime":1122.06,"endTime":1123.35,"body":"So we're delving deep into that."},{"speaker":"and some of the policy talks about","startTime":1123.35,"endTime":1124.37,"body":"What does that mean?"},{"speaker":"and some of the policy talks about","startTime":1124.37,"endTime":1127.629,"body":"I think systems have to"},{"speaker":"and some of the policy talks about","startTime":1124.37,"endTime":1127.629,"body":"think very creatively"},{"speaker":"and some of the policy talks about","startTime":1127.629,"endTime":1129.44,"body":"where this big budget lines,"},{"speaker":"and some of the policy talks about","startTime":1129.44,"endTime":1130.55,"body":"where does this sit,"},{"speaker":"and some of the policy talks about","startTime":1130.55,"endTime":1133.79,"body":"and, secondly, what did they want to do"},{"speaker":"and some of the policy talks about","startTime":1133.79,"endTime":1137.24,"body":"when it comes to medicine's"},{"speaker":"and some of the policy talks about","startTime":1133.79,"endTime":1137.24,"body":"optimization restructure?"},{"speaker":"and some of the policy talks about","startTime":1137.24,"endTime":1140.69,"body":"And, this, it's a very"},{"speaker":"and some of the policy talks about","startTime":1137.24,"endTime":1140.69,"body":"important point, Charlotte."},{"speaker":"and some of the policy talks about","startTime":1140.69,"endTime":1143.09,"body":"I've asked that question in exec meetings."},{"speaker":"and some of the policy talks about","startTime":1143.09,"endTime":1146.57,"body":"What if there wasn't a"},{"speaker":"and some of the policy talks about","startTime":1143.09,"endTime":1146.57,"body":"medicines optimization team"},{"speaker":"and some of the policy talks about","startTime":1146.57,"endTime":1147.56,"body":"in the new ICB?"},{"speaker":"and some of the policy talks about","startTime":1147.56,"endTime":1148.88,"body":"What if there wasn't?"},{"speaker":"and some of the policy talks about","startTime":1148.88,"endTime":1150.92,"body":"And I have said,"},{"speaker":"and some of the policy talks about","startTime":1150.92,"endTime":1151.79,"body":"I think there could have been,"},{"speaker":"and some of the policy talks about","startTime":1151.79,"endTime":1155.99,"body":"I think it means a bigger impact"},{"speaker":"and some of the policy talks about","startTime":1155.99,"endTime":1156.823,"body":"to your prescribing budget."},{"speaker":"and some of the policy talks about","startTime":1156.823,"endTime":1159.71,"body":"Vis-a-vis, I think you would be,"},{"speaker":"and some of the policy talks about","startTime":1159.71,"endTime":1164.09,"body":"I think there'll be 2, 3,"},{"speaker":"and some of the policy talks about","startTime":1159.71,"endTime":1164.09,"body":"4, 5% overarching spend"},{"speaker":"and some of the policy talks about","startTime":1166.16,"endTime":1167.023,"body":"in your prescribing."},{"speaker":"and some of the policy talks about","startTime":1167.023,"endTime":1171.33,"body":"But, in essence, you will spend"},{"speaker":"and some of the policy talks about","startTime":1167.023,"endTime":1171.33,"body":"20 to 30 million pounds more"},{"speaker":"and some of the policy talks about","startTime":1172.76,"endTime":1173.75,"body":"on medicines"},{"speaker":"and some of the policy talks about","startTime":1173.75,"endTime":1174.583,"body":"if you don't have"},{"speaker":"and some of the policy talks about","startTime":1174.583,"endTime":1176.57,"body":"an appropriate medicines"},{"speaker":"and some of the policy talks about","startTime":1174.583,"endTime":1176.57,"body":"organisation team."},{"speaker":"and some of the policy talks about","startTime":1176.57,"endTime":1178.73,"body":"I think there's a lot of truth in that."},{"speaker":"and some of the policy talks about","startTime":1178.73,"endTime":1179.93,"body":"It wakes people up."},{"speaker":"and some of the policy talks about","startTime":1179.93,"endTime":1182.36,"body":"I think it's my duty,"},{"speaker":"and some of the policy talks about","startTime":1179.93,"endTime":1182.36,"body":"as a pharmacy leader,"},{"speaker":"and some of the policy talks about","startTime":1182.36,"endTime":1184.651,"body":"to say these things to"},{"speaker":"and some of the policy talks about","startTime":1182.36,"endTime":1184.651,"body":"executive colleagues."},{"speaker":"and some of the policy talks about","startTime":1184.651,"endTime":1186.462,"body":"But there's truth in that."},{"speaker":"and some of the policy talks about","startTime":1186.462,"endTime":1188.39,"body":"The amount of money we spend"},{"speaker":"and some of the policy talks about","startTime":1188.39,"endTime":1189.89,"body":"in money medicines optimization team,"},{"speaker":"and some of the policy talks about","startTime":1189.89,"endTime":1191.99,"body":"you get a lot of bang for your buck."},{"speaker":"and some of the policy talks about","startTime":1191.99,"endTime":1195.26,"body":"And I think that narrative is"},{"speaker":"and some of the policy talks about","startTime":1191.99,"endTime":1195.26,"body":"one of the crucial components,"},{"speaker":"and some of the policy talks about","startTime":1195.26,"endTime":1196.46,"body":"what I say to my colleagues"},{"speaker":"and some of the policy talks about","startTime":1196.46,"endTime":1199.19,"body":"that we need to articulate"},{"speaker":"and some of the policy talks about","startTime":1196.46,"endTime":1199.19,"body":"in this restructure,"},{"speaker":"and some of the policy talks about","startTime":1199.19,"endTime":1201.53,"body":"so executives understand the value"},{"speaker":"and some of the policy talks about","startTime":1201.53,"endTime":1203.23,"body":"the pharmacy medicines team bring."},{"speaker":"and some of the policy talks about","startTime":1204.08,"endTime":1205.684,"body":"- Yeah, no, thank you, Yousaf."},{"speaker":"and some of the policy talks about","startTime":1205.684,"endTime":1206.6,"body":"That's really helpful."},{"speaker":"and some of the policy talks about","startTime":1206.6,"endTime":1208.07,"body":"Just before we move on,"},{"speaker":"and some of the policy talks about","startTime":1208.07,"endTime":1210.5,"body":"'cause I am conscious of time,"},{"speaker":"and some of the policy talks about","startTime":1210.5,"endTime":1212.01,"body":"if responsibilities do shift"},{"speaker":"and some of the policy talks about","startTime":1212.01,"endTime":1213.38,"body":"to neighbourhood teams,"},{"speaker":"and some of the policy talks about","startTime":1213.38,"endTime":1215.9,"body":"how do you think confidential"},{"speaker":"and some of the policy talks about","startTime":1213.38,"endTime":1215.9,"body":"pricing arrangements"},{"speaker":"and some of the policy talks about","startTime":1215.9,"endTime":1218.3,"body":"may be managed or protected?"},{"speaker":"and some of the policy talks about","startTime":1218.3,"endTime":1219.133,"body":"Just quickly."},{"speaker":"and some of the policy talks about","startTime":1221.12,"endTime":1222.8,"body":"- I think there'd be more flexibility"},{"speaker":"and some of the policy talks about","startTime":1222.8,"endTime":1225.65,"body":"in having an array of"},{"speaker":"and some of the policy talks about","startTime":1222.8,"endTime":1225.65,"body":"confidential agreements."},{"speaker":"and some of the policy talks about","startTime":1225.65,"endTime":1227.368,"body":"There'd be more flex in the system."},{"speaker":"and some of the policy talks about","startTime":1227.368,"endTime":1228.77,"body":"It'd be more direct"},{"speaker":"and some of the policy talks about","startTime":1228.77,"endTime":1231.17,"body":"in terms of what we need"},{"speaker":"and some of the policy talks about","startTime":1228.77,"endTime":1231.17,"body":"for different populations"},{"speaker":"and some of the policy talks about","startTime":1231.17,"endTime":1233.18,"body":"if there was a shift over to it."},{"speaker":"and some of the policy talks about","startTime":1233.18,"endTime":1235.79,"body":"What I'm really apprehensive about is"},{"speaker":"and some of the policy talks about","startTime":1235.79,"endTime":1239.3,"body":"the weight of our system, or the NHS,"},{"speaker":"and some of the policy talks about","startTime":1239.3,"endTime":1241.28,"body":"won't be leveraged enough"},{"speaker":"and some of the policy talks about","startTime":1241.28,"endTime":1244.76,"body":"to maximise some of those"},{"speaker":"and some of the policy talks about","startTime":1241.28,"endTime":1244.76,"body":"beneficial pricing arrangements."},{"speaker":"and some of the policy talks about","startTime":1244.76,"endTime":1245.633,"body":"- Yeah."},{"speaker":"and some of the policy talks about","startTime":1244.76,"endTime":1245.633,"body":"- There was something for me"},{"speaker":"and some of the policy talks about","startTime":1245.633,"endTime":1250.13,"body":"about leveraging our benefit,"},{"speaker":"and some of the policy talks about","startTime":1245.633,"endTime":1250.13,"body":"leveraging our weight,"},{"speaker":"and some of the policy talks about","startTime":1250.13,"endTime":1252.98,"body":"and driving more preferential"},{"speaker":"and some of the policy talks about","startTime":1250.13,"endTime":1252.98,"body":"pricing arrangements"},{"speaker":"and some of the policy talks about","startTime":1252.98,"endTime":1255.5,"body":"versus the ability to have"},{"speaker":"and some of the policy talks about","startTime":1252.98,"endTime":1255.5,"body":"them in the first place,"},{"speaker":"and some of the policy talks about","startTime":1255.5,"endTime":1257.42,"body":"and for them to be managed and protected."},{"speaker":"and some of the policy talks about","startTime":1257.42,"endTime":1259.04,"body":"So there's pros and cons to that."},{"speaker":"and some of the policy talks about","startTime":1259.04,"endTime":1263.72,"body":"I would love us to have"},{"speaker":"and some of the policy talks about","startTime":1259.04,"endTime":1263.72,"body":"the ability to do both,"},{"speaker":"and some of the policy talks about","startTime":1263.72,"endTime":1266.54,"body":"to work in a way where it's shifted out"},{"speaker":"and some of the policy talks about","startTime":1266.54,"endTime":1269.21,"body":"to neighbourhood and PCNs,"},{"speaker":"and some of the policy talks about","startTime":1269.21,"endTime":1270.623,"body":"but we support that"},{"speaker":"and some of the policy talks about","startTime":1270.623,"endTime":1274.37,"body":"in a way of having a more"},{"speaker":"and some of the policy talks about","startTime":1270.623,"endTime":1274.37,"body":"focused conversation,"},{"speaker":"and some of the policy talks about","startTime":1274.37,"endTime":1276.65,"body":"allowing to leverage that ability"},{"speaker":"and some of the policy talks about","startTime":1276.65,"endTime":1279.56,"body":"to drive more effective"},{"speaker":"and some of the policy talks about","startTime":1276.65,"endTime":1279.56,"body":"pricing arrangements."},{"speaker":"and some of the policy talks about","startTime":1279.56,"endTime":1282.35,"body":"So, it's a worry, and a concern,"},{"speaker":"and some of the policy talks about","startTime":1282.35,"endTime":1284.0,"body":"but it's something I think we could do"},{"speaker":"and some of the policy talks about","startTime":1284.0,"endTime":1286.19,"body":"if we just work together at it."},{"speaker":"and some of the policy talks about","startTime":1286.19,"endTime":1288.185,"body":"- Yeah, no, thank you."},{"speaker":"and some of the policy talks about","startTime":1286.19,"endTime":1288.185,"body":"- There'd be more,"},{"speaker":"and some of the policy talks about","startTime":1288.185,"endTime":1290.287,"body":"Charlotte, there'd be"},{"speaker":"and some of the policy talks about","startTime":1288.185,"endTime":1290.287,"body":"more of them, I think."},{"speaker":"and some of the policy talks about","startTime":1290.287,"endTime":1293.632,"body":"That's the thing I basically"},{"speaker":"and some of the policy talks about","startTime":1290.287,"endTime":1293.632,"body":"want to get across."},{"speaker":"and some of the policy talks about","startTime":1293.632,"endTime":1295.465,"body":"- Yeah, no, thank you."},{"speaker":"and some of the policy talks about","startTime":1296.536,"endTime":1297.59,"body":"That was obviously very insightful."},{"speaker":"and some of the policy talks about","startTime":1297.59,"endTime":1299.57,"body":"So, just moving on."},{"speaker":"and some of the policy talks about","startTime":1299.57,"endTime":1300.92,"body":"So, in your opinion,"},{"speaker":"and some of the policy talks about","startTime":1300.92,"endTime":1304.22,"body":"what defines a productive and"},{"speaker":"and some of the policy talks about","startTime":1300.92,"endTime":1304.22,"body":"collaborative relationship"},{"speaker":"and some of the policy talks about","startTime":1304.22,"endTime":1305.57,"body":"between healthcare professionals"},{"speaker":"and some of the policy talks about","startTime":1305.57,"endTime":1307.25,"body":"and pharmaceutical suppliers"},{"speaker":"and some of the policy talks about","startTime":1307.25,"endTime":1309.17,"body":"in your current system?"},{"speaker":"and some of the policy talks about","startTime":1309.17,"endTime":1311.42,"body":"So, what habits, or behaviours,"},{"speaker":"and some of the policy talks about","startTime":1311.42,"endTime":1313.913,"body":"do the best suppliers"},{"speaker":"and some of the policy talks about","startTime":1311.42,"endTime":1313.913,"body":"consistently demonstrate,"},{"speaker":"and some of the policy talks about","startTime":1314.99,"endTime":1316.4,"body":"what's your, overall view"},{"speaker":"and some of the policy talks about","startTime":1316.4,"endTime":1319.85,"body":"on what the pharmaceutical"},{"speaker":"and some of the policy talks about","startTime":1316.4,"endTime":1319.85,"body":"industry's role could be"},{"speaker":"and some of the policy talks about","startTime":1319.85,"endTime":1321.59,"body":"in terms of supporting"},{"speaker":"and some of the policy talks about","startTime":1319.85,"endTime":1321.59,"body":"healthcare delivery,"},{"speaker":"and some of the policy talks about","startTime":1321.59,"endTime":1324.26,"body":"and you in your job role as well?"},{"speaker":"and some of the policy talks about","startTime":1324.26,"endTime":1325.73,"body":"- Yeah, great question, Charlotte."},{"speaker":"and some of the policy talks about","startTime":1325.73,"endTime":1326.563,"body":"I do appreciate."},{"speaker":"and some of the policy talks about","startTime":1326.563,"endTime":1330.77,"body":"I think two things"},{"speaker":"and some of the policy talks about","startTime":1326.563,"endTime":1330.77,"body":"strike really evidently,"},{"speaker":"and some of the policy talks about","startTime":1330.77,"endTime":1333.35,"body":"a trust and ongoing relationship."},{"speaker":"and some of the policy talks about","startTime":1333.35,"endTime":1335.42,"body":"I think for some of our industry partners,"},{"speaker":"and some of the policy talks about","startTime":1335.42,"endTime":1336.44,"body":"we've spent a lot of time,"},{"speaker":"and some of the policy talks about","startTime":1336.44,"endTime":1338.78,"body":"just a lot of time together,"},{"speaker":"and some of the policy talks about","startTime":1338.78,"endTime":1341.06,"body":"conversating, discussing,"},{"speaker":"and some of the policy talks about","startTime":1341.06,"endTime":1343.49,"body":"building that sort of relationship,"},{"speaker":"and some of the policy talks about","startTime":1343.49,"endTime":1345.68,"body":"and at the same time building that trust."},{"speaker":"and some of the policy talks about","startTime":1345.68,"endTime":1347.81,"body":"So that for me is very important,"},{"speaker":"and some of the policy talks about","startTime":1347.81,"endTime":1350.16,"body":"that continual conversation,"},{"speaker":"and some of the policy talks about","startTime":1347.81,"endTime":1350.16,"body":"that's number one."},{"speaker":"and some of the policy talks about","startTime":1350.16,"endTime":1351.38,"body":"- Yeah."},{"speaker":"and some of the policy talks about","startTime":1350.16,"endTime":1351.38,"body":"- That ability"},{"speaker":"and some of the policy talks about","startTime":1351.38,"endTime":1355.94,"body":"to understand our"},{"speaker":"and some of the policy talks about","startTime":1351.38,"endTime":1355.94,"body":"pressures, and priorities,"},{"speaker":"and some of the policy talks about","startTime":1355.94,"endTime":1360.23,"body":"and to really look at scoping"},{"speaker":"and some of the policy talks about","startTime":1355.94,"endTime":1360.23,"body":"what industry partners can do"},{"speaker":"and some of the policy talks about","startTime":1360.23,"endTime":1362.3,"body":"to support that."},{"speaker":"and some of the policy talks about","startTime":1362.3,"endTime":1363.133,"body":"So there's something for me"},{"speaker":"and some of the policy talks about","startTime":1363.133,"endTime":1367.01,"body":"about time spent, relationship built,"},{"speaker":"and some of the policy talks about","startTime":1367.01,"endTime":1369.44,"body":"and understanding priorities"},{"speaker":"and some of the policy talks about","startTime":1367.01,"endTime":1369.44,"body":"of our population."},{"speaker":"and some of the policy talks about","startTime":1369.44,"endTime":1374.24,"body":"Those three components are"},{"speaker":"and some of the policy talks about","startTime":1369.44,"endTime":1374.24,"body":"absolutely crucial and essential."},{"speaker":"and some of the policy talks about","startTime":1374.24,"endTime":1377.0,"body":"Why we've seen success in our system,"},{"speaker":"and some of the policy talks about","startTime":1377.0,"endTime":1378.47,"body":"with that relationship,"},{"speaker":"and some of the policy talks about","startTime":1378.47,"endTime":1382.31,"body":"is that we've had a really"},{"speaker":"and some of the policy talks about","startTime":1378.47,"endTime":1382.31,"body":"strong governance structure."},{"speaker":"and some of the policy talks about","startTime":1382.31,"endTime":1385.49,"body":"So our policies and what keeps us safe."},{"speaker":"and some of the policy talks about","startTime":1385.49,"endTime":1387.38,"body":"And we've got a clear structure for that."},{"speaker":"and some of the policy talks about","startTime":1387.38,"endTime":1390.35,"body":"We've also been supported"},{"speaker":"and some of the policy talks about","startTime":1387.38,"endTime":1390.35,"body":"by relevant code of conduct,"},{"speaker":"and some of the policy talks about","startTime":1390.35,"endTime":1393.02,"body":"and also documents that've"},{"speaker":"and some of the policy talks about","startTime":1390.35,"endTime":1393.02,"body":"been produced nationally,"},{"speaker":"and some of the policy talks about","startTime":1393.02,"endTime":1394.46,"body":"by the NHS Confed,"},{"speaker":"and some of the policy talks about","startTime":1394.46,"endTime":1398.75,"body":"that really support that"},{"speaker":"and some of the policy talks about","startTime":1394.46,"endTime":1398.75,"body":"more convivial relationship"},{"speaker":"and some of the policy talks about","startTime":1398.75,"endTime":1399.583,"body":"with industry and NHS."},{"speaker":"and some of the policy talks about","startTime":1399.583,"endTime":1403.82,"body":"So, I think, we've utilised"},{"speaker":"and some of the policy talks about","startTime":1399.583,"endTime":1403.82,"body":"some of those frameworks,"},{"speaker":"and some of the policy talks about","startTime":1403.82,"endTime":1406.07,"body":"and those mechanisms,"},{"speaker":"and some of the policy talks about","startTime":1403.82,"endTime":1406.07,"body":"and we do our policies."},{"speaker":"and some of the policy talks about","startTime":1406.07,"endTime":1409.13,"body":"So we became more comfortable"},{"speaker":"and some of the policy talks about","startTime":1406.07,"endTime":1409.13,"body":"in having those conversations"},{"speaker":"and some of the policy talks about","startTime":1409.13,"endTime":1410.36,"body":"and working together."},{"speaker":"and some of the policy talks about","startTime":1410.36,"endTime":1411.92,"body":"Also, what I found a blueprint"},{"speaker":"and some of the policy talks about","startTime":1411.92,"endTime":1414.92,"body":"that we worked really"},{"speaker":"and some of the policy talks about","startTime":1411.92,"endTime":1414.92,"body":"well in our system is that"},{"speaker":"and some of the policy talks about","startTime":1414.92,"endTime":1416.576,"body":"we've had a third party involved,"},{"speaker":"and some of the policy talks about","startTime":1416.576,"endTime":1418.91,"body":"so if there's an agreement"},{"speaker":"and some of the policy talks about","startTime":1418.91,"endTime":1421.343,"body":"in providing a different"},{"speaker":"and some of the policy talks about","startTime":1418.91,"endTime":1421.343,"body":"service, for example,"},{"speaker":"and some of the policy talks about","startTime":1422.9,"endTime":1425.45,"body":"it's been funded by industry,"},{"speaker":"and some of the policy talks about","startTime":1425.45,"endTime":1428.36,"body":"and they've commissioned a"},{"speaker":"and some of the policy talks about","startTime":1425.45,"endTime":1428.36,"body":"third party service provider"},{"speaker":"and some of the policy talks about","startTime":1428.36,"endTime":1430.16,"body":"who have engaged with us."},{"speaker":"and some of the policy talks about","startTime":1430.16,"endTime":1432.95,"body":"- Yeah."},{"speaker":"and some of the policy talks about","startTime":1430.16,"endTime":1432.95,"body":"- That threeway,"},{"speaker":"and some of the policy talks about","startTime":1432.95,"endTime":1437.95,"body":"kind of, threeway relationship"},{"speaker":"and some of the policy talks about","startTime":1432.95,"endTime":1437.95,"body":"has been really helpful"},{"speaker":"and some of the policy talks about","startTime":1438.34,"endTime":1441.32,"body":"in driving the comfort for us,"},{"speaker":"and some of the policy talks about","startTime":1441.32,"endTime":1443.09,"body":"in terms of working with industry,"},{"speaker":"and some of the policy talks about","startTime":1443.09,"endTime":1445.02,"body":"but also change."},{"speaker":"and some of the policy talks about","startTime":1445.02,"endTime":1446.524,"body":"- Yeah."},{"speaker":"and some of the policy talks about","startTime":1445.02,"endTime":1446.524,"body":"- And so,"},{"speaker":"and some of the policy talks about","startTime":1446.524,"endTime":1448.307,"body":"I find that is a very good proof."},{"speaker":"and some of the policy talks about","startTime":1448.307,"endTime":1449.42,"body":"And the last thing I'll add,"},{"speaker":"and some of the policy talks about","startTime":1449.42,"endTime":1451.094,"body":"I know, Charlotte, time is short,"},{"speaker":"and some of the policy talks about","startTime":1451.094,"endTime":1453.71,"body":"(Charlotte laughing)"},{"speaker":"and some of the policy talks about","startTime":1451.094,"endTime":1453.71,"body":"is that as we look forward."},{"speaker":"and some of the policy talks about","startTime":1453.71,"endTime":1455.78,"body":"As we look forward, this"},{"speaker":"and some of the policy talks about","startTime":1453.71,"endTime":1455.78,"body":"is vitally important."},{"speaker":"and some of the policy talks about","startTime":1455.78,"endTime":1458.42,"body":"The 10 year plan makes it very clear"},{"speaker":"and some of the policy talks about","startTime":1458.42,"endTime":1462.53,"body":"we are unable, as an"},{"speaker":"and some of the policy talks about","startTime":1458.42,"endTime":1462.53,"body":"NHS, to do this alone."},{"speaker":"and some of the policy talks about","startTime":1462.53,"endTime":1464.12,"body":"We're unable to do it alone."},{"speaker":"and some of the policy talks about","startTime":1464.12,"endTime":1466.64,"body":"So this is opportunity for"},{"speaker":"and some of the policy talks about","startTime":1464.12,"endTime":1466.64,"body":"industry to really come in"},{"speaker":"and some of the policy talks about","startTime":1466.64,"endTime":1469.25,"body":"to showcase what they can"},{"speaker":"and some of the policy talks about","startTime":1466.64,"endTime":1469.25,"body":"add into the conversation"},{"speaker":"and some of the policy talks about","startTime":1469.25,"endTime":1470.72,"body":"to support the NHS"},{"speaker":"and some of the policy talks about","startTime":1470.72,"endTime":1472.7,"body":"to deliver on some of their priorities."},{"speaker":"and some of the policy talks about","startTime":1472.7,"endTime":1473.78,"body":"And because there's going to be"},{"speaker":"and some of the policy talks about","startTime":1473.78,"endTime":1476.87,"body":"a more population localized-driven model,"},{"speaker":"and some of the policy talks about","startTime":1476.87,"endTime":1478.31,"body":"there's going to be lots of opportunities"},{"speaker":"and some of the policy talks about","startTime":1478.31,"endTime":1480.92,"body":"to work with systems at different levels,"},{"speaker":"and some of the policy talks about","startTime":1480.92,"endTime":1483.26,"body":"to really make some interventions"},{"speaker":"and some of the policy talks about","startTime":1483.26,"endTime":1485.42,"body":"that support the agenda"},{"speaker":"and some of the policy talks about","startTime":1483.26,"endTime":1485.42,"body":"of the industry partner,"},{"speaker":"and some of the policy talks about","startTime":1485.42,"endTime":1487.34,"body":"but also the agenda of the NHS."},{"speaker":"and some of the policy talks about","startTime":1487.34,"endTime":1490.28,"body":"So this is a really opportune moment"},{"speaker":"and some of the policy talks about","startTime":1490.28,"endTime":1492.74,"body":"for us to really test"},{"speaker":"and some of the policy talks about","startTime":1490.28,"endTime":1492.74,"body":"some more further models"},{"speaker":"and some of the policy talks about","startTime":1492.74,"endTime":1493.74,"body":"and deliver on that."},{"speaker":"and some of the policy talks about","startTime":1494.81,"endTime":1495.71,"body":"- And, just quickly,"},{"speaker":"and some of the policy talks about","startTime":1495.71,"endTime":1499.25,"body":"what types of engagement,"},{"speaker":"and some of the policy talks about","startTime":1495.71,"endTime":1499.25,"body":"or evidence sharing,"},{"speaker":"and some of the policy talks about","startTime":1499.25,"endTime":1502.943,"body":"do you find sort of most valuable?"},{"speaker":"and some of the policy talks about","startTime":1505.73,"endTime":1509.24,"body":"- I find information on what's"},{"speaker":"and some of the policy talks about","startTime":1505.73,"endTime":1509.24,"body":"coming around the corner,"},{"speaker":"and some of the policy talks about","startTime":1509.24,"endTime":1510.74,"body":"horizon-scanning."},{"speaker":"and some of the policy talks about","startTime":1510.74,"endTime":1512.713,"body":"- Yeah."},{"speaker":"and some of the policy talks about","startTime":1510.74,"endTime":1512.713,"body":"- Be it the molecules"},{"speaker":"and some of the policy talks about","startTime":1512.713,"endTime":1515.84,"body":"or other aspects, or horizon-scanning,"},{"speaker":"and some of the policy talks about","startTime":1515.84,"endTime":1518.27,"body":"and bringing that to me"},{"speaker":"and some of the policy talks about","startTime":1515.84,"endTime":1518.27,"body":"has been really helpful,"},{"speaker":"and some of the policy talks about","startTime":1518.27,"endTime":1520.34,"body":"because it helps to"},{"speaker":"and some of the policy talks about","startTime":1518.27,"endTime":1520.34,"body":"think our own thinking."},{"speaker":"and some of the policy talks about","startTime":1520.34,"endTime":1523.19,"body":"The other thing is that our"},{"speaker":"and some of the policy talks about","startTime":1520.34,"endTime":1523.19,"body":"case studies, and other work,"},{"speaker":"and some of the policy talks about","startTime":1523.19,"endTime":1525.8,"body":"so we try our best, as"},{"speaker":"and some of the policy talks about","startTime":1523.19,"endTime":1525.8,"body":"always, to share stuff."},{"speaker":"and some of the policy talks about","startTime":1525.8,"endTime":1528.02,"body":"But when industry comes to me to say"},{"speaker":"and some of the policy talks about","startTime":1528.02,"endTime":1529.94,"body":"we've done some work over here,"},{"speaker":"and some of the policy talks about","startTime":1529.94,"endTime":1531.05,"body":"this is what it's made,"},{"speaker":"and some of the policy talks about","startTime":1531.05,"endTime":1532.76,"body":"this is really, really helpful."},{"speaker":"and some of the policy talks about","startTime":1532.76,"endTime":1534.23,"body":"So that's our case study."},{"speaker":"and some of the policy talks about","startTime":1534.23,"endTime":1538.67,"body":"And the third thing is giving"},{"speaker":"and some of the policy talks about","startTime":1534.23,"endTime":1538.67,"body":"us some support in those areas"},{"speaker":"and some of the policy talks about","startTime":1538.67,"endTime":1540.26,"body":"which we are not great at."},{"speaker":"and some of the policy talks about","startTime":1540.26,"endTime":1542.06,"body":"So from project management,"},{"speaker":"and some of the policy talks about","startTime":1542.06,"endTime":1544.76,"body":"data interrogation, and insights."},{"speaker":"and some of the policy talks about","startTime":1544.76,"endTime":1548.87,"body":"Large data set review mining,"},{"speaker":"and some of the policy talks about","startTime":1548.87,"endTime":1553.87,"body":"translating some of our"},{"speaker":"and some of the policy talks about","startTime":1548.87,"endTime":1553.87,"body":"findings into what it means,"},{"speaker":"and some of the policy talks about","startTime":1554.48,"endTime":1556.04,"body":"you know, we have large elements"},{"speaker":"and some of the policy talks about","startTime":1556.04,"endTime":1559.01,"body":"of population health"},{"speaker":"and some of the policy talks about","startTime":1556.04,"endTime":1559.01,"body":"informatics helping us"},{"speaker":"and some of the policy talks about","startTime":1559.01,"endTime":1560.99,"body":"to actually translate what that means."},{"speaker":"and some of the policy talks about","startTime":1560.99,"endTime":1563.0,"body":"And tracking some of our interventions."},{"speaker":"and some of the policy talks about","startTime":1563.0,"endTime":1565.94,"body":"Really good things that"},{"speaker":"and some of the policy talks about","startTime":1563.0,"endTime":1565.94,"body":"industry do really well."},{"speaker":"and some of the policy talks about","startTime":1565.94,"endTime":1568.76,"body":"We need some guidance"},{"speaker":"and some of the policy talks about","startTime":1565.94,"endTime":1568.76,"body":"and support on those."},{"speaker":"and some of the policy talks about","startTime":1568.76,"endTime":1570.41,"body":"- Yeah, okay, thank you."},{"speaker":"and some of the policy talks about","startTime":1570.41,"endTime":1574.7,"body":"I think we may have time to"},{"speaker":"and some of the policy talks about","startTime":1570.41,"endTime":1574.7,"body":"squeeze in one last question."},{"speaker":"and some of the policy talks about","startTime":1574.7,"endTime":1576.29,"body":"So, this is just around the,"},{"speaker":"and some of the policy talks about","startTime":1576.29,"endTime":1577.94,"body":"kind of, single national formulary."},{"speaker":"and some of the policy talks about","startTime":1577.94,"endTime":1580.37,"body":"So we've already had, at Petauri Evidence,"},{"speaker":"and some of the policy talks about","startTime":1580.37,"endTime":1582.53,"body":"a number of thoughtful conversations"},{"speaker":"and some of the policy talks about","startTime":1582.53,"endTime":1584.54,"body":"about how single national"},{"speaker":"and some of the policy talks about","startTime":1582.53,"endTime":1584.54,"body":"formulary might work,"},{"speaker":"and some of the policy talks about","startTime":1584.54,"endTime":1585.68,"body":"particularly from the perspective"},{"speaker":"and some of the policy talks about","startTime":1585.68,"endTime":1587.87,"body":"of some of your pharmacy colleagues."},{"speaker":"and some of the policy talks about","startTime":1587.87,"endTime":1589.631,"body":"And if anyone listening"},{"speaker":"and some of the policy talks about","startTime":1589.631,"endTime":1591.17,"body":"would like a summary of"},{"speaker":"and some of the policy talks about","startTime":1589.631,"endTime":1591.17,"body":"any of those discussions,"},{"speaker":"and some of the policy talks about","startTime":1591.17,"endTime":1593.21,"body":"then, obviously, feel free to reach out,"},{"speaker":"and we'd be happy to share","startTime":1593.21,"endTime":1594.32,"body":"evidence@petauri.com."},{"speaker":"and we'd be happy to share","startTime":1594.32,"endTime":1595.34,"body":"But, for today,"},{"speaker":"and we'd be happy to share","startTime":1595.34,"endTime":1597.77,"body":"thought we'd just focus on"},{"speaker":"and we'd be happy to share","startTime":1595.34,"endTime":1597.77,"body":"a couple of key question is"},{"speaker":"and we'd be happy to share","startTime":1597.77,"endTime":1599.27,"body":"what do you see, Yousaf,"},{"speaker":"and we'd be happy to share","startTime":1599.27,"endTime":1600.47,"body":"as the potential impact"},{"speaker":"and we'd be happy to share","startTime":1600.47,"endTime":1602.267,"body":"of moving to a single national formulary?"},{"speaker":"and we'd be happy to share","startTime":1602.267,"endTime":1603.83,"body":"And what would you identify"},{"speaker":"and we'd be happy to share","startTime":1603.83,"endTime":1605.723,"body":"as the top three"},{"speaker":"and we'd be happy to share","startTime":1606.56,"endTime":1609.563,"body":"benefits and risks associated with that?"},{"speaker":"and we'd be happy to share","startTime":1610.85,"endTime":1614.12,"body":"- Yeah, let's start with"},{"speaker":"and we'd be happy to share","startTime":1610.85,"endTime":1614.12,"body":"the benefits and risks."},{"speaker":"and we'd be happy to share","startTime":1614.12,"endTime":1617.69,"body":"So, always, I believe in the sentiment"},{"speaker":"and we'd be happy to share","startTime":1617.69,"endTime":1620.24,"body":"that the single national"},{"speaker":"and we'd be happy to share","startTime":1617.69,"endTime":1620.24,"body":"formulary has been set out,"},{"speaker":"and we'd be happy to share","startTime":1620.24,"endTime":1623.27,"body":"the sentiments being reducing variation,"},{"speaker":"and we'd be happy to share","startTime":1623.27,"endTime":1627.166,"body":"improving access, supporting"},{"speaker":"and we'd be happy to share","startTime":1623.27,"endTime":1627.166,"body":"prescribing decisions,"},{"speaker":"and we'd be happy to share","startTime":1627.166,"endTime":1630.83,"body":"and supporting local"},{"speaker":"and we'd be happy to share","startTime":1627.166,"endTime":1630.83,"body":"prescribing formularies,"},{"speaker":"and we'd be happy to share","startTime":1630.83,"endTime":1634.07,"body":"shifting the care from"},{"speaker":"and we'd be happy to share","startTime":1630.83,"endTime":1634.07,"body":"hospital to community."},{"speaker":"and we'd be happy to share","startTime":1634.07,"endTime":1636.2,"body":"So looking at how do"},{"speaker":"and we'd be happy to share","startTime":1634.07,"endTime":1636.2,"body":"we use, as I mentioned,"},{"speaker":"and we'd be happy to share","startTime":1636.2,"endTime":1638.66,"body":"specialised medicines in other settings."},{"speaker":"and we'd be happy to share","startTime":1638.66,"endTime":1640.19,"body":"Reducing the capacity,"},{"speaker":"and we'd be happy to share","startTime":1640.19,"endTime":1643.55,"body":"well, hoping to support the capacity"},{"speaker":"and we'd be happy to share","startTime":1643.55,"endTime":1647.18,"body":"at releasing people that"},{"speaker":"and we'd be happy to share","startTime":1643.55,"endTime":1647.18,"body":"do the role right now"},{"speaker":"and we'd be happy to share","startTime":1647.18,"endTime":1649.28,"body":"into, say, direct patient care."},{"speaker":"and we'd be happy to share","startTime":1649.28,"endTime":1651.62,"body":"And also around quality and safety,"},{"speaker":"and we'd be happy to share","startTime":1651.62,"endTime":1653.24,"body":"improving the consistency."},{"speaker":"and we'd be happy to share","startTime":1653.24,"endTime":1655.1,"body":"So I've given you roughly sentiments,"},{"speaker":"and we'd be happy to share","startTime":1655.1,"endTime":1658.76,"body":"but those are, I would say,"},{"speaker":"and we'd be happy to share","startTime":1655.1,"endTime":1658.76,"body":"the five benefits to it."},{"speaker":"and we'd be happy to share","startTime":1658.76,"endTime":1661.37,"body":"Some of the negative aspects,"},{"speaker":"and we'd be happy to share","startTime":1661.37,"endTime":1664.79,"body":"not being associated to the SNF is"},{"speaker":"and we'd be happy to share","startTime":1664.79,"endTime":1667.73,"body":"not being really apt for sensitivities"},{"speaker":"and we'd be happy to share","startTime":1667.73,"endTime":1669.86,"body":"around local population needs,"},{"speaker":"and we'd be happy to share","startTime":1669.86,"endTime":1671.6,"body":"or the various needs locally."},{"speaker":"and we'd be happy to share","startTime":1671.6,"endTime":1674.66,"body":"Maybe producing prescriber constraint."},{"speaker":"and we'd be happy to share","startTime":1674.66,"endTime":1678.23,"body":"So what is the prescribing"},{"speaker":"and we'd be happy to share","startTime":1674.66,"endTime":1678.23,"body":"clinician paradigm here?"},{"speaker":"and we'd be happy to share","startTime":1678.23,"endTime":1679.647,"body":"How do they feel?"},{"speaker":"and we'd be happy to share","startTime":1680.87,"endTime":1684.41,"body":"What improves or reduces"},{"speaker":"and we'd be happy to share","startTime":1680.87,"endTime":1684.41,"body":"their inability to prescribe?"},{"speaker":"and we'd be happy to share","startTime":1684.41,"endTime":1686.39,"body":"So, the prescribed aspect."},{"speaker":"and we'd be happy to share","startTime":1686.39,"endTime":1688.73,"body":"And, thirdly, some of"},{"speaker":"and we'd be happy to share","startTime":1686.39,"endTime":1688.73,"body":"the red tape bureaucracy"},{"speaker":"and we'd be happy to share","startTime":1688.73,"endTime":1691.22,"body":"when it comes to producing"},{"speaker":"and we'd be happy to share","startTime":1688.73,"endTime":1691.22,"body":"a large formulary"},{"speaker":"and we'd be happy to share","startTime":1691.22,"endTime":1692.57,"body":"at a national level."},{"speaker":"and we'd be happy to share","startTime":1692.57,"endTime":1695.686,"body":"Again, you can think about"},{"speaker":"and we'd be happy to share","startTime":1692.57,"endTime":1695.686,"body":"those as the negatives"},{"speaker":"and we'd be happy to share","startTime":1695.686,"endTime":1697.13,"body":"and the risks."},{"speaker":"and we'd be happy to share","startTime":1697.13,"endTime":1700.583,"body":"So I think, overall,"},{"speaker":"and we'd be happy to share","startTime":1697.13,"endTime":1700.583,"body":"the sentiment is right."},{"speaker":"and we'd be happy to share","startTime":1700.583,"endTime":1704.36,"body":"What I've been kind of feeding"},{"speaker":"and we'd be happy to share","startTime":1700.583,"endTime":1704.36,"body":"into the conversation here,"},{"speaker":"and we'd be happy to share","startTime":1704.36,"endTime":1705.44,"body":"both at a national level,"},{"speaker":"and we'd be happy to share","startTime":1705.44,"endTime":1707.06,"body":"but also with my peers,"},{"speaker":"and we'd be happy to share","startTime":1707.06,"endTime":1710.12,"body":"is that the single national"},{"speaker":"and we'd be happy to share","startTime":1707.06,"endTime":1710.12,"body":"formulary will not work"},{"speaker":"and we'd be happy to share","startTime":1710.12,"endTime":1712.58,"body":"if we just rewrite the BNF,"},{"speaker":"and we'd be happy to share","startTime":1712.58,"endTime":1714.893,"body":"or rewrite what our current formulary is."},{"speaker":"and we'd be happy to share","startTime":1714.893,"endTime":1716.18,"body":"It's not going to work."},{"speaker":"and we'd be happy to share","startTime":1716.18,"endTime":1717.713,"body":"It's not going to work."},{"speaker":"and we'd be happy to share","startTime":1718.76,"endTime":1720.71,"body":"We need to have a more focused approach"},{"speaker":"and we'd be happy to share","startTime":1720.71,"endTime":1722.63,"body":"on what the single national formulary is."},{"speaker":"and we'd be happy to share","startTime":1722.63,"endTime":1725.09,"body":"So I've been asked, \"What does that mean?\""},{"speaker":"and we'd be happy to share","startTime":1725.09,"endTime":1727.37,"body":"So, one of my, kind of, concepts is"},{"speaker":"and we'd be happy to share","startTime":1727.37,"endTime":1730.37,"body":"do we focus the single"},{"speaker":"and we'd be happy to share","startTime":1727.37,"endTime":1730.37,"body":"national formulary on elements"},{"speaker":"and we'd be happy to share","startTime":1730.37,"endTime":1735.17,"body":"such as innovative new drugs"},{"speaker":"and we'd be happy to share","startTime":1730.37,"endTime":1735.17,"body":"coming in, new NICE TAs,"},{"speaker":"and we'd be happy to share","startTime":1735.17,"endTime":1738.17,"body":"do we focus it on high cost medicines?"},{"speaker":"and we'd be happy to share","startTime":1738.17,"endTime":1742.94,"body":"Do we focus it on, say, medtech,"},{"speaker":"and we'd be happy to share","startTime":1738.17,"endTime":1742.94,"body":"devices, app technology?"},{"speaker":"and we'd be happy to share","startTime":1742.94,"endTime":1745.82,"body":"I think if we have that as a real focus,"},{"speaker":"and we'd be happy to share","startTime":1745.82,"endTime":1749.48,"body":"it helps our systems"},{"speaker":"and we'd be happy to share","startTime":1745.82,"endTime":1749.48,"body":"to do what we do well."},{"speaker":"and we'd be happy to share","startTime":1749.48,"endTime":1751.19,"body":"So the bulk of formulary work,"},{"speaker":"and we'd be happy to share","startTime":1751.19,"endTime":1755.96,"body":"but really helps us to"},{"speaker":"and we'd be happy to share","startTime":1751.19,"endTime":1755.96,"body":"target the area of high spend"},{"speaker":"and we'd be happy to share","startTime":1755.96,"endTime":1758.21,"body":"by having a clear line of,"},{"speaker":"and we'd be happy to share","startTime":1758.21,"endTime":1760.07,"body":"nationally, this is what we've agreed,"},{"speaker":"and we'd be happy to share","startTime":1760.07,"endTime":1761.78,"body":"and this is value for money."},{"speaker":"and we'd be happy to share","startTime":1761.78,"endTime":1764.3,"body":"It hits the quality of safety agenda,"},{"speaker":"and we'd be happy to share","startTime":1764.3,"endTime":1767.84,"body":"but it's also focused on some"},{"speaker":"and we'd be happy to share","startTime":1764.3,"endTime":1767.84,"body":"of those high cost elements."},{"speaker":"and we'd be happy to share","startTime":1767.84,"endTime":1772.19,"body":"So, I'm really intrigued, and excited"},{"speaker":"and we'd be happy to share","startTime":1772.19,"endTime":1774.14,"body":"that if we do the single"},{"speaker":"and we'd be happy to share","startTime":1772.19,"endTime":1774.14,"body":"national formulary"},{"speaker":"and we'd be happy to share","startTime":1774.14,"endTime":1777.53,"body":"focused on a particular"},{"speaker":"and we'd be happy to share","startTime":1774.14,"endTime":1777.53,"body":"subspecialty of medicines,"},{"speaker":"and we'd be happy to share","startTime":1777.53,"endTime":1778.94,"body":"I think it'll work really well."},{"speaker":"and we'd be happy to share","startTime":1778.94,"endTime":1780.26,"body":"So it's something about,"},{"speaker":"and we'd be happy to share","startTime":1780.26,"endTime":1781.91,"body":"and again, we've had some communication"},{"speaker":"and we'd be happy to share","startTime":1781.91,"endTime":1784.22,"body":"from the national office around"},{"speaker":"and we'd be happy to share","startTime":1784.22,"endTime":1786.47,"body":"our formularies will still continue"},{"speaker":"and we'd be happy to share","startTime":1786.47,"endTime":1787.88,"body":"for a period of time"},{"speaker":"and we'd be happy to share","startTime":1787.88,"endTime":1790.82,"body":"until the single national"},{"speaker":"and we'd be happy to share","startTime":1787.88,"endTime":1790.82,"body":"formulary comes up online."},{"speaker":"and we'd be happy to share","startTime":1790.82,"endTime":1795.11,"body":"And also it will include"},{"speaker":"and we'd be happy to share","startTime":1790.82,"endTime":1795.11,"body":"incorporating medtech"},{"speaker":"and we'd be happy to share","startTime":1795.11,"endTime":1796.16,"body":"in the future."},{"speaker":"and we'd be happy to share","startTime":1796.16,"endTime":1797.069,"body":"So,"},{"speaker":"and we'd be happy to share","startTime":1797.069,"endTime":1798.68,"body":"I think, they've listened,"},{"speaker":"and we'd be happy to share","startTime":1798.68,"endTime":1801.83,"body":"and they know they can't"},{"speaker":"and we'd be happy to share","startTime":1798.68,"endTime":1801.83,"body":"just rehash a formulary"},{"speaker":"and we'd be happy to share","startTime":1801.83,"endTime":1803.81,"body":"from zero to a hundred."},{"speaker":"and we'd be happy to share","startTime":1803.81,"endTime":1804.643,"body":"So they've got."},{"speaker":"and we'd be happy to share","startTime":1804.643,"endTime":1805.79,"body":"I think it's going to be focused."},{"speaker":"and we'd be happy to share","startTime":1805.79,"endTime":1806.75,"body":"I think that's right."},{"speaker":"and we'd be happy to share","startTime":1806.75,"endTime":1808.1,"body":"It's going to involve areas"},{"speaker":"and we'd be happy to share","startTime":1808.1,"endTime":1810.35,"body":"which we're not very"},{"speaker":"and we'd be happy to share","startTime":1808.1,"endTime":1810.35,"body":"apt or fair in, right,"},{"speaker":"and we'd be happy to share","startTime":1810.35,"endTime":1811.474,"body":"such as MedTech,"},{"speaker":"and we'd be happy to share","startTime":1811.474,"endTime":1815.45,"body":"and it's going to support"},{"speaker":"and we'd be happy to share","startTime":1811.474,"endTime":1815.45,"body":"current formularies in place."},{"speaker":"and we'd be happy to share","startTime":1815.45,"endTime":1816.62,"body":"So, I think, in the future for us,"},{"speaker":"and we'd be happy to share","startTime":1816.62,"endTime":1818.9,"body":"I still see we'll have a mechanism"},{"speaker":"and we'd be happy to share","startTime":1818.9,"endTime":1820.85,"body":"that we will do our formulary work,"},{"speaker":"and we'd be happy to share","startTime":1820.85,"endTime":1823.85,"body":"but it won't include as many"},{"speaker":"and we'd be happy to share","startTime":1820.85,"endTime":1823.85,"body":"people as it as it does today."},{"speaker":"and we'd be happy to share","startTime":1823.85,"endTime":1825.71,"body":"Sorry, Charlotte, I know we are on time."},{"speaker":"and we'd be happy to share","startTime":1825.71,"endTime":1826.543,"body":"- No, that's okay."},{"speaker":"and we'd be happy to share","startTime":1826.543,"endTime":1827.376,"body":"I was just going to say,"},{"speaker":"and we'd be happy to share","startTime":1827.376,"endTime":1829.19,"body":"I think that brings us to"},{"speaker":"and we'd be happy to share","startTime":1827.376,"endTime":1829.19,"body":"the end of our session today."},{"speaker":"and we'd be happy to share","startTime":1829.19,"endTime":1830.51,"body":"We obviously had a lot to get through,"},{"speaker":"and we'd be happy to share","startTime":1830.51,"endTime":1832.1,"body":"in quite a short timeframe,"},{"speaker":"and we'd be happy to share","startTime":1832.1,"endTime":1834.89,"body":"so, I'd just like to say thank"},{"speaker":"and we'd be happy to share","startTime":1832.1,"endTime":1834.89,"body":"you, again, to you, Yousaf,"},{"speaker":"and we'd be happy to share","startTime":1834.89,"endTime":1836.12,"body":"for an informative discussion,"},{"speaker":"and we'd be happy to share","startTime":1836.12,"endTime":1838.67,"body":"and also for taking the"},{"speaker":"and we'd be happy to share","startTime":1836.12,"endTime":1838.67,"body":"time out of your, probably,"},{"speaker":"and we'd be happy to share","startTime":1838.67,"endTime":1839.69,"body":"extremely busy day"},{"speaker":"and we'd be happy to share","startTime":1839.69,"endTime":1841.67,"body":"to be with us here today."},{"speaker":"and we'd be happy to share","startTime":1841.67,"endTime":1844.19,"body":"And thank you to the audience"},{"speaker":"and we'd be happy to share","startTime":1841.67,"endTime":1844.19,"body":"for submitting your questions,"},{"speaker":"and we'd be happy to share","startTime":1844.19,"endTime":1845.69,"body":"which helped us plan for today."},{"speaker":"and we'd be happy to share","startTime":1845.69,"endTime":1847.73,"body":"And also thank you for"},{"speaker":"and we'd be happy to share","startTime":1845.69,"endTime":1847.73,"body":"listening to our conversation."},{"speaker":"and we'd be happy to share","startTime":1847.73,"endTime":1849.47,"body":"I appreciate we didn't get a chance"},{"speaker":"and we'd be happy to share","startTime":1849.47,"endTime":1851.12,"body":"to get through all of the questions."},{"speaker":"and we'd be happy to share","startTime":1851.12,"endTime":1854.69,"body":"So if you kind of want to follow up"},{"speaker":"and we'd be happy to share","startTime":1854.69,"endTime":1855.59,"body":"on any of your questions"},{"speaker":"and we'd be happy to share","startTime":1855.59,"endTime":1856.64,"body":"then please do get in touch,"},{"speaker":"and we'd be happy to share","startTime":1856.64,"endTime":1857.93,"body":"and we can help signpost you"},{"speaker":"and we'd be happy to share","startTime":1857.93,"endTime":1859.79,"body":"to any of the right places"},{"speaker":"and we'd be happy to share","startTime":1859.79,"endTime":1862.19,"body":"if you want to continue"},{"speaker":"and we'd be happy to share","startTime":1859.79,"endTime":1862.19,"body":"the conversation further."},{"speaker":"and we'd be happy to share","startTime":1862.19,"endTime":1863.687,"body":"So, thank you, again,"},{"speaker":"and we'd be happy to share","startTime":1863.687,"endTime":1866.09,"body":"and I hope everyone has a"},{"speaker":"and we'd be happy to share","startTime":1863.687,"endTime":1866.09,"body":"great rest of their day,"},{"speaker":"and we'd be happy to share","startTime":1866.09,"endTime":1867.86,"body":"and looks forward to the weekend."},{"speaker":"and we'd be happy to share","startTime":1867.86,"endTime":1868.693,"body":"Thank you very much."},{"speaker":"and we'd be happy to share","startTime":1868.693,"endTime":1870.27,"body":"And, yeah, thanks again, Yousaf."},{"speaker":"and we'd be happy to share","startTime":1871.31,"endTime":1872.87,"body":"- [Presenter] Thank you for watching."},{"speaker":"and we'd be happy to share","startTime":1872.87,"endTime":1874.1,"body":"If you'd like to find out more"},{"speaker":"and we'd be happy to share","startTime":1874.1,"endTime":1876.89,"body":"about how we can support"},{"speaker":"and we'd be happy to share","startTime":1874.1,"endTime":1876.89,"body":"your market access goals,"},{"speaker":"and we'd be happy to share","startTime":1876.89,"endTime":1878.72,"body":"get in touch today."},{"speaker":"and we'd be happy to share","startTime":1878.72,"endTime":1882.293,"body":"For more market access"},{"speaker":"and we'd be happy to share","startTime":1878.72,"endTime":1882.293,"body":"insights, follow us on LinkedIn."}]}