 Right, share screen. Okay. It's coming. Yes, here we are. Is something coming? Yeah, that's fine, thank you. But we put it into slide show mode. Yeah, that should be there now, shouldn't it? Yeah, lovely. Okay, so thank you. So thank you for the invite, but I also wanted to say first of all a big thank you really to all of our stakeholders around health. So that's thank you to the patients of Water Beach. Thank you for your input in regards to patient participation groups and feedback in regards to what's happened over the last two years with our caretaker provider and the upcoming procurement that we're going to be out to commission shortly. Also wanted to say a big thank you to our provider MKGP Plus, who's currently holding the contract and Bruce Abel joins us, the operational manager for MKGP Plus on the call today to talk about maybe and answer some specific questions in relation to the practice. And also a big thanks to Urban and Civic and all the work that they have been doing with our health commissioning team in regards to getting a really good health center built on a permanent health center built on the new site at Water Beach. I won't dwell too much on where we are at the moment, but I do want to sort of be based on time, but I do want to talk about what we're doing to make sure that we transition from where we are today with the surgery in the village, where we need to be in terms of the interim arrangements and where we're going to get to with a permanent health care facility in the new town. So obviously, we've been through two years of a very severe pandemic. A lot of our models of care have changed as a result of that. And again, that sort of testament to the resilience of the patients at Water Beach. We've had to sort of adopt very much triage first model of care, where a lot of that care has been done digitally via telephone. And then when clinic is required, then face to face in the practice. We've seen a big digital revolution as well during those two years with patients accessing online and video conferencing. And I think that's really going to be pivotal in whatever we design going forward for the new health care facility at Water Beach. We've learned a lot from COVID in regards to hot and cold areas and patient flow, but also the importance that some patients do prefer having that sort of digital access, whereas others do prefer having that face to face access and getting that balance right between what patients needs and what we're able to provide as a health care provider. I put the CQC there. So the Care Quality Commission are regulators for health, making sure that we're delivering safe services and effective services. So as many of the patients will know, we've gone from an inadequate position to requires improvement, the latest CQC inspection happening, the back end of last year, which still requires improvement. But the CQC have been really impressed with MKGP plus getting improvements in all areas and building an action plan, which is going to be deliverable over the next year. We're now in a position as commissioners to go beyond our caretaking contract. So we have a caretaking contract which ends at the end of this kind of the year, December 22. So we're going to be starting a new procurement exercise, a contracting exercise where we go to the market and look for a longer term contract to be procured. For some of you, contracts will be maybe peculiar to understand in the NHS, but if I just go back a little bit, say Dr Algarzy, who was the GP sort of two years ago, had the contract there who retired. Unfortunately, when that happens, these contracts are in perpetuity called GMS Contract General Medical Services. When that ends, the commissioner has then to go to the market and procure what we call a fixed term contract. And because we didn't necessarily have a strategy in place at that point in time, working with Urban Civic for the longer term, we went out for a short term caretaking contract. We're now in a position where we're going to procure what we call an APMS, so an alternative provider medical services contract. And we're looking to the market for a seven plus three year contract. So that gives us the longest possible time we can get under these contract regulations, where we can get a provider to come in and commit to a 10 year contract to deliver healthcare services for the patients at Water Beach. So that will be happening from a commissioning point of view. As patients and the village, you'll see no difference this year to that. So the services will continue to be operated out of the village surgery. And that will be the case up until we have an interim arrangement possibly next year. So we're going to invest some money at the moment into Water Beach surgery to reconfigure the staff room to make the staff room into more to clinical rooms to give you greater access for patient appointments and for clinicians to work out of. We're also been in communications with the local village pharmacy, where we have a room there that we can also use if required. And we're working very closely with Urban and Civic to have interim arrangements where we have two consulting rooms, two ancillary rooms and some shared reception areas in the community facility whilst we see the increase in patients coming into the village and moving and buying into the new properties that have already been mentioned. We then are going to get into the exciting bit of designing and talking with Urban and Civic in getting a healthcare facility, which is fit for purpose, new obviously, and can provide an integrated care service to our patients. As I'm sure some of you will know that at the moment the NHS is again being restructured. So later this year in July the first we become an integrated care system, which means that funds will be merged across the health sector. So from acute services, emergency care, urgent care, community care, mental health care, primary care, will all be amalgamated. So what we'll be probably seeing is where you have a very traditional model of care at the GP surgery, where you have GPs, nurses, healthcare assistants for bottomists, maybe a clinical pharmacist, a social prescriber. We're going to see a service which is going to have an array of different professionals, different services, and different access for patients. So that's the exciting part of where we're in the planning stages. So we hope to, for example, have diagnostic services there, having access to good mental health provision. There's a big emphasis on social prescribing and having self-care models and also bringing in the allied health professionals to do things like physiotherapy, cancer treatments, respiratory services, so more specialist services closer to home, rather than patients being expected to travel to the large Adam Brooks or Patworth or the Beterborough Hospital for that type of care. So the other thing, the other big thing that's happening in the NHS at the moment is that once we do move to an ICS, we're going to be further devolved responsibility to delegate other primary care services. So we're going to start to commission dentistry, optometry, and clinical pharmacy. So with that in mind, we will be hoping to work with Urban and Civic to have a site, a health centre hub, where you're going to be seeing an array of different primary care services operating out of that site. So an exciting proposition, a lot of work to be doing between now and then. We do want that feedback from the patient participation group and the wider patient stakeholders for Water Beach. And we're working hand in hand with our current provider and Urban and Civic to get to that point. Just briefly, just mindful of time, I just did want to just mention that at the moment as commissioners in Cambridge and Beterborough, we are incredibly aware of the pressures in general practice and getting access for appointments for on the day demand. So we do have extended access commissioned. So that's the evening appointments, weekend appointments, which your local practice can fit you into and book you into as necessary if they can't see you during core hours. And we've also again extended our search hub capacity. So for the rest of this month, and we've been running this now for the best part of the year, the search up capacity. So again, if you're struggling to get appointments during core hours, then there are hubs to have access between one and seven o'clock Monday to Friday, those additional appointments. At the moment, are you coming to a close? I can do, yes. And thank you for questions. Thank you. Okay. Is that all right? And if you've finished with your presentation, could you stop sharing your screen because then we can handle the rest of it? Okay. So and in fact, thank you very much. Thank you. Thank you very much indeed for that. That's really helpful. I just wanted to say in fact, the first question from Jane Williams is actually very similar to one I wanted to ask. Jane has asked, will the village lose its surgery when the health centre in the New Town is commissioned? My question was actually, will you continue to have a presence, a location in the village when the New Town premises are built? No, we don't plan to have that location in the village thereafter once the new building is built. Part of the precariousness of the current surgery is that it's owned by a previous GP who's retired, who owns and is the landlord of that surgery. So what is a precarious situation is that contract will only last as long as the lease is signed. So the lease is a short-term lease at the moment in conjunction with the fact that we have a new facility being built on the new barracks site. So that will come to a natural end anyway and I understand the landlord who owns that building will want to use that as their pension and that will be probably sold, I would imagine, and the investment and our revenue costs will go into the new building thereafter. Probably new lease is 20, 30 years, we sign up to do so that's the NHS paying whatever GP contractor will be commissioned to provide services from there for the new site. The reason I'm asking that is because David, I know that people will be very sorry that they won't be able to walk easily to a doctor's surgery. I wondered if you had any commitment to continue with some of the services being delivered at all in any local premises, maybe at the pharmacy, for example, if there were rooms there. Well, we have had discussions with the pharmacy owner in regards to a room that we can utilize if patients would find that helpful. I think we've always got a balance between value for money and what we're able to commission and what we're not able to commission. So what we can't do is pay for two premises for the same patient group necessarily and we need to put all the investment we can in regards to the capital but also the ongoing revenue costs into the new building. So once the site has been built between then and now, we have a phasing. So we'll have some reconfigurations of the current surgery. We'll have the community facility on the new site doing some rooms in conjunction with the surgery still situated at Water Beach Village. And once the new premises is built and occupied and we move the contractor in there, then my understanding will be that that surgery will then be serviced to needs. Okay, thank you, David. I'm sure people in the village would very much like to see a continuing presence in the village just because they can walk to the doctor's surgery currently, whereas it might well be quite a long way away if it's in the new town. Anyway, over to you, Sharon. And the next question from Nigel C. Marks. David is about the quality of the GP service. So it's great that the GP service is improving but it's still not working at best practice. So when do you believe Water Beach will have a service fit for purpose that can handle all the developments? I'm still waiting for GP feedback three plus months after a farewell for example. And you've covered that in your about phasing, but when will the current site close down roughly 2024? Yes, I don't know whether Urban and Civic want to mention the timeline for the permanent building. And it goes back to what was talked about sort of occupations of dwellings being built. I'm happy to jump in if that would be helpful. Yeah, absolutely. So as David said, we've been working closely on how we can help in the kind of short, medium and longer term. The first interim payment was made to help with the that was from the Papworth 106, which went towards the refurbishment of the existing building that David spoke about. And now we're working on our new community center that will include rooms for health provision also, and we'd expect that to be open by next year, possibly by the end of next year. I'm hopeful we're due to get that application in in the next few months. So we'll be going as fast as we can to get that community center open by probably next summer, which I would hope just depending on build time scales. So I will confirm the exact time scales, but aiming 23. And that will then, as David said, take some pressure off to provide that extra space and services, which will be both in the north of the development and then also in the existing village. And then longer term, we've always looked at a location in the barracks. So kind of, you know, halfway between to make sure that access considers people coming from the village, but also from the north of the new developments, we're literally trying to to meet in the middle with the new facility. And we've made sure that this flexibility around how we build that out. And I think that's very much embedded in the in the one a six agreement that we would build as we go. We've always said that the first that permanent center comes forward at 1600 units. So that's the end of the first phase, which we've always said would be around 2027. Again, those times, those triggers are linked to as Mike said earlier, these are obligations linked to triggers of delivery of units. So then there's not an exact time scale. But what we were working closely with David's team is just making sure that aligned with the timing of the lease agreement originally that was going to end into around that time scale as well for the existing building. So I think we're constantly going to be talking with David and the team, looking at how we build that out flexibly to make sure the provision is there at the right time. Indeed. Can I just make mention to Nigel's other part of the question? Very, very quickly, please. Yeah. So Nigel, I appreciate this is probably a personal question to you. So if you want to sort of ask that question of myself or Bruce offline, then we're happy to answer. But if it's referring to a secondary care referral, there is a patient help line, which should be there should be a telephone number on the website for the practice for you to call to see where you are on the waiting list, if that's, if that makes an answer to your question. But happy to take that offline with you, Nigel. Thank you very much, David. We need to move on now.