Dear Sir or Madam,

We are conducting a project around neurology, specifically migraine and headache and would be grateful if you could answer the following questions.

1. Does your ICB gave an inter-organisational group with a responsibility for neurology? (e.g. clinical prioritisation group, clinical reference group)

If no, what governance process is in place for decisions relating to neurology pathways?

2. Is there a person with responsibility for migraine and headache services?

If yes, what is there name and role?

3. What is the name and job title of the individual responsible for leading the group?

a) ICB lead
b) Primary care lead
c) Secondary care lead

4. What is the name and job title of the individual responsible for overseeing the set of inter-organisational groups across your ICB (e.g. Clinical Prioritisation Group, Clinical Reference Group)?

5. If an inter-organisational group with a responsibility for neurology exists, which organisations are members of this group?

a) Acute providers
b) Community providers
c) Voluntary and Charity
d) Primary care
e) Other

6. Does your ICB have a budget specifically allocated to neurology?

If yes, what is the value of this budget?

7. What is the name of the ICB’s Chief Pharmacist?

What is the name of the medicines management / high-cost drugs Lead?

8. How does your ICB make decisions around ICS budgets to determine how to invest and who is responsible for this?

What is the name of the person responsible for service transformation and contracting primary care providers?

9. What forums do you have for primary and secondary care to collaborate and design services around population needs?

10. What, if any, specific priorities do the ICB have around neurology, and migraine in particular?

11. Are there any examples of any Integrated Care Partnerships, Primary Care Networks or Provider Collaborations in your ICB who have focused on reviewing pathways relating to migraine and headache?

12. What governance process does the ICB have in place for reviewing clinical pathways?

13. What is the name and job title of the individual(s) accountable for the effectiveness of clinical pathways?

14. What is the name and job title of the individual(s) accountable for the redesign of pathways?

Yours faithfully,

Niklas Marksteiner