Neidio i'r prif gynnwy

Papurau Cyfarfod Cyd-Bwyllgor Rhanbarthol

0:02 from each of the three member health

0:04 boards and be devon card and mango and

0:08 also confirm that we have representation

0:10 from the two associate members teaching

0:13 health board and blindra university NHS

0:15 trust

0:17 Samir Edmunds planning director of Welsh

0:19 government is here to observe and I

0:21 understand Samir you might need to leave

0:23 just before the end of the meeting so

0:25 note that and Christo Morris director of

0:28 Southeast Wales regional collabor Ive is

0:31 is here to support the work of the

0:32 committee and to potent items later on

0:34 in the agenda. Please note this meeting

0:37 is being recorded and a copy of the

0:39 recording will be available following

0:40 the meeting on the three health website

0:43 if anyone wishes to wait. I can confirm

0:46 that we've not listened to any questions

0:48 from the public in advance of today's

0:50 meeting.

0:51 I now turn into apologies for absence

0:54 and record apologies from Phil Robson

0:56 the vice chair Mland University Health

0:58 Board and Neil Measure the independent

1:01 member at Kart University. I've not

1:05 received any notice of declarations of

1:08 interest prior to the meeting. Has

1:09 anyone got anything they wanted today?

1:14 So we move on to item 3.2.1 2.1 which is

1:18 the appointment of the chair as per

1:20 paragraph 17 of the terms of reference

1:22 which are approved by the three health

1:24 boards. The chair of the RJC will be

1:26 drawn from the chairs of the three

1:27 health boards and the first appointed

1:30 chair will serve until the 31st of March

1:31 2027.

1:33 The other two health board chairs will

1:34 then serve as joint vice chairs of this

1:37 committee. At this point I'd like to

1:39 turn to the three health board chairs

1:41 and ask for a nomination please.

1:44 We have discussed some and uh Kirsty and

1:46 I would like to nominate John please.

1:50 Thank you uh an and Kirsty.

1:53 Absolutely. As an said we'd be very

1:55 pleased to ask Jonathan to serve in this

1:57 role.

1:58 Thank you Christie. So Jonathan can I

2:01 confirm you accept the nomination chair?

2:03 Yes. Delighted to

2:05 thank you Jonathan. So we will record

2:07 Jonathan Morgan has been nominated and

2:09 accepted the role of the chair of the

2:10 regional joint committee and I will now

2:12 hand over the chairing of the rain

2:14 meeting to Jonathan. Uh thank you and

2:17 thanks for starting the uh meeting uh

2:20 this afternoon. Firstly, can I just

2:21 thank my fellow chairs for nominating me

2:23 to be the the first chair of the

2:25 Southeast Wales Regional Joint Committee

2:27 and I look forward to doing so for the

2:30 next 14 or 15 months. So thank you very

2:33 much for for that opportunity. Can I

2:35 also say um a very big thank you to all

2:38 of you for the workshop that we held

2:40 prior to this meeting taking place. I

2:42 think it was a good start uh for us to

2:44 to come together to reflect on the the

2:47 opportunity that the regional joint

2:49 committee presents to us as a a range of

2:52 statutory bodies covering the southeast

2:54 Wales uh region. Uh and I would like to

2:57 at the outset uh pay tribute to all of

3:01 our colleagues across our statutory

3:03 bodies who have already worked very hard

3:05 thus far together in attempting to

3:08 deliver a range of solutions to a number

3:11 of the challenges that we face across

3:14 our healthcare system. Whilst this is a

3:15 new start uh for us as a collective

3:19 through this uh committee uh we of

3:22 course are not um

3:25 regional joint working is not something

3:27 that's unusual to us because that is

3:28 something that has been done extremely

3:30 well actually by our colleagues across

3:32 our system for a number of years. I just

3:34 think it's worth recognizing that I

3:36 think we're starting from a very a very

3:38 strong point uh in terms of those

3:40 relationships, those ambitions

3:42 um and some of that delivery. First, I

3:45 think as a regional joint committee,

3:47 this isn't just about providing a

3:50 framework or a level of governance over

3:52 what we currently do. It's about setting

3:54 out overtime uh with clarity the

3:57 ambition and opportunity to really do

4:00 things differently uh in some key areas

4:02 where that is possible for the

4:04 population the 1.5 million population

4:07 that we serve across Southeast Wales.

4:09 And I think doing that with ambition,

4:11 with hope, with excitement, uh seizing

4:13 that opportunity I think is really is

4:16 really important and for us to be able

4:17 to articulate that not just within our

4:21 own organizations but externally uh

4:23 amongst those organizations with whom we

4:26 work uh our colleagues in local

4:28 government, our colleagues in the third

4:29 sector uh and of course working with

4:32 government to ensure that we are able to

4:34 deliver on the agenda that we as a

4:36 regional joint committee set. So, thank

4:39 you very much for agreeing that I should

4:41 chair for the next 14 to 15 months and

4:45 uh I look forward to what we're able to

4:47 do collectively as a regional joint

4:50 committee. Thank you very much. Um we

4:53 are going to move on to some matters of

4:55 business this afternoon that we do need

4:57 to uh to discuss and hopefully to uh to

5:00 agree. So, I I will move on to the

5:03 update to the terms of uh reference. uh

5:07 there is an update that has been uh

5:09 proposed suggested in fact by the cabin

5:11 secretary uh and I'm going to ask Gareth

5:13 just to present the paper just to talk

5:16 us through where those terms of

5:17 reference are needing to be addressed.

5:20 Thank you G.

5:20 Thanks.

5:21 Thanks John. So as I mentioned in my

5:23 opening remarks the terms of reference

5:25 were signed off by three health boards

5:27 uh in September. Subsequently um shared

5:30 with W government colleagues I know that

5:33 car sector begins to be interesting

5:35 obviously the work of the regional

5:37 committee. So he has made um um some

5:41 suggested changes which not material but

5:44 um important in terms of being explicit

5:46 around lines of accountability I think

5:48 were main driver in in these proposed

5:51 updates. I I won't um repeat what's in

5:54 the paper. I think it's pretty self, but

5:57 what I'm looking for today is

5:58 endorsement from uh the RJC for onward

6:01 approval of these changes.

6:05 Thank you, J. I I did mention this

6:07 briefly to Chris last week. Just 21B

6:10 um the name of Vindra um University NHS

6:15 Trust has just inserted the word

6:17 university.

6:18 So you can incorporate that.

6:23 Hi. Um so, uh our director of corporate

6:26 corporate governance has obviously been

6:28 involved in these but can we just um

6:31 note on the meeting today that in page

6:34 2.14b

6:36 where the phrase population by three

6:39 health boards is used and also used

6:42 throughout the documentation that we can

6:44 note that formally includes the

6:46 population health.

6:53 Y thank you much

6:57 colle's happy to endorse the uh

7:00 suggested changes which are listed in

7:02 the paper

7:04 thank you very much appreciate it uh

7:06 item 32.3 the current work program uh as

7:10 I said earlier there's been a

7:11 considerable amount of work that's been

7:13 done over a period of years um in

7:15 respect of you know that joint uh effort

7:18 in southeast Wales and in terms of the

7:20 current regional program I'm just going

7:22 to ask Chris to introduce this item and

7:25 open it to questions colleagues have.

7:27 Thank you chair. I'm just going to give

7:28 a very brief update of some of the

7:30 existing programs and areas where I'm

7:31 collectively working in the region. Um

7:34 as many members will know we've got

7:35 existing programs around orthopedics,

7:37 diagnostics, opthalmology, um stroke

7:39 services and cancer services. So I'll

7:41 briefly run through some of these. I'll

7:43 also invite some colleagues around the

7:44 table to contribute as well. So in terms

7:46 of our orthopedics program, many of you

7:49 have seen as part of your work on boards

7:51 that um we took a plan to September

7:53 boards um setting up the micro capacity

7:55 physicians for the region um for um

7:59 orthopedics and identifying the

8:00 opportunities um collectively through

8:02 that for improvements in particular

8:04 identifying the challenges that we've

8:05 got around um lower limb um arthroplasty

8:09 and contributing therefore to

8:10 development um house park work as well

8:13 as lots of excellent work happening in

8:14 that space around consistency and

8:16 standardization of um processes.

8:19 Similarly, within the diagnostics

8:20 program, there's been a significant

8:22 piece of work and concluded in recent

8:23 weeks around the demand capacity for um

8:26 radiology services um which identified

8:29 um some good information around our MRI

8:31 and CT capacity. There's you know a

8:34 particular challenge around our

8:35 synography um services as well. And

8:38 within that diagnostics as well we have

8:40 the endoscopy work where again good fet

8:43 demand capacity work has been undertak

8:45 across the region and we've been able to

8:47 identify a path towards bringing us into

8:49 sustainability through the plant and

8:51 health part program. I think it's

8:53 probably worth on the back of those two

8:55 very brief updates just pausing on

8:58 health part noting that we've got some

9:00 formal um cases coming to um board next

9:02 week. I don't know if Gin is the program

9:05 lead for South Park just wants to update

9:07 on where we are in the case development.

9:09 Yeah. No, thank you. Thank you Chris. Um

9:12 so um phase the first the first uh paper

9:15 that came through um all boards was the

9:19 uh the outline business case for phase

9:21 one which was the community diagnostic

9:23 hub um which is the development of a

9:26 facility to include up to two additional

9:29 CT scanners, two additional MRI

9:31 scanners, um ultrasound rooms and and a

9:34 and a six room endoscopy facility. Um

9:38 and associated with that would be the

9:39 national training academy for endoscopy

9:41 for for Wales. Um so that that case was

9:45 um uh was approved at the CTM board

9:48 endorsed by both the Cardiff and Veil

9:50 and Iron Bean boards um and and

9:53 proceeded to IIB uh the investment board

9:57 with Welsh government um where it has

10:00 been supported. We have got um the full

10:03 business case for phase one um coming

10:06 through for boards now in in November um

10:09 which will be for um for for for for the

10:13 the broader um the modern capacity

10:15 revenue consequence and um um and and

10:19 the capital investment in into that. So

10:22 that that that will be coming through

10:24 through boards um uh in November in

10:27 addition to to the full business case

10:29 for phase one is the outline business

10:31 case for phase two. So phase two is the

10:34 orthopedic um surgical hub. So as Chris

10:38 touched on, we know we have a demand and

10:40 capacity gap for lower limb arroplasty.

10:43 So that's your hips and knee

10:45 replacements um across Southeast Wales

10:47 through through the regional work that

10:49 that that has been undertaken with Welsh

10:51 government colleagues um and that has

10:54 allowed us to um to pull together this

10:57 proposal for phase two. This will be to

11:00 open up uh investment in six additional

11:04 um operating theaters for the South

11:06 Wales Southeast Wales region associated

11:09 water capacity um and has been designed

11:13 based on all the latest uh units across

11:17 the UK. So there's been um

11:19 multi-disiplinary teams um that have

11:21 have gone there to see um how how how

11:25 pathways have been most developed. So

11:27 very much predicated on very short stay

11:29 um uh working and and and pulling

11:32 through. So that those cases will be

11:35 coming through your boards this month.

11:37 Um and uh and in terms of progressing

11:41 the full business case then for the

11:44 orthopedic um uh orthopedic unit will be

11:47 in um in in in quarter four.

11:54 The um other element then that falls

11:56 part of the diagnostics program is the

11:58 pathology um program meeting of the

12:01 pathology um program report this

12:03 morning. Um there's been some really

12:05 positive work that's taken place across

12:06 the region in that space. Um most

12:09 recently in particular looking at um how

12:11 we consistently count system and apply

12:13 the RC path point in a coherent

12:16 consistent way. So we are talk all

12:17 talking the same language in topology.

12:20 Um and that has had supported a piece of

12:22 demand and capacity work where the data

12:24 has now been provided and we're working

12:25 with colleagues from NHS performance and

12:27 improvements to review the data that's

12:29 been submitted from organ organizations

12:30 in understanding ourology demand

12:32 capacity. Um there's also work going on

12:35 and looking at a combined asset

12:36 register. So understanding what is the

12:38 capacity that we have in terms of

12:40 assetology assets across the region.

12:42 Then a key piece of that work as well is

12:45 working through what our options are

12:47 around for um future pathology um

12:49 development and considering some options

12:51 appraisal to that site recognizing

12:54 actually across our estate and

12:55 particularly for comes out in Cardiff

12:58 and Bale house boards there is a need

13:00 for um infrastructure in the future in

13:02 those spaces but Paul you want to say

13:04 anything more about

13:05 yeah no I mean I think as you say Chris

13:06 it's been helpful and I think learning

13:08 from some of the improvement work that's

13:10 gone in AB around pathology ology the

13:13 the teams have been working to try and

13:16 learn from that experience and try and

13:17 optimize the existing capacity but the

13:20 reality is we know that there is a real

13:22 pressure in pathology across the board

13:24 and and as you say the infrastructure in

13:26 some of our sites is pretty poor and

13:28 can't deal with what we need to have in

13:30 the future. So there is this bit of work

13:31 going on at the moment linked to also

13:34 some opportunities that are being um

13:36 actively promoted through world

13:38 government around opportunities for

13:40 additional resources that might be

13:42 available to support um life sciences

13:45 pathology and and that wider uh

13:47 integration of services across um like

13:52 genomics and others. So I think there's

13:53 a a real opportunity which we're going

13:55 to bring an update to at the next

13:56 oversight committee about some progress

13:59 and next steps around that piece of work

14:00 on the estate. Um but but I like all

14:03 these things part of it is just getting

14:05 everyone to the same baseline and

14:07 starting to count and collect data and

14:09 information in a consistent way across

14:10 the bringing the clinical team together

14:12 to share and learn together I think

14:14 would be hugely val.

14:17 Then the other um work programs we've

14:19 got are onology work programs. Apologies

14:21 that I've lost on this one over it for

14:23 the last few years. But um so um with

14:25 that one at a strategic level, the areas

14:27 of focus we're trying to build into are

14:30 in particular our workforce planning

14:31 across the region. Um apologies

14:34 particularly the special provided scarce

14:36 resource. So how do we grow our own and

14:38 develop that that capacity that we need

14:40 across the region? And in particular,

14:42 we're looking at how do we move some of

14:43 the service development we've achieved

14:45 in the last few years into business as

14:46 usual. What's that model look like from

14:49 a program based into a business as usual

14:51 and regional caparact service? The

14:53 particular focus in the opthalmology

14:55 program has been the cataract work. And

14:58 I think it's worth noting and telling a

15:00 bit of story here about actually things

15:02 that we can achieve as a regional

15:04 partnership. When we started and put

15:06 together a business case um three years

15:08 ago um as a region, our core capacity

15:11 for catact delivery was five about 5,800

15:14 cases. That that's what we were

15:16 delivering as catact services between

15:18 the the three organization. Um last year

15:21 as a region we delivered 13,000

15:25 1,300 um sorry 13,000 cases. I'm zero.

15:30 We haven't we haven't caught our so we

15:32 delivered 13,000 cases. So we more than

15:34 doubled our capacity through our

15:36 regional um working from there. Um and

15:39 if we think about this year's plan, this

15:42 year plan is to deliver between 24 and

15:44 25,000 cases. So again, where we started

15:47 three years ago as a baseline 5,800

15:50 cases to where we are now, that is a

15:52 significant growth in our capacity. And

15:55 I think it's worth reflecting as well

15:56 that that's not all about outsourcing

15:59 and using external providers. our core

16:02 NHS capacity is now um over over 10,000

16:07 um cases essentially. So we've built up

16:10 significantly that capacity. We managed

16:12 to establish some high flow hubs in in

16:15 Neville Hall and in um in Vandoc um to

16:19 deliver those services. We've

16:20 established a shared list process. We've

16:21 established this joint booking process.

16:23 We've established a methodology of

16:25 accountability around service. And also

16:27 importantly as well through the

16:29 commissions working together we've

16:30 driven an improved standard in numbers

16:32 and the quality of the service we're

16:33 doing consistent number of the list and

16:35 we're operating

16:37 that is not not say that the program is

16:39 without risk we are having challenges at

16:41 the moment in one of our our outsourcing

16:44 providers and managing that delivery

16:46 process through the risk that we manage

16:48 operationally collectively. So I think

16:50 there's a positive story to tell in the

16:52 opology work about how we we have

16:54 significantly increased the capacity

16:56 across the region and within that

16:58 sustainably brought down waiting times

16:59 as well. Um the last couple of areas to

17:03 briefly touch on that we're working

17:04 together on are in terms of um stroke

17:06 services. It's predominantly work

17:08 between um card and catalog health

17:11 boards in looking at um how do we

17:13 develop a sustainable medical approach

17:16 to um stroke between the organizations

17:19 and that baseline work assessment work

17:21 and looking at what is being done at the

17:23 moment. And then finally the area where

17:25 we're working together an area that

17:28 Lauren has been on around the council

17:29 work. So again, lots of work happening

17:31 in in our economical space around the

17:33 the regional aspect. Your chair.

17:36 Yeah. Um give away the leadership there.

17:38 But um about the the regional um MDT

17:41 approach, the kind of regional um

17:43 patient list approach looking in

17:45 particular prehabilitation services how

17:47 we improve those and a particular

17:49 challenge service around our

17:50 hematonology services how we try to

17:52 improve. So I think it's recognized that

17:55 there is a a huge amount of work going

17:57 on in our existing work program.

18:01 Thank you. So thanks again for the

18:03 update as well. Any questions on the

18:06 existing work programs and

18:09 is a part of that?

18:12 Yes. So thanks Chris really good update.

18:14 I think it's also that we are trying to

18:16 get that be the regional digital program

18:19 of work and running as well isn't it? I

18:21 know our there is a digital across all

18:23 of the organizations are working

18:24 together to try to get their appointment

18:26 work aligned to which I think is a

18:29 really positive step as well. Lots to do

18:30 but I think they've made some good

18:32 progress together.

18:33 There's a workshop I think planned isn't

18:35 there?

18:35 Yeah.

18:39 Suzan so I I guess we will probably in

18:42 the future have um our risks

18:46 discussion. So we don't need to do it

18:48 now but we will need to do it.

18:53 Come back for the the next meeting and

18:56 yeah great summary of the work underway

18:57 and just to acknowledge across all the

18:59 teams notwithstanding some of the

19:01 challenges we picked up earlier in the

19:02 workshop. Um I think it's really

19:05 positive we've collectively worked

19:06 worked through a number of those. Um I

19:08 guess the bit I would just um touch on

19:10 and Suzanne mentioned risk is how where

19:13 with with all of these programs

19:15 particularly work on LHP what work we

19:17 need to do on engagement um with the

19:20 community so I know there's work in

19:21 train and our Smith's life so you know

19:24 there is work happening but I just think

19:26 it's something that us as a board need

19:28 to keep close to um as well I mean those

19:31 papers will be going public this week so

19:33 I imagine already in terms of a bit of a

19:35 coms um there'll be interest there

19:38 because um the interested parties will

19:40 be picking up on the conversations at

19:42 our respect to boards. So there's

19:44 something about that comms and

19:45 engagement piece for me as well. I think

19:48 on that on that point of how we message

19:51 and communicate what the value is of

19:53 this as a regional joint committee

19:56 bearing in mind the statistics that that

19:57 Chris ran through a moment ago there is

20:00 an obvious benefit to

20:03 for the population of Southeast Wales

20:05 because of the work that's already been

20:06 undertaken by our colleagues across our

20:09 healthare system. And so for those

20:10 people out there who will look at this

20:12 regional joint committee and wonder what

20:13 on earth this is about uh and perhaps

20:16 draw a conclusion that this is just

20:18 about us getting into a room for a cozy

20:20 conversation when it really isn't. Uh I

20:22 think we can demonstrate quite well thus

20:24 far that we've been bring benefit to

20:27 that that that working together. So if

20:30 we're looking to communicate at some

20:32 point the ambition for the future, I

20:34 think we should be able to do that on a

20:35 very firm footing based on what we've

20:37 done so far as an organization. But I

20:39 think we have to think about how we

20:40 communicate that and there'll be

20:42 colleagues within you know in CTM I'm

20:44 sure it's the same in in carbonale and

20:46 probably in AB as well who may not be

20:48 aware of perhaps the extent of the

20:50 benefits that we realized collectively.

20:53 So there's an opportunity there I think

20:54 for us to to address. So just building

20:57 on that point, I think it's really

20:58 important particularly in in the context

21:01 of LHP and the affordability of LHP that

21:04 we also make some of that narrative

21:06 about the extra money we've secured into

21:09 the region because some of that capacity

21:13 has been funded by us and some of that

21:16 capacity has been funded through

21:18 external resources

21:20 um coming into our various waiting list

21:22 positions and I think it'd be really

21:24 good if we could map the extra resources

21:26 that we're getting into the system over

21:28 time because constantly and it might

21:32 just be us there's the kind of

21:34 assumption that sustainability uh the

21:36 money gets withdrawn and I think that's

21:38 one of the things that we're going to

21:40 have to work our way through how do we

21:42 navigate that territory and get security

21:45 of recurrency of funding where we need

21:48 it and not where we don't so where we're

21:49 delivering efficiency that should be on

21:52 us where it is it is something that

21:54 needs additional funding How do we

21:56 source that? And that is one of the

21:58 bigger problems I think in taking that

21:59 case through that we'd be negligent if

22:02 we don't kind of face into a bit in this

22:04 meeting.

22:07 And just on picking up P's point on

22:09 engagement. So the areas our population

22:11 of S Powers would be particularly

22:13 interested in stroke work. Um and then

22:16 any changes particularly around travel

22:18 and so forth of LHP for as those plans

22:22 develop. So just to note those will be

22:25 to our population of particular

22:27 interest.

22:31 Okay. For another comments or questions.

22:33 So Chris will move on to the the next

22:35 item which is the the future work

22:36 program.

22:36 Yeah. This will just be very brief. Um

22:39 we held a workshop before before this

22:40 session and talked about the areas we

22:42 wanted to focus on and we'll be

22:44 developing that into a more formal work

22:45 program to bring back to the next

22:46 meeting. Essentially it be around

22:48 delivery in our existing programs. um

22:51 considering how we transact and do

22:53 business and our model for delivery um

22:55 within this um uh board and wider um

22:58 developing our shared narrative and that

23:01 collective um storytelling as a group um

23:03 and also looking at our process or how

23:05 we identify collective opportunities

23:07 going forward. How do we get the best

23:09 benefit of the services that we want to

23:11 bring through this group?

23:16 in terms of the future work program

23:17 anything at this point I think something

23:19 that we're going to be likely some case

23:21 I suspect but okay um we do have uh

23:26 under item 4.1

23:28 a procurement specification that we're

23:30 being asked to consider and to to

23:32 approve this afternoon so Chris you can

23:34 just talk us through it I know it's in

23:35 relation to work

23:38 yeah very very briefly then um this is a

23:40 proposal to procure um an organization

23:43 partner to work with us I think we all

23:46 recognize and it's and it's set out in

23:47 in the terms of reference and what we've

23:49 discussed actually how we work together,

23:51 how we operate and how we support our

23:53 teams in operating on a regional basis

23:55 is um absolutely crucial and therefore

23:58 um the proposal um looks at um procuring

24:01 a partner to work with us in support of

24:03 that essentially working across um three

24:05 levels. So facilitating work of the

24:08 joint committee itself in in developing

24:10 its processes and thinking about um how

24:12 it operates and um co-designing some of

24:15 the um how it works um together um

24:18 working across um executive teams. So

24:20 how do we build um our dynamic of how we

24:23 work together but also an opportunity

24:25 for a partner to work with some of our

24:26 wider regional teams as well. We might

24:29 think that some of our clinical

24:30 representatives and particularly some of

24:31 our senior clinical leaders. We know

24:33 there is a need for us to work and bring

24:36 some of those leadership teams together

24:38 in different ways to to think about way

24:40 we operate services on a regional basis.

24:42 So um the the specification um also

24:44 provides capacity.

24:48 Thank you Chris. Any comments or

24:50 questions on the

24:53 detail of the spec and the request to

24:56 proceed it's a very sensible thing that

24:58 we should be doing at this stage. Yeah.

25:00 Know think it's a really good idea and

25:01 I underestimate the impact. I think I

25:04 suppose it's just us making sure in

25:06 terms of the scope and that we get good

25:10 value from

25:12 as we all know we got financial position

25:14 we need to make sure we have the impact

25:16 we anticipate. So we just need to test

25:17 that with

25:22 a colleague's happy to approve the

25:24 specification. I know Ann's needed to to

25:27 leave, but she has indicated that she's

25:29 happy to approve.

25:34 Okay. Um I don't have any other uh

25:38 urgent business unless anybody has

25:39 anything they want to raise no.

25:44 Um in terms of the timing uh of our our

25:47 next meeting, um dates in February and

25:50 March are being explored. So, we'll get

25:52 that sorted as quickly as possible. Um,

25:54 as chair, I'm very keen that we meet uh

25:57 in person. I know it's hard. It does

25:59 mean that we will have to leave our

26:01 offices and and get to one place

26:03 together. But I think having people in

26:05 the room, you know, it's it's it's

26:07 healthier. I think it's better for our

26:09 our ways of working and uh building

26:12 those relationships is really really

26:13 important, I think, to us as a as a

26:15 collective. So if that's okay with you,

26:16 we'll attempt to get a a date in

26:18 February or March uh in uh in person.

26:22 And before I finish, can I also thank

26:24 Gareth and Cali for supporting us um

26:26 this afternoon with the organization and

26:29 Chris the planning as well in support of

26:31 the the first meeting

26:37 amino.

26:40 Uh I now bring the meeting to a close

26:42 and I would like to extend my thanks to

26:45 all those who participated in the

26:46 meeting or have observed our proceedings

26:49 virtually. Thank you all very much. Good

26:50 to see you.