SlideShare a Scribd company logo
1 of 23
Download to read offline
Establishing	a	Value-Adding	
PMO	in	the	NHS	
Project	Challenge	2016	
	
	
	
	
Version	1.1	
Prepared	by:	Catherine	Onanda	(Head	of	PMO)
©	Bestoutcome	Limited	2016	2	
What	is	a	CCG?	
  Clinical	Commissioning	Groups	(CCGs)	commission	most	of	the	hospital	and	
community	NHS	services	in	the	local	areas	for	which	they	are	responsible.	
Commissioning	involves	deciding	what	services	are	needed,	and	ensuring	that	they	
are	provided.		
  Services	CCGs	commission	include:	
  most	planned	hospital	care	
  rehabilitaRve	care	
  urgent	and	emergency	care	(including	out-of-hours)	
  most	community	health	services	
  mental	health	and	learning	disability	services
©	Bestoutcome	Limited	2016	3	
East	Surrey	CCG	–	Who	Are	We?	
  NHS	East	Surrey	Clinical	Commissioning	Group	(the	"CCG")	has	a	membership	of	18	
GP	pracRces	and	commissions	healthcare	for	170,000	paRents	in	East	Surrey.	
  We	are	commiXed	to	commissioning	high	quality	paRent	services	which	deliver:	
  the	right	health	care	
  at	the	right	Rme	
  by	the	right	healthcare	professional	
  and	in	the	right	environment.
©	Bestoutcome	Limited	2016	4	
Background	
  An	external	audit	was	conducted	and	recommended	some	improvements	to	
Governance	and	reporRng	on	our	projects	
  A	new	PMO	was	formed	to	oversee	all	projects	and	improve	governance		
  We	treated	the	new	PMO	as	a	project	and	designed	it	so	that	it	was	value	adding	
rather	than	box	Rcking	
  Project	Manager	Community	were	spending	a	lot	of	Rme	compiling	different	
reports	for	different	stakeholders	
  Reports	were	compiled	in	Excel	and	PowerPoint
©	Bestoutcome	Limited	2016	5	
We	needed	‘one	version	of	the	truth’
©	Bestoutcome	Limited	2016	6	
What	Projects	and	Programmes	do	we	run?	
  East	Surrey	has	over	50	projects	that	we	need	to	deliver	as	well	as	2	major	
programmes:	
  Quality,	Improvement,	ProducRvity	and	PrevenRon	(QIPP)	
  The	(QIPP)	programme	is	a	large-scale	programme	developed	by	the	Department	of	Health	to	drive	forward	
quality	improvements	in	NHS	care,	at	the	same	Rme	as	making	up	to	£20	billion	of	efficiency	savings	
  TransformaRon
©	Bestoutcome	Limited	2016	7	
East	Surrey	sample	list	of	Projects
©	Bestoutcome	Limited	2016	8	
Our	PMO’s	Goal	
  “To	implement	a	set	of	processes,	templates	and	tools	that	allows	the	project	
managers	to	focus	on	delivering	their	projects	instead	of	compiling	reports”	
  We	wanted	the	project	managers	to	value	our	PMO	rather	than	considering	it	an	
administraRve	burden
©	Bestoutcome	Limited	2016	9	
Sponsorship 		
  Like	any	Project,	Sponsorship	of	the	PMO	was	criRcal.		
  The	Head	of	Projects	was	iniRally	scepRcal	about	the	‘administraRve	burden	of	a	
new	PMO’	
  We	explained,	communicated	and	showed	how	the	new	PMO	would	actually	free	up	project	
manger’s	Rme	die	to:	
  No	reinvenRon	of	the	wheel	
  Standard	processes	and	templates	can	be	used	
  ImplementaRon	of	a	PMO	tool	would	increase	producRvity	
  We	met	key	execuRves	who	received	project	and	programme	governance	reports	
and	explained	the	benefit	of	the	new	PMO	
	
	
This	communicaRon	and	sponsorship	was	essenRal	in	gelng	buy-in	to	our	new	PMO
©	Bestoutcome	Limited	2016	10	
Processes	that	we	developed	
  Overall	Project	framework	
  Project	IniRaRon	
  Gateways
©	Bestoutcome	Limited	2016	11	
Visibility	
  We	implemented	a	PMO	Board	showing	status	and	progress	of	key	iniRaRves:
©	Bestoutcome	Limited	2016	12	
Governance	
  We	idenRfied	the	standard	reports	we	needed	at	project,	programme	and	
pormolio	level.		
  We	established	a	weekly	drumbeat		
  Monday	–	weekly	QIPP	catch	–	up	
  Financial	Director,	Head	of	TransformaRon,	Director	of	TransformaRon	talk	through	each	project,	
using	standard	reports
©	Bestoutcome	Limited	2016	13	
Our	PMO	Tool	
  To	ensure	we	increased	producRvity	we	needed	to	move	away	from	spreadsheets,	
PowerPoint	and	MS	Project.	We	needed	a	tool	that	would	help	us	oversee	projects	
and	programmes	24/7	so	we	could	idenRfy	problems	as	early	as	possible.	
  Key	requirements	were:	
  Proven	in	the	NHS	
  EASY	TO	USE!	
  Support	for	Gateways	
  A	tool	that	we	could	start	using	simply	and	then	extend	as	we	as	an	organisaRon	matures	
  Ability	to	report	dynamically	on	groups	of	projects	for	different	stakeholders	
  A	responsive	partner	
  Ater	looking	at	a	number	of	tools,	we	selected	PM3	from	Bestoutcome
©	Bestoutcome	Limited	2016	14	
How	Did	we	Sell	the	New	Tool?	
  Using	Project	and	Excel,	the	PMO	were	oten	chasing	project	managers	for	status	
updates	and	reports	collaRng	projects		
  With	the	new	tool,	PM3,	as	long	as	the	project	data	was	up	to	date	we	produced	
reports	from	PM3	and	did	not	have	to	ask	PMs	for	reports.	This	saved	Rme	and	
was	very	popular		
  PM3	can	group	projects	into	pormolios	in	a	couple	of	clicks	and	the	reporRng	
engine	can	produce	reports	on	this	pormolio
©	Bestoutcome	Limited	2016	15	
Pormolio	Status	Report
©	Bestoutcome	Limited	2016	16	
QIPP	dashboard
©	Bestoutcome	Limited	2016	17	
PM3	–	Pormolio	Heatmap
©	Bestoutcome	Limited	2016	18	
PM3	–	Highlight	Report
©	Bestoutcome	Limited	2016	19	
How	have	we	created	a	‘value-adding	PMO’	(1)	
  We	provide	a	menu	of	services	for	the	Project	Managers	
  On-boarding	of	new	project	managers	
  Running	planning	sessions	
  Reviewing	Risks	and	running	risk	workshops	
  Unblocking	blockages	
  Helping	with	Stakeholder	Engagement
©	Bestoutcome	Limited	2016	20	
How	have	we	created	a	‘value-adding	PMO’	(2)	
  Value	is	created	by:	
  making	the	project	managers’	lives	easier		
  solve	problems	for	them	so	they	can	focus	on	project	delivery	
  The	PMO	presents	their	papers.	
  Project	managers	feel	protected	by	the	PMO.		
  The	PMO	saves	Rme		
  Savings	of	5	days	of	project	manager	Rme	per	week	by	not	hand	cranking.	
  More	reliable	informaRon	as	we	have	one	version	of	the	truth	
  GanX	charts	are	scruRnised	more;	more	interrogaRon.
©	Bestoutcome	Limited	2016	21	
How	have	we	created	a	‘value-adding	PMO’	(3)	
  There	is	no	other	opRon	to	using	our	tool	and	processes!	
  	CFO	and	ExecuRves	like	the	new	reports	and	are	used	to	the	format	
  Reports	are	automaRcally	generated	
  On-boarding	process		has	improved	and	made	easier.	It	includes:	
  PM3	
  PMO	processes,		
  What’s	expected	of	a	project	manager	
  ReporRng	and	Governance	
  We	no	longer	ask	project	managers	for	reports	as	these	are	automaRcally	
generated	from	PM3
©	Bestoutcome	Limited	2016	22	
Summary	and	Lessons	Learned	
	
  Treat	the	new	PMO	as	a	project	in	its	own	right	
  Sponsorship	is	crucial		
  Win	hearts	and	minds	of	project	managers	by	demonstraRng	the	benefit	of	the	
PMO	and	the	tool	
  Pick	the	tool	that	is	right	for	your	organisaRon	and	must	be	‘EASY	TO	USE’	
  Drumbeat	of	reporRng	so	everyone	knows	what	they	need	to	do
©	Bestoutcome	Limited	2016	23	
Click	to	edit	Master	Rtle	style	
www.bestoutcome.com

More Related Content

Similar to NHS - East surrey ccg - Creating a Value Based PMO

3. nick harding strengthening the patient voice part 1 final 2003
3. nick    harding strengthening the patient voice part 1 final 20033. nick    harding strengthening the patient voice part 1 final 2003
3. nick harding strengthening the patient voice part 1 final 2003
podnosh
 
Will Reynolds CV 2016 v4
Will Reynolds CV 2016 v4Will Reynolds CV 2016 v4
Will Reynolds CV 2016 v4
Will Reynolds
 
Transforming Health and Social Care in Kent
Transforming Health and Social Care in KentTransforming Health and Social Care in Kent
Transforming Health and Social Care in Kent
KentEstates
 

Similar to NHS - East surrey ccg - Creating a Value Based PMO (20)

Sarah khan-for-web-improving-mhcc-conference-15 1209.10.15
Sarah khan-for-web-improving-mhcc-conference-15 1209.10.15Sarah khan-for-web-improving-mhcc-conference-15 1209.10.15
Sarah khan-for-web-improving-mhcc-conference-15 1209.10.15
 
How is the new NHS structured?
How is the new NHS structured?How is the new NHS structured?
How is the new NHS structured?
 
Draft Financial recovery plan for NHS Eastern Cheshire CCG
Draft Financial recovery plan for NHS Eastern Cheshire CCGDraft Financial recovery plan for NHS Eastern Cheshire CCG
Draft Financial recovery plan for NHS Eastern Cheshire CCG
 
3. nick harding strengthening the patient voice part 1 final 2003
3. nick    harding strengthening the patient voice part 1 final 20033. nick    harding strengthening the patient voice part 1 final 2003
3. nick harding strengthening the patient voice part 1 final 2003
 
Public Health Transformation Workshop 1
Public Health Transformation Workshop 1 Public Health Transformation Workshop 1
Public Health Transformation Workshop 1
 
Local Care Organisations
Local Care OrganisationsLocal Care Organisations
Local Care Organisations
 
Will Reynolds CV 2016 v4
Will Reynolds CV 2016 v4Will Reynolds CV 2016 v4
Will Reynolds CV 2016 v4
 
Bill Maher, CEO, Bon Secours Health System
Bill Maher, CEO, Bon Secours Health SystemBill Maher, CEO, Bon Secours Health System
Bill Maher, CEO, Bon Secours Health System
 
AHSN Impact Report 2015-16
AHSN Impact Report 2015-16AHSN Impact Report 2015-16
AHSN Impact Report 2015-16
 
AHSN Impact Report 2015-16
AHSN Impact Report 2015-16AHSN Impact Report 2015-16
AHSN Impact Report 2015-16
 
National Quality Improvement & Clinical Audit Network (NQICAN) Annual Report ...
National Quality Improvement & Clinical Audit Network (NQICAN) Annual Report ...National Quality Improvement & Clinical Audit Network (NQICAN) Annual Report ...
National Quality Improvement & Clinical Audit Network (NQICAN) Annual Report ...
 
Transforming Health and Social Care in Kent
Transforming Health and Social Care in KentTransforming Health and Social Care in Kent
Transforming Health and Social Care in Kent
 
Dr Nick Harding - Sandwell and West Birmingham Clinical Commissioning Group's...
Dr Nick Harding - Sandwell and West Birmingham Clinical Commissioning Group's...Dr Nick Harding - Sandwell and West Birmingham Clinical Commissioning Group's...
Dr Nick Harding - Sandwell and West Birmingham Clinical Commissioning Group's...
 
A new tool for Clinical Commissioners, HWBs and everyone concerned with commi...
A new tool for Clinical Commissioners, HWBs and everyone concerned with commi...A new tool for Clinical Commissioners, HWBs and everyone concerned with commi...
A new tool for Clinical Commissioners, HWBs and everyone concerned with commi...
 
Commissioning for-outcomes-webinar-jan-2015
Commissioning for-outcomes-webinar-jan-2015Commissioning for-outcomes-webinar-jan-2015
Commissioning for-outcomes-webinar-jan-2015
 
K Harrison CV Mar 16
K Harrison CV Mar 16K Harrison CV Mar 16
K Harrison CV Mar 16
 
Ph gp london_training_day
Ph gp london_training_dayPh gp london_training_day
Ph gp london_training_day
 
Financial recovery plan for NHS Eastern Cheshire CCG
Financial recovery plan for NHS Eastern Cheshire CCGFinancial recovery plan for NHS Eastern Cheshire CCG
Financial recovery plan for NHS Eastern Cheshire CCG
 
End of life care
End of life care End of life care
End of life care
 
Deepdive presentation GBAF20 primary care
Deepdive presentation GBAF20 primary careDeepdive presentation GBAF20 primary care
Deepdive presentation GBAF20 primary care
 

More from David Walton

More from David Walton (7)

Bestoutcome. How to Realise Benefits from Programmes
Bestoutcome. How to Realise Benefits from Programmes Bestoutcome. How to Realise Benefits from Programmes
Bestoutcome. How to Realise Benefits from Programmes
 
UK productivity graphics 2017 bestoutcome.com
UK productivity graphics 2017 bestoutcome.comUK productivity graphics 2017 bestoutcome.com
UK productivity graphics 2017 bestoutcome.com
 
Why should your organisation use timesheets?
Why should your organisation use timesheets? Why should your organisation use timesheets?
Why should your organisation use timesheets?
 
2016 10 intelligent change management final
2016 10 intelligent change management final2016 10 intelligent change management final
2016 10 intelligent change management final
 
Case Study - Making the PMO the heart of the NHS Change Agenda
Case Study - Making the PMO the heart of the NHS Change AgendaCase Study - Making the PMO the heart of the NHS Change Agenda
Case Study - Making the PMO the heart of the NHS Change Agenda
 
Intelligent and Effective Sponsorship
Intelligent and Effective SponsorshipIntelligent and Effective Sponsorship
Intelligent and Effective Sponsorship
 
Intelligent Governance - Using Smart Gateways
Intelligent Governance - Using Smart GatewaysIntelligent Governance - Using Smart Gateways
Intelligent Governance - Using Smart Gateways
 

Recently uploaded

Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
daisycvs
 
Russian Call Girls In Rajiv Chowk Gurgaon ❤️8448577510 ⊹Best Escorts Service ...
Russian Call Girls In Rajiv Chowk Gurgaon ❤️8448577510 ⊹Best Escorts Service ...Russian Call Girls In Rajiv Chowk Gurgaon ❤️8448577510 ⊹Best Escorts Service ...
Russian Call Girls In Rajiv Chowk Gurgaon ❤️8448577510 ⊹Best Escorts Service ...
lizamodels9
 
The Abortion pills for sale in Qatar@Doha [+27737758557] []Deira Dubai Kuwait
The Abortion pills for sale in Qatar@Doha [+27737758557] []Deira Dubai KuwaitThe Abortion pills for sale in Qatar@Doha [+27737758557] []Deira Dubai Kuwait
The Abortion pills for sale in Qatar@Doha [+27737758557] []Deira Dubai Kuwait
daisycvs
 
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
dollysharma2066
 
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabiunwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
Abortion pills in Kuwait Cytotec pills in Kuwait
 
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
amitlee9823
 
Call Girls In Nangloi Rly Metro ꧂…….95996 … 13876 Enjoy ꧂Escort
Call Girls In Nangloi Rly Metro ꧂…….95996 … 13876 Enjoy ꧂EscortCall Girls In Nangloi Rly Metro ꧂…….95996 … 13876 Enjoy ꧂Escort
Call Girls In Nangloi Rly Metro ꧂…….95996 … 13876 Enjoy ꧂Escort
dlhescort
 
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
lizamodels9
 
Call Girls From Raj Nagar Extension Ghaziabad❤️8448577510 ⊹Best Escorts Servi...
Call Girls From Raj Nagar Extension Ghaziabad❤️8448577510 ⊹Best Escorts Servi...Call Girls From Raj Nagar Extension Ghaziabad❤️8448577510 ⊹Best Escorts Servi...
Call Girls From Raj Nagar Extension Ghaziabad❤️8448577510 ⊹Best Escorts Servi...
lizamodels9
 

Recently uploaded (20)

BAGALUR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
BAGALUR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRLBAGALUR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
BAGALUR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
 
PHX May 2024 Corporate Presentation Final
PHX May 2024 Corporate Presentation FinalPHX May 2024 Corporate Presentation Final
PHX May 2024 Corporate Presentation Final
 
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
 
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60% in 6 Months
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60%  in 6 MonthsSEO Case Study: How I Increased SEO Traffic & Ranking by 50-60%  in 6 Months
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60% in 6 Months
 
Cracking the Cultural Competence Code.pptx
Cracking the Cultural Competence Code.pptxCracking the Cultural Competence Code.pptx
Cracking the Cultural Competence Code.pptx
 
Russian Call Girls In Rajiv Chowk Gurgaon ❤️8448577510 ⊹Best Escorts Service ...
Russian Call Girls In Rajiv Chowk Gurgaon ❤️8448577510 ⊹Best Escorts Service ...Russian Call Girls In Rajiv Chowk Gurgaon ❤️8448577510 ⊹Best Escorts Service ...
Russian Call Girls In Rajiv Chowk Gurgaon ❤️8448577510 ⊹Best Escorts Service ...
 
The Abortion pills for sale in Qatar@Doha [+27737758557] []Deira Dubai Kuwait
The Abortion pills for sale in Qatar@Doha [+27737758557] []Deira Dubai KuwaitThe Abortion pills for sale in Qatar@Doha [+27737758557] []Deira Dubai Kuwait
The Abortion pills for sale in Qatar@Doha [+27737758557] []Deira Dubai Kuwait
 
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
 
Call Girls Service In Old Town Dubai ((0551707352)) Old Town Dubai Call Girl ...
Call Girls Service In Old Town Dubai ((0551707352)) Old Town Dubai Call Girl ...Call Girls Service In Old Town Dubai ((0551707352)) Old Town Dubai Call Girl ...
Call Girls Service In Old Town Dubai ((0551707352)) Old Town Dubai Call Girl ...
 
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabiunwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
 
Falcon Invoice Discounting platform in india
Falcon Invoice Discounting platform in indiaFalcon Invoice Discounting platform in india
Falcon Invoice Discounting platform in india
 
Uneak White's Personal Brand Exploration Presentation
Uneak White's Personal Brand Exploration PresentationUneak White's Personal Brand Exploration Presentation
Uneak White's Personal Brand Exploration Presentation
 
Unveiling Falcon Invoice Discounting: Leading the Way as India's Premier Bill...
Unveiling Falcon Invoice Discounting: Leading the Way as India's Premier Bill...Unveiling Falcon Invoice Discounting: Leading the Way as India's Premier Bill...
Unveiling Falcon Invoice Discounting: Leading the Way as India's Premier Bill...
 
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
 
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort ServiceMalegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
 
Business Model Canvas (BMC)- A new venture concept
Business Model Canvas (BMC)-  A new venture conceptBusiness Model Canvas (BMC)-  A new venture concept
Business Model Canvas (BMC)- A new venture concept
 
Call Girls In Nangloi Rly Metro ꧂…….95996 … 13876 Enjoy ꧂Escort
Call Girls In Nangloi Rly Metro ꧂…….95996 … 13876 Enjoy ꧂EscortCall Girls In Nangloi Rly Metro ꧂…….95996 … 13876 Enjoy ꧂Escort
Call Girls In Nangloi Rly Metro ꧂…….95996 … 13876 Enjoy ꧂Escort
 
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
 
Call Girls From Raj Nagar Extension Ghaziabad❤️8448577510 ⊹Best Escorts Servi...
Call Girls From Raj Nagar Extension Ghaziabad❤️8448577510 ⊹Best Escorts Servi...Call Girls From Raj Nagar Extension Ghaziabad❤️8448577510 ⊹Best Escorts Servi...
Call Girls From Raj Nagar Extension Ghaziabad❤️8448577510 ⊹Best Escorts Servi...
 
How to Get Started in Social Media for Art League City
How to Get Started in Social Media for Art League CityHow to Get Started in Social Media for Art League City
How to Get Started in Social Media for Art League City
 

NHS - East surrey ccg - Creating a Value Based PMO