Under NHS England's new five-year plan our sustainability and transformation programme is to be organised by COBWeB (Commissioning for Oxfordshire, Buckinghamshire and Western Berkshire). This organisation will be headed by David Smith, continuing and current chief executive of Oxfordshire CCG. What level of public and patient participation, local authority engagement and collaboration there will be over this unwieldy and unnatural area remains to be seen.

The CQC has given a "good" rating to Berkshire Healthcare Foundation Trust the provider of mental health services, community nursing services, out of hours GP services and of some primary care GP services across Berkshire. The trust received individual "good" ratings or all of its service groups except for "wards for people with learning difficulties or autism" which received the rating "requires improvement". The individual GP services provided had been rated separately earlier - Circuit Lane surgery received "required improvement", Priory Avenue surgery received "good".

End of Life care is improving but there is still room for improvement. That's the message from an audit of end of life care in hospitals funded by the Marie Curie Foundation and NHS England.

South Reading CCG have appointed Wendy Bower as Lay Member of the Governing Body with responsibility for Patient Engagement. Wendy fulfills the same role for the North and West Reading CCG and has a background in nursing and nurse education. She lives locally in Wokingham.

Eye specialists say hundreds of patients suffer irreversible sight loss every year in England because services are overstretched and under-resourced. The president of The Royal College of Ophthalmologists, Prof Carrie MacEwen, writing for the BBC's Scrubbing Up, warns the NHS is struggling to keep up because of a "perfect storm" of increased demand, caused by more eye disease in an ageing population which requires requiring long term care. She says the current treatment targets fail to reflect the critical importance of follow-up appointments, which may be delayed for months or even years.