Your essential round-up of Thursday’s biggest stories

Homes closer to care

Two large scale developments on hospital sites in south London are being considered, documents obtained by HSJ reveal.

Papers from the London Estates Board show plans being worked on for a significant development at King’s College Hospital Foundation Trust’s site in Denmark Hill and another on land owned by Lewisham and Greenwich Trust at Lewisham Hospital.

A document presented to the LEB said the King’s development could include “additional hospital uses, increased employment space and enabling residential development.

“The funding is to help with the masterplan for the KCH campus and wider environs including the regeneration of Loughborough Junction.”

At Lewisham Hospital, an assessment by the LEB said there was potential for 1,000 new homes and commercial units with a redevelopment of part of the site.

Minutes of an LEB meeting in May reported Malcolm Hines, then finance director for Southwark Clinical Commissioning Group and a representative of the south east London sustainability and transformation partnership, saying: “Within south east London, there are some major regeneration opportunities in areas where there is huge predicted growth, including some which will practically be new towns.”

Automatic stop

A new contract for medical consultants in the NHS will scrap the “all but automatic” incremental pay structure and replace it with a significantly higher base salary, the Department of Health and Social Care has said.

In its evidence to the Review Body on Doctors’ and Dentists’ Remuneration, the government also revealed plans to make substantial reforms to clinical excellence awards. It said these would be replaced with locally driven, time limited, non-pensionable payments more closely linked to the objectives of NHS trusts.

The proposals said consultants will lose their right to opt out of non-emergency work at weekends but no current consultants will have their salary reduced under the reforms.

Negotiations between the British Medical Association, the Hospital Consultants and Specialists Association, NHS Employers and the DHSC started in 2013 but stalled in 2014 when the BMA walked out of talks.

Since the junior doctors’ strike in 2016, negotiations have progressed slowly but were described as “positive and constructive” in the government’s submission, ahead of this year’s annual pay awards.

The discussions have also resulted in legal action against the DHSC by the BMA over whether CEAs are contractual or not. The government denies this and said it would defend its position, but both sides have applied to the High Court to stay the proceedings until the outcome of the contract negotiations are known.