London's 31 primary care trusts have endorsed health minister Lord Darzi's Healthcare for London proposals and agreed to move ahead with a network of polyclinics and specialist hospitals.

The move follows a six-month consultation on the plans. NHS London stressed it is a 'framework and not about specific services'. However, the 10-year strategy will involve major reconfigurations.

Richard Sumray, chair of the joint committee of PCTs, said: "This is the start of the journey and the NHS as a whole will need to be bold and make difficult decisions in order to deliver the kind of services that Londoners have told us they want."

For more details, visit www.healthcareforlondon.nhs.uk