CHANGE IN STRUCTURE: A GP consortium in south-west London has written to its primary care trust cluster chief executive demanding to be “dealt with fairly” and revealing it intends to use the consultancy KPMG for their 2011-12 development plan.

The Kingston GP Consortium wrote to Ann Radmore saying: “We have concerns that centralisation and a focus on the cluster may hinder the commissioning development of the Kingston GP pathfinder.

“Recent attempts to limit the ability of pathfinders to influence commissioning and contracting around London Ambulance and the inpatient mental health are not welcome or supported and we look to the south west London chief executive to give the pathfinders support in the development of these services for our population.”

It added: “[The consortium] will be supported by KPMG to develop their plan for 2011-12 and will be able to use the £2 per head funding from April. We are looking for support from the south west London cluster chief executive over the appropriate use of the £2 per head for pathfinder development.”

KPMG was awarded the capital’s GP consortium development contract by NHS London in January. The contract expires on 17 March.

The GPs also demanded the cluster preserve the close relationship between the PCT and local authority. NHS Kingston chief executive David Smith is also director of the council’s health and adult services.

In a statement to HSJ, Dr Charles Alessi, one of the signatories to the letter, said: “We are having a healthy debate around the levels of autonomy that we would expect to have and the speed we will attain these.”