Primary care trust budgets for non-acute care should be integrated with all other local care services, according to a manifesto produced by the lobby group London Councils.
London boroughs would join up care budgets
The report says non-acute care budgets should become accountable to the borough in which they operate, with central government setting national standards.
To “improve public accountability”, the manifesto says governance should integrate with overlapping membership of PCT boards and London boroughs - already underway in some parts of the capital.
“In the longer term legislation would be required to integrate these non-acute PCT responsibilities into London local government, offering direct democratic accountability and unified governance,” it says.
The plans - which have cross-party support in the capital - were described as “throwing down a gauntlet” to the next government, London Councils chair Merrick Cockell said.
He said: “Councils need more powers to help Londoners find jobs, feel safe [and] improve their local areas, get the healthcare they need, and make sure their children are protected.”
The Local Government Association also last month called for more control over primary healthcare.