STRUCTURE: Management consultancy McKinsey has been contracted to examine the future of two hospital trusts.

Imperial College Healthcare Trust, West Middlesex University Hospital Trust and the north west London cluster of primary care trusts awarded the work to McKinsey this afternoon.

HSJ reported last month that the trusts were looking to appoint a consultancy to look at services across the five sites in west London.

A statement from the trusts and NHS North West London said: “The strategic service review aims to gain an understanding of the service and financial impact of local commissioning plans on the future strategic vision for Imperial College Healthcare and the impact of anticipated changes to patient referrals on other local trusts, in particular West Middlesex University Hospital.”

The findings are due to be presented at the end of October.

NHS North West London chief executive Anne Rainsberry said: “This is an extremely important piece of work that will ensure a co-ordinated approach to planning how care is delivered across the two Trusts. We are very pleased to be supporting this work.”

Imperial faces significant restructuring after missing its savings targets by £40m in 2010-11 and the departure of its chief executive and chief financial officer in April.

West Middlesex has an underlying deficit coupled with a PFI repayments programme and is on the Department of Health’s list of financially challenged trusts.

If the two organisations were to move toward a merger their combined turnover, based on last year’s data, would be over a billion pounds.