STRUCTURE: A mental health trust is set to become the largest provider of community services in the capital following the takeover of a primary care trust provider arm.

North East London Foundation Trust has had its potential takeover of South West Essex community services assessed by Monitor. The assessment raised no objection to the move. The planned integration has also been approved by both organisations’ boards.

Combined with the trust’s proposal to run provider arm services for Barking and Dagenham, Havering, Redbridge and Waltham PCTs, community services will become the largest part of its turnover.

Mental health trusts are due to run 10 of the capital’s 31 PCT provider arms, following the split generated by the transforming community services programme.

Central and North West London Foundation Trust will manage services in Hillingdon and Camden and Oxleas Foundation Trust will take on Bexley and Greenwich. East London Foundation Trust is due to run Newham while Barnet, Enfield and Haringey Mental Health Trust will run Enfield.

The capital’s two aspirant community foundation trusts are Central London Community Health and Hounslow and Richmond Community Health.

Just under a sixth of London’s PCT provider arms are slated to become part of an integrated care organisation, with Haringey and Islington merging with Whittington Hospital. Brent, Harrow and Ealing community services are set to join Ealing Hospital – and may yet be joined by North West London Hospital Trust.

Haringey and Islington PCTs had also received expressions of interest from Central London Community Health, Camden and Islington Mental Health Foundation Trust and North Middlesex University Hospital Trust.

Lambeth and Southwark’s provider arms are now merged with Guy’s and St Thomas’ Foundation Trust. St George’s Healthcare, Barts and the London and Lewisham Hospital have absorbed Wandsworth, Tower Hamlets and Lewisham community services respectively.

Bids from Bromley and Kingston social enterprises have both now been approved and Sutton and Merton is still due to become the only PCT in the country to merge its provider arm with a specialist hospital trust, in this case the Royal Marsden Foundation Trust.