Imperial College Healthcare Trust now has a permanent chief executive.

Mark Davies, the interim chief executive since last May, was appointed in a permanent capacity at the stricken London giant on Friday morning. He was always going to be frontrunner for the role but there were some intriguing rumours flying around about who else had thrown their hat into the ring.

One name mentioned was an ennobled NHS leader also working in the capital, which would have been an interesting move.

Mr Davies has substantially remade Imperial’s top team already – two signings from the London and South West strategic health authorities, plus Brendan Farmer, formerly vice president at consultants Capgemini, as strategy director. There is also a new chair in Sir Richard Sykes, formerly chair of NHS London.

The trust said Mr Davies is now being paid on an NHS contract, rather than through a private company as before.

The new team has a lot to do. The projected year-end deficit for the £932m-turnover trust has fallen from £35m to £19m but this is still one of the biggest in the country.

There is also the estates rationalisation nettle to grasp, considered a failing of previous managements. The trust last year denied reports that it was thinking about converting part of its estate into flats.

At the other end of the primary-tertiary axis: Westminster is piloting allowing people to register with the GP practice of their choice.

The north west London primary care trust cluster said this was because of the high number of commuters who might want to register with a practice near the office.