STRUCTURE: A report to the south east London cluster of primary care trusts said the board had ordered a “short feasibility study” to see whether a combination of an aggregrated model with south west London was feasible.

The report said: “Whilst we have established strong, borough focussed commissioning support in south east London, it is becoming increasingly clear that in order to sustain that focus it may be necessary to understand if there are some commissioning support services which can be aggregated across a wider footprint e.g. across south west and south east London without losing a local focus, which also provides for economies of scale.

“Following conversations with GP leaders across south London, we have committed to undertake a short feasibility study across south London to assess whether this local and aggregated model makes sense and is affordable. Our aim is to have a costed prototype by the end of July, which can then be explored in more depth with GP colleagues.”

NHS South East London consists of Lambeth, Lewisham, Southwark, Greenwich, Bexley and Bromley PCTs.

NHS South West London consists of Wandsworth, Croydon, Richmond, Kingston and Sutton & Merton PCTs.