STRUCTURE: The primary care trust cluster has launched a clinically-led review of services across the health economy and said consolidation options were being looked at across its acute trusts.

The cluster, which is served by Kingston, Epsom and St Helier, Croydon, St George’s and the Royal Marsden Hospitals, said the “Better Services, Better Value” review would examine care pathways across the £2.2bn health economy.

Dr Howard Freeman, a GP in the region, is leading the review and said providers were already looking at how pathology and pharmacy services could be organised, saying technology meant not all trusts needed to have a laboratory on-site.

He said clinicians from primary and secondary care would work together to better integrate care pathways.

Bill Gillespie, the head of strategy at the cluster, also said the review would not rule out reconfigurations.

In a press conference he told HSJ: “At this stage it’s too early to say what the impact is going to be in terms of reconfiguration”. But he said the commissioners were looking to take between 8 and 10 per cent of activities out of providers in this financial year.

The cluster consists of Wandsworth, Kingston, Sutton & Merton, Croydon and Richmond PCT.