PERFORMANCE: A strategic health authority report said there was evidence of a “lack of trust” between GPs and trusts in outer north east London, which meant “some GPs were now approaching trust consultants directly as a result”.

The report into the development of clinical commissioning groups in London looked at the relationship with providers and found a mixed picture.

The report to NHS London’s board said: “In North West London the success of the relationships differed between providers; in South East London relationships and levels of understanding varied; in Outer North East London there was evidence of a lack of trust between GPs and trusts.

“Some GPs were now approaching trust consultants directly as a result. The inevitable period of turbulence would put strain on relationships, particularly as some providers felt threatened.”

The report on the session led by NHS London head of provider development John Goulston and NHS North Central London chair Paula Kahn added: “There was a lot of preparatory work for CCGs to do before the next contracting round.”