BMJ  2007;335:904 (3 November), doi:10.1136/bmj.39384.586262.DB

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London trusts overhaul primary care without consultation

London

The first 150 words of the full text of this article appear below.

Primary care trusts have already started implementing radical proposals for overhauling London's health services, despite the fact that these have not been put out to formal consultation, family doctors have claimed.

The capital's strategic health authority, NHS London, recommended Ara Darzi's proposals to each of the city's 31 primary care trusts (PCTs) in August to give them time to work out the logistics of formal consultation (BMJ 2007;335:61 doi: 10.1136/bmj.39273.467697.DB).

That process starts this month and runs until February. There will be further consultation on local plans.

But at a meeting organised last week by the BMA's London Regional Council to discuss the proposals, several GPs, and a Pensioners Forum representative, claimed that their trusts had already started the ball rolling.

These included earmarking buildings and land for polyclinics or supersurgeries, one of the most hotly debated of the six suggested models of healthcare delivery.

Concerns were also . . . [Full text of this article]

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