In 2015, the NHS, local councils, the Mayor and Public Health England set out their objectives for London’s health and care system. National priorities were published in the NHS Long-Term Plan. London has a complex health and social care system serving 8.8 million population with high levels of inequality. A strategic partnership was formed identifying specific life outcomes and clinical priorities which will improve faster if the organisational partnerships works effectively at a ‘once for London’ level.

Initiatives by various organisations identified challenges relating to unwarranted variation in access, clinical practice and clinical outcomes. An effective delivery model was needed to coordinate efforts of all agencies to implement large scale change at system level.

Interventions undertaken to develop pan-London clinical priorities

Development of London Clinical Network (LCN) Delivery Model using improvement science principles.

Development of weighted criteria for pan-London action

Framework developed on the role of the Regional Medical team

Clinical strategy event for senior professionals and clinical leaders to consider the issues and priorities which should form the basis of a renewed vision and strategy.

Using its Delivery model the LCN will be the primary delivery vehicle working alongside key stakeholders, 2019/20 delivery plans have been developed for priority areas. Improvements will be measured through reporting on indicators to Programme Boards through the Regional Medical Director.

The successful use of science to develop a strategy for action by bringing wider stakeholders together promoting a collaborative approach and galvanising commitment from the wider quality improvement architecture to work jointly to drive improvement.

System wide leadership brings local benefits, reduced duplication, enables shared learning and better use of resources. Trust and a commitment to collaborative working are required to bring about impactful change.