Sir Richard Sykes, former Chairman of NHS London. looks at the leadership and mangement challenges facing the NHS from a business perspective.

1. Sir Richard Sykes, FRS, FMedSci former Chairman of NHS London LEADERSHIP AND MANAGEMENT – Challenges in the NHS Lessons learned and implications for the future

8. Polyclinics are an opportunity for the NHS to deliver world class care closer to people ’s homes  Polyclinics combine GP  Certain routine hospital services  X-rays and blood tests  Fully equipped with first-class facilities  Modern - DDA compliant  Polyclinics are open from 8am to 8pm every day including at weekends  Individuals and families are welcome to attend them, whether they live, work or are staying in London for a short time, even if they are not registered there and routine hospital care  A range of useful well being and support services, benefits support and housing advice  Many nearby GP practices are linked to, and work with, the polyclinic as part of the system  Patients still choose to see their own doctor The benefits include:  Giving people in London more access to doctors and routine care  More accessible, local and convenient  People can still choose to see their own doctor  A faster, more convenient, high-quality health service  Planned around those who need to use it and open for longer for everyone  Extended opening hours to fit around the busy lives of people in London

9. The vision for transforming primary and community care London will be served by over 100 polysystems, delivering integrated health and social care services to local communities

10. The vision for transforming acute care Major acute hospitals will provide rapid access to emergency care for patients suffering from critical conditions. They will only take the most seriously ill patients, and will have all relevant services co-located on site. Local hospitals will provide high quality, non-complex acute services – ensuring patient access and convenience without sacrificing quality of care. Some transformation is already underway, with four trauma networks in place across London

11. London also has three of the UK ’s five Academic Health Science Centres Imperial Health Partners UCL Partners King ’s Health Partners

13. Following publication of the Healthcare for London vision , a major consultation exercise was undertaken led by London PCTs. This concluded in June 2008 when a Joint Committee of PCTs committed to implementing the strategy. • Over 5,000 responses, including 200 organisations • Around 40,000 visitors to the website, meetings and road shows • An emphasis on quality, safety, outcomes and patient experience Healthcare for London vision

19. The future: A Research, Education and Patient Care Cluster