Principal formal relationships between health bodies in London
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What are the challenges for this new NHS system?
The absence of a designated system leader in London means that there will need to be a process of mutual adjustment when aligning a large number of participants, networks of both individuals and organisations, and stakeholders from different sectors in the new system, sometimes with quite different objectives.
The NHS lacks experience in implementing improvements in an eco-system because change has more typically occurred through concentrated leadership. In rising to the challenge of managing change in the new environment, everyone involved will have to learn how to handle the new arrangements and many will have to adjust to different roles, relationships and ways of working – while also dealing with growing and unprecedented financial and service pressures.
This figure first appeared in our report: Leading health care in London: Time for a radical response
See more of our work on London
- Read the report: Leading health care in London
- Chris Ham's blog post on the need to improve London's NHS
- Details on London's acute hospitals and their configuration
- Highlights from the report launch: What are the prospects for service change?
- Our press release on this report
- More of our work on health and health care in London