The Board was eventually dissolved in March 1930 as a result of the Local Government Act 1929 and its 24,000 beds transferred to the Council.
[5] The expansion of health services by the LCC resulted in the maternal death rate per thousand births falling dramatically, from 7.2 in 1932 to 2.49 in 1937 and London under Labour going from well above to below the national average.
Healthy eating messages in schools are overwhelmed by the temptations of more than 8,000 fast food outlets – with around 800 more opening every year.
It recommended that services should be delivered closer to where people lived and that funds should be made available to raise the standard of GP premises in inner London.
[10] Frank Dobson commissioned Sir Leslie Turnberg and a panel to undertake a strategic review of health services in the capital in 1997.
[11] The report particularly stressed the degree to which primary care in the capital was lagging behind the rest of the country, but the focus of the government continued to be on hospitals.
The plan for moving care from hospitals to GP-led polyclinics was largely thwarted by GP opposition, but his call for trauma, acute stroke and heart attack services to be centralised in specialist units was seen as successful and was widely copied.
The London Health Commission which reported in October 2014 proposed the toughest measures seen in the UK to tackle the "obesity emergency" that leaves one in three 10-year-olds overweight or obese including Ofsted-style ratings highlighting the best and worst schools at promoting healthy eating, and requiring chain restaurants to include "traffic light" calorie warnings on menus.
He called for the Mayor to rewrite the London Plan to give borough councils greater protecting in banning takeaways from within 400m of the school gates.
[13] London is submitting proposals for greater local control of the NHS and social care following developments in Manchester.
[14] Capital funding for the Shaping a Healthier Future programme in north west London was turned down by NHS Improvement in November 2017[15] and in March 2019 Matt Hancock announced that the A&E departments in Charing Cross Hospital and Ealing Hospital would not be downgraded as planned by the Shaping a Healthier Future programme.
[16] There have been two main patterns for London's health service planning – the "starfish" with a radial organisation reflecting the transport links and the "doughnut" with the élite hospitals, the cream, in the middle.
[17]There have been attempts to create authorities across Greater London, but in general the conurbation has been divided into sectors, often extending into the suburbs and rural areas which look to the city for specialist provision.
This is intended to finance 13 programmes: The CCGs in Westminster, Kensington and Chelsea, Hammersmith and Fulham, Ealing, Harrow, Brent, Hounslow and Hillingdon appointed a common Chief Officer, Mark Easton, in May 2018.
The Commission considered that teaching hospitals had a responsibility to improve the quality of primary care services in their surrounding areas.
[23] Out-of-hours services are provided by: Grabadoc in Greenwich and Bexley; Partnership of East London Co-operatives (PELC) Limited in Waltham Forest, Barking & Dagenham, Redbridge, and Havering; South East London Doctors' Co-operative (SELDOC) in Sutton, Lambeth, Southwark and Lewisham; Care UK in Kingston, Harrow, Hillingdon, Merton, Islington, Camden and Ealing; KCW Co-operative in Kensington & Chelsea; East Berkshire Primary Care Out Of Hours Services Limited in Richmond; Virgin Care in Croydon; Newham GP Co-operative in Newham; Barts Health NHS Trust in Tower Hamlets; City & Hackney Urgent Healthcare Social Enterprise in the City and Hackney; London Central and West Unscheduled Care Collaborative in Westminster, Ealing, Hounslow, and Hammersmith; Barndoc Healthcare Ltd in Barnet, Enfield, Haringey & Brent; Emdoc and Greenbrook Healthcare in Bromley.
General practice in London is beset by blockages in flow, diverting staff from consulting, co-ordinating or planning care, and both reducing access to patients and demotivating professionals".
42% of thrombectomy units only operated during office hours and Monday to Friday, largely due to a shortage of interventional neuroradiologists.