PCT budgets to be topsliced
NHS London is to topslice up to 3.6 per cent of PCT budgets next year to ensure it breaks even.
The strategic health authority is forecasting a deficit of £135m at the end of this year, compared with a plan of £90m. It lost £174m in 2004/5.
A letter to London's MPs from Ruth Carnall, the authority's chief executive, also said many more services had to be moved from hospitals into the community to save money.
Ms Carnall wrote: 'Hospitals dominate the provision of health services in our capital even though this is not always the most appropriate setting for care. The London health strategy must facilitate a shift away from traditional inpatient care.'
NHS London has asked Professor Sir Ara Darzi, clinical professor at Imperial College, to look at service redesign in six areas: birth, staying healthy, living with long-term conditions, acute unscheduled episodes, planned care, end-of-life care.