Councils and trusts to help failing GP practices under ‘neighbourhood’ plan

Nominated “integrator” organisations – which could be NHS provider trusts or councils – will help GP practices “at risk of failure”, under new plans for London’s neighbourhood health service.

Proposals were published this week by the capital’s five integrated care boards, NHS England’s London region, local councils, the Greater London Authority, London Health and Care Partnership, and the Office for Health Improvement and Disparities, with support from the Londonwide Local Medical Committees. The work was carried out jointly with the PPL consultancy.

Their plans say that “place partnership” teams – subdivisions of the ICBs, normally matching boroughs – will have to decide “footprints of neighbourhoods”, based on local information and data, such as mapping of capacity, demand, local assets and needs.

Many existing primary care networks (which are partnerships of GP practices) are likely to have to “re-align”, it indicates, as neighbourhood team “boundaries [will] not automatically be defined by existing PCN footprints, except where these boundaries align with recognisable neighbourhoods”. Some PCNs that don’t match may agree ways to work across several smaller integrated neighbourhood teams (INTs).

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Source: HSJ, 14 May 2025