London – A Call to Action Questionnaire

Closed 30 Jan 2014

Opened 11 Oct 2013


Thank you for feeding into the London Call to Action survey.

The survey is now closed.

The feedback is being shared with London CCGs as a tool to help develop local and strategic planning group plans. It has also been shared with the Clinical Senate Forum and the London Healthwatch for feedback and ideas for the next phase of engagement. The intention also is to submit the draft report as evidence to the independent review of health and health services in the capital, commissioned by the Mayor of London and chaired by Lord Darzi.

We are intending to publish a final report in the coming weeks which will include additional feedback received since December and suggestions from stakeholders about how to tackle the challenges for health services in London.

In the meantime we are always keen to hear your feedback. Please get in touch with the NHS England customer contact centre



London’s NHS belongs to its people and to ensure it can continue to meet their needs there are significant challenges that we must address in order to sustain a high quality, free at the point of need, health and care system in London.  The London Call to Action describes how the NHS is facing a number of significant challenges; an ageing population, increasing prevalence of long term conditions, lifestyle choices that lead to increases in conditions such as obesity or cancer, and rising healthcare costs. It also describes how the majority of our resources are organised around hospitals rather than keeping people well and preventing them from needing hospital care.  This combined with our assumption that the NHS budget will remain flat in real terms, presents us with an unprecedented challenge to improve clinical quality, experience and outcomes, whilst delivering a financially sustainable health system. Only bold and transformative change to how services are delivered will enable us to continue providing a high quality yet free at the point of use health service.

Doing nothing is not a realistic option, funding is not likely to increase in the coming years - we currently face around a £4billion funding gap in London by 2020 if we do not transform how we deliver care.  We must ensure there is good public awareness and a consistent and wide reaching debate locally to build a public legitimacy for the changes needed, and to develop radical plans that will meet the challenges we face.

The objectives of our London Call to Action are to:

  • Build public awareness of the challenges we face as commissioners and leaders of health and care;
  • Generate a debate with the public, staff and stakeholders about how the NHS could meet these challenges, the priorities and the choices we wish to make;
  • Gather feedback and insights to inform future strategies and commissioning plans (for CCGs and for direct commissioning);
  • Support the creation of public legitimacy for future commissioning decisions;
  • Create a platform for future transformational change; and
  • Include these transformational change plans within a 5 year strategic plan, submitted as part of the planning round for 14/15.

Local engagement with stakeholders is planned throughout the autumn, led by Clinical Commissioning Groups.  Engagement will be a mix of local events and online feedback with additional conversations.  You will see that the case for change poses a series of questions for which we welcome your feedback.


  • GPs
  • Nurses
  • Health visitors
  • Clinicians
  • Managers
  • Commissioners
  • Directors of public health
  • Pharmacists
  • Doctors
  • Midwives
  • Health care assistants
  • Healthcare scientists
  • Paramedics
  • Dentists
  • Art therapists
  • Drama therapists
  • Music therapists
  • Chiropodists/podiatrists
  • Dietitians
  • Occupation therapists
  • Orthotists
  • Orthopists
  • Prosthesists
  • Physiotherapists
  • Diagnostic radiographers
  • Therapeutic radiographers
  • Speech and language therapists
  • Childcare providers
  • Allied health professionals
  • Care-givers
  • Ophthalmic practitioners
  • Responsible officers
  • Clinical psychologists
  • Paediatric neuropsychologists
  • Foundation trusts
  • Mental health trusts
  • Community healthcare trusts
  • Tribunal service
  • Clinical commissioning groups (CCGs)
  • Commissioning support units (CSUs)
  • Strategic clinical networks (SCNs)
  • Care Quality Commission
  • Health Education England
  • Health Protection Agency
  • Local Government Association
  • Monitor
  • National Institute for Health and Care Excellence
  • Health and Wellbeing boards
  • Healthwatch (national and local)
  • Health and Social Care Information Centre
  • NHS Trust Development Authority
  • Local Involvement Networks
  • National directors
  • Regional directors
  • Area Team directors
  • All NHS England Staff
  • Voluntary groups
  • Community groups
  • Charities
  • Advocacy or support organisations
  • DH third sector strategic partners
  • Regulatory bodies
  • Academic/professional institutions
  • Employer representatives
  • Employee representatives
  • Trade unions
  • Deaneries
  • Higher education institutions
  • Royal Colleges
  • Service providers
  • Local authorities
  • Social care providers
  • Patients
  • Carers
  • Service users
  • Retailers
  • Suppliers
  • Information providers
  • Information professionals
  • Informatics professionals


  • NHS England