Overarching Principles. The parties to this agreement are committed to improving outcomes through integration and by devolving decisions about health and care in London to the most appropriate level. Once London’s devolution pilots have developed detailed plans for going further and faster in achieving greater collaboration and integration, any devolution of health powers would be subject to careful consideration by Government and national bodies, taking into account the needs of people in London and elsewhere. Proposals would need to strengthen the NHS in the London area, continue to uphold its values, standards and constitution, and reflect the principles and criteria signed off by the NHS England Board. Under any proposals agreed, healthcare services in London would remain part of the NHS. Government and national bodies are committed to a co-production approach with London partners to facilitate ultimate decisions on devolution – both by national bodies to devolve and by London to ‘receive’ devolved functions, with the expectation that these co-produced solutions will be built upon to, in time, transform the entire London health and care economy. This agreement between the national bodies and London Partners is predicated on development, agreement and subsequent delivery of a multi-year Strategic Plan for Health and Care resulting in a clinically and financially sustainable landscape of commissioning and provision, living within annual budgets and delivering fiscal balance over the Spending Review period to 2020/21. Two foundational principles will be central to London’s (and national bodies’) approach:
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Sources: Health Devolution Agreement, London Health Devolution Agreement, Health Devolution Agreement