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NW London System Update: January 2026
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Foreword by chief executive
This is the last stakeholder update before I leave North Central London and North West London ICBs, and I wanted to say thank you and goodbye to the many system partners and stakeholders I have had the opportunity to work alongside.
Leading both these Integrated Care Boards, as part of their respective wider Integrated Care Systems, has been a pleasure and privilege.
Together, across organisations and sectors, we have worked to strengthen collaboration, improve outcomes, and keep our shared focus on the people and communities we serve.
This has been achieved during a period of huge challenge for the NHS, and yet there have been many positive and important points of progress and development across our system in North Central London.
From performance and patient outcomes, to improving value and efficiency, the collective effort and determination has been clear.
None of this is possible without the commitment, openness, and professionalism of our partners across the NHS, local government, the voluntary and community sector, and beyond.
I'd like to finish by thanking my colleagues at both ICBs, whose expertise, dedication and values have come to the fore again this year. They are navigating significant change and disruption with resilience and purpose, and continuing to make a contribution which has made a real difference to the system and to patient care.
The NHS is in the middle of what I think is one of the most significant of its many changes - not just impacting us here in ICBs but nationally and regionally too. I remain hopeful that, once this turbulent period passes, we can rebuild, develop and continue to serve the people and communities we care so much about.
With very best wishes,
Frances, Chief Executive Officer, NHS North West London
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New Interim Chief Executive Officer announced
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Following an appointments process, Katie Fisher has been appointed as the new interim Chief Executive Officer for North Central London and North West London, taking a secondment from her substantive role as Chief Executive Officer at South West London ICB.
This will follow Frances O’Callaghan’s planned departure on 31 January.
Katie will join the organisations on a nine-month secondment from her current role as CEO of South West London ICB.
She will oversee the launch of West and North London ICB, which will come into effect from 1 April. It will be the largest ICB in England, strategically commissioning services for 4.5m Londoners across 13 boroughs.
Katie brings with her a wealth of experience which will help support and guide the organisations during this important period. A nurse by background, Katie has more than two decades of senior leadership experience within the NHS, charitable organisations, and the private sector. Her previous roles include being Chief Executive Officer at Ashford and St Peter’s Hospitals, and at West Hertfordshire Hospitals NHS Trust.
Mike Bell, Chair of North Central and North West London Integrated Care Boards, said: “I am delighted that we will have the benefit of Katie’s experience and leadership to take us through this important phase for North Central and North West London, and the launch of the West and North London Integrated Care Board from April.”
“I’d also like to thank Katie for the fantastic contribution she has made so far, in the past year at SWL.”
Katie said: “Since joining NHS South West London ICB, I have been endlessly impressed by the commitment and professionalism of the team and the partners we work with across South West London.
“I am proud of the progress we have made together on setting South West London on the path to a more financially sustainable future, with our strong clinical, operational and financial performance during 2025/6 and our solid submissions for this year’s planning round and the emerging work of our clinically-led Strategic Plan. I would like to take this opportunity to again thank everyone at South West London for the warmth and support over the last year.”
“I’m really pleased to be joining North Central and North West London at such an important point. I look forward to taking forward the merger and establishing the new West and North London ICB as a robust, progressive and impactful organisation, which is really making a difference to the lives of people across West and North London.”
Mike Bell added: “I’d like to again thank Frances O’Callaghan for her fantastic contribution. We will miss her greatly, but she should be very proud of all she has achieved for the residents and communities we serve in North Central and North West London.”
The appointment of the permanent role of CEO for West and North London ICB will follow a process expected to take several months. Updates on this will follow in due course.
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Mount Vernon consultation
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Patients and residents are invited to share their views on proposed changes to Mount Vernon Cancer Centre during the public consultation, open from 19 January to 29 March 2026. NHS England has launched a public consultation on proposals to change how specialist cancer services are delivered at Mount Vernon Cancer Centre (MVCC). We encourage your constituents and residents you support to take part. Find out more on the MVCC review website.
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Children and young people
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Following completion of the business case, the ICB has agreed to invest additional funding in developing Child Health Hubs across North West London. This will enable a Child Health Hub in every Primary Care Network (PCN) in north west London and support ongoing optimisation of the model of care, including GP, paediatrician and psychologist input.
NHS North West London has led the development of Child Health Hubs for several years, and this investment will help ensure all children can access the service when needed. Wider hub provision is expected to reduce A&E and outpatient attendances and improve the identification and management of long-term conditions such as asthma.
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Delivery of WorkWell in north west London continues to exceed targets, supporting over 3,300 participants to date. Of these, 59% live in the 20% most deprived communities and 45% are from ethnic minority groups. Early results show reduced GP appointments and sickness certification among high‑need cohorts.
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NHS North West London and Brent Council’s Public Health Team launched the Health Equity In‑Reach model, starting a community‑led programme to reduce health inequalities across north west London, beginning with the Black and African Caribbean community. The remaining four boroughs will hold mini‑launch events by year‑end to build momentum. In‑Reach flips the traditional healthcare model by bringing services into trusted, culturally safe community spaces, combining education, social and wellbeing support, health checks and screening. The event welcomed over 200 residents — over 25% from Core20 communities — and identified a significant number of previously unrecognised kidney, cholesterol and hypertension issues. The Population Health Management (PHM) and Health Equity Academy has expanded its offer to include PHM Leadership training for senior leaders across West and North London, supporting staff to deliver on system‑wide population health goals. The Academy has offered more than 900 training places in the past year and continues to provide courses on cultural competence, health economics, value‑based care and evaluation, with new analytics‑for‑non‑analysts training coming soon.
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 Bacon Lane Surgery in Edgware (Harrow) marked its 75th anniversary in January with a series of celebrations recognising its long-standing role in the community and its development into a modern, multidisciplinary practice. Guests from across the system joined an afternoon tea event, where leaders praised the practice’s strong patient satisfaction, digital innovation, and commitment to continuity of care. One of the highlights of the event was the presentation of a certificate to Anuhya Chinta, the practice’s Nursing Associate, who completed her apprenticeship with the University of Hertfordshire. Additional events included a networking evening with community pharmacists and a reception for patients and former partners. Looking ahead, the practice plans to continue supporting PCN and neighbourhood development and begin shaping proposals for future estate improvements.
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A number of NHS Property Company asset restacks are underway with our trusts, local authorities, borough teams and wider ICS partners to support neighbourhood health hubs, reduce voids and optimise buildings. Current projects include Parkview (Hammersmith & Fulham), Jubilee Gardens (Ealing), Wembley Centre for Health (Brent), St Charles Centre for Health and Wellbeing (RBKC), Willesden Centre for Health (Brent), Alexandra Avenue (Harrow) and Heart of Hounslow (Hounslow). Further work is progressing to develop hubs across third‑party, public‑sector or local authority sites, including the White House College site (Harrow), refurbishment of the former Nestlé canteen (Hillingdon), Ealing Gateway and Southall Gasworks (Ealing). Jubilee Gardens is the only nationally funded neighbourhood health project, with £2m secured following robust preparatory work with Community Health Partnerships (CHP).
Several Section 106 (developer contributions) and Community Infrastructure Levy (CIL) funded projects are in development or being explored, including primary care expansion at Southall Park Avenue (Ealing), Brentford’s former GSK site (Hounslow) and Alperton (Brent).
S106 funding has recently been secured to support ICS projects such as development of children’s hubs at Carmelita House (Ealing), A&E improvements at Ealing Hospital, refurbishment of nursing homes (Westminster) and hub development with West London Trust at Heart of Hounslow.
Eighteen projects are underway across north west London boroughs using NHS England utilisation and modernisation funding. These include digitising medical records and converting space to increase clinical and consulting capacity, introducing teleconsulting pods, converting rooms to clinical/examination areas and installing virtual desks. Thirteen London Improvement Grant schemes are also progressing, with delivery scheduled for next financial year.
Refurbishment and modernisation works are in progress at Marylebone Road to support the merger of the North Central and North West London ICBs. The first floor has been cleared, with decorative works starting at the end of January. Completion is planned for March 2026.
NHS North West London Strategic Estates has now contributed to five of eight local authority Local Infrastructure Delivery Plans. Work is underway with Brent, Hammersmith & Fulham and RBKC to complete the remaining plans.
Regular CIL bidding continues, with NHS North West London Estates working closely with NHS Property Services town‑planning specialists to secure financial contributions or floors pace from residential developments.
Work is underway across Estates, trust leads, procurement and health equalities to explore opportunities for further collaboration on Green Plan delivery following merger and restructuring. A workshop is planned for May 2026.
North west London trusts have secured significant national and external investment for decarbonisation, including over £12.2m from the Public Sector Decarbonisation Scheme across four phases.
NHS North West London Medicines Management continues to increase prescribing and patient use of low‑carbon inhalers and reduce waste from Nitrous Oxide and Entonox gases. This year, £68,000 has been secured across three trusts to decommission Nitrous Oxide manifolds and transition to portable cylinders.
NHS North West London procurement leads report 100% compliance with Carbon Reduction Plan requirements and 98% compliance with social value requirements across all reviewed contracts.
Work continues with Trusts and providers on consolidation of nursing homes across Westminster and RBKC.
Estates is also leading a project with primary care and finance recover historical rates overpayments. To date, £1.2m has been recovered by Estates and £622k by NHSE — a combined £1.8m — with further recovery expected before year‑end.
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