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Health landscape report: 6 April – 10 April

  • Latest news

This weekly report shares new data and policy information relating to general practice, with selected facts and figures highlighted.

This report is a flexible summary, with the aim of sharing and highlighting a wide range of data and policy information relating to London general practice published in a given week. Where we view information to be of significant interest it is reproduced directly below the links to make the key points quicker to digest.  

Please feel free to share any useful stats/links you think we could include in future reports.  

Official bodies    

NHS Digital 

UK Health Security Agency 

Medicines and Healthcare products Regulatory Agency 

Policy, think tanks, charities, and representative bodies  

The Health Foundation 

  • EPR promise risks fading without national action [10/4].  
  • This blog warns that the potential benefits of electronic patient records (EPRs) in the NHS risk being lost without stronger national leadership and investment in how the systems are used, not just in buying them. While most NHS staff report that EPRs have improved patient care, safety and efficiency, many also say they have increased workload, slowed tasks, and are poorly integrated into daily workflows. Survey results highlight major problems with interoperability between systems, limited training, and lack of realtime support, leaving EPRs underused and frustrating for staff. The blog argues that without a clear national roadmap focused on interoperability, ongoing training and staff experience, EPRs will fail to deliver the productivity gains the NHS is relying on them to achieve. 
  • Health devolution: opportunity or distraction? [9/4].  
  • This blog argues that new moves to give mayors in areas such as Greater Manchester and South Yorkshire greater oversight of NHS integrated care boards could be a significant step in health devolution, but only if they lead to genuine shifts in power and priorities. While mayoral involvement may strengthen local accountability and support a stronger focus on prevention and health inequalities, the blog warns there is a risk that health becomes framed too narrowly around NHS performance rather than the wider social and economic determinants of health where mayors have greatest influence. Without practical changes such as pooled budgets, joint commissioning and stronger collaboration with local government and public health, the reforms could prove more symbolic than transformative, distracting from broader placebased action needed to improve population health. 
  • A higher NHS drugs bill means difficult decisions lie ahead for the government [8/4].  
  • This blog warns that recent changes to how new medicines are priced and approved will significantly increase the NHS drugs bill, forcing difficult tradeoffs elsewhere in the health system. Following a UKUS drugpricing deal, the government has raised NICE’s costeffectiveness threshold, capped repayments from pharmaceutical companies, and committed to increasing drug spending as a share of GDP—making it easier for branded medicines to be approved at higher prices while limiting mechanisms that previously helped offset costs. While ministers say frontline services will be protected, the blog argues that higher spending on drugs is likely to divert funding from other NHS services that deliver greater health benefits per pound spent, potentially leaving overall population health worse off amid already intense financial pressures. 
  • What do Labour’s reforms mean for local systems in the NHS? [7/4].  
  • This blog argues that Labour’s proposed NHS reforms mark a shift away from systemlevel collaboration towards a more traditional, organisationfocused model, with significant implications for local integrated care systems (ICSs). While integrated care boards (ICBs) would be refocused as strategic commissioners, changes such as removing NHS providers and local authorities from boards, scrapping integrated care partnerships, and increasing autonomy and competition for individual NHS providers risk weakening crosssector collaboration. Based on interviews with local leaders, the blog warns that without clear mechanisms to support system leadership and partnership working, Labour’s reforms could undermine progress made since 2022 and lead to a more fragmented NHS, even as complex population health challenges continue to require coordinated local action. 

London Trusts    

Barts Health NHS Trust 

King’s College Hospital NHS Foundation Trust