QIPP is a large-scale national initiative for the NHS which will improve the quality of care the NHS delivers while making up to £20 billion of efficiency savings by 2014-15 across England. This will ensure that every £1 spent in the health service is used to maximum value.

In London, large numbers of NHS staff, including clinicians, have been leading and support this change. Integrated QIPP plans, which address the quality and productivity challenges, have been developed for each PCT cluster, which ensures that QIPP is delivered locally throughout the NHS in London.

The SHA is responsible for the performance management and monitoring of QIPP and managing the pan-London QIPP work such as primary care. In order to complement the national programme, NHS London chose to concentrate on three areas:

• primary care and care closer to home
• hospital trusts productivity; doing things better and for less
• reductions in management and administration costs

For example, the primary care work has delivered more than 30 new PCTs across London. In addition, clinical leaders working together have produced a standards framework for general practice that sets out the standards required for patients to get a good service from their GPs, in patient-friendly language, for publication by the Greater London Authority.

However, we are not complacent about the future challenges to healthcare in London, and our priority is to continue developing innovative QIPP projects to enhance the quality of care given by London's NHS.

For more information on QIPP, including information on the national workstreams, please visit the Dept of Health website.

For information on how QIPP is being implemented in your area, please visit the PCT cluster websites:

• East London and the City covering the City & Hackney, Newham, and Tower Hamlets
• Outer North East London covering Barking and Dagenham, Havering, Redbridge and Waltham Forest
• North West London covering Brent, Ealing, Hammersmith and Fulham, Harrow, Hillingdon, Hounslow, Kensington and Chelsea, and Westminster
• North Central London covering Barnet, Enfield, Camden, Haringey and Islington.
• South West London covering Croydon, Kingston, Richmond and Twickenham, Sutton and Merton, and Wandsworth
• South East London covering Bexley, Bromley, Greenwich, Lambeth, Lewisham and Southwark