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<p>The procurement of local health services by means of competitive tendering is a
matter for the local National Health Service.</p><p> </p><p>We are advised by NHS
England that Greenwich Clinical Commissioning Group’s Turnaround Director and Musculoskeletal
(MSK) Programme Manager met the senior management team of Lewisham and Greenwich Healthcare
Trust in March 2016. We understand that the implications of the MSK service procurement
were discussed in detail, and that there were no concerns with regard to the viability
of any other services the Trust provides.</p><p> </p><p>We are further advised by
NHS England that it undertook an assurance of the procurement process for the MSK
service in Greenwich in August 2016<ins class="ministerial">. We also understand that
NHS Improvement was aware of the procurement and briefly discussed it with the Trust
during a standing monthly meeting on 21 June 2016. </ins> <del class="ministerial">and
as part of this also met with the Trust to discuss the implications of the procurement
for the trust.</del></p><p>We understand that Circle Health has been engaging with
Lewisham and Greenwich Healthcare Trust as part of the mobilisation process, including
developing clinical and operational delivery plans to provide integrated services.</p>
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