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<p>In 2014, NHS England, Monitor and the Trust Development Authority (TDA) commissioned
research from four consultancies including KPMG to support 11 challenged local health
economies, including Staffordshire, with the development and strengthening of their
strategic plans. An overarching summary, <em>Making Local Health Economies Work Better
For Patients</em>, was published by NHS England, Monitor and TDA in December 2014.</p><p>
</p><p> </p><p> </p><p>We are advised that consultancy firms (including the case of
KPMG in Staffordshire), were not commissioned to produce a report as described in
the question, but to support the local health economies (LHEs) with the development
and strengthening of their strategic plans.</p><p> </p><p> </p><p> </p><p>Work based
on this support is ongoing, and a number of steps have to be taken in each of the
LHEs. These include the consideration of strategic plans, consultations on possible
reforms and the implementation of recommendations flowing from this. To release information
ahead of these steps could prejudice the outcome.</p><p> </p>
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