Improving health in London: reflections from three mini case studies (HIV, mental health, healthcare estate)

ABSTRACT Global health will increasingly be determined by cities and therefore city-wide transformation of health and care is crucially important. Reflections from our experiences in London suggest some critical ingredients for city-wide transformation, including: having a shared aim; robust engagement with the citizens, service users and providers of services; setting aside organisational priorities and effective incentives to do so; a focus on enablers; strong city-wide leadership. Rather than working ‘together but separately’, health and care partners must work ‘together, together’ if cities are to meet the health and care challenges of the next decade.