There were strong clinical drivers supporting the proposed Paddington Health Campus

1.2  The clinical case for the Paddington Health Campus was based on a number of reviews into health provision and specialised health services in London. In 1997 the Turnberg report set out a number of recommendations, all of which received Government acceptance, to define the wider London healthcare strategy. The Turnberg report argued for:

  a modernisation of London's hospitals;

  integrated working both within the NHS and with other partners;

  alignment of specialist commissioning with London medical school groupings;

  Imperial College being responsible for the academic focus in north west London; and

  a more rational distribution of specialist services in north west London.

These points were all cited in the 2000 OBC for the Campus.

1.3  Subsequent clinical reviews of specialist services indicated:

  the need for a single specialist paediatric centre, to replace the then current services fragmented over five sites (the Boyd Report 1998); and

  the desirability of concentrating heart services on two sites in west London, rather than four as was the case (the English Report 1998).