Dear Jahan

We are collating all responses/feedback received on this issue for discussion 
and next steps post Bank Holiday.

Kind regards
Lesley

Lesley Williams
Assistant Director Primary Care Strategy
Londonwide LMCs and Londonwide Enterprise Ltd
Phone: 020 7387 2034/7418 Ext: *221
Fax: 020 7383 7442
Email [email protected];
Website: www.lmc.org.uk;
From: MAHMOODI, Jahan (NHS NORTH WEST LONDON ICB - W2U3Z) 
<[email protected]>
Sent: Thursday, April 27, 2023 10:28 AM
To: Lesley Williams <[email protected]>
Cc: [email protected]
Subject: Re: [Nwl_cd] FW: SENT ON BEHALF OF GENEVIEVE SMALL: Ref. LES for the 
administration of Zoladex

They are basically saying “use your phlebotomy income to subsidise the lack of 
income for Zoladex.”

The single offer is itemised and fee per service, for non-core work.

This work has costs.

So the implication that have invested is false.

Unless costs for a service are appropriately covered, no enterprise can 
sustainably deliver them.

I would strongly suggest a robust reply, asking them where Primary Care will 
need to send unfunded services.



Kind regards

Dr Jahan Mahmoodi
Clinical Director
0203 474 5114<tel:0203%20474%205114>
www.linkedin.com/in/Dr-Jahan<http://www.linkedin.com/in/Dr-Jahan>



On 27 Apr 2023, at 09:34, Lesley Williams via Nwl_cd 
<[email protected]<mailto:[email protected]>> wrote:


This message originated from outside of NHSmail. Please do not click links or 
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Dear all
Please find attached the ICB response to the LMC concerns re the 
decommissioning of the zoladex service.
The LMC had noted that this was not a core service and had escalated this to 
the NWL ICB.
The LMC had requested either a NWL wide position/solution, or boroughs (Brent 
and Hillingdon in particular) having the discretion to (continue to) commission 
a LES, or boroughs identifying an alternative provider.

Kind regards
Lesley

Lesley Williams
Assistant Director Primary Care Strategy
Londonwide LMCs and Londonwide Enterprise Ltd
Phone: 020 7387 2034/7418 Ext: *221
Fax: 020 7383 7442
Email [email protected]<mailto:[email protected]>;
Website: www.lmc.org.uk<http://www.lmc.org.uk/>;
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From: HALLIDAY, Ana-maria (NHS NORTH WEST LONDON ICB - W2U3Z) 
<[email protected]<mailto:[email protected]>>
Sent: Tuesday, April 25, 2023 2:25 PM
To: Lesley Williams 
<[email protected]<mailto:[email protected]>>; Jamie Wright 
<[email protected]<mailto:[email protected]>>; Hannah Theodorou 
<[email protected]<mailto:[email protected]>>
Subject: SENT ON BEHALF OF GENEVIEVE SMALL: Ref. LES for the administration of 
Zoladex

Dear Hannah, Jamie and Lesley

Please find attached a letter from Genevieve Small in response to the 
administration of Zoladex.

Regards
Ana-Maria Halliday
Primary Care and Digital First NW London
<image001.jpg>
15 Marylebone Road │ London │ NW1 5JD
www.nwlondonics.nhs.uk<http://www.nwlondonics.nhs.uk/>
@HealthierNWL<https://twitter.com/HealthierNWL>

<image002.png>




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<Zoladex response.docx>
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