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Browse through all publications from the Institute of Global Health Innovation, which our Patient Safety Research Collaboration is part of. This feed includes reports and research papers from our Centre.
@article{Danielli:2026,
author = {Danielli, S and Archer, S and Ashrafian, H and Darzi, A},
journal = {BMJ Public Health},
title = {Developing the 5C Mayoral framework for action on health (5C-MFAH): a qualitative study of the London mayoralty},
year = {2026}
}
TY - JOUR
AB - Introduction: Cities increasingly shape population health through transport, planning, housing, economic development and other wider determinants. Mayors play a key city leadership role, but their formal health and healthcare powers vary significantly between nations. London is a useful case example because the Mayor has no direct responsibility for healthcare services but can have a significant influence over health through statutory strategies. This study aimed to develop a London derived framework for how Mayors could use formal or informal powers to improve health and healthcare.Methods: Qualitative semi-structured interviews were conducted with 35 senior leaders all of whom had worked with or closely observed the London Mayor over the last 25 years. We used an abbreviated constructivist grounded theory-informed analysis using constant comparison, memoing and category development to develop the framework.Results: Findings from the data gave rise to five key dynamic modes of Mayoral action to improve urban health and healthcare: convene, champion, collaborate, challenge and command. Collectively, they constitute the ‘5C Mayoral Framework for Action on Health’ (5C-MFAH).Conclusion: The ‘5C-MFAH’ offers a provisional, London derived framework for understanding and guiding Mayoral action to improve health and healthcare. The framework would benefit from testing in cities with different governance and statutory powers to assess its wider applicability.
AU - Danielli,S
AU - Archer,S
AU - Ashrafian,H
AU - Darzi,A
PY - 2026///
SN - 2753-4294
TI - Developing the 5C Mayoral framework for action on health (5C-MFAH): a qualitative study of the London mayoralty
T2 - BMJ Public Health
ER -
