DoH to ease burden on GP consortia by scrapping PCT functions

A list of PCT duties being split between GP consortia and local authorities should be 'rewritten completely', with much of it 'assigned to history', according to a DoH adviser.

Dr Kingsland: old PCT functions need to be rewritten and need to be radically different
Dr Kingsland: old PCT functions need to be rewritten and need to be radically different

Dr James Kingsland, DoH national clinical director for practice-based commissioning in England, said much of a 283-point list compiled by the DoH and the NHS Confederation PCT Network was unnecessary.

‘This is what PCTs used to do. They are being abolished, and their functions are gone,’ he said. ‘We have to rewrite this list and it has to be radically different.’

Health secretary Andrew Lansley, addressing GPs in Merseyside last week, confirmed ‘many’ functions will be abolished.

‘The things you are being asked to do are the things you know most about,’ Mr Lansley said. ‘Many functions will go to local authorities and many will be abolished. The NHS Commissioning Board will take on others – that leaves designing clinical services to you.’

PCT Network director David Stout said it remains unclear who will be responsible for IT, estates and safeguarding and support services.

Work was being done to ‘downsize’ the list of functions but none would be easy to abolish, he said.

‘We are assuming as management capacity goes down there is a need to trim down these functions.

‘I suspect it will be quite difficult to do as just because they are less important it doesn’t mean they just don’t need to happen,’ Mr Stout said.

Who is made responsible for the provision of health visitors could also prove to be a contentious issue, he said.

The DoH will publish a detailed breakdown of GP consortia’s duties in an NHS operating framework in December.

View our GP Commissioning Resource Centre

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Just published

Practices must be compensated for working through bank holidays, warns BMA

Practices must be compensated for working through bank holidays, warns BMA

GP practices should be ‘compensated appropriately’ for opening through the Easter...

Coronavirus: Key guidance GPs need to know about COVID-19

Coronavirus: Key guidance GPs need to know about COVID-19

GPonline provides an overview of the key guidance relating to coronavirus, including...

The Coronavirus Crisis: Our 'Thank You' to all healthcare teams

The Coronavirus Crisis: Our 'Thank You' to all healthcare teams

The medical staff at Haymarket know how hard you are working from our daily contact...

GPs barred from speaking out about PPE shortages

GPs barred from speaking out about PPE shortages

GPs in parts of the UK have been banned from speaking out publicly over concerns...

Practices to work through Easter bank holidays in coronavirus outbreak

Practices to work through Easter bank holidays in coronavirus outbreak

GP practices will be expected to remain open during the Easter bank holidays in response...

Zero hours deal to guarantee death-in-service rights for locum GPs

Zero hours deal to guarantee death-in-service rights for locum GPs

Locums will be guaranteed full death-in-service rights during the coronavirus outbreak...