More PCT changes with closer links to councils

PCTs may face further organisational changes following the release of a White Paper on local government.

Last week’s report placed a heavy emphasis on joint working between councils and PCTs and promised to make legislation which would see them work closer together.
 
The White Paper put emphasis on joint budgets and joint commissioning and said the government would like to see trusts and councils elect joint directors.

The NHS Confederation, which represents PCTs, warned against more restructuring. Last month PCT numbers were cut from 303 to 152.
 
‘We are concerned about the scope to change the boundaries for local authorities,’ said Jo Webber, NHS Confederation deputy director of policy. ‘Recent experience of PCT restructuring has been painful and has hindered rather than helped trusts improve patient care.  This was reflected in the recent annual health check.  In any reorganisation, we must be certain that the benefits outweigh the costs.’

The White Paper, called Strong and Prosperous Communities, says: ‘The legislation will propose a new duty to cooperate for PCTs and local authorities, in order to enable local partners to achieve a truly integrated approach.

‘We would envisage responsibilities including the agreement of shared outcomes, a common assessment framework, single budgets (where appropriate), joint commissioning and planning and the delivery of joint targets.’

Ms Webber also warned that commissioning changes would have to involve GPs and must be jointly devised by councils and PCTs.
 
‘We must ensure that closer working relationships between local authorities and PCTs include clinicians,’ she said.

‘Practice-based commissioners need to be part of the equation.  A recent Confederation poll of NHS PCT chief executives showed that only 25 per cent of respondents had processes that linked their practice-based commissioners into the joint commissioning process.’
 
The DoH will shortly begin a consultation on ‘the effective implementation of these partnerships’, the report says.

edward.davies@haymarket.com
 
Local government White Paper

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

UK on course for 50,000 COVID-19 cases a day by mid-October

UK on course for 50,000 COVID-19 cases a day by mid-October

The UK could see 50,000 COVID-19 cases per day by mid-October, with the epidemic...

Stricter short-term COVID-19 measures needed to avoid second national lockdown, BMA warns

Stricter short-term COVID-19 measures needed to avoid second national lockdown, BMA warns

COVID-19 infection rates will ‘soar’ and the NHS will ‘once again be crippled’ if...

Practices handed one-month opt-out window as revamped network DES unveiled

Practices handed one-month opt-out window as revamped network DES unveiled

NHS England has unveiled a revamped DES package for 2020/21 confirming new targets,...

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered huge rise in face-to-face consultations in week before NHS England letter

GPs delivered a huge increase in face-to-face appointments in the week before NHS...

RCGP facing legal action over stance on assisted dying

RCGP facing legal action over stance on assisted dying

The RCGP is facing legal action over its decision to remain opposed to assisted dying...

Medeconomics Live aims to help practices thrive under the new GP contract

Medeconomics Live aims to help practices thrive under the new GP contract

The one-day, virtual Medeconomics Live conference aims to provide practices with...