PCT quality improves but financial management worsens

Quality is improving but financial management worsening in PCTs in England, according to Care Quality Commission ratings published today.

They rate England's 152 PCTs either ‘excellent', ‘good', ‘fair' or ‘weak' on these two benchmarks for 2008/9, showing 15 have improved on both measures compared with 2007/8 while six have worsened on both.

On quality;

  • 2% (a total of 3) were ‘excellent' (6% in 2007/8),
  • 51% (77) were ‘good' (27% in 2007/8),
  • 45% (68) were ‘fair' (62% in 2007/8)
  • 3% were ‘weak' (4) (5% in 2007/8).

A total of 38% scored higher, 20% lower and 42% the same on this measure.

On financial management;

  • none were ‘excellent' (5% in 2007/8),
  • 53% (80) were ‘good' (45% in 2007/8)
  • 46% (70) were ‘fair' (45% in 2007/8)
  • 1% (2) were ‘weak' (4% in 2007/8)

The report does say that the 2008/9 methodology is tougher and urges caution on making year-on-year comparisons.

A total of 15% scored higher, 16% lower and 68% the same on this measure.

PCTs were ranked against a total of 37 performance indicators. On access to primary care, all of the 14 PCTs in the South West achieved the overall indicator while none of London's 31 PCTs did.

London has the lowest levels of performance for two aspects (patients being able to get an appointment within two working days and patients reporting they were satisfied with GP practice opening hours).

The east Midlands scored lowest on patients being able to book an appointment more than two working days in advance and the west Midlands on the proportion of GP practices offering extended opening hours.

Three PCTs scored one ‘excellent', all for quality: Bournemouth and Poole Teaching PCT, Isle of Wight and Peterborough.

Six scored ‘weak', four for quality (Barking and Dagenham, Havering, Redbridge and Tower Hamlets) and two for financial management (Buckinghamshire and Enfield).

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