PCTS should budget for community care

PCTs should set indicative budgets for community services under new guidance on practice-based commissioning from the DoH.

PCTs to set indicative budget for community
PCTs to set indicative budget for community

The guidance says PCTs should calculate the budgets, even if only on a whole time equivalent or per capita population basis, so practices can assess their spending for community nursing and mental health services.

There will also be benchmarking of these costs across PCTs, strategic health authorities (SHAs) and at a national level that will eventually allow price bands for these services that do not have a Payment by Results tariff. However, the document makes no mention of whether this will supercede government intentions to create a community tariff in 2008 as originally planned.

The DoH states that PCTs should give 100 per cent of their budgets to practice-based commissioners. An agreed amount for PCT management costs and a ‘risk pool’ will then be given back to the PCT.

Practice-based commissioners should be allowed to keep 70 per cent of all savings to reinvest in services. Only 30 per cent should be used to pay off PCT deficits unless the SHA agrees special circumstances apply.

Read more in 4 December issue of Independent Nurse

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published

£20 notes spread out

VAT trap for PCNs could strip millions of pounds from general practice

Tens of millions of pounds could be stripped from general practice because work carried...

Talking General Practice logo

Podcast: Is the BMA representing GPs effectively, why GPs face a pension tax hit, and views on the workload crisis

In our regular news review the team discusses representation of GPs, a new survey...

Man sleeping

NICE guidance on insomnia backs app to replace sleeping pills

Hundreds of thousands of people with insomnia could be offered treatment via a mobile...

Health worker prepares a dose of COVID-19 vaccine

JCVI backs autumn COVID-19 booster campaign for high-risk adults and NHS staff

Frontline health and social care staff and adults at increased risk of severe illness...

GP consultation

Government accused of 'misleading' claims on general practice workforce

GP leaders have accused the government of making misleading claims about the general...

Consulting room door

LMC calls for enhanced access to be scrapped after abuse forces practice to close reception

A Midlands LMC has backed a practice forced to close its reception desk after abuse...