The results were revealed to the 140 of 150 Professional Executive Committee (PEC) chairman at the NHS Alliance conference in Manchester this week.
It also found that one in five PCTs do not have a PEC fully in place, a month after the final deadline and nine months after the guidance was published.
PECs have no real involvement in commissioning in 23 per cent of PCTs, according to the survey.
Dr Peter Reader, NHS Alliance national lead for clinical leadership, said: ‘There is a massive variation across the country in how PCTs and SHAs are approaching clinical leadership. Some, such as the East of England and North West SHA areas, are providing excellent imaginative leadership.’
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