PCTs struggle with finances, says CQC

Quality is rising but financial management is worsening in PCTs in England, according to Care Quality Commission ratings published last week.

England's 152 PCTs were rated either 'excellent', 'good', 'fair' or 'weak' on these two benchmarks for 2008/9. Fifteen improved on both measures compared with 2007/8, while six worsened on both.

On quality, 2 per cent were 'excellent', down from 6 per cent the year before. But 51 per cent were 'good', almost double the 27 per cent who hit this mark in 2007/8. Some 45 per cent of trusts were rated 'fair', and 3 per cent rated 'weak'.

On financial management, however, no trusts were rated 'excellent'. Some 53 per cent rated 'good', and only 1 per cent were 'weak'.

The CQC pointed out that the 2008/9 methodology is tougher and said year-on-year comparisons were unreliable.

PCTs were ranked against a total of 37 performance indica-tors. 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.

PCT finances

  • No PCTs were rated 'excellent' on financial management.
  • 53 per cent were 'good'.
  • 46 per cent were 'fair'.
  • 1 per cent were 'weak'.

Source: Care Quality Commission

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