Plan to axe PCTs is 'astonishing'

The DoH's plan for the abolition of PCTs is 'astonishing' and unlikely to benefit the NHS, according to the NHS Confederation's acting chief executive Nigel Edwards.

Nigel Edwards: ‘We are being asked to change the whole of the system at once in very tight financial times.'

Speaking at the National Association of Primary Care's annual conference in Birmingham last month, Mr Edwards said the DoH's denigration of NHS managers could lead to the health service losing track of its efficiency targets during the White Paper reforms.

'The history of restructuring over the past 20 years in the NHS has been lamentably poor,' Mr Edwards told delegates. 'We are being asked to change the whole of the system at once in very tight financial times.

'The DoH's is effectively saying "while you're at it, would you mind not running up huge deficits, and turning out the lights on your way out". I think that is an astonishing approach to change management.'

Mr Edwards also questioned the changes to the health secretary's role proposed in the White Paper, which distance the role from health service decision-making.

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