How many pct clusters in england

Applies to England Documents. Request an accessible format. If you use assistive technology such as a screen reader and need a version of this document in a more accessible format, please email publications dhsc. Please tell us what format you need. It will help us if you say what assistive technology you use. Brexit Check what you need to do. Explore the topic National Health Service Public health. Is this page useful? But there is a strong possibility that the clusters will be asked to take on a wider range of responsibilities for a longer period.

In short, the basic architecture of the reforms — barring acts of Liberal Democrat self-immolation — will not alter. However, it is likely this new world will come into being slower than health secretary Andrew Lansley would wish and in more a graduated way. A very good example is the influence of hospital doctors and other clinicians over commissioning decisions.

The prime minister has indicated this is an area in which he expects to see change. However, it is unlikely — and undesirable — that a legislative change would be made to insist that X number of clinicians, members of the public and so on should be represented on consortium boards.

It is also clear that GPs do not think it is a solution. They have, on the other hand, almost all recognised that management was an essential element of any board. A more likely and desirable solution to involving other clinicians in commissioning is to make it a part of the authorisation regime that consortia involve the appropriate expertise when making decisions about services.

Just as it would be sensible to require Monitor to make sure that the developing healthcare market made the best use of cooperation rather than writing into the bill, for example, that competition should never undermine providers. But this, yes, evolutionary, approach takes time — and also requires careful oversight as well as someone to mind the knitting.

Which takes us back to the PCT clusters. Set up and staffed with one purpose and timeframe in mind — a rethink may be necessary to recognise both the length of time they or something like them will need to exist and, also, the power they will wield over that period. UK, remember your settings and improve government services. We also use cookies set by other sites to help us deliver content from their services. You can change your cookie settings at any time. Guidance on the creation of PCT clusters and the process of consolidating management capacity, with single executive teams each managing a cluster of PCTs.

This was published under the to Conservative and Liberal Democrat coalition government. PDF , KB , 26 pages. PDF , The Department of Health will undertake an assessment to understand and address any potential impact on equality of the development of PCT clusters.

This will draw on available evidence including information in the assessment of impact on equality of the development of GP consortia, recently published alongside the Health and Social Care Bill Check what you need to do.