Turning round NHS deficits: …is more difficult for PCTs

doi:10.1136/bmj.332.7537.363

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Hilary G Pickles, director of public health (hilary.pickles@hillingdon.nhs.uk)

Hillingdon Primary Care Trust, Yiewsley UB7 7HJ

EDITOR—Ham believes that the turnaround teams from the private sector will find it difficult to deal with NHS deficits.1 The solution he describes entails reducing spare capacity, increasing performance, and fully engaging clinicians. These measures, aspects of the failure regime for hospitals,2 have some chance of success in provider organisations. The position for primary care trusts (PCTs) in deficit is even more difficult …