PCTs’ grip and professionalism are crumbling in the face of NHS reforms

BMJ 2010; 341 doi: (Published 09 December 2010) Cite this as: BMJ 2010;341:c7124
  1. Adrian O’Dowd
  1. 1London

The ability of primary care trusts to operate professionally and keep a grip on money is starting to weaken, MPs have been told.

Trusts are receiving fewer tenders, failing to follow cooperation and competition rules, not encouraging innovation, and losing valuable staff, the parliamentary health select committee heard on 7 December as part of its inquiry into commissioning.

Witnesses told MPs that urgent efforts should be made to help the transition from the current system to new arrangements set out in the health white paper, which will abolish primary care trusts and create GP led commissioning consortiums to control most of the NHS budget.

David Worskett, director of NHS Partners Network, the network for …

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