The Commissioning Function of Primary Care Groups and Trusts

The long term importance of English primary care groups for integration in primary health care and deinstitutionalisation of hospital care

PURPOSE This article reviews the impact of successive experiments in the development of primary care organisations in England and assesses the long-term importance of English primary care groups for the integration of health and community and health and social care and the deinstitutionalisation of hospital care. THEORY Governments in a number of Western countries are attempting to improve th...

Towards primary care groups: the development of local healthcare cooperatives in Scotland.

The plan for the NHS in Scotland mapped out in the white paper Designed to Care shares common values and goals with the plans for England and Wales. The organisational structures proposed to underpin Scotland’s strategy for the health service (box) are, however, substantively different from those proposed for England and Wales. Primary care trusts are new statutory organisations scheduled to go...

Effective Commissioning of Sexual Health and HIV Services A Sexual Health and HIV Commissioning Toolkit for Primary Care Trusts and Local Authorities

UK Renal Registry 15th annual report: Appendix D methodology used for analyses of PCT/HB incidence and prevalence rates and of standardised ratios.

The areas used were 146 English primary care trusts (PCTs), 5 English care trusts, the 7 Welsh Local Health Boards, the 14 Scottish Health Boards and the 5 Health and Social Care Trusts in Northern Ireland – these different types of area are collectively called PCT/HBs here. In England these areas are undergoing significant reorganisation at present with the introduction of clinical commissioni...

Primary care budget holding in the United Kingdom National Health Service: learning from a decade of health service reform.

1. The United Kingdom National Health Service (NHS) has experienced 10 years of primary care budget holding in a variety of forms. 2. Half of all general practitioners had joined the GP fundholding scheme by 1997, and many others had joined broader GP commissioning groups, but fundholders controlled only about 20% of the budget for hospital and community health services. 3. Research on fundhold...