Local accountability has been a significant policy issue within the NHS generally. However, primary care trusts are in the main accountable to the centre and there have been calls to review this. This paper discusses a range of options for reforming the relationships between PCTs and their public. It explores ...
Primary care has been the subject of a quiet revolution in recent years, with the ending of the monopoly of provision by independently contracted GPs and the introduction of a range of new targets and new forms of first contact care. Now it is poised for further radical change with ...
Primary care trusts (PCTs) are struggling to deliver the demanding modernisation agenda set for them by ministers. In consequence, two new policy themes - stronger market incentives and the decentralisation of budgetary power - have been introduced to strengthen the commissioning role of PCTs. This discussion paper looks at how ...