PCT clusters – real change or same old structure in disguise?

Released: 08/04/2011

PCT clustering could allow for the growth of GP Commissioning Consortia but, unless they have proper governance in place, there is a danger that they could be seen as old PCTs under a different name, says the NHS Alliance.

According to new report, published by the NHS Alliance’s Network for Non-Executive Directors (Nednet), “either the government speed up GPCC pathfinders to sit above PCT clusters, so that GPs are really in the driving seat, or slow it down to ensure a smooth transition. At the moment it is neither one thing nor the other”.

Dr Ade Adeagbo, Chair, Network for Non-Executive Directors, NHS Alliance, said: “PCT clusters need to have robust financial and clinical assurance systems with strategic oversight. They also need fully engage with GPs in the formulation of plans, structures and governance.”

In a survey carried out by the Alliance’s Nednet, all respondents argue that cluster as new organisation architecture poses a risk to managing local health systems, with 49% rating it as high risk.

Dr Adeagbo added: “There is a lack of understanding as to what can or should be done at cluster level.”

For PCT clustering to work, local needs must be taken into account. There is a risk of clusters becoming so big that that they are not able to effectively understand or respond to local needs. Clusters may work in some areas and not in others; it should be established and developed to suit local arrangements”, the report points out.

Ends.

Notes to editors:

1.    Full report attached.

2.    The survey was carried out in February 2011 among 76 participants.

3.    NHS Alliance brings together GP consortia, PCTs, clinicians and managers as the leading organisation in primary care. We are an independent non-political membership organisation proud to be at the forefront of clinically-led commissioning. Its leaders are all dedicated professionals, who represent the Alliance’s diverse membership, working ceaselessly to meet the challenges facing the NHS today. Find out more at www.nhsalliance.org

4.    For more information, please email pressoffice@nhsalliance.org or call 07772756674.