Health written question – answered at on 27 February 2006.
To ask the Secretary of State for Health under the health reform in England proposals, who will have overall responsibility for the patient in the patient-led framework; whether primary care trusts will have a (a) superintending and (b) funding role for (i) general practice and (ii) hospitals.
General practitioners (GPs) will continue to have primary clinical responsibility for their patients. They will continue to provide clinical care and referrals where appropriate.
The Department will continue to make allocations to primary care trusts (PCTs) through the unified allocation. PCTs will then be responsible for commissioning or providing services to meet local healthcare needs.
PCTs will commission primary care services under primary medical services and general medical services contractual agreements. They will work closely with, and support, GPs and primary care professionals through practice based commissioning to commission hospital and other healthcare services.
There will be clear contractual arrangements between PCTs and healthcare providers, including hospitals, which will enable PCTs to effectively performance manage the services provided.
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