It is for individual primary care trusts (PCTs), including Heywood, Middleton and Rochdale PCT, within the national health service to commission services for their resident population, including end of life care and neurological care, based on an assessment of local needs and priorities. Strategic health authorities are responsible for monitoring PCTs to ensure they are effective and efficient.
The "NHS operating framework for 2007-08" asked PCTs, working with local authorities, to undertake a baseline review of their end of life care services. These will allow local commissioners to assess current services, identify gaps and obtain a much clearer view of local need, which will inform local commissioning.
Regarding neurological care, the information strategy published alongside the "National Service Framework for Long-term (Neurological) Conditions" outlines commissioners' information requirements and a series of local and national actions designed to meet those needs. Copies of the "National Service Framework for Long-term (Neurological) Conditions" are available in the Library.