3PCT Strategic Functions The general modernisation of primary careThe expansion of the primary care sector and the resourced shift of secondary to primary care workThe recruitment and retention of the primary care workforceThe management of demand for primary care services
4Patient Services Guarantee PCTs will have a legal responsibility to ensure that:‘patients will continue to be offered at least the range of services that they currently enjoy under the existing contract’
5Process Develop commissioning strategy Undertake procurement process Monitor outcomes
7GMS Contractors A general medical practitioner Two or more individuals practising in partnership;At least one partner (who must not be a limited partner) must be a general medical practitionerOther partners must be individuals from within the NHS familyCompany limited by sharesAt least one share must be legally and beneficially owned by a general medical practitionerOther shares must be legally and beneficially owned by individuals from within the NHS family
8PMS ContractorsAgreements can be made with one or more of the following:An NHS TrustA medical practitionerA healthcare professionalAn individual who is a GMS or PMS providerAn NHS employee or a PMS employeeA qualifying body (a company limited by shares, all of which are legally and beneficially owned by persons identified above)
9APMS ContractorsPCTs may make contractual arrangements with any person (for the provision of primary medical services)[Section 16CC(2)(b)of the National Health Service Act 1977]Specific provisions for:IndividualsCompaniesPartnershipsIndustrial and provident societies, friendly societies, voluntary organisationsie. must be fit and proper persons.
10PCTMSA PCT may provide primary medical services itself (whether within or outside its area)[Section 16CC(2)(a) of the National Health Service 1977 Act]
12PCTs as provider Two routes: PMS PCTMS “ Under PMS, the PCT can be the contractor but this involves the SHA acting as the commissioner. The SHA commissioner role is increasingly anomalous given StBoP and PCTs may ... wish to transfer such PMS contracts to PCTMS arrangements where the PCT is the direct provider.”[para 2.6 Delivering Investment in General Practice]
13PCT Provision“ PCTs are encouraged to develop a minimum level of (provision of essential) services....If PCTs propose to become large-scale providers of primary medical services, they are expected to discuss this first with their SHA. They are also expected to consult with LMCs.”[para 2.6 Delivering Investment in General Practice]
14Procurement Process Two stage process: First, competition between GMS and PMS practices (which would have preferred provider status);Then, open competition.[para 7.20 Investing in General Practice]Further Guidance ?