Change Request
 
NHS Information Authority

Reference: Change Request 340
Version No: 1.10
Subject: Responsible PCT
Type of Change: Revision to NHS Data Standards
Effective Date: Immediate
Reason for Change: Change to Primary Care Trust Class description to include definition for responsible population.

Background:

Primary Care Groups ceased to exist following 'Shifting the Balance of Power' and the concept of the 'responsible population' was transferred to Primary Care Trusts.

The definition of a Primary Care Trust has been updated to define the responsible population.

Summary of changes:
 
Class Definitions
PRIMARY CARE TRUST    Change to description

Name: Janet Powell
Date: 1 July 2003
Sponsor: Data Information and Standards Programme

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.


PRIMARY CARE TRUST

Change to Class: change to description

A type of ORGANISATION.

A PRIMARY CARE TRUSTS is a legal entity, set up by order of the Secretary of State. It is a free-standing NHS body, performanced managed by a STRATEGIC HEALTH AUTHORITY. A PRIMARY CARE TRUST is a legal entity, set up by order of the Secretary of State. It is a free-standing NHS body, performance managed by a STRATEGIC HEALTH AUTHORITY.

The overall function of a Primary Care Trust is to improve the health of the community; develop primary and community health services; and commission secondary care services. The overall function of a Primary Care Trust is to improve the health of the responsible population, develop primary and community health services, and commission secondary care services. A Primary Care Trust will, if it so wishes and is capable of doing so, be able to directly provide a range of community health services, creating new opportunities to integrate primary and community health services as well as health and social care provision.

The PCT's responsible population comprises:

- all persons registered with a GP whose practice forms part of the PCT, regardless of where the person is resident, plus
- any persons not registered with a GP who are resident within the PCT's statutory geographical boundary

Note that persons resident within the PCT geographical area, but registered with a GP belonging to another PCT, are the responsibility of that other PCT.

With "Shifting the Balance of Power", Primary Care Trusts will be the leading NHS organisation for partnership with Local Authorities and a range of other partners, including NHS Trusts, Strategic Health Authorities and a range of other Primary Care Trusts and local communities to improve health and deliver wider objectives for social and economic regeneration.

PRIMARY CARE TRUSTS provide some services themselves and others through agreement with other organisations. Several PRIMARY CARE TRUSTS may decide to work together to provide certain services. In this case a lead Primary Care Trust will be identified for the group.

There may be occasions when relationships are formed on a larger scale. For example the provision of a highly specialised service, such as specialist cancer or spinal injury services, may be done collaboratively across a population larger even than strategic health authority.

References:
Department of Health Booklet "Primary Care Trusts: Establishing Better Services" (Ref. PCT1), issued April 1999. Shifting the Balance of Power publications.



This class is also known by these names:
Context Alias
plural PRIMARY CARE TRUSTS


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