Health - Second Report
Here you can browse the report together with the Proceedings of the Committee. The published report was ordered by the House of Commons to be printed 15 December 2005.
CONTENTS
Terms of Reference
REPORT
1 INTRODUCTION
2 BACKGROUND
Current PCT functions and configuration
What is 'commissioning'?
A brief history of NHS commissioning
Market-type reforms—Payment by Results
and Patient Choice: the implications for commissioning
Practice Based Commissioning
Recent changes—Creating a Patient-Led
NHS, the 'out-of-hospital' White Paper consultation, and Commissioning
a Patient-Led NHS
Rationale behind the changes and assessment
criteria
3 THE
CONSULTATION PROCESS
Divestment of PCT provider services—continuing
confusion
Wider issues about the consultation process
Patient and public involvement
Timing and timescales surrounding the consultation
process
Reasons for the changes—central Government
or the local NHS?
Reasons for the changes—improvement
or cost savings?
Reasons for the changes—form rather
than function?
Strategic Health Authorities' accountability
for restructuring
Next steps
Conclusion
4 LIKELY
IMPACT OF PCT RESTRUCTURING
Impact on PCTs' day to day functions
and on clinical services
Longer term effects
Impact on public health
Financial impacts
5 IMPACT
OF DIVESTMENT OF PROVIDER SERVICES
How will divestment affect commissioning?
Wider impact of market-type reforms in primary
care
6 CONTRACTING
OUT COMMISSIONING IN OXFORDSHIRE
7 CONCLUSIONS
The impact of reconfiguration
Impact on day to day functions, including
clinical services
The long term impact on commissioning
Financial savings
Contracting out PCT provider services and
commissioning
General lessons
CONCLUSIONS AND RECOMMENDATIONS
FORMAL MINUTES
WITNESSES
LIST OF WRITTEN EVIDENCE
REPORTS FROM THE HEALTH COMMITTEE
MINUTES OF EVIDENCE
WRITTEN EVIDENCE
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