Memorandum by Western Cheshire
Primary Care Trust
1. Since the Secretary of State for Communities
and Local Government consulted on proposals for unitary authorities
within Cheshire, the Board of Western Cheshire Primary Care Trust
has supported the proposal to create two unitary authorities.
The Board has always felt very strongly that the creation of unitary
structures would better support successful joint working and the
improvement of services for the population that we serve.
2. In particular we highlighted the problems
that joint working across two-tier structures created for organisations
such as ourselves, particularly as we covered part of the County
Council, two district councils and part of a further two district
councils. The new unitary authority for Cheshire West and Chester
will allow the Primary Care Trust to better develop joint health
and social service structures to improve the health and well-being
of local people.
3. Indeed, our Board has asked that we write
to the North West Strategic Health Authority so they may seek
the approval of the Secretary of State for Health to consult on
changes to the Primary Care Trust's so we will be coterminous
with the boundary for the Cheshire West and Chester authority.
4. We would ask that Implementation Teams and
Shadow Authorities take every opportunity to engage at the earliest
opportunity with the two Primary Care Trusts covering Cheshire
to maximise the opportunity for joint working and the development
of integrated services and posts. By involving Primary Care Trusts
at the start of any discussions on future management structures
and organisational structures we believe that we will be better
able to design effective local services, even if this means changes
to organisation arrangements for the Primary Care Trusts.
5. By working with local Primary Care Trusts
at such an early stage, the new authority and the Primary Care
Trust will both be able to engage with our local population on
any proposals to ensure local ownership and participation.
6. The draft Order seems to provide a framework
which will facilitate such discussions as well as allow strong
and strategic councils to be established. The Primary Care Trust
welcomes the opportunities that will arise.
February 2008
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