Are PCTs redundant?
The Thatcher government introduced the purchaser-provider divide in 1991. Ever since governments have been rebranding and “redisorganising” the structures of what are now primary care trusts. However these reforms of structure have had little impact on process and outcome. PCTs are viewed as largely feeble organisations that facilitate the continuing inefficiency in provider performance. Consequently the Department of Health wants to invest in world class commissioning and transform ...
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