STRUCTURE: Regular Department of Health developments in consortia commissioning plans have not “simplified or clarified” the process in Great Yarmouth and Waveney, the primary care trust has been told.

Andrew Evans, chief executive of HealthEast Community Interest Company, the consortium in the area, wrote in an update on GP commissioning to the PCT board: “The pace of planning and preparing for the local implementation of GP commissioning continues to speed up.

“Over the last two months there has been regular small scale development of the Department of Health view of how GP Commissioning may be organised and run. This hasn’t always simplified or clarified practical requirements for operation.”

The update also said little guidance was expected on the “alignment” or transfer of PCT staff to the consortium.

Mr Evans said: “The process of alignment to HealthEast is being planned with the PCT executive and staff bodies. Intelligence from the DH would suggest that there will not be clear guidance on how this must be done and so a pragmatic approach to achieve rapid but fair and open transfer is being developed.”