Published: 12/08/2004, Volume II4, No. 5918 Page 6 7

Primary care trust chief executives in Hampshire have lost their jobs following the merger of primary care senior management across Hampshire and Isle of Wight strategic health authority.

Under the new arrangements:

Blackwater Valley and Hart PCT chief executive Debbie Glenn will run North Hampshire PCT, now headed by Jill Duncan, as well as her own;

Fareham and Gosport PCT chief executive Ian Piper will also run East Hampshire PCT, currently headed by Tony Horne, on an interim basis. The job will be nationally advertised.

Eastleigh and Test Valley South PCT chief executive John Richards will also run New Forest PCT, currently headed by Angela Jeffrey.

Management in the SHA's other PCTs will not change. SHA chief executive Gareth Cruddace said it had been a 'difficult process', but that 'it is very positive to see that all organisations have come together to tackle the key challenges facing PCTs in implementing plans for a 21st century NHS'.

A spokeswoman for the SHA said it had created a consultancy partnership, which would provide opportunities for staff who had lost their jobs to work on 'specific projects for the benefit of the whole health system'. She said this would be one option available for former chief executives.

Meanwhile, South Cambridgeshire PCT chief executive Sally Hind has also been appointed joint chief executive of Cambridge City PCT.

The two Cambridgeshire PCTs will in addition share a finance director and a consultation with staff is underway over the future management structure of the two PCTs. Ms Hind said the process will finish at the end of the month and appointments will then be made, with any applications for new posts initially restricted to internal candidates.

lThink tank the Institute for Public Policy Research has suggested that PCTs should develop recruitment schemes that target potential employees from both the public and private sector.

It suggests there is little consistency between PCTs' recruitment practices and stresses the importance of ensuring that 'people who may bring a range of beneficial skills from the not-for-profit and private sectors are not excluded from the recruitment pool'.

The report recommends redesigning targets; extending primary care to include more secondary care services such as diagnostics; developing a formal structure for involving the public;

and using out-of-hours services to avoid unnecessary and inappropriate admissions.