Tensions between acute and primary care trusts could be soothed by the new NHS Confederation PCT network, its chair has said.
David Stout, former chief executive of Newham PCT, began work at the network on Monday and said one of his priorities would be to manage 'inevitable creative tensions' between different types of trusts.
'There are always going to be distinct perspectives but I think a mature relationship should allow us to manage the different perspectives in a more effective way,' he said.
'It is not in a provider's interest for a PCT to be bankrupt; if your main customer is bankrupt then you're going to lose out.
'I am not supposing it can all be magic-ed away into one happy family, but there are undoubtedly ways that providers and commissioners can work together in the interest of patients.'
He also defended criticisms levelled at PCTs for being weak.
'My personal view is that the tools to do effective commissioning have only been in place for a year or two so to think that PCTs will have magically reformed the NHS through commissioning is a little optimistic,' he said.