The primary care trust network has urged trusts to move on from blaming each other after PCTs came under attack from their acute peers.

In an HSJ poll of chief executives, acute trust leaders criticised their PCT colleagues, attacking the quality of commissioners, and saying PCT chiefs did not face the same level of blame as they did when things went wrong.

PCT network director David Stout told HSJ: 'It's been a difficult year, I am not that surprised there have been negative feelings in all directions, but people need to move on from that. They need to try and make the system work and work through the problems rather than everybody blaming everybody else.'

The poll showed PCT chiefs have confidence in practice-based commissioning, with 73 per cent believing it has potential. But the public health lobby may be disappointed that 61 per cent said funds for public health should not be ringfenced.

The general mood among PCT leaders was anger about repeated reorganisation. The survey found 100 per cent of them said managers felt 'battered and bruised' by reorganisation.