STRUCTURE: The transfer to the foundation of community services from three different primary care trusts is expected to be delayed until July, an NHS North West board report states.

The services from Blackburn with Darwen, Central Lancashire, and East Lancashire, are due to be transferred as part of the national Transforming Community Services programme. Under TCS all commissioners were due to have divested themselves of their provider arms by the end of 2010-11.

But the Lancashire Care transfers are among six in the North West to have been delayed by a backlog at foundation trust regulator Monitor, which has to assess the impact of the transactions.

The other delayed transfers are to foundation trusts Blackpool Teaching Hospitals and the Royal Bolton Hospital, according to a report to NHS North West’s May board meeting.

The strategic health authority’s report adds: “We will maintain regular performance management for all transactions that have yet to be completed. In October/November 2011, we will undertake a 6 months business review, which will include the following questions:

• When was the transaction completed?

• What has been the effect on service provision?

• What has been the patient experience?

• Have there been any clinical issues or failings?

• Is there any identified best practice that will have a significant impact on improving clinical outcomes, contribution to QIPP, safeguarding?”