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A primary care trust could commission community health centres. Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers.
The QOF system is supervised and audited by NHS primary care trusts in England and the analogous bodies elsewhere in the UK (Health Boards in Scotland, Regional Boards in Northern Ireland and Local Health Boards in Wales), which make the related payments.
The high and rising costs of some medicines, especially some types of cancer treatment, means that prescriptions can present a heavy burden to the primary care trusts, whose limited budgets include responsibility for the difference between medicine costs and the low, fixed prescription charge.
Hospital trust (also known as an acute trust), which provides secondary care services; Mental health trust; Ambulance services trust; Community health trust; Over time the distinction between different types has eroded, and both hospital and mental health trusts have taken on responsibility for various community services.
The PCTs were organised into clusters so as to achieve management cost savings, although the PCTs themselves remained separate statutory bodies. Whilst the majority of clusters contained multiple PCTs, there were some clusters, such as Cumbria, which consisted of just a single primary care trust.
The government intended GP practices to be supported by the PCTs (primary care trusts) to buy in ("commission") services for their patients based on cost and quality of care. This process was expected to generate financial savings of which 7/10ths may be retained by the practice for further investment while the remainder is passed back to the PCT.
Primary care trusts (PCTs) and strategic health authorities (SHAs) were abolished, with projected redundancy costs of £1 billion for around 21,000 staff. [13] £60 to £80 billion worth of commissioning will be transferred from PCTs to several hundred clinical commissioning groups, partly run by GPs.
The health care professional/health care body and the primary care trust (PCT) enter a local contract. The main use of this contract is to give GPs the option of being salaried. Alternative Provider Medical Services (APMS) are primary care services provided by outside contractors (like US health companies).