Public Consultation Document on a proposal to establish & Bosworth Primary Care Trust

From 1st April 2002

Leicestershire Health Authority Hinckley & Bosworth Primary Care Group & Rutland Healthcare NHS Trust NHS Contents Page Page What is this document about? 4 The Hinckley & Bosworth 10 Primary Care Trust Proposal Making your views known about 5 A vision for the future plans for a Primary Care Trust The local position Public Meetings The local health profile Writing to the Health Authority Why become a PCT? e-mailing comments What services will the PCT provide? Keeping people informed about the outcome What services will the PCT commission? Building on the Primary Care Group’s achievements Modernising Health Services 7 What will the PCT’s priorities be? for the benefit of all in Leicestershire What will the PCT do in the longer term? The national context Developing partnerships The local context What property will the PCT own? What are Primary Care Trusts (PCTs) Hospital Services in Hinckley and what benefits will they bring? How will the PCT be organised 22 What changes are proposed for , 8 and managed? Leicestershire and Rutland? The Primary Care Trust Board Current PCG/PCT configuration How will the members of the Trust Board be chosen? Proposed configuration of PCTs What is the Executive Committee? Proposed Changes for Leicestershire How will patients and the public be involved & Rutland NHS Trust in planning services? What will the PCT mean for GPs and their staff? Will there be changes in services for patients? Will people still see the same GP? What will it mean for PCG and community services staff? How will GPs and staff influence what the PCT does? How will other health professionals influence services? How will other organisations be involved?

Consultation 26 How will comments made during consultation be addressed? Who makes the decision to establishment a Hinckley and Bosworth Primary Care Trust on 1st April 2002? This document explains in more detail Please tell us what you think of the why we wish to establish the PCT consultation document Appendices 29

Appendix 1 - GP Practices in Hinckley and Bosworth Appendix 2 - The Role of the Non-Executive Board member and how to apply Making your views known about plans What is this document about? for a Primary Care Trust

In line with government policy, the Health Authority and Primary Care Groups The formal consultation will take place during June, July and August 2001. in Leicestershire believe that local people will be better served by smaller organisations based in local communities. You can make your views known about the Team at Leicestershire Health Authority by plan to create a Primary Care Trust (PCT) for 31st August 2001. Their address is: Hinckley and Bosworth from April 1st 2002. These organisations will have We’d like to know what you think about the PCT Consultation Team You can do this in two ways - by attending responsibility for: proposals. Turn to page 5 for advice on how Leicestershire Health Authority meetings for members of the public, or by to contact us or ask for more information. Gwendolen Road, Leicester LE5 4QF • improving the health of local writing direct to the Health Authority. communities The area affected by this proposal is e-mailing your comments that covered at present by the Hinckley & • developing primary care (local family Public Meetings Bosworth Primary Care Group. Much of You can also e-mail comments to: doctor services) Members of the public (and NHS staff) will this area is covered by the boundary of the [email protected] • ensuring that these services are of Hinckley & Bosworth Borough Council. be asked what they think through a series of high quality and efficient. However, the PCG also includes part of Blaby meetings and seminars during June, July and Further information about the specific proposal District Council (the Stoney Stanton area) August 2001. People will hear from speakers can be obtained direct from the Primary Care From April 1999, Primary Care Groups and part of Council (the about the specific proposals and will have an Group. Please contact the General Manager, (PCGs), which are part of the Health Authority, Broughton Astley area). The proposal is opportunity to ask questions. Colin Blackler, or a member of the PCT Project carried out these roles. In April 2001, three therefore equally relevant to people living or Team, at: The dates and venues of the meetings are: new statutory organisations were formed to working in those parts of the PCG. Hinckley & Bosworth Primary Care Group carry out these functions in Leicester and in • John Cleveland College, Butt Lane, PCG Office, Heath Lane Surgery Melton, Rutland and Harborough. These We look forward to hearing from you. Hinckley, 4 July 2001, 7.00 pm Earl Shilton, Leicester LE9 7PB organisations are called Primary Care • Ratby Methodist Church, Station Road, Tel: 01445 851189 Trusts (PCTs) and are independent of the Mike Froggatt Ratby, 11 July 2001, 7.00 pm Health Authority. Chief Executive If you are involved in a community group, Leicestershire Health Authority • The Village Hall, Station Road, parish council or other organisation in the This document specifically sets out proposals Broughton Astley, 8 August 2001, 7.00 pm area with a particular interest in health to create a new PCT from April 2002. This • St Peter’s Parish Hall, Park Street, services it may be helpful if a member of the PCT will cover the area currently served by the Market Bosworth, 13 August 2001, 7.00pm consultation team attends a meeting to Hinckley and Bosworth Primary Care Group discuss the Primary Care Trust proposals and and Leicestershire & Rutland Healthcare If you wish to attend one of the meetings and receive comments. To ask about this, please NHS Trust. you have any specific needs such as contact the PCG office, on 01455 851189. disabled access, interpreters or loop system, This document explains in more detail why please contact: we wish to establish a Hinckley & Bosworth Keeping people informed about Primary Care Trust, how patients and staff Jane Daw the outcome will benefit and what the PCT proposes to Strategy & Development Manager do. It also marks the start of our Leicestershire Health Authority After the consultation period ends in August consultation period. Tel: 0116 258 8980 2001 we will make known the outcome by making available the formal consultation Writing to the Health Authority report through the PCGs, Community Health Council, Hinckley and Bosworth Area Council You can also make your views known by for Voluntary Service, University Hospitals writing to the Primary Care Trust Consultation continued

4 5 Making your views known about plans for a Primary Care Trust continued Modernising Health Services for the benefit of all in Leicestershire of Leicester NHS Trust, Leicestershire and The National Context It is a very complex network, comprising: Rutland Healthcare NHS Trust, and local Jane Daw, libraries. This report will also be available on Strategy & Development Manager, Leicestershire In July 2000, the Government published the • three local authorities the Leicestershire Health Authority web Health Authority on 0116 258 8980. NHS Plan setting ambitious targets for • three social services departments page: www.leics-ha.org.uk improving the nation’s health and the services • seven district councils provided by the National Health Service (NHS). • Leicestershire and Rutland Healthcare If you require this document Jane Daw, Strategy & Development Manager, NHS Trust (community, learning disability Leicestershire Health Authority on 0116 258 8980. The overall vision of the NHS Plan is to create and mental health services) until April 2002 on audio tape, or know of a service designed around patients and • University Hospitals of Leicester NHS users. This means that the NHS and other someone who has a Trust (includes Glenfield, Leicester Jane Daw, local organisations, such as Social Services, preference for a version in General and Leicester Royal Infirmary Strategy & Development Manager, Leicestershire must work together to improve the quality Hospitals) Braille, please contact: Jane Health Authority on 0116 258 8980. and overall experience for patients and users Daw, Strategy & Development of different types of care services. • an extensive network of voluntary sector organisations Leicestershire Health Authority In particular, there will be a need to Jane Daw, Strategy • other agencies such as the police and on: Tel: 0116 258 8980 concentrate on: & Development Manager, Leicestershire Health probation services Fax: 0116 258 8577 Authority on 0116 258 8980. • faster and easier access to services • several hundred General Practitioners • providing the right care in the right place and their staff. To receive a translation of the summary • better treatment and care with better consultation document in Chinese, Hindi, Jane Daw, Strategy & Development Manager, outcomes for patients and less variation Health strategy in Leicestershire is developed Gujarati, Punjabi, Bengali, Urdu or Polish Leicestershire Health Authority on 0116 258 8980. in services and quality through the Health Improvement Programme please contact Jane Daw, Strategy & (HImP). All of the above organisations Development Manager, Leicestershire Health • better prevention and health promotion contribute to this process. Authority on 0116 258 8980. Jane Daw, • more patient involvement and feedback Strategy & Development Manager, Leicestershire • creating a better environment for Health Authority on 0116 258 8980. patients and staff What are Primary Care Trusts (PCTs) • making the best use of information and what benefits will they bring? technology and staff. Jane Daw, PCTs will be new, independent organisations Strategy & Development Manager, Leicestershire PCGs have already played an important role in Health Authority on 0116 258 8980. responsible for improving health, developing contributing to the NHS Plan and PCTs will have primary care and improving services. the opportunity to bring about further improvements by building on the work of the They will be comprised of family doctor PCGs to meet the needs of the local population. services and local community services within a particular geographical area, working together with other local agencies to focus on the needs The Local Context of the local population. The formal consultation period will take Within Leicester, Leicestershire and Rutland PCTs will have their own budgets for local place during June, July and August 2001 there are many organisations working together healthcare and will be able to employ staff and in the Health and Social Care community, develop new local services. caring for a population of over 900,000.

6 7 What changes are proposed for Leicester, Leicestershire and Rutland?

The current configuration of Configuration of Primary Proposed changes for requirements of the NHS Plan, the National Primary Care Groups and Primary Care Groups (PCGs) and Leicestershire and Rutland Service Framework (NSF) for Mental Health Primary Care Trusts (PCTs) and the Health Act partnership arrangements. Care Trusts in Leicester, Charnwood South at 1st April 2001 NHS Trust Leicestershire and Rutland Pop 70,800 Community Services Ten Primary Care Groups were established Charnwood North Pop 76,000 The Leicestershire and Rutland Healthcare in Leicester, Leicestershire and Rutland in Trust currently provides Mental Health and April 1999. From April 2001, this Learning Disability services, as well as configuration changed to three PCTs and Community Services. By April 1st 2002, if these six remaining PCGs. The map opposite North West Leics applications are supported, the Community shows this current configuration. Pop 92,900 Melton, Rutland & Harborough PCT Services will form part of the new PCTs across Pop 141,500 Leicester, Leicestershire and Rutland, leaving Hinckley & Bosworth Mental Health and Learning Disability Services. Pop 101,300 Mental Health Services Linked to the implementation of the NSF, the Trust would work in partnership with primary Eastern Leicester PCT Work is under way, supported by the Pop 180,000 care to develop joint plans for service Leic City West PCT Leicestershire health and social care Pop 146,400 Oadby development in a planned way and at an & Wigston community to have an NHS Trust from April Pop 56,600 appropriate pace. Any future service model Blaby & Lutterworth 2002 that provides comprehensive mental Pop 94,800 must ensure the delivery of safe and effective health services to adults and children in mental health care and maintain and develop Leicester, Leicestershire and Rutland. The proposed configuration of Configuration of proposed the necessary clinical and professional Primary Care Trusts (PCTs) Primary Care Trusts in Leicester, The range of services to be included in the expertise in both primary and secondary care. North West at 1st April 2002 Leicestershire and Rutland Leicestershire & Trust would be: North & South Learning Disability Services Charnwood The remaining six PCGs have now • NHS and Social Services mental health Pop 239,700 It is suggested that the provision of Learning expressed an interest in moving towards provision for Working Age Adults, Disability services should be organised under a three Primary Care Trusts with effect from including all NHS specialist mental health act flexibility arrangement where the April 2002. health services NHS and Local Authority put their funding • NHS provision for Older Persons’ Mental These are: together and the local authorities take Health Services responsibility for lead commissioning. Although • North Charnwood, South Melton, Rutland & Harborough PCT • NHS provision for Child and Adolescent PCTs will not manage these services directly, Charnwood and North West Pop 141,500 Hinckley Mental Health Services there is a full commitment to developing Leicestershire (to form one PCT) & Bosworth Pop 101,300 • NHS provision for Learning Disability primary care services that are responsive to • Hinckley and Bosworth Services. the needs of people with a learning disability. • Blaby and Lutterworth and Oadby Eastern Leicester PCT and Wigston (to form one PCT). Pop 180,000 NHS provision for Learning Disability Services Leic City West PCT To improve services, the aim is to design and Pop 146,400 implement, over time, a new approach to the will continue to be delivered through the Leicestershire Health Authority fully delivery of mental health services that achieves specialist mental health Trust from April 2002. supports these expressions of interest. Oadby & Wigston a high level of integration between health and Work with Social Services Departments on & Blaby & Lutterworth The map opposite shows the proposed Pop 151,400 social care services. It is envisaged that a the future direction for these services will configuration of PCTs. specialist mental health organisation offers the determine which elements will remain part of best opportunity to successfully implement the the Trust in the longer term. 8 9 The Hinckley & Bosworth Primary Care Trust Proposal Wards within the proposed Primary Care Trust (PCT) The Hinckley & Bosworth PCG, together with its partners, in particular the Leicestershire & Rutland Healthcare NHS Trust, proposes to unite the features of the PCG, a wide range of community nursing and therapy services, and local hospital services, to form the Hinckley & Bosworth Primary Care Trust.

This new organisation will build on the work community hospitals play in local healthcare, of the Primary Care Group, using the new and will integrate these services into local freedoms and flexibilities that will be available health service provision to ensure that, where to it, to further its principal aims: possible, services are provided locally.

• improving the health of the population of the area • developing primary, community and local hospital services, through investment to improve the quality of care, and integration to make the best use of services • commissioning high quality secondary care services, appropriate to the needs The local position of the PCT population. In particular we will:

• take local decisions, working with our Geographical boundaries New population data will be available strategic partners, driven by local needs The present Primary Care Group boundary - following this year’s national census, but A vision for the future to benefit local people and that of the proposed Hinckley & latest figures available show 1.1% of the PCG’s population as belonging to ethnic • innovate and develop integrated primary Bosworth Primary Care Trust - covers all of In Hinckley & Bosworth, our vision for the minority groups, compared to 11% overall and community healthcare to provide the electoral wards in Hinckley & Bosworth future has at its heart: across Leicestershire. the services our population needs Borough Council area, with the exception of • locally determined healthcare needs Markfield. In addition the PCT will cover the • commission services to strengthen the While deprivation in the area is low overall, • local decision making electoral wards of Stoney Stanton (in Blaby provision of care there are identified pockets of relatively high District) and Broughton Astley (Harborough). • locally integrated provision of care deprivation. • building strategic local partnerships. • further develop clinical leadership in improving quality Overall mortality rates, across all causes of The Hinckley & Bosworth Primary Care Trust • work with our population to The local health profile death, are lower in Hinckley & Bosworth will build on the early successes of the PCG improve health Hinckley & Bosworth PCG has a total resident PCG area than in Leicestershire as a whole, and work with its partner agencies to provide • support those who provide and population of 116,000 and a GP registered but higher than the county’s average in: and commission high quality, integrated and receive care population of just over 101,000. The age mix of • incidence of strokes (significantly higher) appropriate health services for its population. • provide easier access and clearly the population is very similar to that of • breast cancer (slightly higher) The PCT recognises the key role that the understood routes through primary care Leicestershire as a whole, though the proportion • asthma (higher, though hospital and other health services. of young adults is lower, and 25-50 year old admission significantly lower). people higher, than the county average.

10 11 The Hinckley & Bosworth Primary Care Trust Proposal continued

Why become a Primary Care Trust? Now, it offers the opportunity to use the We believe that this can only be successfully We are committed to involving the expertise and services of a wide range of accomplished if it is led by locally-based community in reaching decisions about what A positive start has been made in professionals to provide effective, co-ordinated healthcare professionals directly involved in services it wants; making sure the public has developing our role to shape local health care when and where it is needed. providing care to the people in the PCT area; a say in discussions about what services we services. We believe, though, that we can our local general practitioners, community provide and how we provide them. provide healthcare more effectively if health The challenge for Hinckley & Bosworth is to and practice nurses, local hospital staff, and professionals are organised and operating be able effectively to understand the health others working alongside general practice. within a single organisation. needs of its population and to provide services that address those needs.

Success in combining these two important objectives - integration of services and public involvement - will be critical to building an effective partnership between those The Trust will also provide, either directly or who provide and those who receive the through shared arrangements with services, and the key to achieving locally neighbouring PCTs, a range of other focussed decision-making and locally community services across the PCT. supported decisions.

The Primary Care Trust will be able to provide an integrated primary care service, with Health Visitors and District Nurses working as part of the primary healthcare teams. Integration at providing local services to address this level has never been possible before. the population’s health needs

12 13 The Hinckley & Bosworth Primary Care Trust Proposal continued

What services will the PCT provide? Following wide consultation with staff, it has particular, George Eliot and Walsgrave/Rugby been agreed that some services would be hospitals, and services at these hospitals The PCT will directly manage the following best managed by one PCT on behalf of all are much valued by both local GPs and services from April 2002: the others within Leicester, Leicestershire the population. and Rutland. This is called a ‘hosting’ • district nursing services arrangement. There are a number of services The PCG has over the past two years • health visiting services that are currently under consideration: participated in a centralised commissioning • community hospital services. forum. Through this, all ten local PCGs have • Nutrition and Dietetics worked together to establish agreements for • Children’s Services all community and secondary care services. • Adult Community Therapy Services The majority of services will continue to be • Community Dental Services Hinckley and Bosworth PCT is being commissioned in partnership with other • Specialist Nursing Services considered as the ‘host’ for Nutrition and PCTs, though over time the PCT is likely to • Health Promotion. Dietetics, and for Community Dental commission more services locally. Services. A final decision has not yet been made on which PCT will host these and further consultation with staff will take place over the coming months.

Mental health services will be provided by the new specialist Mental Health NHS Trust. The priority for the PCT will be to establish local mental health service needs, and determine how these can best be met. An example will be the exploration of potential for integrating the work of community mental health teams into primary health care teams.

What services will the PCT commission? the PCT will have a better understanding The PCT will continue to commission a significant proportion of its secondary care of the health needs of the population services from outside Leicestershire. Because of the PCG’s geography, important relationships have developed with, in

14 15 The Hinckley & Bosworth Primary Care Trust Proposal continued

Building on the PCG’s achievements These have only been achieved through the voluntary sector organisations; GP practices committed co-operation of the many throughout the area. All share an ambition to The Primary Care Group has been in existence for just over two years. In that agencies working in partnership with the achieve the best possible healthcare - and period it has already tackled, or has plans to address, a number of issues. PCG to develop services. Local authorities the best possible health - for the population in Hinckley & Bosworth, Blaby and we serve. These include: Harborough; Leicestershire & Rutland Healthcare Trust; Social Services; local Transition to a Primary Care Trust will strengthen these links by bringing some of these bodies formally into a single working with all fourteen practices in organisation, and by allowing the local freedom the area to make all health premises to develop working partnerships and shared accessible to disabled people visions that make it easier for organisations to work together to serve the public.

launching new schemes in introduction of monthly protected time partnership with the health authority for all members of primary healthcare to encourage people to give up teams to allow structured training and smoking, and with local schools to development for primary healthcare improve teenage sexual health professionals in all GP teams

in partnership with the three local providing practices with additional introduction of a reablement scheme, authorities covered by the PCG, equipment, e.g ambulatory blood through joint working with social development of a strategy to developing an ‘exercise prescription’ pressure monitors, to improve services, to support hospital discharge support carers scheme in Hinckley and in village diagnosis and support referral of and community rehabilitation locations across the PCG area patients for specialist opinion

using additional resources, including working with practices to improve strengthening primary health care an innovative approach modernisation funding and growth the cost-effectiveness of medicines teams, through analysis of skills to public involvement, including money to support the continued prescribing, and to commit any and provision of training, a local patients consultation panel development of high quality primary savings to further developments in and providing additional funding of over 120 PCG residents care services by GPs and their teams primary care for GP practice staff

financing improvements to GP practice premises in need extending the provision of modernisation against national of direct access physiotherapy standards, and working to services in GP surgeries replace existing outdated facilities

16 17 The Hinckley & Bosworth Primary Care Trust Proposal continued

What will the PCT’s priorities be? Developing community health and • review the range and distribution of • local providers of community pharmacy, primary care services services available in community hospital dentistry and optometry services, and Improving the health of the PCT and primary care settings providers of complementary services, to community through a local focus • integrated primary healthcare team • reduce demand on hospital orthopaedic, develop use of these services in working, including directly-employed ophthalmology, dermatology and ENT integrated primary healthcare. • effective local health needs assessment community nursing and other staff, with services by developing primary care • improving services to address health clearly-defined professional roles inequalities alternatives, including development of the Developing the organisation • partnership (healthcare/social concept of GP Specialists in these areas. • prevention of coronary heart disease care/voluntary service) approaches to • developing the board and executive and stroke addressing the social/mental health committee Working in partnership with • prevention and effective treatment needs of residents of the PCT • establishing a locality focus of asthma • establish a programme of effective • local people, in the work of the PCT • quality assuring systems and standards • modern primary care services for the workforce planning to ensure that the • the three local District Councils and the • encouraging multi-disciplinary diagnosis, treatment and aftercare PCT maintains a workforce with skills County Council, in co-ordinated planning team working appropriate to an effective primary of cancer • the voluntary sector, in developing plans • reviewing all premises and developing care service • assessment and treatment of for the provision of care an estates strategy • explore the potential for distribution mental illness • Social Services and other partner • developing a workforce plan for training, of primary care team workload across agencies, exploring the establishment of recruitment and retention of staff to medical, nursing and other staff, joint arrangements for care provision meet the needs of the population. including development of nurse practitioners and triage • develop out-of-hours services to ensure that the population has access to effective and appropriate health care at all times • support small practices by offering PCT support in team management / development and by exploring other models of service delivery such as Personal Medical Services schemes • explore the potential, in tandem with development of local hospital services, • intermediate care services to offer of the modernisation of service alternatives to hospital admission, provision through primary care centres, support safe early discharge, and provide one-stop shops and walk-in centres effective community rehabilitation • modernise the premises from which The PCT will be better able to deliver • work with schools and leisure services primary care services are delivered the improvements outlined in the NHS Plan to develop healthy lifestyle awareness • facilitate monitoring, maintenance and • co-ordinated services to address improvement in service quality, and teenage pregnancy support personal and professional • involvement of local people in development, through robust clinical influencing the activities of the PCT. governance arrangements

18 19 The Hinckley & Bosworth Primary Care Trust Proposal continued

What will the PCT do in the Meeting national and local strategies interested in healthcare development, from longer term? Through effective working with partners, the service provider and user standpoints, to public and a greater understanding of the develop services in the area. Similar partnership Improving health needs of the local population, the PCT will be arrangements exist with the other health forums Working more closely with the community better able to deliver the improvements outlined covering parts of the PCG. Several initiatives and partner agencies, the PCT will have a in the NHS Plan, National Service Frameworks planned for the current year result directly from better understanding of the health needs of and the local Health Improvement Programme. the joint work in these forums. the population. Together, we will be able to address these issues across a broad Hinckley & Bosworth Borough Council - the PCG is represented on the Activ8 spectrum to improve health. Developing partnerships their commitment to the development of Community Partnership, a group of community hospitals in Leicestershire’s market In its first two years, the Primary Care Group organisations representing and serving the local Improve access to appropriate services towns. The PCG, together with the local has established close working relationships community. This partnership will develop and The PCT will provide a greater range of council, has over the past two years worked with local organisations whose roles overlap jointly commit to the delivery of the borough’s services delivered in a community setting. In energetically in support of LRHT’s plans to or coincide with the PCG’s own objectives, long-term vision for service development in the conjunction with local GPs, we will develop a develop proposals for reprovision of the town’s These include the local borough and district area. This 10-15 year vision will represent a strategy for identifying and training a range of hospital facilities in new local premises. councils, Social Services, local voluntary care local strategy for improving the quality of life for GP specialists. This will be complemented by and support groups, and the Council for residents of the Hinckley & Bosworth area. A Hinckley & Bosworth Primary Care local outpatient clinics run by consultants. Voluntary service itself. Trust will be well placed to reflect local healthcare needs in its support for the Develop primary care Involvement with the wider public service What property will the PCT own? development of the area’s hospital services. Through a structured investment programme, agenda includes: The PCT proposes to own and run the The PCT will continue the work already the PCT will continue to work with GPs to Health Forums - the PCG is a member of the following capital assets: started by LRHT to bring the plans to fruition develop premises, information and technology, active Hinckley & Bosworth Health Forum as quickly as possible, and to manage the training, service development and staff which brings together local organisations • Hinckley & District Hospital continuing provision of modern, integrated, recruitment, supported by a locally sensitive • Sunnyside Hospital, Hinckley hospital services. clinical governance programme. • Hinckley Health Centre. Will the hospitals be affected? Hospital services in Hinckley The local community hospitals will become the Critical to local health services, and of great property of the PCT. There will be a review of importance to local people, is the provision the way that these hospitals are used to meet of acute and rehabilitation care through two the needs of the local population, including the long-established hospitals in Hinckley - the number and use of beds and the clinics and District Hospital in Mount Road, and services that are offered. In particular, we will Sunnyside Hospital on the edge of the town. be aiming to increase locally based services that are easy for patients to reach. providing a greater range of services The buildings from which these services are delivered in a community setting provided were built very many years ago, and The PCT will work with the acute hospitals in the present facilities cannot now offer the most Leicester, Nuneaton, and Rugby to appropriate environments for provision of the identify services that might be better delivered best local healthcare. The Leicestershire Health in the community, either by hospital consultants Authority and the Leicestershire & Rutland coming to run clinics and perform simple Healthcare Trust have in the past made clear procedures or by training local GPs.

20 21 How will the PCT be organised and managed?

National guidance describes how the PCT What is the Executive Committee? • giving feedback about aspects of their What will PCTs mean for GPs and should be organised. For the Hinckley & own or their relative’s care through the their staff? Bosworth PCT there will be two levels of The Executive Committee uses the skills, new Patient Advocacy and Liaison governance: expertise and knowledge of local clinicians Service which will be established in Although the PCT will run the community and other professionals to design plans that early 2002 hospitals and health centres, GPs will still • The Trust Board will enable the PCT to meet the strategies own their Practice surgeries. The PCT will • giving feedback about how services are • The Executive Committee. identified by the Trust Board. The membership carry out a study of all practices, health run via the new Patients’ Forum of the Executive Committee will be: centres and hospitals to identify where • by learning more through attending improvement and investment is needed. The Primary Care Trust Board • Chief Executive public Trust Board meetings. The Trust Board is at the highest level of the • Director of Finance The PCT will help and support organisation. It decides on the top-level • Social Services Representative GPs to improve their premises, • up to 10 professional members, including: strategy of the PCT and receives reports Will there be changes in services enabling them to deliver modern - a clinical representative from the from the Executive Committee. for patients? services in modern settings. professions allied to medicine This will have 11 members made up of: - a public health professional Yes. Community and primary care services The PCT will also • Lay Chair - up to 5 GPs will join together under one new organisation. be setting a • 5 lay non-executives - 2 nurses Teams of nurses, doctors, therapists, managers programme for • Chief Executive - 1 additional clinical professional. and other staff will be able to communicate and investment in • Director of Finance work together more easily, ensuring a better Information The Chair of the Executive Committee will be • 3 Executive Committee members delivery of care to patients. Management and chosen from among its membership. (including the chair and the clinical Technology. This governance lead, and including at least The PCGs have already increased the range will cover all of services that are delivered locally, including one nurse and one GP). How will patients and the public practices as well as physiotherapy, counselling, audiology and health centres and (A ‘lay’ person is a member of the public who be involved in planning services? vasectomies. In the future, the PCT will further the hospitals. This will allow rapid electronic lives within the PCT area.) Once the PCT is established, patients and increase the number of services that are communication between practices, and the public will have a number of opportunities delivered in this way, both within the local between practices and the PCT. It will also to influence the way health care services are hospitals and in GP practices. mean more accurate patient records and planned and delivered. therefore better patient care.

People can do this by: Will patients still see the same GP? Practices will be supported in the use of electronic templates in the recording and • becoming a lay member on the PCT Yes. These changes will not affect patients’ monitoring of chronic diseases. This will Board. (for details on how to do this relationship with their doctor. Their GP result in a co-ordinated and well managed please see Appendix 2) registration will not need to change, However, approach to the supervision of patients with • joining the PCT’s Patient Consultation nurses will tend to run more clinics, particularly How will the members of the Trust on going conditions. Initially, templates for Panel for patients with an ongoing condition that Board be chosen? coronary heart disease and severe mental needs regular monitoring, such as coronary • being involved in healthcare planning/ illness will be adopted. The Chair and lay members will be appointed to heart disease. In the future, GPs will also be working groups the Board by the Secretary of State for Health. supported more closely by Social Services Community staff will be locally managed, The Chair and these members then appoint the • commenting about the services they and other agencies. which means that GPs will be supported other Board members. (See Appendix 2 for have received by filling in the Trust’s by flexible teams of nurses and therapists, anyone interested in such a position). annual survey aligned to practice and patient needs.

22 23 How will the PCT be organised and managed? continued

What will it mean for PCG and How will other health closely together they will be able to provide a The PCT will be able to ‘pool’ budgets more Community Services staff? professionals influence services? single point of access for assessment, rather easily with local authorities to fund joint than patients having to be assessed twice (or projects, such as the supply of community The PCT will be a free-standing organisation Other health professionals also have an more). Patients with complex needs requiring equipment. and will employ its own staff. Staff working in important role to play in improving the health of many types of support and care will be more the PCG and the Community Trust will be the population and helping to design services efficiently and effectively cared for. The PCT will recognise the integral part transferred to the PCT on April 1st 2002. that are matched to the needs of patients. voluntary services can play in health care. They are protected by legislation regarding The PCT will be working closely with local A wide range of support services, provided changing employers and this safeguards all The PCT will strengthen its relationships with authorities, particularly on the Community through voluntary agencies employing of their terms and conditions. community pharmacists, optometrists and Strategy. The focus will not just be on qualified and experienced staff, are co- dentists in the area and will work with them delivering healthcare, but on improving the ordinated by the Hinckley & Bosworth Area Leicestershire and Rutland Healthcare Trust, to identify areas for improvement. These general health of the local population. The Council for Voluntary Service. The CVS will PCGs and Leicestershire Health will work with healthcare professionals will be involved in PCT will be able to work more directly with be an important partner organisation and a staff both directly and via their representatives working groups within the PCT. departments such as Housing, Transport and means by which the PCT can communicate to ensure that any concerns are addressed. Education. (For example, in the establishment effectively with the local community to obtain of Teenage Health Clinics within schools and user and carer views on service provision. The formation of the PCT provides exciting How will other organisations be in working with the community in new opportunities for staff working locally. involved? They will be able to contribute to the development bids for special funding.) modernisation of the NHS through getting The way that the PCT is managed will ensure involved with local planning and service that those providing health-related services development. The PCT will be an organisation are more closely involved in planning (for equipped to deliver the NHS Plan and the example, in considering the role optometrists recommendations of the National Service might play in reducing ophthalmology Frameworks (national documents that specify outpatient appointments, or in working more how care should be delivered to patients closely with voluntary agencies). suffering from conditions such as Coronary Social Services will be able to work with us to Heart Disease and Cancer.) develop intermediate care. This means a new For staff employed by GPs, there will be level of care, between that traditionally no change. delivered by GPs and that received in acute hospitals. In particular, the PCT will develop flexible, responsive teams involving community How will GPs and staff influence nurses, therapists, primary healthcare teams what the PCT does? and social services to care for patients, The formation of the PCT provides exciting particularly the elderly, in the community. Care The PCT will be organised and managed in plans will be designed for individual patients new opportunities for staff working locally such a way (see page 22) that representatives and then delivered by this team, working of GPs, nurses, therapists and all other staff together to form a seamless service. Such will have the opportunity to contribute to the teams will more successfully meet the needs running of the PCT at a number of levels. The of older people and will enable the PCT to public will also have a very important role here. implement the requirements of the Older Person’s National Service Framework. With Social Services and the PCT working more

24 25 Consultation

How will comments made during Who makes the decision to Please tell us what you think of this consultation document consultation be addressed? establish a Hinckley & Bosworth We would be grateful if you could fill in the following questionnaire to tell us what you PCT on 1st April 2002? think about this consultation document. Your views will be used to help us improve the Leicestershire Health Authority will consider way that we communicate what the health services are doing for local people. all responses to this consultation before The Secretary of State for Health has the reporting the outcome to the NHS Executive. responsibility for deciding on whether the If the move to PCTs is confirmed, any PCTs should be established. Leicestershire Name Are you: outstanding issues will, where possible, be Health Authority, after considering the outcome of consultation, will make its addressed during the establishment phase. Address recommendation to the Secretary of State A member of the public? through the Trent Regional Office of the NHS Executive. A voluntary sector worker? A public service worker? Telephone

What did you think of: Relevant & Not relevant useful or useful

A the content 1 2 3 4 B size of text 1 2 3 4 C pictures / colours used 1 2 3 4 D the range of languages 1 2 3 4 (English, Urdu, Hindi, Bengali, Punjabi, Chinese, Gujarati and Polish) E the formats 1 2 3 4 (audio cassettes and Braille)

Do you have any other comments about this document that you would like to share with us? any outstanding issues will, where possible, be addressed during the establishment phase

Thank you for taking the time to fill this form in. Please return it to: Jane Daw at Leicestershire Health, Gwendolen Road, Leicester LE5 4QF by 14 September 2001

✃

26 27 Appendices

Appendix 1 Dr P B Maity & Partners The Burbage Surgery, Tilton Road, Burbage General Practices in the proposed Leicestershire LE10 2SE Hinckley & Bosworth Primary Care Trust

Dr M Ambekar Dr A M Parkinson & Partners Desford Surgery, 19 Manor Road, Desford Hinckley Health Centre, Hill Street, Hinckley Leicestershire LE9 9HD Leicestershire LE10 1DS

Dr K J Ball & Partners Dr P Parwaiz The Old School Surgery, Hinckley Road Ratby Surgery, 122 Station Road, Ratby Stoney Stanton, Leicestershire LE9 4LJ Leicestershire LE6 0JP

Dr R V Brittain & Partners Dr B Sacha Newbold Verdon Medical Centre, Hollycroft Medical Centre, Clifton Way St George Close Practice, Newbold Verdon Hollycroft, Hinckley, Leicestershire LE10 0AN Leicestershire LE9 9PZ Dr S S A Shah & Partners Dr I D Cracknell & Partners Barwell Medical Centre, Jersey Way, Barwell Maples Family Medical Practice, 35 Hill Street Leicestershire LE9 8HR Hinckley, Leicestershire LE10 1DS Dr P A Thomas & Partners Dr S S Gajebasia Heath Lane Surgery, Earl Shilton Groby Surgery, 26 Rookery Lane, Groby Leicestershire LE9 7PB Leicester, LE6 0GL Dr R A Yardley & Partners Dr C Gilberthorpe & Partners Castle Mead Medical Centre, Hill Street working together with other local agencies The Centre Surgery, Hinckley Health Centre Hinckley, Leicestershire LE10 1DS to focus on the needs of the local population Hill Street, Hinckley, Leicestershire LE10 1DS Dr B E Lees & Partners The Surgery, Orchard Road, Broughton Astley, Leicestershire LE9 6RG

28 29 Appendix 2 The process for appointing Non Executive Board Members to Primary Care Trusts is The role of the Non-Executive Board currently being revised by the NHS Executive. member and how to apply Should you wish to become a Non Executive Primary Care Trusts (PCTs) will be new and Board Member or would like to have an relatively small NHS organisations that will be informal discussion on the role, please register faced with a wide-ranging and complex your interest with: developmental agenda. As a non-executive Mr Richard Bruce Board member, you will be expected to Assistant Director of Human Resources supervise and have oversight of the delivery of Leicestershire Health Authority integrated health care for the local community, Gwendolen Road plus holding to account the professionally led Leicester LE5 4QF Executive Committee who will be responsible for day-to-day operations. You will need to live so that further details may be forwarded to locally to the established PCT. you later in the year.

You will normally work alongside other non- executives (including the Lay Chair) and with five members from the PCT Executive Committee (including the three professional representatives and the senior managers of the PCT) as equal members of the board. The post attracts an annual remuneration.

Appointments will be by formal application. All appointments will be on merit; each application form will be assessed for suitable skills and personal qualities.

30 31 Leicestershire Health Authority Hinckley & Bosworth Primary Care Group Leicestershire & Rutland Healthcare NHS Trust NHS