PCT contract guilt
The scale of contract breaches attempted by PCTs over the past two years has been revealed.
A report on disputes between GPs and trusts that were
taken to national arbitration shows PCTs lost on 17 occ-asions.
Six of the cases examined by the Implementation Co-ordination Group made up of the GPC, Department of Health and NHS Employers officials related to improper badging of money for enhanced services.
A further three cases involved the rights of sessional GPs and another found in favour of a practice that had nursing home patients allocated across PCT borders
The disputes report has been circulated to trusts to 'aid
Where PCTs got it wrong
· Enhanced services floor cannot be spent on uncontestable services such as 'Evercare' nursing models, same-day treatment centres, Saturday surgeries, minor surgery or prescribing incentive schemes
· PCTs cannot allocate nursing home patients across PCT borders
· PCTs cannot fix locum reimbursement at less than the maximum level in all cases
· PCTs must pay for DESs at or above the level specified in the Blue Book
· PCTs must consult on vacancies in singlehanded practices rather than take them on as PCTMS