PCT — competency framework

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PCT competency framework

The national primary and care trust development programme (NatPaCT) is part of a number of programmes run by the Modernisation Agency and is an important one for NHS influencers to be aware of — although there will be major organisational change here in 2005 as the Modernisation Agency is downsized. Note NatPaCT’s organisational competency framework for PCTs as this includes a partnership competency specifically mentioning working with the pharmaceutical industry — see www.natpact.nhs.uk.
Listed under the descriptors and demonstrators of this competency are:

  • Developed managed approach towards products and developments
  • Rules of engagement, agreed with common goals
  • Specific projects agreed and implemented in partnership
  • Shared protocol development

NHS influencers may want to work with their head office support function to suggest inclusion of local partnership arrangements on the NatPaCT site.

The NatPaCT website has also recently posted a new resource with examples of good working relationships between PCTs and their clinicians. Can Do from the NHS Alliance is a ‘catalogue of success’ from over 100 PCTs.

And NatPaCT has also published a self-evaluation toolkit for PCTs. As part of the PCT improvement programme 2003-04. NatPaCT developed this to engage the boards and PECs of ‘challenged’ organisations in benchmarking their PCT's progress against the totality of the PCT agenda.

The NHS contractors’ companion at www.natpact.nhs.uk. is a series of booklets dealing with the new payment by results system, patient choice, developing a wider range of primary care services and the impact on PCTs of foundation trusts.

National Primary Care Development Team

If you haven’t picked up on the National Primary Care Development Team (NPDT) yet, have a look at the work they have been doing through the primary care collaborative around continuous quality improvement (CQI), process mapping, CHD and care pathways. Over 2,500 practices have been involved in NPDT initiatives and 11 regional centres have been set up with 80 project managers (in England) to handle the work. See www.npdt.org.

The NPDT has published a review of its first two years with its early focus on CHD — a useful document for NHS influencers to get hold of. Note that the NPDT has expanded the remit of the national primary care collaborative to other areas of chronic disease management beyond CHD. Phase III of the national primary care collaborative is involved in both diabetes and chronic obstructive pulmonary disease.

The NDPT has also established a general/personal medical services collaborative with 28 PCT pilots (one per strategic health authority) and NHS influencers might like to find out where these ‘exemplars’ have been set up. The initiative is about service redesign and differing models of primary care provision with a particular focus on chronic disease management.