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TitleTransforming Community Services
LanguageEnglish
File Size731.2 KB
Total Pages105
Table of Contents
                            Enabling new patterns of provision
Contents
Executive Summary
1. Introduction
2. Strategic Context
3. Guiding principles
4. What PCTs need to do
5. Commissioning high quality community services
6. Providing high quality community services
7. Organisational Forms
8. Implementation
9. Making decisions on the new arrangements
Appendix 1 – Capital, Estates and Infrastructure
Appendix 2 – Issues for staff
Appendix 3 – Involving stakeholders
Appendix 4 – Applying the right to request for a social enterprise
Appendix 5 – Applying for Community Foundation Trust status
Glossary
Abbreviations
                        
Document Text Contents
Page 1

Transforming Community Services:
Enabling new patterns of provision

Page 2

DH INFORMATION READER BOX

Policy Estates

HR/Workforce Commissioning

Management IM & T

Planning/ Finance

Clinical Social Care/Partnership Working

Document purpose Best Practice Guidance

Gateway Reference 10850

Title Transforming Community Services: Enabling New Patterns of Provision

Author Transforming Community Services team, DH

Publication date 13 Jan 2009

Target audience PCT CEs, SHA CEs, PCT Chairs

Circulation list NHS Trust CEs, Care Trust CEs, Foundation Trust CEs, Directors of

Nursing, Local Authority CEs, Directors of Adult SSs, NHS Trust Board

Chairs, Special HA CEs, Directors of HR, Directors of Finance, Allied Health

Professionals, GPs, Communications Leads, Directors of Children’s SSs,

Voluntary Organisations/NDPBs, Trade Unions

Description This enabling guidance is intended to help PCT providers of community

services to move their relationship with their commissioners to a purely

contractual one, consider what type(s) of organisations would best meet

the future needs of patients and local communities, and how change can be

managed to support the transformation of services to patients.

Cross ref Transforming Community Services: Resource Pack for Commissioners of

Community Services

Superseded docs N/A

Action required N/A

Timing N/A

Contact Details Helen Dixon

New Models of Care

Department of Health

6th Floor, New King’s Beam House

Upper Ground, London SE1 9BW

For recipient’s use

' Crown copyright 2009

First published 13 January 2009

Produced by the Department of Health
The text of this document may be produced without formal permission or charge for personal or in-house use.
www.dh.gov.uk/publications

http://www.dh.gov.uk/publications

Page 52

Example Description Separate Legal Entity Legal Route

Horizontal PCTs enter joint No new legal entity With LAs = partnership arrangements
Integration arrangements or services is established, but the under s.75 of the Act and NHS Bodies and
between PCT are transferred to (“hosted services may be provided Local Authorities Partnership Arrangements
providers and/ by”) another PCT. PCTs by an entity (LA or PCT) Regulations 2000. With other PCTs =
or LAs and LAs enter section 75

partnership arrangements
whereby the LA performs
the PCT’s community
health services function.
Typically such arrangements
are developed between
providers delivering the
same part of a patient
pathway or service.
Proposals for horizontal
integration must be
compliant with the
requirements of the
Principles and Rules
for Cooperation and
Competition.

separate from the original
PCT.
Joint arrangements with
another PCT or LA may
not involve a separate
entity, but can be simply
agreements.

regulations under 2006 Act (see regulation
10 of the National Health Service (Functions
of Strategic Health Authorities and
Primary Care Trusts and Administration
Arrangements Regulations 2003 (SI
2003/2375)) enable a PCT to exercise
functions jointly with another PCT, or
delegate functions to another PCT. Or PCT
could transfer staff/property to PCT and
commission services from that other PCT.
Where an arrangement involves the
delegation of a function to another PCT
in accordance with regulations under the
NHS Act 2006, the other PCT becomes
responsible for the delegated functions,
although the delegating PCT board remains
responsible for monitoring the arrangements
(see paragraph 16 of Schedule 5 to the NHS
Act 2006). But under a section 75
partnership arrangement, where PCT
functions are delegated to a local authority,
the local authority performs the functions
on behalf of the PCT and the PCT and its
board remain responsible for those functions
(see section 75(2)(b) and (5) of the NHS
Act 2006).

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Example Description Separate Legal Entity Legal Route

Partnership Under these arrangements See above As per the legislation – see s.75 of the
arrangements a local authority provides NHS Act 2006 and NHS Bodies and Local
under s.75 of the relevant former PCT Authorities Partnership Arrangements
the NHS Act community health services. Regulations 2000 (see above).
2006 Where an arrangement involves the

delegation of a function to another PCT
in accordance with regulations under the
NHS Act 2006, the other PCT becomes
responsible for the delegated functions,
although the delegating PCT board
remains responsible for monitoring the
arrangements (see paragraph 16 of
Schedule 5 to the NHS Act 2006). But
under a section 75
partnership arrangement, where PCT
functions are delegated to a local
authority, the local authority performs the
functions on behalf of the PCT and the
PCT and its board remain responsible for
those functions (see section 75(2)(b) and
(5) of the NHS Act 2006).

5
2

Page 104

The Transforming Community Services guidance series has been developed to enable the delivery
of innovative, modern, responsive and evidence-based community services of a consistently
high standard, and improve the organisations providing community services, and the processes
underpinning them, to ensure they are fit for purpose.

Titles in the Transforming Community Services guidance series include:

� � Framing the contribution of allied health professionals
� � Social enterprise: a guide to the right to request
� � Standard contract for community services (published as an annex in the Operating

Framework 2009/10)
� � Currency and pricing options for community services
� � World class commissioning resource pack for commissioners of community services
� � Enabling new patterns of provision
� � Review of information models and next steps
� � Business readiness for PCT provision

Available soon:

� � Guidance on information models for community services (Spring 2009)
� � Quality framework for community services (Summer 2009)
� � A series of transformation guides for clinical services (Summer 2009)

� � High quality care for children and families
� � High quality care in services for long term conditions
� � High quality care in acute services closer to home
� � High quality care in services for rehabilitation and long term neurological conditions
� � High quality in end of life care
� � Promoting health and well being and reducing inequalities

All published documents can be found on the Department of Health website.

Limited copies of printed guidance may be available by emailing: [email protected]
dh.gsi.gov.uk

mailto:[email protected]

Page 105

' Crown copyright 2009

291850 1p 1K Jan 09 (ESP)

Produced by COI for the Department of Health

www.dh.gov.uk/publications

http://www.dh.gov.uk/publications

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