The King's Fund

Should Primary Care Trusts be Made More Locally Accountable?

  • Format: Printed copy
  • Author(s): Jennifer Dixon, Richard Lewis, Ruth Thorlby
  • Publication date: 10-Apr-2008

Local accountability has been a significant policy issue within the NHS generally. However, primary care trusts are in the main accountable to the centre and there have been calls to review this. This paper discusses a range of options for reforming the relationships between PCTs and their public. It explores the question of whether better services and more legitimate decisions will result from better engagement with local people or whether local accountability is an end in itself.