Modernisation AgencyNHS

NatPaCT ProgrammeNational Primary and Care TrustDevelopment Programme

Revised

NatPaCT works with Primary and Care Trusts

to help them learnand grow together

as connected and competentorganisations

and leaders of radical change

to improve health and services for patients.

CONTENTS

NatPaCT Programme Strands

1. PCT Networks and Leadership

2. PCT Competency Framework and the NatPaCT website

3. Ensuring operational success: the nuts and bolts of PCTorganisation

4. Radical Change Programme

5. Integrated Care Network

NatPaCT Area Teams - making modernisation localNine Area Teams are NatPaCT’s main point of contact andbrokers of organisational development support for PCTs.

More about NatPaCT

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The National Primary and Care Trust Development Programme

(NatPaCT) was established following publication of Shifting the

Balance of Power in the NHS to provide organisational development

support to PCTs.

NatPaCT is committed to responding to the needs of PCTs. As these

become clearer, and as they change, so our Programme grows.

We are working more and more closely with Strategic Health

Authorities, Directorates of Health and Social Care and other

partners to make the best use of local and national opportunities to

support PCTs.

2nd Edition, updated October 2002

Nick H

all Barbara HakinProgramme LeadAndrew Donald

North Eastpage 14

North Westpage 17

Yorkshire &Humber page 15

West Midlandspage 15

East Midlandspage 16

South Westpage 16

South Eastpage 18

London page 17

Easternpage 19

Introduction

NatPaCT AreaTeams

Get in touch• Talk to your Area Facilitator and members

of your Area Team about either meeting an organisational development need, or sharing experience and expertise with other PCTs.

• For up to date information about activities described here please follow up the contact given

• Our website www.natpact.nhs.uk carries postings of new NatPaCT initiatives as well as other relevant new developments and resources

• You can ask questions of colleagues in other PCTs through the site’s Discussion Forums

NatPaCT has already with been collaboratingwith PCTs and other agencies on establishingthe networks to carry their work forward andpush levels of competence up from below.

PCT Networks and Leadership1Network Contact for more information

PCT Chairs Confidential Learning SetAll PCT Chairs able to regularly reflect on PCT development issues in asafe environment. 4 Groups currently meeting

Paul Matthews,Paul.Matthews@nhsconfed.org

PCT Leaders Development ProgrammeTime and support for Chief Executives, Board Members and Cliniciansto develop their role.

Discuss with NatPaCT Area Facilitator

Eddie KinsellaTel: 0777 1996 257Eddie,kinsella@doh.gsi.gov.uk

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Ian M

ather

Lead: Nick Hall

Steve Feast

Edn

a Ro

bin

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Networking arrangements for PCT Chairs Ian MatherTel: 01264 551158Ian.mather@chcsnd-tr.trent.nhs.uk

The Area Teams will also have a big role toplay in extending and supporting thesenetworks.

Chief Executive NetworkEdna Robinson, Chief Executive of Salford PCT, has taken on responsibilityfor developing the NatPaCT Chief Executive Network and ensuring thatdevelopment opportunities meet Chief Executives’ needs.

Edna Robinson0161 212 4821Edna.Robinson@salford-pct.nhs.uk

PEC Chair Development CentreCareer development, in conjunction with BAMM and the Leadership Centre

NatPaCT Area Facilitator

Discuss with NatPaCT AreaFacilitator

NatPaCT Area FacilitatorPEC Member Development Time and support for all PEC members to develop the clinicians’ role asmembers of the corporate team.

PEC Networks Linking through NatPaCT Area PEC Chair leads.

Clinical GovernanceNation-wide programme of Network Development events for ClinicalGovernance leads.

PEC Chair Development Programme Time and support for PEC Chairs to develop their leadership role.

Networking arrangements for PCT lead nurses

Steve Feast Tel: 01525 631165Steve.feast@bedsheartlandspct.nhs.ukPA Lynne Killeen 01525 636885Lynne.killeen@bedsheartlandspct.nhs.uk

NatPaCT Area Facilitator

It has strongly confirmed my view that execcommittees should be getting on with the

clinical agenda, and stop being bogged down by allthe administration.

Feel more confident of present role.

Aim higher in terms of organisational aspirations andlooking for support.

Empowered my leadership style and given supportto role of PEC.

I have gained networks I will exploit.

PEC chairs development needs have not beenaddressed yet and skills vary - the role howeverdemands that they are often seen as complete intheir roles when many are not.

Overall impression was that it was a tremendoussuccess - the kind of language the delegates usedprior to the meeting was downbeat and negative, andportrayed a degree of helplessness, about what theycould influence and achieve. After the meeting thesame delegates were talking about what they couldachieve and how influential they could be within PCT’s - an incredible turnaround.

Very useful, to hear other PEC chairs views and understanding.

The benefits of NatPaCT Networking eventsComments by PCT Chairs, PEC Chairs and Chief Executives

PCT Competency Framework and the NatPaCT website2NatPaCT has been working with PCTs todevelop a PCT Competency Framework as aself-assessment tool to help PCTs deliver thechallenging NHS agenda. It provides guidanceon organisational and personal competencies.The Framework is evolving as PCTs becomefamiliar with their new roles.

The Competency Framework is the core of theNatPaCT website. This provides an importantnational platform which allows anyone inPCTs - and members of the public - to explorethe competencies and share thinking,innovation and best practice. Competenciesare linked to a growing Library of resources,Discussion Forums and to NatPaCT and othersources of support.

Over the coming months we will be extendingour Library of resources and links. Workbookversions of the Competency Framework areavailable to download from the website, anda hard copy is now available to all PCT ChiefExecutives.

We are also discussing future formats for theFramework with PCTs – through a UsersReference Group and other channels. Wewant to produce publications and/or softwarethat meet PCTs’ needs for self assessment.

We are aiming to create a topical and livelysite which is used and valued by a wide rangeof people in PCTs. Visitors can upload files toshare in the discussion forums. The site alsohas secure “Three at the Top” pages anddiscussion forums. We will make it easier formore people in and around NatPaCT to getmaterial onto the site.

The site is growing rapidly, and we areintroducing new features to give moreprominence to news and information fromPCTs.

We especially want to celebrate theachievements of people working in PCTs.

Contact John Callaghan with your good newsstories, and information you want to sharewith other PCTs.

As a new NED (Non-ExecutiveDirector), this is just to say that I’mfinding your site to be very helpfuland I’ll promote it as much as I canwithin my PCT.

We have national knowledge comingout of our ears, we need more on howindividuals achieved aims / delivery /changes.

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Lead: Nick Hall

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Website enquiries John Callaghan Tel: 0113 254 3800natpact@doh.gsi.gov.uk

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Your contribution is needed

•Use the website to tell other PCTs about successful innovations and ways of solving difficult problems

•Share useful resources related to any of the competencies - it is easy to suggest a link for our Library

•Send in your good news stories - we particularly want to share real examples of how organisational development is improving health and social care services

•Take part in discussion forums - to ask a question, supply an answer, share an insight or give an opinion

•Suggestions for refining and enhancing the Competency Framework are always welcome

In six months since the website was launchedin March 2002 • there have been over 22,000 visits to the

site made by over 8,000 different people • they viewed an average of 12 pages each

per visit • they downloaded over 15,000 documents

including 3,500 complete and 4,500 sections of the Competency Framework

• 1094 people were registered as users.

All changes to the site are summarised inNew@Natpact, a weekly email digest sent to1400 subscribers, including three at the top inall PCTs, a growing number of NEDS and staff,and colleagues in SHAs, DsHSC and theDepartment of Health.

Kevin H

oldridge

Ensuring operational success: the nuts and bolts of PCT organisation3 8/9

Lead: Andrew Donald

NatPaCT is committed to helping PCTs master the nuts and bolts of running their organisations, and so meet the verywide range of responsibilities before them.

Tell us about the support you need•We want to commission the events and create the learning opportunities that people in PCTs need and in theformats they want.

•We want to help people working in PCTs at all levels to contribute fully to the growth of their organisations.

to start to think beyond the local agenda, but maintain local focus.

Recognise no one seems to have answers to problems and that networking locally couldprovide support and ensure professional clinical leadership in PCTs is developed.

CHI BriefingsShare the experience of some of those PCTs that have been through CHIClinical Governance Reviews.Other new events:• Handling Complaints• Communications • Handling the Media • Planning Organisational Development • Human Resources

Register your interest in these byemailing natpact@doh.gsi.gov.uk

Child Protection Seminars Nine, day long seminars to enable PCT Child Protection Leads to exploreand understand their roles, meet national requirements and play a fullpart in local partnerships.

EstatesTraining and development events, consultancy / support on developingand implementing estates strategies for PCTs, and links across to thededicated Primary Care area of the NHS Estates website.

Christine Eichler 0113 254 5933Christine.eichler@doh.gsi.gov.ukor NatPaCT Area Facilitor

Strategic Service Reconfiguration Support to PCTs which are undertaking major service change whilstbuilding their competence and expertise

Keith Houghton 0113 254 7124Keith.Houghton@doh.gsi.gov.uk

Chris Howgrave-Graham 07768 753 324 Chris.Howgrave-Graham@doh.gsi.gov.uk

Walk In CentresLeadership Development Programme for Walk In Centre staff, includingdeveloping relationships with PCTs to create better links with mainstreamprimary care services.

Frances Harkins, 0113 254 6053Frances.harkins@doh.gsi.gov.uk

FacilitasPCT staff trained in high level facilitation skills, who then each give 6days of free consultancy to local health communities.

Barry Syder, Bsyder@tinyworld.co.uk

KeithHoughton

David

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Edd

ie Kin

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Clinical Governance and thecorporate agendaNatPaCT has already run a successful course withthe Controls Assurance Unit (CASU) at KeeleUniversity. This put all the Chief Executives, Chairsand PEC Chairs of first wave PCTs through anintensive experience, which has equipped them togo back and tackle these issues systematicallywithin their own organisations and with theirpartners providers and contractors.We are now launching the next phase - a twoyear support programme with CASU which ismore comprehensive in that it draws on more realPCT experience and updated guidance from theDepartment. Crucially we’re also opening up toother Directors in the PCT, and the whole thrustof the course is to enable active involvement inrisk control to be cascaded through to cliniciansand practices.

NatPaCT is also developing a ClinicalGovernance Programme with the ClinicalGovernance Support Unit - a mixture of self-diagnosis, targeted support and e-learning to getthe skills and understanding right down into localservices.

Eddie Kinsella 0777 1996257eddie.kinsella@doh.gsi.gov.uk

Older People’s NSF – PCT Commissioning Project NatPaCT is working with seven PCTs to demonstrate new approaches to commissioning older people’s services

Debbie Szwandt Tel: 01942 772827debbie.szwandt@alwpct.nhs.uk

Owen Richards Tel: 0208 532 6319owen.richards@bdpct.nhs.uk

Barking and Dagenham PCT (with London Borough of Barking & Dagenham)

David McNally Tel: 0151 477 4700David.McNally@sthkhealth.nhs.uk

Knowsley PCT

Leo Quigley Tel: 0191 443 7067leo.quigley@ghpct.nhs.uk

Gateshead PCT

Olwen Pollinger Tel: 0191 451 6350Olwen.pollinger@sthct.nhs.uk

South Tyneside PCT

North and East Cornwall PCT Lynne Kendall Tel 01840 211301Lynne.Kendall@nepct.cornwall.nhs.uk

Southport and Formby PCT Lyn Paweleck Tel: 01704 383042Lyn.Paweleck@southportandformbypct.nhs.uk

Engaging CommunitiesNew statutory arrangements and agencies andnew kinds of local partnership are pushingpatient and public involvement up the PCTagenda.

The Engaging Communities Learning Networkprovides structured action learning opportunitiesfor PCTs to share experience in this importantarea. Regional and national meetings areinvolving over 70 PCTs, with up to 150 set to beinvolved by April 2003. The first of threechallenging learning resources is in production.

David Common0777 065 5303David.common@salford-pct.nhs.uk

Ann MacFadyen 01962 872201natpact@hfht.org

Ashton, Leigh and Wigan PCT

Empowering PCTs to lead modernisation...

Contact for more information

Allied Health Professionals due to complete by Sept 2003To identify the key competencies for PCTs in relation to AHPsand the development support needed to achieve competence.

Children’s Services due to complete by October 2003To support the development of advanced competencies inChildren’s Services identifying key development initiativesthat will build this competence.

Communication To develop appropriate support packages for PCTs to handlethe Communications agenda.

Dentists due to complete by April 2003To support the development of PCTs to enable the effectiveintegration of Dental Services / Practitioners into the PCT.

Doctors due to complete by September 2003To support the development of PCTs in implementation of thenew GP Contract and GP Appraisal systems

Education / Training and Research To build competent PCTs who continuously carry outEducation, Training and Research as integral part of providingmodernised health services.

Nursing Midwifery and Health Visiting due to complete byApril 2003New organisational competencies announced July 2002;programme of events to roll out to all SHA Areas supportingthe implementation of the Primary Care Nursing Strategy.

Lucy Eve 020 7972 4110 Lucy.Eve@doh.gsi.gov.uk

Christine Eichler,0113 254 5933Christine.eichler@doh.gsi.gov.uk

Nick Court,0207 210 5951Nick.court@doh.gsi.gov.uk

Tony Jenner,0192 570 4233Tony.jenner@doh.gsi.gov.uk

Chris Town,01733 882288Chris.town@northpboro-pct.nhs.uk

Professor Cliff Bailey, 0113 233 6892Cliff.Bailey@doh.gsi.gov.ukJohn Ennis, 0113 254 6633John.Ennis@doh.gsi.gov.uk

Kate Billingham,0113 254 6061Kate.billingham@doh.gsi.gov.uk

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Ch

ristine Eich

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Extending CompetenciesWe have identified a number of areas of work in which PCTs need to extend their competence, andhave set up, with partners, a number of multi-disciplinary groups, to define these.

These groups are drawing on PCT and other front-line experience to •define the extended competences PCTs need•design a tailored programme of support to enableall PCTs to achieve these competencies• see that these programmes are implemented.

David Common, 0777 065 5303david.common@salford-pct.nhs.uk

Fiona Sim,Fiona.sim@doh.gsi.gov.uk0207 972 3837

David Carson,0207 972 4993david.carson@doh.gsi.gov.uk

Pharmacists due to complete by April 2003To support the development of PCTs to enable the effectiveintegration of Pharmaceutical services / Practitioners into the PCT.

Public Health due to complete by April 2003To identify the key competencies for PCTs in relation to PublicHealth and the development support needed to achievecompetence.

Reforming Emergency Care due to complete by April 2003To support the implementation of REC through PCTs.

Contact for more information

ChrisH

owgrave-G

raham

Ambulance Services Work on defining organisational competencies for PCTs insecuring both Patient Transport and A&E Services is welladvanced.

Optometry Work on new competencies in Optometry is nearingcompletion.

IM&TA group looking at how PCTs can take forward the IM&Tagenda as a transformational lever in the health economy.Not just establishing the ‘competencies’ to manage IT systemsand Information processes, but the additional organisationaland other attributes and skills that are needed.

Mental HealthNatPaCT is working with National Institute of Mental HealthEngland to define and develop PCTs’ role and work in thisfield.

For extended competencies on Estates, Clinical and Corporate Governance andEngaging Communities see contacts on pages 9 and 10.

Gron Roberts 0207 972 5322Gron.Roberts@doh.gsi.gov.uk

David Common 0777 065 5303David.common@salford-pct.nhs.uk

Neil SerougiNeil.Serougi@solihullhctr.wmids.nhs.uk

Ingrid Steele 0113 254 3813Ingrid.Steele@doh.gsi.gov.uk

Please let your Area Facilitatorknow if

•you want to help shape an event

•you want support on any other organisational development topics that are not covered here or elsewhere in this programme.

Other developments

Radical Change Programme4NatPaCT wants to support all PCTs inbecoming transformational organisations,capable of leading radical change inimproving health and in services and systemsacross health and social care.

We recognise that PCTs have a wide range ofneeds, interests and capacity to makeprogress. Our Area Teams are working withtheir PCTs to establish an extended changemanagement programme based onparticipation in Action Learning Sets.

The starting point for this is jointly identifyingwith every PCT an issue, service or systemwhich they are willing and able to transform,preferably as part of a group of PCTs in ahealth economy.

NatPaCT’s contribution is to

1. Work with all PCTs to identify radical change projects

2. Match and bring together PCTs with common interests

3. Broker appropriate levels and kinds of support from a range of sources, including its own resources, other Modernisation Agency teams, and elsewhere

4. Form and support Action Learning Sets

5. Help PCTs build mutual confidence, and sustain collaboration and the momentum for change

6. Ensure cross-fertilisation between Action Learning Sets and national dissemination into wider development work with PCTs through Area Teams, PCT Networks, the website and Competency Framework and the promotion of extended Competencies through the Significant Issues Groups.

We are keen to work with StrategicHealth Authorities, Directorates of Healthand Social Care and other partners tomake the best use of local and nationalopportunities to support PCTs in thisimportant role.

If you think NatPaCT should behelping PCTs in some other way . . . tell us

•Use the website

•Talk to members of your Area Team

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Lead: Andrew Donald

5 Integrated Care Network

This is a new strand of work in which weanticipate rapid development. Please monitorthe NatPaCT website for updates.

NatPaCT is supporting the development ofthe Integrated Care Network, through whichPCTs and their local partners in other parts ofthe NHS, local government, and in thecommunity, voluntary and private sectors canwork together to improve the quality ofservices to people needing health and socialcare.

According to circumstances local networks orpartnerships may make use of Health ActFlexibilities and/or go on to form Care Trusts.

NatPaCT is developing both national and localprogrammes that take account of wholesystems working, helping PCTs to develop asorganisations which work closely with all theirstakeholders.

We are working in partnership with theChange Agent Team and the Health andSocial Care Joint Unit to devise and run acomprehensive training package ofdevelopment for all organisations wishing tointegrate health and social care. NatPaCT willbe contributing:

1. A series of national meetings for organisations providing and commissioning services

These began with the launch of the integrated Care Network in October 2002 by Jacqui Smith, Minister of State (Community). They draw upon practical experience from the field and expertise of policy officers and other specialists. The meetings are a valuable source of advice, information and opportunities to network in this rapidly developing area of work.

2. Care Trust Action Learning Sets

These will provide information, coaching, advice and support for those interested in forming or already engaged in the process of creating Care Trusts

3. Develop a Care Trust Competency Framework and diagnostic tools

Helping those involved in the development of Care Trusts learn from each other, and from the experience of first wave Care Trusts. Distinct from the PCT Framework, but parallel and able to draw upon it.

4. Development of special areas of the NatPaCT website

Collating information, news, resources on and from Care Trusts and the Integrated Care Network

5. Organisational Development programmesUnder development

6. Demonstration sites Sponsoring initiatives to integrate care which will provide a focus for sharing learning and evaluation.

For more details of any of these please contact Jeremy Hallett, Tel: 07971 580 869Jeremy.Hallett@doh.gsi.gov.uk

Shane Giles - Care Trusts Project Manager, Tel: 0113 254 3804Shane.giles@doh.gsi.gov.uk

Ken BrownTel: 0113 254 3801Ken.X.Brown@doh.gsi.gov.uk

Lead: Jeremy Hallett with Shane Giles

Jeremy H

allett

Area Teams - How NatPaCT is making modernisation local

Nine Area Teams are NatPaCT’s own front-line, linking PCTs to respond to localchallenges and opportunities.

Each has a dedicated Area Facilitator, and aPCT Chair, a Chief Executive and aProfessional Executive Committee Chair fromdifferent PCTs. Their job is to help all PCTs intheir area

•assess their organisational development needs

•draw up and implement a programme to meet them.

They do this by working in partnership withStrategic Health Authorities, otherModernisation Agency initiatives andDirectorates of Health and Social Care.

NatPaCT is devolving organisationaldevelopment resources to the Teams, so thatthere is local flexibility about what kind ofsupport is delivered, and how.

North East

Roy Paterson Tel: 07867 978 917Roy.paterson@doh.gsi.gov.uk

Administrative Support Karen Livingstone Tel: 0113 254 3806 Natpact1@doh.gsi.gov.uk

Bob Smith (CE) - Newcastle PCTTel: 0191 219 6000 Bob.smith@nant-ha.northy.nhs.uk

Gerald Wistow (PCT Chair) - Hartlepool PCTTel: 01429 285 079Gerald.wistow@email.tees-ha.northy.nhs.uk

Rodger Thornham (PEC Chair) - North Tees PCTTel: 01642 352 297rodgerthornham@compuserve.com ordebbie.shaughnessy@email.tees-ha.northy.nhs.uk

Gateshead PCT

Newcastle PCT

North Tyneside PCT

Northumberland Care Trust

South Tyneside PCT

Sunderland Teaching PCT (Teaching status)

Darlington PCT

Derwentside PCT

Durham & Chester-le-Street PCT

Durham Dales PCT

Easington PCT

Hartlepool PCT

Langbaurgh PCT

Middlesbrough PCT

North Tees PCT (Teaching status)

Sedgefield PCT

Roy PatersonArea Facilitator

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Our Area Teams and the PCTs theycover

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Yorkshire & HumberPaul Rice/Christine Eichler (job-share)(CE) 07867 978 923 / (PR) 07884 473164Paul.rice@doh.gsi.gov.ukChristine.eichler@doh.gsi.gov.uk

Lynnette Throp (CE) - Bradford City PCTTel: 01274 424 780Lthrop@bradford.nhs.uk

Janet Looker ( PCT Chair) - Selby and York PCTTel: 01904 623 142/Michelle 01904 623 343Mobile: 07989 720 016Janet.looker@nyorks-ha.northy.nhs.uk

Peter Melton (PEC Chair) - NE Lincolnshire PCTTel: 01472 875 666Peter.melton@nlg.nhs.ukjulie.bilham@nlg.nhs.uk = PAAdministrative Support Karen Livingstone Tel: 0113 254 3806 Natpact1@doh.gsi.gov.uk

Paul RiceArea Facilitator

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West MidlandsCarole RenshawTel: 07818 453 129Carole.renshaw@doh.gsi.gov.uk

Paul Bates (CE) - Herefordshire PCTTel: 01432 344 344paul.bates@hpct.wmids.nhs.uk

Michael Tappin (PCT Chair) - South Stoke PCTTel: 01782 326 708Michaeltappin@yahoo.com

Dr Colin Browne-Rowley (PEC Chair) - Regis & Tipton PCTTel: 0121 500 1587Dr.browne@blueyonder.co.ukMobile: 07768 042 846

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Dudley Beacon & Castle PCT

Dudley South PCT

Eastern Birmingham PCT

Heart of Birmingham PCT (Teaching status)

North Birmingham PCT

Oldbury & Smethwick PCT

Rowley, Regis & Tipton PCT

Solihull PCT

South Birmingham PCT

Walsall PCT

Wednesbury & West Bromwich PCT

Wolverhampton City PCT

Burntwood, Lichfield & Tamworth PCT

Cannock Chase PCT

East Staffs PCT

Newcastle under Lyme PCT

North Stoke PCT

Shropshire Country PCT

South Stoke PCT

Staffordshire Moorlands PCT

South Western Staffordshire PCT

Telford & Wrekin PCT

Coventry PCT

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North Warwickshire PCT

Redditch & Bromsgrove PCT

Rugby PCT

South Warwickshire PCT

South Worcestershire PCT

Wyre Forest PCT

Carole RenshawArea Facilitator

Peter Melto

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Lynette Throp

Barnsley PCT

Doncaster Central PCT

Doncaster East PCT

Doncaster West PCT

North Sheffield PCT

Rotherham PCT

South East Sheffield PCT

Sheffield South West PCT

Sheffield West PCT

Airedale PCT

Bradford Care Trust

Bradford City PCT (Teaching status)

Bradford South & West PCT

Calderdale PCT

Eastern Wakefield PCT

East Leeds PCT

Huddersfield Central PCT

Leeds North East PCT

Leeds North West PCT

Leeds West PCT

North Bradford PCT

North Kirklees PCT

South Huddersfield PCT

South Leeds PCT

Wakefield West PCT

Craven, Harrogate & Rural District PCT

Eastern Hull PCT

East Yorkshire PCT

Hambleton & Richmondshire PCT

North East Lincolnshire PCT

North Lincolnshire PCT

Scarborough, Whitby & Ryedale PCT

Selby and York PCT

Yorkshire Wolds & Coast PCT

West Hull PCT

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East Midlands Dena AdamsonTel: 07818 453 147Dena.adamson@doh.gsi.gov.uk

Admininstrative support Janice Layton Tel: 01327 708108 janice.layton@northants-ha.anglox.nhs.uk

Julia Squire (CE) - Daventry & South Northants PCT Tel: 01327 708 108julia.squire@northants-ha.anglox.nhs.uk

Ian Mather (PCT Chair) - North Eastern Derbyshire PCTTel: 01246 551158Ian.mather@chcsnd-tr.trent.nhs.uk

George Ewbank (PEC Chair) - Ashfield PCTTel: 01623 559568 / 01623 513 147George.Ewbank@ashfield-pct.nhs.ukGeorge.Ewbank@gp-C84077.nhs.uk

Charnwood & North West Leicester PCT

Daventry & South Northamptonshire PCT

Eastern Leicester PCT

Hinckley & Bosworth PCT

Leicester City West PCT

Melton,Rutland & Harborough PCT

Northampton PCT

Northamptonshire Heartlands PCT

South Leicestershire PCT

Amber Valley PCT

Ashfield PCT

Bassetlaw PCT

Broxtowe & Hucknall PCT

Central Derby PCT

Chesterfield PCT

Derbyshire Dales & South Derbyshire PCT

East Lincolnshire PCT

Erewash PCT

Gedling PCT

Greater Derby PCT

High Peak & Dales PCT

Lincolnshire South West PCT (Teaching status)

Mansfield District PCT

Newark & Sherwood PCT

North East Derbyshire PCT

Nottingham City PCT

Rushcliffe PCT

West Lincolnshire PCT

Dena AdamsonArea Facilitator

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nd

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cial

Car

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Sout

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est

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nsul

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Aut

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nd

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set

Stra

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ty

South West Topsy MurrayTel: 07788 627 661Topsy.murray@doh.gsi.gov.uk

Admininstrative support Rosemary Gilbert Tel: 01803 210910 Rosemary.gilbert@torbay-pct.nhs.uk

Ann James (CE) - Plymouth PCTTel: 01752 315343debbie.whiting@pcs-tr.swest.nhs.uk

Rex Symons (PCT Chaire) - Bournemouth PCTTel: 01202 443700Fax: 01202 443 711Sarah.knight@bournemouth-pct.nhs.uk

Dr Will Warin (PEC Chair) - Bristol North PCTTel: 0117 900 2498 (Wed/ThursTel: 0117 950 7150 (Mon/Fri)Will.warin@bristolnorth-pct.nhs.ukWill.warin@userm.avonhealth.swest.nhs.uk

Topsy MurrayArea Facilitator

Bath & North East Somerset PCT

Bristol North PCT (Teaching status)

Bristol South & West PCT

Cheltenham & Tewkesbury PCT

Cotswold & Vale PCT

Kennet & North Wiltshire PCT

North Somerset PCT

South Gloucestershire PCT

South Wiltshire PCT

Swindon PCT

West Wiltshire PCT

West Gloucestershire PCT

Central Cornwall PCT

East Devon PCT

Exeter PCT

Mid Devon PCT

North & East Cornwall PCT

North Devon PCT

Plymouth PCT

South Hams and West Devon PCT

Teignbridge PCT

Torbay PCT

West of Cornwall PCT

Bournemouth PCT

Mendip PCT

North Dorset PCT

Poole PCT

Somerset Coast PCT

South & East Dorset PCT

South Somerset PCT

South West Dorset PCT

Taunton Deane PCT

An

n Jam

es

No

rth

Eas

t Lo

nd

on

Stra

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LondonAnn HepworthTel: 07867 538 165Ann.hepworth@doh.gsi.gov.uk

Ian Ayres (CE) - Sutton and Merton PCTTel: 0208 251 1111Ian.ayres@nelson-pct.nhs.uk

PCT Chair vacancy

Andrew Burnett (PEC Chair) - Barnet PCTTel: 0208 201 4700Andrew.Burnett@barnet-pct.nhs.uk

Barking & Dagenham PCT

Chingford, Wanstead & Woodford PCT

City & Hackney PCT

Havering PCT

Newham PCT

Redbridge PCT

Tower Hamlets PCT

Walthamstow, Leyton & Leytonstone PCT

Barnet PCT

Camden & Islington Health and SocialCare Trust

Camden PCT

Enfield PCT

Haringey PCT (Teaching status)

Islington PCT

Ann HepworthArea Facilitator

Sou

th E

ast

Lon

do

nSt

rate

gic

Hea

lth A

utho

rityBexley PCT

Bromley PCT

Greenwich PCT

Lambeth PCT

Lewisham PCT

Southwark PCT

Croydon PCT

Kingston PCT

Richmond & Twickenham PCT

Sutton & Merton PCT

Wandsworth PCT

Brent PCT

Ealing PCT

Hammersmith & Fulham PCT

Harrow PCT

Hillingdon PCT

Hounslow PCT

Kensington & Chelsea PCT

Westminster PCT

Sout

h W

est

Lond

onSt

rate

gic

Hea

lthA

utho

rity

No

rth

Wes

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on

Stra

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ty

Ian A

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Cu

mb

ria

& L

anca

shir

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gic

Hea

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Au

tho

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Gre

ater

Man

ches

ter

Stra

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ty

No

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Dir

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of

Hea

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North West David ThomasMobile: 07867 978 754Tel: 0161 212 4829Fax: 0161 212 4801Dave.Thomas@salford-pct.nhs.uk

Admininstrative support Sandra Ingham Tel: 0161 212 4829 Sandra.ingham@salford-pct.nhs.uk

Edna Robinson (CE) - Salford PCTTel: 0161 212 4821Fax: 0161 212 4838edna.robinson@salford-pct.nhs.uk

Dennis Benson (PCT Chair) - Chorley and South Ribble PCTTel: 01772 644400Dennis.benson@chorley-pcg.nhs.uk

Jim O’Connor (PEC Chair) Bebington & West Wirral PCTTel: 0151 651 3979Sandra.fairweather@exchange.wirralha.nwest.nhs.uk

Blackburn with Darwen PCT (Teaching status)

Blackpool PCT

Burnley, Pendle & Rossendale PCT

Carlisle & District PCT

Chorley & South Ribble PCT

Eden Valley PCT

Fylde PCT

Hyndburn & Ribble Valley PCT

Morecambe Bay PCT

Preston PCT

West Cumbria PCT

West Lancashire PCT

Wyre PCT

Ashton, Leigh & Wigan PCT

Bolton PCT

Bury PCT

Central Manchester PCT

Heywood & Middleton PCT

Manchester Health & Social Care Trust

North Manchester PCT

Oldham PCT

Rochdale PCT

Salford PCT (Teaching status)

Stockport PCT

South Manchester PCT

Tameside & Glossop PCT

Trafford North PCT

Trafford South PCT

David ThomasArea Facilitator

Den

is Ben

son

Edn

a Ro

bin

son

Ham

psh

ire

and

Isle

of

Wig

ht

Stra

teg

ic H

ealt

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ori

ty

Sout

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irect

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Hea

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nd S

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Tham

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alle

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gic

Hea

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Au

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Sou

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nd

So

cial

Car

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Surr

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nd S

usse

xSt

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gic

Hea

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Aut

hori

tyK

ent

Stra

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uth

ori

ty

Ch

esh

ire

and

Mer

seys

ide

Stra

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uth

ori

ty

No

rth

Dir

ecto

rate

of

Hea

lth

an

d S

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are

Bebington & West Wirral PCT

Birkenhead & Wallasey PCT

Central Cheshire PCT

Central Liverpool PCT

Cheshire West PCT

Eastern Cheshire PCT

Ellesmere Port & Neston PCT

Halton PCT

Knowsley PCT

North Liverpool PCT

South Liverpool PCT

Southport & Formby PCT

South Sefton PCT

St Helens PCT

Warrington PCT

South EastJulia RossTel: 07867 978 924Julia.ross@doh.gsi.gov.uk

Rick Stern (CE) - Bexhill and Rother PCTTel: 01424 735 600stern.rick@bar-pct.sthames.nhs.uk

Anita Higham (PCT Chair) - Cherwell Vale PCTTel: 01295 221 746Anita.higham@cherwellvale-pct.nhs.uk

Alasdair Thomson (PEC Chair) - Dartford, Gravesham& Swanley PCTTel: 01322 622 369Alasdair.Thomson@dgs-pct.nhs.uk

David Balfour (PEC Chair) - New Forest PCTTel: 02380 874 259David.Balfour@nfpct.nhs.uk

Julia RossArea Facilitator

Blackwater Valley PCT

East Hampshire PCT

Eastleigh & Test Valley PCT

Fareham & Gosport PCT

Isle of Wight PCT

Mid Hampshire PCT

New Forest PCT

North Hampshire PCT

Portsmouth City PCT

Southampton City PCT

18/19

Bracknell Forest PCT

Cherwell Vale PCT

Chiltern & South Buckinghamshire PCT

Milton Keynes PCT

Newbury & Community PCT

North East Oxfordshire PCT

Oxford City PCT

Reading PCT

Slough PCT (Teaching status)

South East Oxfordshire PCT

South West Oxfordshire PCT

Vale of Aylesbury PCT

Windsor, Ascot & Maidenhead PCT

Wokingham PCT

Wycombe PCT

Adur, Arun & Worthing PCT

Bexhill & Rother PCT

Brighton & Hove City PCT

Crawley PCT

Eastbourne Downs PCT

East Elmbridge & Mid Surrey PCT

East Surrey PCT

Guildford & Waverley PCT

Hastings & St Leonards PCT

Horsham & Chanctonbury PCT

Mid Sussex PCT

North Surrey PCT

Sussex Downs & Weald PCT

Western Sussex PCT

Woking Area PCT

Ashford PCT

Canterbury & Coastal PCT

Dartford, Gravesham & Swanley PCT

East Kent Coastal PCT

Maidstone Weald PCT

Medway PCT

Shepway PCT

South West Kent PCT

Swale PCT

Rick Stern

Alasd

air Tho

mso

n

Mid

lan

ds

and

th

e Ea

st D

irec

tora

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Car

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Hea

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Au

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Bed

ford

shir

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shir

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rate

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Hea

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Eastern

Caroline StangerTel: 07710 889 505Caroline.stanger@doh.gsi.gov.uk

Admininstrative support Heidi Leighton Tel: 01245 295000 Heidi.leighton@chelmsford-pcg.nhs.uk

Aidan Thomas (CE) - Epping Forest PCTTel: 01992 902 010Aidan.Thomas@epping-pct.nhs.uk

Sue Gale (PCT Chair) - Norwich PCTTel: 01603 307 334 (PCT)Tel: 01603 460 888 (Home)lmills.gpeck@norfolk.nhs.uk orsue.gale@norfolk.nhs.uk

Steve Feast (PEC Chair) - Bedfordshire Heartlands PCTTel: 01525 631 165 (PCT)Tel: 01767 316 410 (Surgery)Steve.feast@bedsheartlandspct.nhs.uk

PA Lynne Killeen Tel: 01525 636885Lynne.killeen@bedsheartlandspct.nhs.uk

Bedford PCT

Bedfordshire Heartlands PCT

Dacorum PCT

Hertsmere PCT

Luton PCT (Teaching status)

North Herts & Stevenage PCT

Royston,Buntingford & Bishops Stortford PCT

South East Hertfordshire PCT

St Albans & Harpenden PCT

Watford & Three Rivers PCT

Welwyn & Hatfield PCT

Broadland PCT

Cambridge City PCT

Central Suffolk PCT

East Cambridge & Fenland PCT

Great Yarmouth PCT

Huntingdonshire PCT

Ipswich PCT

North Norfolk PCT

North Peterborough PCT

Norwich PCT

South Cambridgeshire PCT

Southern Norfolk PCT

South Peterborough PCT

Suffolk Coastal PCT

Suffolk West PCT

Waveney PCT

West Norfolk PCT

Caroline StangerArea Facilitator

Basildon PCT

Billericay, Brentwood & Wickford PCT

Castle Point & Rochford PCT

Chelmsford PCT

Colchester PCT

Epping Forest PCT

Harlow PCT

Maldon & South Chelmsford PCT

Southend on Sea PCT

Tendring PCT

Thurrock PCT

Uttlesford PCT

Witham, Halstead and Braintree CareTrust from October 2002

Sue Gale

Karen Livingstone

No

rfo

lk, S

uff

olk

an

d C

amb

rid

ges

hir

eSt

rate

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Hea

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Au

tho

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20/21

NatPaCT was formally established within theModernisation Agency in April 2002. NatPaCThas its own experience of being a neworganisation in a changing environment,under pressure to deliver quality results,quickly. It is led by Dr Barbara Hakin, ChiefExecutive of Bradford South & West PCT, whoaccounts for its work to David Fillingham,Director of the NHS Modernisation Agency,part of the Department of Health.

28 PCT Chief Executives, Chairs and PEC Chairsare actively involved as key members of AreaTeams.

Dr Barbara HakinProgramme Lead

Lesley TillotsonPersonal Assistant

Central Support Team

Andrew DonaldDirector of Operations

Claire PickersgillExecutive Assistant

Nick Hall Director of Policy and Development

Beryl BleasbyExecutive Assistant

Alison StraughanProgramme Manager

Ken BrownProgramme Support Manager

John CallaghanCommunications Manager

Helen CampbellProgramme Assistant

Karen LivingstoneProgramme Assistant

More about NatPaCT

Associate Consultants

David Common

Jeremy Hallett

Keith Houghton

Chris Howgrave-Graham

Eddie Kinsella

Kevin HoldridgeKent House, Website Development

Lesley Tillotso

n

Ken

Bro

wn

Beryl B

leasby

Claire Pickersgill

Aliso

n Strau

gh

an

Helen

Cam

pb

ell

The National Primary and Care Trust Development Programme2nd floor Blenheim HouseWest OneDuncombe Street Leeds LS1 4PL

Tel: 0113 254 3800Fax: 0113 254 3809email: natpact@doh.gsi.gov.uk.

Full updated contact details for all NatPaCTstaff on www.natpact.nhs.uk

1 2 3 4 5NatPaCT is helping PCTs to put the ModernisationAgency’s five simple rules into practice

1

2

3

4

5

See things through patients’ eyes . . . by helping PCTsdevelop as organisations that value patients, with staff skilledin listening, and able to respond clinically andorganisationally.

Find a better way of doing things . . . by Area Teams andnetworks which enable PCTs to develop new solutionstogether and through Website opportunities to shareexperiences.

Look at the whole picture . . . through a CompetencyFramework which gives everyone in PCTs a comprehensiveview of what the organisation has to do...by supportingTransformational PCTs and accelerated learning programmesto enable PCTs to lead change across health and social care.

Give front line staff the time and tools to tackle theproblems . . . by shifting the balance of its resources directto PCTs. Local PCT-led Area Teams help PCTs work throughthe scale and pace of development they need, and how bestto get the support they want...by Website and network eventsthat give front-line staff fast access to all the growing body ofknowledge in PCTs.

Take small steps as well as big leaps . . . through AreaTeams and bottom-up approaches allowing PCTs to proceedat their own pace...by using peer learning (website discussionforums, action learning sets, networks and events) whichtransmit the little ideas as well as the big ones.

5 22/23

National Primary and Care TrustDevelopment Programme2nd Floor Blenheim HouseWest OneDuncombe Street Leeds LS1 4PL

Tel 0113 254 3800Fax: 0113 254 3809 email: natpact@doh.gsi.gov.uk

www.natpact.nhs.uk

© NHS Modernisation Agency October 2002