title: Primary care. Go with the flow.
abstract: A lack of high-quality managers and a need for more commissioning muscle will encourage PCTs to merge. They will not be forced to do so by the government. Practice-based commissioning will take some responsibilities away from PCTs, but they will still have a big agenda. Trusts that have merged in all but name extol the benefits of keeping a local focus while freeing up resources from improved management capacity.
authors.forename: Alexis
authors.initials: A
authors.lastname: Nolan
mesh_terms: D018672:Community Health Planning; D003284:Contract Services; D017598:Efficiency, Organizational; D009935:Organizational Affiliation; D009936:Organizational Innovation; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration*; D012052:Reimbursement, Incentive; D013222:State Medicine; D006113:United Kingdom