Many of the trusts employ children's professionals but, under guidanceunveiled last week, trusts are to stop providing services directly byDecember 2008 except where no alternative is available. Instead, theyshould secure services from a range of providers.
The number of primary care trusts is also set to be reduced by around ahalf by October 2006, states the Commissioning a Patient-Led NHSguidance.
Sir Nigel Crisp, chief executive of the NHS, said new structures wouldrequire greater co-ordination of primary care trusts with localauthority and social service boundaries, though he admitted this wouldnot happen where co-terminosity was not practical.
Strategic health authorities have until mid-October to draftreconfigurations for the trusts whose performance they manage, withproposals expecting to be agreed with the Department of Health byNovember.
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