Key Points

  • Proposals will not be cost-neutral for councils with new commitments funded by  government (page 21 in white paper).
  • Councils and PCTs will have aligned performance management systems and budgetary cycles, and plan and commission services jointly (pages 41-46).
  • Eligibility for direct payments will be extended to groups that are currently excluded (page 82).
  • By 2008, councils and trusts will have joint teams in place to support people with the most serious long-term conditions (page 116).
  • PCTs will be assessed on their ability to shift resources from acute care into primary settings and preventive services (pages 139-142).

    Our Health, Our Care, Our Say: a New Direction in Community Services from
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