Investigation into the out-of-hours services provided by Take Care Now: part 3 - Commissioning and monitoring of out-of-hours contracts by the PCTs, performance management, and administration of the performers lists

Document type
Corporate author(s)
Care Quality Commission
Care Quality Commission
Date of publication
14 July 2010
Health Services
Social welfare
Material type

Download (453KB )

This report examines the commissioning arrangements for out-of-hours health care services and the monitoring of contracts by five primary care trusts (PCTs).  PCTs control the funding for hospitals and make decisions about the type of services those hospitals provide. They are also responsible for making sure that commissioned services meet the needs of patients and are delivered to appropriate standards.   This is the third part of a report resulting from an investigation conducted by the Care Quality Commission (CQC) after the death of a patient treated by a locum employed by Take Care Now (TCN).  TCN was commissioned by several NHS PCTs to supply doctors providing out-of-hours care. The report also examines the strategic role of the strategic health authorities and their performance management of the PCTs, and looks at the way that the PCTs administered the performers lists of GPs.

The five PCTs investigated were NHS Suffolk, Cambridgeshire, Great Yarmouth and Waveney, Worcestershire and South West Essex. The CQC compiled the report from evidence including interviews, minutes, surveys, contracts and logs of incidents. They concluded that the PCTs involved did not have a high standard of commissioning or contract monitoring in out-of-hours services. There was a failure to commission appropriate out-of-hours services for the local population and monitor that these were being delivered.  The report notes that all the PCTs had begun to improve their commissioning and monitoring arrangements following the incident.

Related to Care Quality Commission

Decision time: will the voluntary sector embrace the age of opportunity?

The culmination of 18 months of research and events, this report highlights that the voluntary sector is currently not ready for our ageing society and needs to adapt to grasp the opportunities this

New, emerging and changing job roles: adult social care in extra care housing

Historically, social care and housing have developed in relative silos, both as professions and in their development pathways. However, more recently there has been a shift in culture of enabling independence

Research on abuse and violence against the social care workforce: focus on personal assistants: report

After reviewing the literature, relevant legislation and guidance, an on-line survey of local authority workforce leads, members of the Personal Assistants (PA) Framework Steering Group, PA agencies

Supporting social care employers to prevent and manage abuse and violence toward staff: report

This report explores to what extent the social care workforce is at risk of different levels of abuse or violence across the groups of people who receive care and support services, and whether the type

More items related to this publisher