Blackburn With Darwen Teaching Primary Care Trust
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Blackburn with Darwen tPCT was an English
National Health Service The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
primary care trust, responsible for commissioning & purchasing of health care in
Blackburn Blackburn () is an industrial town and the administrative centre of the Blackburn with Darwen borough in Lancashire, England. The town is north of the West Pennine Moors on the southern edge of the Ribble Valley, east of Preston and north-n ...
with
Darwen Darwen is a market town and civil parish in the Blackburn with Darwen borough in Lancashire, England. The residents of the town are known as "Darreners". The A666 road passes through Darwen towards Blackburn to the north, Bolton to the s ...
in Lancashire. It came under the North West of England's NHS strategic health authority (SHA). It was abolished in April 2013.


History

Blackburn with Darwen PCT was formed in 2000 by order of the
Secretary of State for Health The secretary of state for health and social care, also referred to as the health secretary, is a secretary of state in the Government of the United Kingdom, responsible for the work of the Department of Health and Social Care. The incumbent ...
Alan Milburn Alan Milburn (born 27 January 1958) is a British Labour Party politician who was Member of Parliament (MP) for Darlington from 1992 to 2010. He served for five years in the Cabinet, first as Chief Secretary to the Treasury from 1998 to 1999, a ...
by means of the
National Health Service Act 1977 The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...
, and is co-terminus with Blackburn with Darwen Borough Council. It became a teaching PCT in 2007, having survived a series of mergers intact. Between 1982 and 1994 the local healthcare fundholders for this area was known as the Blackburn, Hyndburn and Ribble Valley
District Health Authority A district health authority was an administrative territorial entity of the National Health Service in England and Wales introduced by the National Health Service Reorganisation Act 1973. District health authorities existed in Britain from 1974 t ...
, which came under the Lancashire
Area Health Authority Area health authorities were 90 bodies responsible for administering the National Health Service, established in England by the National Health Service Reorganisation Act 1973 in 1974. Each covered a geographical population which matched a Local Go ...
(which has now been replaced by the North West Region SHA). It was then reorganised into part of the East Lancashire District Health Authority. Under this administration, the function of fundholders was known as the Blackburn with Darwen primary care group sub committee, before being replaced yet again by the creation of the present trust in 2000.


Responsibilities

The PCT served a population of approximately 163,000 people and had three core responsibilities: *Engaging with its local population to improve health and well-being. *To collaborate with GP's to commission a comprehensive equitable range of high quality, responsive and efficient where this gives the best value. *To directly provide high quality, responsive and efficient services where this gives the best value.


Geographical spread

The Trust was responsible for the commissioning of healthcare on all of the following sites: ''Source: Department of Health. NHS Choices: Blackburn With Darwen PCT ''


Public Health Strategy

The Blackburn with Darwen area suffers from severe health inequalities., in particular there have been reports of an increase in cases of
rickets Rickets is a condition that results in weak or soft bones in children, and is caused by either dietary deficiency or genetic causes. Symptoms include bowed legs, stunted growth, bone pain, large forehead, and trouble sleeping. Complications ma ...
in the area. In response to this the ''Living Better, Living Longer'' strategy was launched in 2007. The purpose of the strategy is to: *Encourage the Trust, its partners and the population of Blackburn with Darwen to do what it can to live better and longer lives *To identify what needs to happen with an implementation plan that will make a positive impact on the health and well-being of the Blackburn with Darwen population. This is accomplished by a process called commissioning. This is defined as: ''The strategic activity of assessing needs, resources and current services, and developing a strategy to make best use of available resources to meet identified needs.'' Once this has been completed, the actual purchasing of health services needed to meet the needs and priorities identified can go a head. The definition used for purchasing is: ''The operational activity set within the context of commissioning, of applying resources to buy services to meet needs, either at a macro/population level or at a micro/individual level. ''


The Jarman Centre

The Jarman Centre, a facility of the Teaching PCT, located on James Street Blackburn was one of the first Health Promotion Units in England to respond to the public health challenges of HIV / AIDS. Under the direction of Peter Cash, the Jarman Centre was at the forefront of innovative approaches to combat the spread of HIV infections. It promoted primary and secondary prevention initiatives in the field of sexual health and substance misuse; both recognised as key transmission routes for HIV and other blood-borne viruses such as hepatitis B and hepatitis C. Through primary prevention initiatives the Jarman Centre established comprehensive training programmes aimed at improving the awareness and education of public and voluntary sector workers around substance misuse and sexual health issues which affect individuals and communities. It also established effective education and prevention programmes with service users, including the development of comprehensive harm reduction services and client education interventions. These continue to this day, and are continually reviewed and assessed to ensure that current projects are relevant to the health needs of the community. Examples of current work include: outreach initiatives to provide hepatitis B vaccination to the homeless, sex worker targeted outreach, ed by Danny Leech and the NX teamincluding engagement with injectors of performance-enhancing drugs to raise awareness of the many potentially serious health and social consequences of misuse and the development of an interactive distance learning resource to raise awareness of primary and secondary prevention issues in relation to hepatitis C. Another important aspect of Jarman Centre work is inter-agency collaboration with other key services across Blackburn with Darwen and East Lancashire. In this regard the Jarman Centre has over recent years organised and delivered a range of seminars and conferences covering issues such as effective responses to cannabis use, vascular care of injecting drug users, HIV prevention in the community whilst also developing inter agency harm reduction strategies to tackle substance misuse across Blackburn with Darwen and east Lancashire. The Jarman Centre has recently been commissioned to provide a comprehensive harm reduction service for injecting drug users based at Burnley House, Westgate, Burnley. This mirrors the harm reduction service operating from the Jarman Centre in Blackburn. All the pharmacy based needle exchange programmes across Blackburn with Darwen and East Lancashire are co-ordinated by the Jarman Centre.


Monitoring and Assessment of Services

The PCT is also responsible for monitoring and assessment of these services whilst they are being provided to ensure that the service providers are adhering to the plan laid out, to the agreed standards of care and are providing value for money.Dima, Abdulrahim (1999
Commissioning standards: Drug and Alcohol Treatment and Care
. Health Advisory Service. Accessed 29 January 2008


References


External links


Blackburn with Darwen tPCT website
Accessed 2007-01-17
Blackburn with Darwen Health and Wellbeing website
Accessed 2007-01-17
The Patient and Public Involvement (PPI) Forum: ''Blackburn with Darwen''
Accessed 2007-01-17 * Department of Health Performance Tables (2006)

Accessed 2007-01-18 {{DEFAULTSORT:Blackburn With Darwen Teaching Primary Care Trust Defunct NHS trusts Organisations based in Lancashire Health in Lancashire Blackburn