Good news! - NHS Primary Care Trusts may be scrapped.

See http://www.glgroup.com/News/Health-service-commissioning-may-be-scrapped-in-UK-National-Health-Service-47485.html

The Health Committee of UK MPs have published a damning report on the quality of NHS commissioning of healthcare services, which concludes: "If reliable figures for the costs of commissioning prove that it is uneconomic and if it does not begin to improve soon, after 20 years of costly failure, the purchaser/provider split may need to be abolished."