West Wiltshire Primary Care Trust was established in April 2001. It serves a population of around 120,000 in an area of 200 square miles. The PCT has five community hospitals and also provides maternity services for neighbouring trusts. It received a zero rating in the July 2003 NHS performance indicators. The PCT is paralysed by financial constraints within the health community which has hampered the development of a number of services. Key action areas highlighted in the report include the following: Urgent action is needed to improve leadership resulting in effective decision making, clear strategic direction and learning. The PCT must continue to urgently address the issue of long access times for secondary care. Urgent action is needed to improve the management of infection control. Urgent action is needed to address workforce planning issues in the short, medium and long term. Urgent action is required to involve GPs, pharmacists, optometrists and dentists in the business of the PCT.
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