How should central management costs be devolved and blocked back by PCTs?
Answer PCTs should share transparently funding for central management costs with practices, as part of helping practices understand how their budget is made up and how much resource they have available. It would be appropriate for PCTs to label management costs on the indicative budget, and indicate that these will be blocked back. Management costs for practices, required to set up a new service, should be covered by the business case submitted to the PCT.