GMSQP Reference Manual 
HG SCREEN
THE HG SCREEN  
(PCO Maintenance) 
The HG screens are used to create and maintain information on Primary Care 
Organisations (PCOs).  A PCO is a grouping of GP practices.  Each practice itself 
consists of a number of GPs. 
PCGs 
The HG screen was originally developed to provide a means of recording information 
about Primary Care Groups (PCGs).  The concept of Primary Care Groups (PCGs) 
was announced in the Government White Paper  The New NHS: Modern, 
Dependable .  PCGs are being introduced at a level between GP practices and HAs to 
provide a direct means by which GPs (and their primary care team) and community 
nurses, working in co operation with other health and social care professionals, can 
lead the process of securing appropriate, high quality care for local people. 
PCGs were introduced at four different levels: 
Level 1 
An advisory group seeking to influence the HA 
Level 2 
A group with nominal devolved budgets 
Level 3 
An independent body with devolved budgets 
Level 4 
An independent body with devolved budgets and provider of 
community services 
PCTs 
PCGs which progressed to level 3 or 4 and became freestanding bodies became known 
as Primary Care Trusts (PCTs).  PCGs were eventually superseded by PCTs in about 
2001. 
Care Trusts 
In some parts of England, Care Trusts exist as alternatives to PCTs.  A Care Trust is a 
body that combines some or all of the functions of a PCT, an NHS Trust and a Local 
Authority.  
Local Health Boards (Wales only) 
The Welsh equivalent of a Primary Care Group is a Local Health Group (or LHG).  
On 1st April 2003, all current Welsh LHGs became Local Health Boards (LHBs). 
On the HG screens, the screen title will be either  PCG Maintenance Screen  (as 
described in this chapter) or  LHB Screen Maintenance , according to whether the 
HA System is in England or Wales and/or the PCO is responsible to an English or 
Welsh HA. 
  Crown Copyright 2005 
Version: 1.26 
Section 1   
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