Primary care trusts have a duty to secure primary medical services or secure their provision within what it considers necessary to meet reasonable requirements. That includes arrangement for the provision of primary health care services to staff of the Royal Household who live in the PCT area.
The Department does not monitor the individual performance of practices or registration of individual patients with the practice.
The arrangements for the provision of primary care services to the Royal Household predate this Government and it was not until after the 25 March 2008 that it was brought to the Department’s attention the arrangement that has historically been provided under existing general medical services.