Brighton & Hove – positive about PBC
GPs here are positive about PCT support for PBC. Nearly 90% of respondents to the DH’s PBC survey rated their relationship with the PCT as fairly or very good, and 75% gave the same response on PBC.
GPs here are positive about PCT support for PBC. Nearly 90% of respondents to the DH's PBC survey rated their relationship with the PCT as fairly or very good, and 75% gave the same response on PBC.
The city is home to Brighton Integrated Care Service (BICS), a not-for-profit organisation owned and managed by local GPs and primary care staff – they are all shareholders.
Operational director Zoë Nicholson describes it as a ‘quasi-PBC' body, sponsored by PBC and holding an SPMS contract with the PCT. The idea for BICS, she says, grew from ‘a lot of frustration that PBC had not really achieved much'.
The starting point is clinical triage of all elective care referrals, carried out by GPs.
Dr Peter Devlin, a local GP and clinical director of BICS, says: ‘The richness of data about the needs of patients in Brighton and Hove means designing services tailored around those needs is very easy.'
BICS is currently looking at the redesign of musculoskeletal, neurology, urology, dermatology, ophthalmology and ENT services.
The importance of the data gained from clinical triage is that it shows the patient journey from the GP surgery, rather than outcomes. Ms Nicholson says: ‘Having that data and owning it yourself is one way to give PBC some teeth. It transforms the relationship between primary and secondary care.'Brighton and Hove PCT