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PBC Postcard - Dinah Roy

Dr Dinah Roy is chair of Sedgefield PBC Group. She gives a quick run through her experiences, and how things are going in her area.

Dr Dinah Roy is chair of Sedgefield PBC Group. She gives a quick run through her experiences, and how things are going in her area.

I became chair of our PBC consortium because nobody else wanted to.

If I wasn't chair I would have much more time to make nutritious and filling gourmet meals and drink gin.

I spend 16-20 hours a week on PBC business; I am paid for 12 of them.

We chose our consortium's name, Sedgefield PBC Group, to carry the torch for a community of GPs who've worked together for many years.

• Astonishingly game, considering the frustrations, are the words that best sum up local GPs' attitude to PBC.

• Enthusiastic but confused describes our PCT's attitude towards PBC.

• Getting a primary care DVT service up and running is our greatest achievement as a consortium.

• Negotiating payments on last year's incentive scheme is my greatest achievement as consortium chair. All the time I've wasted reading long boring documents when I could have been at the hairdresser is my biggest regret.

The most frustrating thing about PBC is slow progress because of underdeveloped support and bureaucracy.

The biggest threat to PBC's success is that it's misunderstood and marginalised, especially its relationship with ‘practice-based provision'.

I am optimistic that PBC will lead to much better services for patients, particularly improved and extended primary care.

If we had real budgets – preferably in the form of used fivers – PBC would be transformed overnight.

The worst piece of PBC jargon I have come across is ‘fair shares budgets' – an impossible dream.

Compared to fundholding, PBC is potentially earth-shattering.

In five years' time PBC will have moved on to real budget-holding.

In five years' time I plan to get a motorbike (Ducati, I think).

Dinah Roy

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