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PBC postcard: Dr Gurkirit Kalkat

Chair of Barking & Dagenham Quality Care Health Consortium, London

Chair of Barking & Dagenham Quality Care Health Consortium, London

I became chair of our PBC consortium because I proposed the formation and then my colleagues went and nominated me.

If I wasn't chair I would have much more time to spend teaching undergraduates. I am an honorary lecturer at Barts and the Royal London medical school and really enjoy teaching but have had to limit the number I can take.

I spend far too much of my time each week on PBC business – I am paid for not enough of it.

We chose Barking & Dagenham Quality Care Health Consortium as our name because we wanted the word ‘quality' in the title so we can do what it says on the tin.

• Cautious but becoming more positive is the phrase that sums up our PCT's attitude to PBC.

• Increasingly positive is the phrase that sums up local GPs' attitude to PBC.

• Suspicious was the initial attitude of our local acute trust but now that we have developed some community services which have reduced admissions and referrals, consultants are keen to get involved.

Our greatest achievement is the work we have done in developing software – in collaboration with a specialist consultancy company – to help with data validation. We are also very proud of our community respiratory, cardiology and diabetes services.

My greatest achievement has been increasing GP engagement with PBC.

The most frustrating thing is the politics that go with being a chair and the numerous PCT meetings you have to attend.

The biggest threat to PBC's success is any potential change in Government policy.

I am optimistic that PBC will lead to better overall care as well as ensuring the most efficient ways of doing this.

PBC would be transformed overnight if PCTs made the process of approving business cases easier and also improved training for GPs and practice managers.

In five years' time PBC will be the foundation of World Class Commissioning

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