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PBC postcard - Dr John Havard

Dr John Havard is chair of Commissioning Ideals Alliance in Suffolk

Dr John Havard is chair of Commissioning Ideals Alliance in Suffolk

I became chair of our PBC consortium because it was a necessary evil.

If I wasn't chair I would have much more time to live.

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

We chose Commissioning Ideals Alliance as our consortium's name because I naively hoped the abbreviation CIA would get noticed.

• Indifference is the word that best sums up local GPs' attitude to PBC.

• Must-do is the phrase that describes our PCT's attitude towards PBC.

Our local acute trust thinks PBC is potentially dangerous.

• Getting unanimous approval of a DVT pathway to save at least £130,000 a year at one local trust is our greatest achievement as a consortium.

• Having scored this great DVT goal is my greatest achievement as consortium chair.

• Having it disallowed when the PCT developed doubts about its own data is my biggest regret. I'm still waiting for the PCT match official.

The most frustrating thing about PBC is that one year on from our business case, the PCT has still not implemented a DVT pathway.

• The biggest threat to PBC's success is clandestine inhibition.

• I am optimistic that PBC will lead to a revitalising of primary care.

• PBC would be transformed overnight if we concentrated on clinical and financial wins – but in that order.

• The worst piece of PBC jargon I have come across is ‘contestability'.

• Compared with fundholding, PBC is like saloon car racing, but with even more back-seat drivers.

• I think health ministers view PBC as an opportunity to devolve responsibility for healthcare provision.

• In five years' time, PBC will be world class.

• In five years' time, I will have a fat arse and be third class!

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