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PBC postcard - Dr Johnny Marshall

Dr Johnny Marshall, chair of United Commissioning in Buckinghamshire and NAPC treasurer, on his involvement in PBC.

Dr Johnny Marshall, chair of United Commissioning in Buckinghamshire and NAPC treasurer, on his involvement in PBC.

I became chair of our PBC consortium because I believed it could bring about real change within our local health services.

If I wasn't chair I would have more time to bang my head against another brick wall.

I spend 12 to 16 hours per week on PBC business; I am paid for seven of them.

We chose our consortium's name because it represented a common purpose.

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

Our PCT's attitude towards PBC is still aspirational.

Our local acute trust thinks PBC is their best friend and worst enemy.

Our greatest achievement as a consortium has been leading a nigh-on gold standard service redesign for diabetes care.

My greatest achievement as consortium chair has been still being chair.

My biggest regret is the £2m spent on management consultants within our PCT that delivered far less clinical service development than if the same level of resource had been invested in us.

The most frustrating thing about PBC is the lack of control we have over our destiny.

The biggest threat to PBC's success is the PCT's reluctance to devolve responsibility and control to us.

I am optimistic that PBC is here to stay – until the powers above change their minds.

PBC would be transformed overnight if we were given managed care contracts and not budgets.

The worst piece of PBC jargon I have come across is unrepeatable.

Compared with fundholding, PBC has the potential to deliver much greater transformational change.

I think health ministers view PBC as ‘the solution' without recognising that the increasing sense of central direction within the NHS is ‘a problem'.

In five years' time PBC will fly or die.

In five years' time I will still be seeing patients.

Send us a postcard

We're seeking similar postcards from those at the coalface of PBC. Email submissions or expressions of interest to us at practicalcommissioning@cmpmedica.com

Dr Johnny Marshall

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