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At the heart of general practice since 1960

PBC postcard - Dr Tony Brzezicki

Dr Tony Brzezicki is founding chair of C4 consortium and interim vice-chair of the Pan Croydon PBC group

Dr Tony Brzezicki is founding chair of C4 consortium and interim vice-chair of the Pan Croydon PBC group

I became chair of our PBC consortium because I wanted to try to control my destiny and shape the development of general practice – hopelessly enthusiastic and naive, I know.

• If I wasn't chair I would have much more time to stop ill thought-through proposals being imposed on GPs locally.

• I spend too much time and energy on PBC business; I am paid for not enough of it. I wish I'd kept a tab of all the emails, phone calls and meetings.

We chose C4 as our consortium's name because C4 is the name of an explosive and we wanted to change things.

• We want to commission, rather than be a demand-management organisation is the phrase that sums up local GPs' attitude to PBC.

• Sub-committee is the word that describes our PCT's attitude towards PBC.

• I have no idea what the local acute trust thinks about PBC. It has not engaged with us at all, although individual clinicians have.

• Coming together is our greatest achievement as a consortium.

• Not defining the role of our group better is my biggest regret.

• The most frustrating thing about PBC is that every proposal has to go through at least three committees, yet the members are the same for all three. And why are the key meetings always on Monday at 9am?

• The biggest threat to PBC's success is the lack of support from PCTs.

• I am optimistic that PBC can bring about clinical leadership – but that means PCTs must trust what clinicians say and implement what they propose.

• PBC would be transformed overnight if the above actually happened.

• The worst piece of PBC jargon I have come across is world-crass commissioning – sorry, did I mean world-class?

• In five years' time PBC will still be here, hopefully.

• In five years' time I will still have my day job if PBC is no more.

Dr Tony Brzezicki, founding chair of C4 consortium in Croydon Dr Tony Brzezicki, founding chair of C4 consortium in Croydon

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