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Living proof of flagging PBC

There has been no PBC development in this locality apart from one small project in ENT.

Despite the establishment of multidisciplinary groups in a dozen specialties, there has been no significant output on which PBC could develop.

This is due to a lack of leadership and other factors such as the PCT's large deficit. GPs are concerned about destabilising the local trust if services are moved into the community.

Additionally, GPs have been grouped into four consortiums, none having sufficient critical mass to develop community health services efficiently. These consortiums need to merge together.

Nick Bentley, Practice manager, North Yorkshire

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