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Merseyside – PCT-driven

A lack of common thinking is hampering the development of PBC in Merseyside

A lack of common thinking is hampering the development of PBC in Merseyside



Dr James Kingsland, president of the NAPC and a GP in Wallasey, feels PCTs, SHAs and GP practices in the Merseyside area all have different views about how developed PBC is.

‘PCTs may say there's good clinical engagement – they mean they have designed programmes, put geographic areas together and got advice from clinicians about the design of services being led by a PCT. That's good in one respect, but it's not PBC.

‘The majority of the current system is PCT-driven – the trusts are doing the strategic planning, the needs assessment, designing the service, reshaping the patient pathway and hoping clinicians will use what they've designed.'

This, says Dr Kingsland, has led to a sense of frustration by many at the leading edge of PBC in the area.

‘I don't want to be engaged in someone else's agenda – I want to own the agenda and be responsible for the deployment of resources my patients are using. We need the PCT to support that programme, not lead it.'

Four years into the programme, he says there is not a huge amount of innovative redesign as a result of PBC.

Dr Kingsland's consortium of 12 practices is the first in the Wirral to form a legal entity, but, he says, it has taken four years to get to that point.

‘We've not really done a lot yet, but least we're in a position to say our function is going to really redesign services.'

Merseyside - PCT driven

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