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Specialists voice fears over PBC

Consultants’ concerns about PBC have made headlines in recent weeks.

Consultants' concerns about PBC have made headlines in recent weeks.

Consultant diabetologist Dr Rifat Malik told last month's Primary Care Diabetes Society annual conference that secondary care diabetes services stood to lose 30% of income in coming years.

He said: ‘PBC should not mean shifts in care for the sake of it or to meet a meaningless demand management quota, but that's what we're seeing.'

Last month the BMJ published an opinion piece by specialist registrar Dr Rahij Anwar and colleagues arguing that ‘expensive' patients with multiple health problems would be better treated under the traditional system, which has no ‘time-bound appointments', ‘designated payment pots' and ‘referral politics'.

Dr James Kingsland, chair of the NAPC, said the remarks were borne out of a misunderstanding of PBC by specialists.

‘Getting primary care to deliver more will leave consultants with a workload that is high-tech, urgent, complex and interesting while low-complex, low-tech work is moved out into a community setting'.

Dr Mike Dixon, chair of the NHS Alliance said: ‘I don't think PBC will require fewer specialists (now) but might require less in years to come.‘

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