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Warwickshire - delayed by mergers

PCT restructuring and financial difficulties have held up PBC activity, according to Dr Andrew Kennedy, LMC secretary and a GP in Warwick.

PCT restructuring and financial difficulties have held up PBC activity, according to Dr Andrew Kennedy, LMC secretary and a GP in Warwick.



The merger of North and South Warwickshire and Rugby PCTs to form Warwickshire Health PCT in 2006 has delayed the development of PBC by around 18 months, he says.

Despite these problems, the county's five main PBC groups have set up some innovative schemes. Eight months ago, the South Warwickshire Commissioning Consortium, which has 35 practice members, established a musculoskeletal assessment and triage service, which aims to reduce secondary care referrals. The group also runs a community warfarin monitoring service for patients deemed stable on the drug.

Dr David Spraggett, the group's chair and a senior partner in Kenilworth, says while there has been ‘top-level support' from the PCT for PBC this has not translated into actual support on the ground, such as providing the necessary information required to develop services.

Practice engagement has been the group's biggest success, Dr Spraggett thinks.

‘There's a lot of commitment to PBC from practices. We recognise that uniting together as a group will make us stronger.'

Warwickshire

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