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Wolverhampton - power to the practices

Four years ago GPs in Wolverhampton felt that the PCT– rather than local GPs – was in control of PBC, says LMC chair Dr Satya Sharma. ‘So GPs voted with their feet and decided not to get involved in PBC.’

Four years ago GPs in Wolverhampton felt that the PCT– rather than local GPs – was in control of PBC, says LMC chair Dr Satya Sharma. ‘So GPs voted with their feet and decided not to get involved in PBC.'

The move prompted the PCT to devolve the PBC process to the surgeries and there are now three locality groups in Wolverhampton serving a population of around 248,000. Dr Sharma says they have made ‘significant progress'.

One successful project carried out by all three locality groups has been to shift care of patients with diabetes – including an insulin initiation programme – to the community.

But PBC has yet to reach its full potential, Dr Sharma believes, because some GPs still perceive – incorrectly – they don't have much of a say in how it works.

Another obstacle is the PCT still holds the purse strings when it comes to Freed Up Resources. ‘I just wish the PCT would make a positive effort to say to practices "you can make a difference".'

Wolverhampton

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