Chair of the stakeholder group for Smethwick and Oldbury PBC Alliance Group
• I chaired this alliance because I believe all commissioning decisions should involve stakeholders first
• If I wasn't chair I would have much more time to read
• I spend a lot of time trying to convince colleagues it is worthwhile to carry on being involved in commissioning
• Trying is the phrase that sums up our PCT's attitude to PBC
• Fed up is the phrase that sums up local GPs' attitude to PBC
• Suspicious was the initial attitude of our local acute trust
• Our greatest achievement as a consortium has been implementing good care in nursing homes and working with a consultant geriatrician on this
• My greatest achievement has been getting four lay members on our governance board and getting them listened to
• The most frustrating thing about PBC is that budgets and incentives are not real
• The biggest threat to PBC's success is we don't believe in it anymore
• I am optimistic that PBC will lead to better collaboraton with public health and practices
• PBC would be transformed overnight if we had proper delegation with risks and rewards and proper strategic partners
• In five years' time PBC will be in another form with another name!
• In five years' time my cluster will have much more responsibility for doing things differently in primary care
Dr Niti Pall