Confused PCTs dampen doctors' PBC enthusiasm

The DoH's latest 'rejuvenation' of practice-based commissioning (PBC) has not helped break down barriers to its success, according to the King's Fund.

Two years after a poll by of GPs and practice managers by the King’s Fund, a similar survey has found GPs are more enthusiastic and involved.

In March this year the DoH launched its latest effort to revive the flagging policy. But a confused strategy at PCT level is dampening GPs enthusiasm, says the report.

Just under four-fifths of the 320 GPs and practice managers surveyed by the King’s Fund said they were ‘firmly committed’ to the policy.

But less than half had received the necessary support from their PCT they were entitled to, such as financial advice and management training.

‘Progress is still hampered by a lack of local vision, a lack of clarity over roles and responsibilities, and bureaucratic governance processes,’ according to the report.

Report co-author Natasha Curry, health policy fellow at The King’s Fund, said it was ‘striking’ that barriers identified in 2007 were still hampering progress.

  • Is your PCT hampering your PBC enthusiasm?


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