I am a reluctant enthusiast for practice-based commissioning (PBC).
As an ex-fundholder (like DoH primary care czar Dr David Colin-Thomé), I believe that we could take resources from secondary care by doing work that is well within the capability of general practice (GP, 9 February).
What made me see red was Dr Colin-Thomé’s statement that ‘there had already been sufficient DoH investment in premises’.
The fact is that the DoH, for all its schemes, has effectively capped GP premises investment and run scared from the billions needed. My efforts over the past eight years to escape a cramped, 100-year-old building have failed through lack of protected funds.
My dreams of delivering PBC will never come to fruition through simple lack of accommodation.
Dr Robert Butcher