PBC Consortium

We were invited to join other practices in our area in a practice-based commissioning (PBC) consortium, but decided to plough our own furrow. We are a large, innovative practice (12,000-plus patients) and believed the other practices would slow us down. Despite some early PBC successes generating significant savings, the PCT has not accepted our recent proposals for new PBC initiatives. The consortium has now overtaken us and the PCT has offered the consortium - but not us - a real budget for prescribing and for referrals in certain specialties. Should we swallow our pride and ask to join? How should we approach the consortium? The consortium practices are all smaller than ours and our initial refusal did upset them.

by Dr David Jenner

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