Rapid Responses to:

EDITORIALS:
Jennifer Dixon
Darzi’s review of quality of care in the NHS
BMJ 2008; 336: 844-845 [Full text]
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[Read Rapid Response] The dead duck of primary care comissioning
Hans-Joerg Paul   (23 April 2008)

The dead duck of primary care comissioning 23 April 2008
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Hans-Joerg Paul,
GP partner
Wallingford Medical Practice OX10 9DU

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Re: The dead duck of primary care comissioning

Practice based commissioning (PBC) is indeed unexiting. There is too little support to work out ideas and financial and other activity data are of poor quality and slow to come by. PBC in our area is a farce where the Primary Care Trust to a large part dictates what should be commissioned. This is obviously completely opposite to the principle of PBC and is stifling any creativity and enthusiasm. The sluggish bureaucratic processes are equally to blame.

Competing interests: None declared