I recently attended a meeting in my region of large numbers of PCT personnel and the Secretaries of Local Representative Committees, Local Dental, Medical, Pharmacy and Optical. I had attended hoping to hear “the plan” of how the transition from PCT to NCB/Consortia was to happen. Within five minutes of the meeting starting, it was clear that I was there to help draft the plan rather than be told it!! There is no road map and a real risk of a car crash for NHS Dentistry unless the SatNav is activated and with the assistance of local practitioners and LDCs.

It is times like this that you realise modern management planning meetings have become surreal. Groups of people are separated to carry out almost nursery school tasks, such as drawing cartoons to illustrate your plan and enhancing it with pictures pre-prepared by your facilitator!!! It would be marvellous to think abolishing PCTs will see the end of such tripe, but sadly such techniques are probably so ingrained anything that follows may well adopt similar technique for “brainstorming”. Blue sky thinking replaced by horizon shifts, the lingo will change but what direction are we travelling?

Is there anyone apart from the DoH, who believes the process will not cost a fortune and potentially consortia will save nothing in management costs? With presumably my meeting being replicated all over the country and consultants such as KMPG doing financial risk work, there should be no doubt this will not be a cheap transition.

I can say with honesty we have experienced the highs and lows of PCT engagement, from the frank incompetence to the inspiration of joint working to benefit colleagues and patients. As someone with human feelings one must have sympathy with anyone who has the uncertainty of losing a job and all the issues that go along with that.
 
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Dental Elf

14 May 2024

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