interested of york
It is unfortunate that you chose the acronym PACS which to a large number of doctors means Picture Archiving and Communication System aka the thing that you look at your radiology on!
This report is disappointing, as it seems to focus on the problems, but is not surprising, as the old block contacts are hard to shift, despite banner headlines in 2006 ending them. I have proposed a solution of NKICE recommended Mindfulness Based Cognitive Therapy (MBCT) 8 week courses, which teach patients and service users self care, see www.sectco.org.uk. I am trying to introduce this into Locally Commissioned Services with clusters of GPs in Brighton and Hove, which is the worst CCG in the country, but aims to be the best.
Don,t MCP's offer a vehicle for real integration and investment in community services at a time when the other structures are showing signs of crisis---a new model and structure we could all get behind Whilst governance and accountability may be complex issues don't they require some robust support in order to make a mark. They need for existing provision to work with this is also critical. Views on this would be appreciated