TY - JOUR T1 - An ostrich contemplates PBC JF - British Journal of General Practice JO - Br J Gen Pract SP - 730 LP - 730 VL - 56 IS - 530 AU - Dougal Jeffries Y1 - 2006/09/01 UR - http://bjgp.org/content/56/530/730.abstract N2 - Even on an island surrounded by silver beaches of the stuff, there is a limit to how long one can bury one's head in the sand. And so it is that, overcome at last by the ever strengthening ripples emanating from the mainland, we have had to face up to the reality of Practice Based Commissioning (PBC). Fortunately there are active minds at work in West Cornwall prepared to come to grips with what PBC might mean, and how it might be implemented, and all we have had to do so far is sign up to the collective agreement that makes us part of the Commissioning Group. Furthermore, the cost and inconvenience of crossing the 25 miles of water that separate us is accepted as a valid excuse to opt out of attending board meetings, and our minute practice size renders us … ER -