TY - JOUR T1 - PBC and out-of-hours work JF - British Journal of General Practice JO - Br J Gen Pract SP - 838 LP - 838 VL - 57 IS - 543 AU - John Havard Y1 - 2007/10/01 UR - http://bjgp.org/content/57/543/838.1.abstract N2 - Make no mistake, practice-based commissioning is here to save money. It should also improve patient services as a crucial component of a corporate efficiency drive by the largest employer in Europe. Of course, in a politically-sensitive organisation, cost and service cutting must be discrete and this is performed with varying success across the breadth of the NHS.But these are the crude efficiencies and we now have an opportunity for a root and branch reform. As always there are valuable lessons from the past which could make this latest plan a roaring success. Whatever one felt about fundholding it was an immensely valuable exercise which demonstrated that GPs could manage the care of their patients beyond the surgery door and save money. Diagnostics, … ER -