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Anon 3.41
I'm also working with a Pathfinder Consortia, and part of my problem is not having to tell them 'it cannot be done', but having to tell them 'actually, this has to be done'. Yes, they're enthusiatic, yes, they're dynamic, but they are still living in a world where they think:
- the Nicholson challenge doesn't apply to them
- they don't have to worry about making difficult choices, and actually show no willingness to make the swift choices that do have to be made
- they don't see why a QIPP delivery Plan has to be done and can't understand why the PCT has to spend so much time doing it

I could go on, but I'm frankly rather tired of PCTs being caricatured as oppressive bureaucracies. Many of the things that held us back (WCC and the plethora of QIPPs being just two examples) weren't of our own making, nor would we have chosen them. I agree that top down centralism will continue to be the goose that lays the rusty, inedible egg. But don't confuse that with the role and responsibility (many of which will need to be done but my Pathfinder really don't want to do) of PCTs - it misses the point entirely.