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PCTs told to mend fences with GPs

New PCTs must mend their 'fractured' relationships with GPs, the chief executive of the NHS has warned.

David Nicholson said personal trust was key to the relationship developing. Good relations were essential for the success of PCTs and practice-based commissioning, he added.

Mr Nicholson was speaking with Prime Minister Tony Blair and Health Secretary Patricia Hewitt at the launch of the NHS Confederation's PCT network.

Laying down a series of ground rules for trusts, he also hammered home the importance of clinical engagement and supporting incentives to drive forward reform.'We're not developing PCTs to be quiet backroom bureaucracies that deliver services,' he said.

Earlier, Mr Blair said if current changes to the NHS were not successful it could spell the end of public consent for the taxpayer-funded NHS 'as it is at the moment'.

He stressed the health service must continue to meet the challenges of customer expectations, technology and working practices.

Systems must be tweaked to resolve 'colliding' incentives such as the spur for acute trusts to stop care moving into the primary sector as a result of Payment by Results.

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