Darzi’s five pledges for polyclinics are being ignored

I see no evidence that Lord Darzi’s pledges are being honoured in my practice community.1 I work in a small practice set up four years ago in a deprived area with few doctors. A personal medical services (PMS) contract was awarded to the private, but GP led, company that runs it. The practice has 1250 patients, looks after a prison, teaches medical students, and trains foundation programme doctors.

But the primary care trust …