Intended for healthcare professionals

Letters Polyclinics

Darzi’s five pledges for polyclinics are being ignored

BMJ 2008; 336 doi: (Published 19 June 2008) Cite this as: BMJ 2008;336:1391
  1. Anne Holmes, general practitioner
  1. 1Tithebarn Medical Centre, Stockton on Tees TS19 8RH
  1. anne.holmes{at}

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 …

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