GPs in England should become “predominantly salaried,” says report backed by Javid

General practice in England faces a wave of radical reform if recommendations in a new report from a Conservative think tank are adopted by the government.

The report1 by Policy Exchange, offering solutions to rising demand and inadequate staffing levels in general practice, proposes phasing out the General Medical Services contract by the end of the decade and incentivising current GP partners to become salaried and work at greater scale.

It envisages a £6bn “rescue package” to be gradually used to “buy out the GP owned estate.” Some large “high performing” partnerships will remain, but GPs will eventually become “predominantly salaried and contracted by scaled providers,” including “trusts, provider collaboratives, or large scale primary care operators,” it proposes.

Significantly, the report is endorsed in a foreword by the health secretary …