Alliance chairman and Devon GP Dr Michael Dixon said: 'The role of the GP is changing and the contract needs to reflect that. Doctors should be seen as a public health physician for the whole of the practice population.
'Indeed, this would be the realisation of the potential of the registered list with an extended role in self help, personal health and community health.
'Practices that spend most are not necessarily doing more for their patients and GPs should be tasked with using NHS resources in the most efficient manner.
'At the same time, GPs should not be penalised if their local circumstances do not allow them to be as efficient with spending as they would like. But it is important they are committed to doing so.'