Schemes include the QOF, balanced scorecards, revalidation, practice accreditation and registration with health watchdog the Care Quality Commission.
Does anyone remember the phrase 'high-trust, low bureaucracy' that was used to usher in the new GMS contract in 2004?
Doesn't that seem a million miles away now? Perhaps 'low-trust, high bureaucracy' would be a better description of the regime we are now hurtling towards.
Four weeks ago our columnist Dr Chris Lancelot argued that now was the time to turn the tables and for GPs to rate their PCTs. Such was the positive reaction to the idea, particularly on our website Healthcare Republic, that today we make that dream reality.
The scorecard will be UK-wide. We expect GPs in Wales and Northern Ireland will have much to say after GP reported last week that NHS reorganisation had left primary care in both countries in 'chaos'.
GPC chairman Dr Laurence Buckman points out in this week's issue that PCT rating mechanisms had 'almost never' reflected GP views. Let us allow you to put that right and give you a voice.
Even the NHS Confederation, which represents managers, is eagerly awaiting your feedback.
We want to make the exercise fair and seek to shine a light on good managerial practice as well as exposing the bad.
All we ask of you is your help. Complete the scorecard. Spread the word. Tell your LMC. Encourage local practices to take part.
For this to be valuable work, and something we can repeat in future, we would like the participation of as many GPs and practices as possible. How do you rate your PCT?