A total of 59% of GPs said having to deal with both area teams and CCGs rather than a single organisation had left them under greater strain.
A third of GPs (34%) said their relationship with local NHS organisations had worsened since the introduction of CCGs – more than double the 15% who said it had improved.
One respondent to the poll wrote: ‘Much more pressure. We can't have a relationship with them, they don't know us and we don't know them, it's impersonal and there is no room for mutual understanding.’
Several respondents reported a ‘them vs us culture’, with one warning: ‘Nobody trusts anybody these days.’
Another warned of an increasingly ‘fragmented and complex’ system with increasing variation between practices.
However, 36% of GPs who took part in the poll said there had been no change to their relationship with local NHS organisations since the reforms.
Among those who said relationships had improved, there were positive comments about the impact of CCGs and area teams.
One respondent said the situation had improved ‘immeasurably’.
He wrote: ‘Breath of fresh air ..... no more being treated like naughty school kids by those bloody PCT managers - we are now in charge of our patients' destinies, ASSISTED by managers .’