A study commissioned by the Central Office of Information on behalf of the DoH surveyed NHS staff five times over three years and analysed their attitudes towards the NHS.
The survey found that just a fifth (21%) of GPs felt that they had the capacity to take on a commissioning role. Only a quarter of the GPs surveyed (44%) agreed that they had the relevant skills to take on such a role.
Of the GPs questioned, just over half (56%) thought that changes to commissioning would have a negative impact on the GP/Patient relationship, the survey found.
In addition, 42% of GPs said that government changes to the NHS would not encourage closer working relationships between primary and secondary care.
The survey found that only a third of NHS staff thought that the new commissioning structure would improve the quality of care provided and the efficiency of the NHS.
However, 58% of staff said they supported initiatives related to greater emphasis on quality of care, patient choice or patient safety.
Health Secretary Andrew Lansley said: ‘This survey shows that NHS staff recognise that working smarter and being more productive, efficient and innovative will help improve care for patients.’