PCTs must finalise plans to separate their provider and commissioning functions by this October.
But Dr David Jenner, GMS contract lead at the NHS Alliance said the tight timescale was tempting PCTs to push services to local hospitals.
Many health bosses see 'vertical integration' with acute services as a way of strengthening faltering foundation trusts, he said. They also sidestep staff fears about losing out on terms and conditions when outsourced to non-NHS bodies.
Such moves would be 'very bad for primary care,' Dr Jenner said.
'In many areas we are seeing money moving into secondary care - that is the exact opposite of the vision the DoH has articulated,' he said.
Comment below and tell us what you think