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Poor practice performance and health inequalities are to be targeted in the revised GMS contract from April 2008, according to NHS Employer's GMS negotiator Dr Adrian Jacobs.
He told the NHS Alliance conference in Manchester last week that 'performance improvement plans' would be used to drive up the standard of under-performing practices.
'There will be better levers to change the contract if there is poor performance. Primary care organisations are pushing for levers to drive up quality. If it doesn't improve, then they will put it out to tender,' Dr Jacobs added.
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