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Practices should 'rebel' against PCTs that hold them back on practice-based commissioning (PBC), according to the DoH.
Cambridgeshire GP Dr Chris Grant, a former professional executive committee chairman, said PBC was 'almost impossible' for his practice.
'We are right on the edges of a big PCT and know that it is only interested in really pushing us into using its secondary care provider services. Our patients want to go to a more convenient secondary care provider,' added Dr Grant.
Gary Belfield, the DoH's acting director general of commissioning, said: 'Where PCTs are trying to corral PBC, forcing you to work together in an alliance which does not …