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Equitable Access to Primary Medical Care services (EAPMC): procurement at PCTs

The NHS Next Stage Review Interim Report (October 2007) carried out by Lord Darzi (the Report), reported that, despite sustained investment and improvement in the NHS over the past ten years, access to primary medical care services and the quality of those services, continues to vary significantly across the country. Many of the poorest communities experience the worst health outcomes and major inequalities exist within England in life expectancy, infant mortality and cancer mortality. Further, the gap in life expectancy between the most deprived and least deprived areas has widened, despite improvements in life expectancy in the most deprived areas.

The Equitable Access to Primary Medical Care programme will play a significant role in achieving more personalised care set out by Lord Darzi.  The focus of the programme will be on achieving the visions of a fair and personalised NHS (whilst upholding the values of safe and effective primary care services).  Ministers have announced that the Government will be providing new investment of £250m to support PCTs in establishing:

- at least 100 new general practices in the 25% of PCTs with the poorest provision; and

- one new GP-led health centre in each PCT in easily accessible locations.

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