Primary care. The only way is up.

Despite posting the country's lowest score in 2004-05, the quality and outcomes framework of the new GMS contract has helped Bradford City teaching PCT focus and improve on key areas. The QOF is tough on deprived inner-city areas, where practices are often single-handed, with unsuitable premises and low levels of supporting staff. The introduction of practice-based action plans, as demonstrated in Bradford, could help inner-city practices score significantly better in 2005-06.