Practice based commissioning has received a vote of confidence in the NHS Alliance report Early wins, early lessons, released today.

Chairman of the Alliance Dr Michael Dixon said PBC was going to transform the NHS but there has been a slow start due to primary care trust reconfiguration.

He warned PBC would not go far enough if GP practices do not get fully engaged and if PCTs do not devolve power to clinicians.

The report said: 'Good practice is not universal. We know areas where it is no exaggeration to say that battle lines have been drawn up between managers and clinicians, between practices and PCTs.'