Junior health minister Lord Darzi's polyclinics have received yet more criticism from clinicians as the Royal College of GPs has published its vision of the future.
The Roadmap joins the British Medical Association and the NHS Alliance in criticising the term polyclinics and suggests an alternative model.
The report says: 'We caution against the development of polyclinics that focus purely on disease and technical care but commend the value of co-location of services to reduce fragmentation of patient experience.'
Chairman of the RCGP professor Mayur Lakhani said the language of polyclinics is disease and he didn’t like that language.
He said: 'They are very much a London solution and we are concerned they could become like mini hospitals. What research has shown is that people want local accessible care - in village and small towns people want to go to their family doctor'.
The Roadmap puts forward the idea of a federated model where practices work together as a legal entity, able to share staff and resources, but without all being in the same building.
Professor Lakhani said the federated model would give GPs ownership and eventually such organisations could become foundation practices and work with other providers to delivery care.
He added that the plan was not prescriptive and it was up to area to decide on what size the federated model would be.
The report also pressed the model as 'essential to countering the challenge of a 'market' approach in the NHS'.
Professor Lakhani said: 'GPs need to rise to the challenge of what patients need in the 21st century. Either we develop ourselves, take the challenge and take control, or it will be done by giant corporations such as Boots, Tescos and American companies.'
Director of the PCT Network David Stout said he did not think that polyclinic were seen as a national blue print and that they would not be suitable in all localities.