Patients in Wales are not getting value for money from GPs, according to a report by the Welsh Assembly's audit committee.
The GP contract introduced in 2004 cost the NHS in Wales an extra£131m in 2005-06, adding more than 44 per cent to the cost of the old contract.
The report found that although primary care is a key priority for patients, the "rigour and quality" of local health board checks on practices is variable.
The report recommends that the Welsh Assembly should issue guidance on checks and strategies to improve patient access early this year.
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