Community Services – CCGs may choose to order these services to meet local needs and priorities. Second, we need to decide whether personal medical services should spur innovation or replace general medical services. Current efforts to combine national imperatives with (seemingly less and less) local freedoms are creating a new form of national treaty. Such a model can certainly meet the needs of the population and practitioners. However, it is moving away from the experimental laboratory of the original concept, leaving very little room for true innovation in our increasingly centralised NHS world. The challenge is to find ways to keep the playing field in our risk-averse and goal-oriented NHS, rather than simply replacing the old GMS Red Book with a new PMS Black Book. As UK GPs are traditionally self-employed, the contract under which they work for the NHS (the General Medical Services Agreements (GMS) set out in the `Red Book`) is time-consuming and perceived as inflexible and bureaucratic. The personal medical services system allowed participants to test contractual mechanisms that would have been illegal under normal agreements. Although the system of personal medical services was sometimes referred to as „salaried physicians“ (as opposed to the normal regulations for self-employment), this was not its defining characteristic. These services increasingly allow patients to use the Internet to view their electronic medical records, order repeat prescriptions, communicate with their GP office and make an appointment with the GP. Community pharmacy teams may want to make sure they understand how these services are used in their area so that they can provide patients with the appropriate advice.

.