Two principal types of Trust are envisaged. Whilst these are the preferred forms for Trusts, the Government recognise that there will be particular circumstances where this will have to be varied to best serve the needs of the local population. Primary Care Trusts 71. Developing primary care is at the heart of the Government's commitment to the NHS in Scotland and is essential to the development of an effective and efficient system of care. Our family doctor system is the envy of the world, but if the primary care sector is to realise its potential, it must be supported by the development of a robust organisational structure.
Primary care depends on the contribution of a wide range of professionals working together.
GPs and the general practice team need to work closely with community nurses, midwives and therapists to offer comprehensive and appropriate support to their patients. Community pharmacists, dentists and ophthalmic opticians provide essential services, and access to their skills and professional expertise can greatly enhance the effectiveness of the team. The NHS has been well served since its inception by the independent contractor status of general medical and dental practitioners, community pharmacists and opticians. The Government have no plans to change that status. It is however important in the interests of good patient care that the Family Health Service practitioners are involved in the design of that care and that the contribution they make is advanced and supported within a cohesive framework.