Primary ophthalmic care would be one of the areas that would be commissioned through a new National Health Service Commissioning Board under a new proposal in England. Under the plan, general practitioners would be responsible for spending the budget and implementing services, as the 152 primary care trusts would be phased out. GPs would kick the effort off next year, will full implementation expected in 2012. The optical industry has been receptive to the idea, with one expert saying that it will help unify a fragmented system, as currently each primary care trust has its own priorities. Another said that a national, regulated service would provide better care to patients.