Most of my flying is done with as few turns as possible, and mostly on autopilot. I do this because when I'm flying for travel, with my wife, I'm flying as if I'm an airline. I believe these well planned, carefully executed flights make me a safer pilot.
However, once a month, I go up and fly everything in the PPL PTS. If I do not fly a maneuver to PTS standards, I do it again, and again, until I get it right. I always the flight end after dark, so that I get to do night landings as well.
I am working on my IFR. Once earned, I will be adding practice approaches, holds, etc, to my monthly practice. (With a safety pilot, of course.)
Any rating, be it VFR or IFR, is only as good as it is maintained. Safety starts in the mind. It is an attitude, an approach, a way of doing things. It is knowing your limits, and pushing them on occasion, in a safe fashion, in order to be prepared for those times when you cannot escape risk, and must deal with it.