"It will turn the NHS upside down" is one description of the proposed changes in the Health White Paper published in July.
GPs are to be put in charge of buying most services for their patients, a role currently held by the Primary Care Trusts.
Penny Marshall investigates how this will change the NHS and asks what it will mean for patients.
Producer: Geraldine Fitzgerald.
Penny Marshall investigates how plans in the latest Health White Paper will change the NHS