"The needs of patients should be top priority for the NHS. Our reforms, which help reduce bureaucracy and put health professionals in control of local decisions, will ensure this happens. They will also help the NHS reinvest up to £20 billion into the frontline by 2015, so that it can meet the challenges of an aging population.
"GP practice members are an influential voice within new Clinical Commissioning Groups. If they are concerned that a policy adopted by their CCG may not be in patients' best interests, they must take responsibility for voicing their disagreement.
– Department for Health spokesman
“Our mandate for the NHS sets out that people should have access to the right treatment when they need it. We have made clear that there should not be reductions in services or in the quality of care, and that access to services should not be restricted on the basis of cost."
Vernon Coaker, MP for Gedling in Nottinghamshire, says that he wants doctors to manage the health of their patients without worrying about the budgetary costs.
"I thought it was important that you be made aware of these changes.
"From 1 April 2013 responsibility for the commissioning of local health services, both in the community and in hospitals will be the responsibility of local GP's.
"The immediate effect that this has had is that the local group of GP's, known as Nottingham North and East Clinical Commissioning Group (CCG), has developed an overspend.
– Dr Ian Campbell
"Put simply, we are spending more money on patient care than we are allowed. We have been told that we, at Park House, along with many other practices in Nottinghamshire, have to reduce costs immediately.
"Specifically, what this means is that we are being compelled to reduce referrals to specialists in hospital, reduce A&E attendances, and reduce hospital admissions.
"Four million pounds has to be saved in the next 12 months."
In a letter to his patients, Dr Ian Campbell, a GP in Nottingham, addresses the way the new healthcare system is being run.
– Dr Ian Campbell
"What this means to you, our patients, is that you may no longer be entitled to a hospital doctor's opinion even if you, and we, think it appropriate.
"You may no longer be entitled to your operation if it is deemed to be an unnecessary expense.
"As doctors and nurses we believe we are being pushed beyond the point of safety.
"In other words, we are being asked to take risks with your health in order to save money."
Dr Ian Campbell has written a letter to all his patients warning them that medics are being 'asked to take risks with your health to save money'.
Dr Campbell, who is a GP in Nottingham, says doctors are being forced to cut the numbers of people they send to hospital for referrals, despite the fact that they may have genuine health problems.