"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.
"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."
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