Doctors in the North East have raised concerns about the new NHS helpline 111.
Eighty percent of North East GPs who responded to a survey said out of hours services were "worse" or "much worse" than before the telephone line was introduced.
Nearly two thirds said their experience was "poor" or "very poor" - just two said it was very good.
The North East was the pilot area for the advice line last year before it was rolled out across the country.
It replaces the NHS Direct advice line, which ends in June.