What do GP commissioning changes mean for patients in England?
16 September 2013 Last updated at 07:10 BST
The Health and Social Care Act, which came into force earlier this year, has brought about one of the biggest changes to the NHS in its history.
Inside Out looks at these changes and asks what the new GP commissioning system means for patients.
Many GPs like Dr Patel, who works in East Grinstead, east Sussex are now in control of their own budgets.
But some health experts like Roy Lilley say that this is fragmenting the health service and will lead to more costs.
Secretary of State for Health, Jeremy Hunt, says the changes will save money and improve efficiency.
Inside Out is broadcast on Monday, 16 September at 19:30 BST on BBC One South East and for seven days thereafter nationwide on the iPlayer.