Health Secretary Andrew Lansley has announced sweeping changes to the NHS in England to end the what he described as the "old command and control" regime brought in by Labour.
In a Commons statement on 12 July 2010, Mr Lansley confirmed that GPs would be given a far greater role in commissioning services for their patients.
He told MPs that both strategic health authorities and primary care trusts would be phased out in the drive for greater efficiency.
And he said unjustified targets and bureaucracy would also go to help realise up to £20bn in efficiency savings by 2014 - to reinvest in patient care.
But shadow health secretary Andy Burnham accused him of a "U-turn of epic proportions" by "ripping-up" the coalition agreement on the NHS.
"This reorganisation is the last thing the NHS needs just now. It needs stability not upheaval," he insisted.