More than half of doctors disagree with the Government's controversial reforms of the NHS and many do not believe they will improve patient care, according to a poll.
The survey for the Royal College of GPs highlights how family doctors are yet to be convinced by the plans, which will see them take control of around £80 billion of NHS money.
It comes as reforms moved a step closer after the Health and Social Care Bill last night cleared its first hurdle in the House of Commons last night.
Speaking in the Commons, Health Secretary Andrew Lansley said the reforms were a continuation of Labour's failed efforts while in power to modernise the service. He said patients would get more choice over which doctor they saw or the treatment that they wanted to receive. Private companies could also provide care but the "values" of the NHS would remain unchanged.
Mr Lansley said while Labour had pumped billions of pounds into the NHS, it was worse than the average health service in Europe while management costs had soared.
He told MPs: "At every step, clinical leadership - the leadership of doctors, nurses and other health professionals - will be right at the forefront - an NHS organised from the bottom up, not from the top down. The shift in power away from politicians and bureaucrats will be dramatic. This is legislation that builds on what has gone before. It is not a revolution."
But shadow health secretary John Healey said the Bill would see "free-market political ideology" forced into the NHS which would "spell the end" of the organisation in its current form. He said it was "wrong" of ministers to claim it was an evolution of Labour plans: "Make no mistake, this is a revolution not an evolution."
The survey showed six out of 10 doctors (60%) disagree with the Government's reforms of the NHS and many do not believe they will improve patient care. Most doctors (70%) think the reforms will not improve the relationship between GPs and hospital consultants, and there are serious doubts over whether they will cut red tape in the NHS.
More than 70% of GPs said they also "disagreed" or "strongly disagreed" that plans to create a bigger market in healthcare, using private companies, would improve the NHS.
The poll, of more than 1,800 GPs, found 52% disagreed or strongly disagreed that the reforms would create a patient-led NHS. Some 43% said the reforms would not improve health outcomes - such as tackling cancer or deaths from heart disease - with another 27% neither agreeing or disagreeing. Overall, 32% disagreed with the direction of the reforms, 29% strongly disagreed and another 15% neither agreed or disagreed. Only one in five (20%) agreed with the direction of the plans, and only 4% strongly agreed.