In Liverpool, there are currently one hundred surgeries. Three sites have been identified for hosting the new super-surgeries - housing GPs, health visitors, dentists, a pharmacy, a cardiology clinic and X-ray facilities.
Rob Barnett, secretary of Liverpool Local Medical Committee, said: "If you take these centres to their logical conclusion, there might only be twenty practices left."
A petition is already being circulated in the Aigburth area amid fears the changes will leave the L17 postcode with no GP surgery at all.
The Primary Care Trusts are making all the usual noises about consulting people, but we all know that the bottom line is money. With the government looking at ways to cut health spending, the needs of ordinary people look set to be ignored yet again.
The bosses have had their say, it is time for us to have ours.