Surrey GPs vote against A&E closures
8 November 2013 Last updated at 22:20 GMT
GPs in Surrey have voted to pull out of a reorganisation of medical services in Surrey and south west London.
It could now mean a return to the drawing board for a process which has already taken more than two years.
Dr Claire Fuller, Clinical Chair of Surrey Downs Clinical Commissioning Group and Dr David Finch medical director of Better Services Better Value are in this report by Karl Mercer.