Are GPs better placed than managers to respond to patient need? That's the central case being put forward by the health secretary, Andrew Lansley. He wants doctors in England to get together in groups to take charge of billions of pounds of health funding, thereby reducing the role of the primary care trusts. If you work in the health service, if you're a GP, if you're a patient we'd like to hear from you. Do you think this is the right approach? 03700 100 444 is the number to call, or you can e-mail via the website.