NHS changes come into force

Government reforms of the NHS in England have come into force and health leaders warn of a tough year ahead.

GP-led groups have taken control of local budgets and a new board, NHS England, has started overseeing the day-to-day running of services.

The NHS Confederation, which represents health managers, says the squeeze on finances and the need to rebuild public confidence after the Stafford Hospital scandal means the NHS is facing a critical period.

Dominic Hughes reports.