Patients will be able to choose which GP they register with under new government plans. That could mean patients using GPs where they work or keeping the same family doctor when they move.

The scheme will be piloted in parts of London, Manchester and Nottingham for a year from April.

Health Secretary Andrew Lansley said: “Many patients are happy with their local GP practice, but a significant minority have problems registering with a practice of their choice.”

“This pilot will mean patients taking part can access the high quality care they deserve in a place and at a time that suits them.

“That’s why I believe patients should have the freedom to choose a GP practice that suits their lives, and not be restricted by geographical boundaries.”

Where patients choose to register with a practice outside their immediate area, the primary care trust local to where they live will be responsible for ensuring they have proper access to medical care outside of normal working hours.

London GP Dr Laurence Buckman, Chairman of the British Medical Association’s GPs Committee, said the BMA looked forward to seeing the results of the pilot.

“Either way there will undoubtedly be lessons that need to be learned and it will be important for all sides to do that before there can be any further developments,” he said.

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