The Health Secretary has launched a review of London's NHS services.
Andrew Lansley has said he wants to end reconfiguration in the capital by reforming Labour's Healthcare for London plan, which set out a 10-year strategy to rebuild the organisation along lines stipulated in a 2007 report by former minister Lord Ara Darzi.
"A top-down, one-size-fits-all approach will be replaced with the devolution of responsibility to clinicians and the public, with an improved focus on quality," Mr Lansley said in a statement.
"It will be centred on a sound evidence base, support from GP commissioners and strengthened arrangements for public and patient engagement, including local authorities".
Responding to the announcement, NHS London Chief Executive Ruth Carnall, said: "The secretary of state is clear that GPs must take the lead in deciding which services are provided locally.
"He is also clear that Londoners must have a bigger say on the shape of local services and be able to make informed choices on where they go to receive care."
The change of pace means NHS authorities in London will need to find a new way to plug a funding gap of £5.1bn.
Lord Darzi's controversial plan involved moving care from hospitals to so-called "polyclinics".
The proposal was unpopular with GPs, who feared that it represented privatisation by stealth.
Acute trusts also expressed disquiet, saying the proposal would result in a 72% drop in their activity.
"Look must have a say also. The middle the hospitals must have a say managers are sitting in meetings but not communicating the frontline staff top management structures and slimline them. Just the GPs have a say the frontline staff in the hospitals also have a say" - Victoria, London