Birmingham's health service has been in a state of " permanent revolution" for the past 15 years, Ministers have admitted.
New bodies responsible for health care in the city have been repeatedly created and abolished.
The level of bureaucratic chaos was admitted by senior Health Minister Rosie Winterton in response to questioning by Birmingham MP John Hemming (Lib Dem Yardley).
Last night he said: "All doctors want is to be allowed to do their jobs, but bureaucrats have decided to impose a permanent revolution that just gets in the way." No fewer than seven different systems for managing doctors in Birmingham have existed in the past 15 years - and an eighth reform is on its way.
According to the Minister, GPs once reported to the Birmingham Family Practitioner Committee. This was abolished in 1990 and replaced by a number of Family Health Service Authorities across the city.
These only lasted five years until they were merged with Birmingham's five district health authorities, but in 1991 one of the health authorities was abolished and its role was taken over by the rest.
Then, in 1994 , the remaining two authorities were abolished, leaving one in the north and one in the south.
In 1996 these were merged to form a single Birmingham Health Authority.
But that wasn't the end of the story. In 2002 the health authority was abolished and replaced with four Primary Care Trusts.
And now there are plans to reduce the number of trusts, scrapping either one or two and sharing their responsibilities among the rest.
Mr Hemming said: "This is just mad. Think how much effort and money has gone into continually fiddling with the bureaucracy, when it could have been spent on patients.
"Of course it's important to organise the health service efficiently, but I'm sure what doctors want most of all is just for the bureaucrats to make up their minds.
"The problem is that people at Whitehall have nothing much to do except to design new bodies and committees. They are not the ones actually treating patients.
"When these changes are made it often means thousands of people having to reapply for their jobs, again and again."