The reforms that come into place after implementation of the Health and Social Care Act on 1 April represent the largest set of changes the NHS in England has seen since its formation. The pre-election promise notwithstanding, there have been two huge top down reorganisations – in the NHS and in public health. A vast amount of time and money has been spent on reorganisation and redundancies. Even if the NHS were in a robust financial position this would be a major concern.
Read the full article on NHS reform (requires a subscription to the British Medical Journal)