Why the plans to reform the NHS may never be implemented

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Medical politics and party politics could yet frustrate the enactment of the government’s proposals.

Irrespective of the outcome of Unison’s request for a judicial review of the coalition government’s plans to reform the NHS in England (BMJ 2010;341:c4716, doi:10.1136/bmj.c4716), ministers will have to fight on several fronts to implement the White Paper Equity and Excellence: Liberating the NHS. Major challenges include completing the design of the reforms, winning the support of those they are seeking to liberate, and holding the coalition together to secure implementation.

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