On 19 January 2011, the Government published its proposals for a £1.4bn reform of the NHS in England. Described as “more significant” than the 1948 Act which established the NHS, the proposals include axing 24,000 management jobs, abolishing 152 Primary Care Trusts, requiring GPs to commission services directly, and allowing NHS hospitals to ‘chase’ private patients, provided that their money is “demonstrably” reinvested into the health service. In an unusual move, the National Audit Office (NAO) has published a report highlighting potential problems which could accompany the implementation of the reforms. These include a rise in costs, a decline in quality of services, and the issue of who would be accountable to Parliament if there were “no single national headquarters for the NHS”.  

Health & Social Care Bill

NAO Report