2 The details are still emerging, but the key elements are clear: the abandonment of the 2012 Health and Social Care Act’s requirements for competitive tendering for services in England, the shift of control back to Whitehall, and the establishment of new intermediate structures, the “integrated care systems,” to manage healthcare at local level 3 While some see the changes as bringing a welcome end to 30 years of market driven policies, Peter Roderick and Allyson Pollock call foul 4 Far from reversing the market paradigm, the proposals consolidate it, they say The proposals make more sense to Hugh Alderwick and colleagues, being not far off what is happening already across the health service as organisations have ignored or circumvented the rules to fit local circumstances 5 But they warn against overestimating the benefits of integrated care BMJ 2021;372: n339 10 1136/bmj n339 33563590 7 Cowper A Leaked government white paper ends England’s NHS internal market and returns power to health secretary
NHS reorganisation: We don’t need a big bang