I Can Put it into Three Words - DIY

The Health and Social Bill has already been amended in over 130 clauses, something of a modern day record. The Government has resisted about 1,000 more.
One fairly important one was to ensure the Secretary of State was still responsible for the NHS. Lansley, for it is he, had wanted to palm off accountability to some Commission Board. So whenever a hospital closed or people started dying in droves on waiting lists, he would have been able to say to any Parliamentary Question "Not me Guv, ask the Board of unelected officials."
The founder of the NHS Aneurin Bevan (above) would have not been surprised by the Conservative plans for opening the door to private sector on health. Bevan's greatest achievement was banishing the unaffordability of healthcare for most people - under the guise of bureaucracy busting, Cameron is letting it in again.
It would be one thing if the department were robustly confident in the provisions but clearly there is huge anxiety in Whitehall. The routine matter of publishing the Bill's risk register has been resisted to the point of legal challenge. A Commons debate on it next week should be a pivotal point for the Grand Architect Lansley.
The fear among senior sources is it will say something like "tens/hundreds of millions of pounds of public money will almost certainly be sucked out by private enterprise."
The Bill also allows for services to be opened out to European law like any knicker factory. It means an ambitious private healthcare provider could takeover a region's provision for say, X-Ray at a loss, ruin the opposition then bump up the prices later.
There are dark murmurings in the corridors of Tory HQ about this being another poll tax and indeed it could be on that scale of unpopularity once its full potential is realised. One difference is the Tories put the poll tax in their manifesto. This colossal upheaval has not even got a mandate.
Overall it is simply asking too much of doctors who predominantly want to care for patients rather than project manage all the area's primary health care. As Dr. Clare Gerada, of Royal College of GPs put it, "Doctors are like the pilots...they just want to fly the plane, not build it as well."