In theory the shake-up of the NHS will cost over £1bn upfront but save more than £1bn annually thereafter, according go the coalition. But there are many inside and outside the health service who fear for the consequences of such a major management revolution, as I wrote a few days ago.
Sir Nick Macpherson, permanent secretary at the Treasury, appeared to issue a coded warning over the reforms when he addressed the public accounts committee on Wednesday afternoon. Read more




Jim Pickard
Kiran Stacey