James Forsyth James Forsyth

Another blow to the Lansley plan

Number 10 has now taken charge of coalition health policy to such an extent that the Department of Health press office was caught unawares by the news that the Prime Minister was to deliver a major speech on health next week. David Cameron is determined to present the coming substantial changes to the Lansley reform plan as the changes he wants, not the ones forced on him by the Lib Dems.

To that end, the head of the NHS future forum, a body Cameron has set up to oversee the NHS listening exercise, Steve Field telling The Guardian that he thinks all competition should be removed from the bill is helpful to Cameron. But these sentiments will exacerbate the growing concerns in Conservatives circles that the bill is going to end up being so diluted as to be pointless.

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