service for the controversial andrew la nsley reforms of service for the controversial andrew lansleyms of 2012, which cemented the idea of gp commissioning groups, competition being the key driver for improved services. now it's about bringing back the power of local authorities to work with hospitals, delivering health care far more locally for patients, and it seems increasing the power of ministers and whitehall to try and pull levers, a more simplified version of nhs structure that we have not seen for a while. that's what the draft white paper that has been leaked points towards, and eventually we will get legislation which really does unpick many of those coalition government reforms that were put in place to try and rewire the way the nhs works. try and rewire the way the nhs works, , ., , try and rewire the way the nhs works. , .,, ., works. some people might wonder about the timing. _ works. some people might wonder about the timing. the _ works. some people might wonder about the timing. the nhs - works. some people might wonder about the timing. the nhs is - works. some pe

90s when he introduced the internal market into the health service, through the controversial andrew lansleyf 2012, which cemented the idea of gp commissioning groups, competition being the key driver for improved services. now it's about i think bringing back the power of local authorities to work with hospitals, delivering health care far more locally for patients, and it seems increasing the power of ministers in whitehall to try and pull levers, a bit more of a simplified version of nhs structure that we have not seen for a while. that's what the draft white paper that has been leaked points towards, and eventually we will get legislation which really does unpick many of those coalition government reforms that were put in place to try and rewire the way the nhs works. some people might wonder about the timing. i mean, the nhs is under such intense pressure at the moment, is this the right time to be introducing radical reforms? labour have certainly said, why now? why prioritise a restructuring just as the nhs is dealing with a pandemic? the nhs faces a huge number of challenges right no

i know you were not social care minister when andrew lansley introduced the changes.jeremy hunt took over. is this an admission that the so—called reforms from the government about which you were a part were wrong?— government about which you were a part were wrong? well, look, i don't think, and i— part were wrong? well, look, i don't think, and i have _ part were wrong? well, look, i don't think, and i have never— part were wrong? well, look, i don't think, and i have never thought, - think, and i have never thought, that the health and social care act was the coalition�*s finest hour. i actually spoke out publicly, somewhat unusually, i was a government whip at the time, during the passage of the bill through parliament to raise my concerns. i spoke to bbc news at the time and called for changes to the legislation. i don't think it was a good reform, it didn't have a clear intellectual base for it and it delivered confused accountability. so i was never a fan. ultimately, i made a judgment to go along with it after some changes were made which i think improved it.

scrap reforms introduced in england by the coalition under david cameron with health secretary andrew lansleynder and more private sector involvement and competition. now the buzzword will be collaboration, but health analysts say that will be harder than it sounds. the benefits to patients of integrated care can take some time and just because you allow people to work together more freely doesn't mean to say they will work together and collaborate across services. so i don't think this is necessarily going to be a panacea for suddenly increased patient benefit, but hopefully what it will do is just remove some of the obstacles that were in the way. scotland, wales and northern ireland have all embarked on integrated health and social care. it hasn't always been straightforward. the challenge now in england is to make a real difference to people's lives. hugh pym, bbc news. a serial sex offender has been found guilty of raping and murdering a 21—year—old student from hull university. libby squire was attacked last february and her body was dumped in a river. her killer, a polish father of two

england by the - introduced in england by the coalition under david cameron with health secretary andrew lansleyvate involvement and competition now the buzzword will be collaboration but health analysts say that will be harder thanit analysts say that will be harder than it sounds. the analysts say that will be harder than it sounds.— than it sounds. the benefits to atients than it sounds. the benefits to patients of _ than it sounds. the benefits to patients of integrated - than it sounds. the benefits to patients of integrated care - than it sounds. the benefits to patients of integrated care can| than it sounds. the benefits to - patients of integrated care can take some time and just because you allow people to work together more freely doesn't mean to say they will work together and collaborate across services. so i don't think this is necessarily going to be a panacea for suddenly increase patient benefit but hopefully what it will do is just removed some of the obstacles that were in the way. scotland, wales and northern ireland have all embarked on integrated health and social care, it

from the gp—led commissioning, the patient—driven choice, the competition that really defined andrew lansleyaused an enormous amount of disquiet within the health service and i think there has been a gradual unwinding or a move away from that philosophy in the years since and that looks like it is going to accelerate as a result of this white paper. jeremy hunt, a previous tory health secretary, now chairman of the health select committee, was talking about this this morning and he said these are the sort of changes that are needed to deal with an ageing population. last year was the first year in history where, across the world, there were more over—65s than under—fives. so we are all having to deal with this big change in our health provision of the growth in older people. what that means is you need a lot more joined—up care. it's notjust going into hospital to have your hip replaced, having that sorted out and going home again. it's people who have lots of things that need to be sorted out, who are using the health service many times during the course of the year. and the structures need

it is overturning some key reforms introduced under david cameron and andrew lansley, which wanted are a point anyway, although campaigners say there are still the possibility of a bit of private sector involvement. it's a big change politically, but of course, whether it makes any real difference to patients we willjust have to wait and see. difference to patients we will 'ust have to wait and semi a leading microbiologist has said the coronavirus variant first found in kent could sweep the world. professor sharon peacock said it could become the world's most dominant strain of covid—19. concerns about new variants have prompted the government to introduce tougher restrictions but these are causing unease in the travel industry and among some conservative mps. caroline davies reports. thoughts of a summer getaway have been keeping many of us going during the winter but today the government said it still far from the winter but today the government said it still farfrom certain. pandemics are difficult times and there is a lot of uncertainty, so i'm afraid people will have to do the pa

they do go a long way to reverse some of the changes that were made to andrew lansley�*s reforms back lansley's reforms back in 2012, a decade ago-— decade ago. is it unusual to see that level _ decade ago. is it unusual to see that level of _ decade ago. is it unusual to see that level of reversing _ decade ago. is it unusual to see that level of reversing in - decade ago. is it unusual to see that level of reversing in a - that level of reversing in a relatively short period of years around a decade, helen? well, i think it is _ around a decade, helen? well, i think it is somewhat _ around a decade, helen? well, i think it is somewhat unusual - around a decade, helen? well, i think it is somewhat unusual for| around a decade, helen? well, i. think it is somewhat unusual for it to be such a short time period. i think the one thing to say, though, the nhs has experienced throughout its history it is littered with endless reforms that happen over and over again. endless reforms that happen over and overagain. ministers, governments, constantly tinkering with the structures, the overarc

, but this is a growing back as far as everyone understands, on the changes david cameron and andrew lansleyjust given. these reforms for england are in one sense unravelling quite a lot of a reform package introduced in 2012 under david cameron�*s government and andrew lansley and their plans introduced a degree of competition in the nhs, encouraging commissioners to go out encouraging commissioners to go out and tender services to try and generate more efficiency. that created more bureaucracy and the critics said it distracted people from actually running so the intent of this plan under another conservative—led administration is to go back to a system where local nhs providers get on with the job of running services, don�*t have to bother with tendering in any great degree and work more closely with other organisations, local councils, social care and so on. so there are integrated care systems. the critics say, why do this in the middle of a pandemic when there is so much else to worry about? and campaign groups are saying there will actually still be private sector involvement in the n

andrew lansley, the secretary of state to introduce the reforms that are now being unwound, was veryb. that makes it something more of a challenge, i think. makes it something more of a challenge, ithink. i5 makes it something more of a challenge, ithink.— makes it something more of a challenge, ithink. challenge, i think. is there not an argument. _ challenge, i think. is there not an argument, though, _ challenge, i think. is there not an argument, though, that - challenge, i think. is there not an argument, though, that their- argument, though, that their hatchery has been more working together and thinking in a different way during covid because of the unprecedented nature of the last year? unprecedented nature of the last ear? , , ., ., year? yes, indeed. i put that more in terms of — year? yes, indeed. i put that more in terms of an _ year? yes, indeed. i put that more in terms of an accelerated - year? yes, indeed. i put that more in terms of an accelerated work- year? yes, indeed. i put that more in terms of an accelerated work forj in terms of an accelerated work for people