right back to ken clarke in the �*90s when he introduced the internal market into the health service,he controversial andrew lansley reforms of 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 f