Over the years people have often asked me how all this reform fits together. I am afraid that the answer is that as I look at each individual aspect the conclusion I come to is that if you want transformational change in the NHS you have to do a number of new things at once.

Over the last few weeks I have been writing a series of blogs to try to outline the different mechanics that need to be at hand for NHS Commissioners to transform the health and health care that they commission.