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Two years too late the Government is starting to develop a narrative to explain its NHS reforms – and having it may be even more troublesome.

I don’t generally blow my own trumpet but if you look at my post of September 14 2010 I think it contained the first comment anywhere pointing out that the Government did not have a narrative to explain why its NHS reforms were necessary. Since the Government did not have a reason for its reforms how could it explain how they would deal with what was wrong? Over the following 20 months it was open season on their inability to communicate either what was wrong, or how their reforms were going to put it right.

Occasionally the Government said that the nation’s cancer and coronary heart survival rates were not, when compared to other European countries, what they should be. But if this was the problem it was never really explained, for example, why giving the National Commissioning Board the power to commission GP services was going to improve heart attack survival rates in Lancashire.

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