These of us who fought onerous towards the Well being and Social Care Act of 2012 (and I did, most particularly on Twitter) at all times knew the hazard inside that Act.

Clause 1 stated:

However then this was added:

That part modified the entire focus of the NHS. The Secretary of State may nonetheless be accountable to parliament,  however operationally they’d the duty to devolve energy to others, who could be autonomous.

So, hospitals could be autonomous.

And bodily and psychological well being could be autonomous.

As would main and secondary care be individually managed.

The ambulance service was unrelated to the remainder of the healthcare system.

Social care may as properly have been on one other planet.

And in a construction the place everybody was autonomous, managing to fulfill their very own finances constraints with out incentive or concern to contemplate others, it was inevitable the system would collapse on account of this deliberate fragmentation.

That collapse has now occurred, as those that campaigned a decade in the past thought possible.

What is occurring within the NHS isn’t an accident. It was finished by design. And Andrew Lansiey, the architect of this failure, sits within the Home of Lords, little question pleased along with his handiwork.

However given how so very clearly the NHS was destroyed, isn’t the course of journey – which must be in the direction of re-integration – now apparent?