HSJ has raised the spectre that the Conservatives are planning the end the purchaser/provider split after some 30 years of existence. Albeit the manifesto doesn't say this explicitly. The key questions are:

 Will this improve healthcare and control the budget and what impact will this have on social care?  This all feels incredibly complex with or without a top down reorganisation.  The downsides of NHS reorganisations have a well documented history. Trying to manage a system of separate legal entities with their own Boards and legal duties is a more recent phenomenon with less perspective on the risks and rewards.  The role of social care seems largely absent from the reorganisation debate- treated as a spate topic or an afterthought. We have made progress on integrated care to some extent. Clearly we are a long way from integrated public service decision making - which ultimately will drive service change and improvement.