Coalition government's reorganisation of NHS

Chris Ham in a BMJ article Why the plans to reform the NHS may never be implemented points out the uncertainty about whether the Coalition government's NHS White Paper will be implemented. It's not clear how negotiations with the BMA will go. GP consortia may not be that much different from PCTs. I also suspect that Payment by Results will introduce too much instability and distortion of priorities for it to be implemented without more controls. Consultation on the proposals closes next month.