The difficulty with the PM's Health and Social Care Bill narrative is that it really needs to have some relationship with the reality that it is describing.

The Prime Minister is a good communicator. He spent several years in opposition trying to ’detoxify’ the public image of the Conservative Party; and he carried out this process with particular attention to the NHS.

He spent a lot of time and effort arguing that the Conservatives were the ‘Party of the NHS’. He was good at this but, importantly for him, not quite good enough to secure a Conservative majority in the 2010 election.

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