The RCGP document The Government's Health Reforms. An Analysis Of The Need For Clarification and Change has continued a very important debate about the relationship between the need for integration and the development of competition in the NHS.

If the Government were to start their reforms again, one of the things they would do would be to outline the problems with the current NHS system that they think their reforms will solve. Their failure to do this in 2010 gave the distinct impression of a set of reforms looking for a reason to be introduced.