Today the Health and Social Care Bill goes back to the House of Commons for its report stage. Even after such a long discussion there are still a number of vital arguments that are still undeveloped. Part of the reason for this situation is that not only had the Government failed to develop a narrative for its original reforms – up to June of this year – but it has failed to do so for its reformed reforms since.

The only coherent reason that we know of to explain why the Government has reformed its reforms is that it found out it needed to change them. We don’t know why the new overlay of reforms – on top of the pre-June reforms – is cumulatively necessary. What is the problem that the reformed reforms are trying to solve?