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Where next for the NHS reforms?

The case for integrated care

The main argument of the paper is that reforms to the NHS must be clearly focused on, and proportionate to, the challenges it faces. One of the reasons the coalition government has run into difficulty is that it moved very rapidly to set out radical changes to the NHS without having first clarified the problems that these reforms were meant to address. The King’s Fund is in no doubt that in some areas there is scope to improve performance and to move closer to the standards of care achieved in other countries, but we suggest that a clear diagnosis of the state of the NHS today is needed to inform the design of future reforms.