And so the great political game plan for the NHS comes to fruition. Started in the early ‘90s the central theme has been to shift responsibility for the NHS from its only true budget holder - the government - to the periphery, to the people trying to provide services for patients. Various reasons for this are given, some with a grain of sense and truth to confuse and beguile, but the central thrust has always been to shift responsibility for an underfunded service away from p