Polly Toynbee’s article The NHS may not survive this volcano of ideology points out that yet another re-organisation of the NHS isn’t going to save money or improve the service.

The NHS has a chronic disease – politicians’ obsessive compulsive disorder, compelling them to reorganise the whole machine. Ideologically “perfect” new systems require everyone to move places at the NHS Mad Hatter’s tea party. Distracted staff spend a year reapplying for their old jobs under new nameplates and settling into different hierarchies instead of focusing on what matters – good, clean, cost-effective care. Each time it happens good people quit. One public health director in the south-west had to reapply for his job seven times in Labour’s era.

At first David Cameron saw the time, effort, money, goodwill and political capital Labour wasted on NHS reorganisations. He and Andrew Lansley promised no more great structural change. The NHS breathed a sigh of relief: no more pointless mayhem. But that lesson is already forgotten and the reorganising virus is back with double virulence.

A new system will herald what Nigel Edwards of the NHS Confederation calls “potentially the biggest change in the history of the NHS”, though the radical nature of the plan has escaped much public scrutiny. Not for much longer. The big bang planned is the riskiest disruption yet, with foot hard down on the accelerator just as greater cutbacks hit than the NHS has ever known. Expect explosions. Not surprisingly, first the Treasury and now the coalition committee, designed to smooth over disputes, are trawling over the plan with alarm. Polly Toynbee, The Guardian.

This is a win-WIN situation for the Tories if the re-organisation works the they’ll be surprised and if it doesn’t the Tories will be even happier – and let’s be honest we all know that Cameron and Lansley’s reforms aren’t going to work.

David Cameron will have achieved something that arch privateer Margaret Thatcher didn’t dare attempt – he will have killed off the health service.

How the hell did we get here? Bankers fuck the country’s finances – we end up paying with the end of the NHS – bastard’s every last one of them.