IN the run up to the 2010 General Election, Tory leader David Cameron said there were no plans for any major review of the National Health Service (NHS). Having got into power he then immediately started a major reorganisation.

This worked its way through over a period of years and has been reported to have cost billions to implement.

Last week it was revealed by regulators that the NHS has racked up a £930 million deficit in the first three months of the financial year (Echo, Oct 10). This is twice as much as the same period last year. The deficit could reach £2bn this year under Mr Cameron’s new structure.

Why has the Tory-implemented structure for the NHS failed to deliver so spectacularly?

Nigel Bryson, Director Bryson Consulting