NHS 'not ready' for major shake-up

Health experts have warned that NHS is "not ready" for the raft of changes implemented under the controversial health reforms - which come into effect today.

At one level patients won't notice anything dramatic on Monday morning. But the biggest thing that patients will notice will be the knock-on effect from the cuts in social care funding.

It is clear that our hospitals are already struggling to discharge patients. One manager who I spoke to last week said that 100 beds in his hospitals could be discharged if there was the care in the community.

Hospitals could cease to function and the system could grind to a halt because of people who do not need to be there.

– Professor Nick Black, London School of Hygiene and Tropical Medicine

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NHS shake-up comes into force

The biggest shake up of the NHS since its formation comes into effect today. The aim is to make the NHS more accountable to patients and to release frontline staff from bureaucracy but critics warn the service is not ready for the major shake-up.