Well according to our policy tracker there is more common ground between the Tories and the Lib Dems than you might think. The big differences are that the Tories would want an Independent NHS Board, thousands more health visitors and an extension to practice-based commissioning for GPs. The Lib Dems want to scrap Primary Care Trusts (PCTs) and Strategic Health Authorities (SHAs) and replace them with local health boards; have a commission on the future of social care and involve other front-line clinicians such as pharmacists in commissioning (buying) of new services.
The biggest difference is in the Lib Dem’s reorganisation, which would cause a lot of upheaval in management and lose the NHS the strategic overview that SHAs give it. However the management must be downsized as the Tories readily acknowledge and the focus of the downsizing would be in PCTs.
We are still waiting to see if there is going to be a coalition, but either way, we suspect that health is not going to be a target for attention in the near future…..