This paper explores the coalition government’s record on NHS reform by describing the situation it inherited when it came to power in 2010, the policies it has pursued, and (where available) evidence of their impact. It takes the stated aims of the reforms
as the starting point and reviews progress in delivering them. The paper is organised around the six major themes in the government’s reform programme, namely: commissioning of care; provision of care by NHS providers; regulation of the quality of care; competition and choice; governance and accountability, and; integration of care.