What major innovations and reforms have been introduced?
The structural reforms introduced by the NHS Health and Social Care Act 2012 have been set out above, includ- ing the introduction of CCGs to replace Primary Care Trusts as local health care purchasing organizations; the establishment of NHS England to take over day-to-day responsibility for running the NHS; and the expansion of the role of Monitor to being the economic regulator of public and private providers. No further structural reforms are currently envisaged; however, the government is expected to bring forward new policies in the near future in response to recent reports of poor-quality care in a number of hospitals.