More than 200 new organisations were created, including a network of GP-led commissioning groups, to manage the budget, and NHS England, the national board that will oversee the revised system.
The Ministry of Finance has been able to persuade the national government to agree to relatively small increases in the health care budget because the system has performed well, with a very high level of public satisfaction.
He would simply use projected budget surpluses to keep the system going until 2050, by paying down national debt and allocating the equivalent of the interest saved to the Social Security system.