This essay will examine the following statement in relation to the proposed reforms in the Health and Social Care Act 2011 "Funding and delivering high quality health and social care services is challenging for all governments, regardless of political beliefs” I will provide an overview of the bill and investigate through critical analysis recommendations in the bill for the clinically led commission. This will enable me to illustrate the problems in providing the high quality care service that changing society needs and the challenges this poses for policy makers who support the ideology of the NHS. The bill states that “To safeguard its future, the National Health Service must change to meet the challenges it faces: only by modernizing can the National Health Service tackle the problems of today and avoid a crisis tomorrow” (Health and social assistance 2011). Smith (2011) reinforces this view as he highlights the problems faced by the NHS and infers that it was decisions made in the early stages of its creation that caused the growing problems faced by the NHS today and that there is a 'race' to correct them promptly. mistakes but without destroying the fundamental ethics of the National Health Service. The current government identifies the following reasons for restructuring and modification; an increase in demand and costs of care, the need for improvements in services and the state of public finances. The increase in demand is partly due to the aging population and is reinforced by the prevalence of long-term health conditions. The high cost of treatments arises from advances in medical science where expensive and sophisticated techniques are available and specialist drugs are used to control or cure conditions. The poor services offered by the National Health Service have caused a fall... half of the document... association (2010) 'Shaping change: BMA's position on the future development of the proposed NHS reforms'. British Medical Association, London.Campbell (2012) 'Doctors issue last-ditch warning of NHS shake-up: Bill poses 'significant risk to patients and the public', says study by medical specialists public health" The Guardian News and Media, London. Her Majesty's Government (2011) "Health and Social Care Bill". Bill 132. The Stationery Office, London Pollock et al. (2012) “How the Health and Social Care Bill 2011 would end the right to comprehensive healthcare in England.” The Lancet. Volume 379, pp. 387 - 389.Secretary of State for Health (2010) "Equity and excellence: Liberating the National Health Service" White paper. The Stationary Office, London.Smith (2011) 'Editorial - NHS Future Forum: is anyone listening?' British Journal of Nursing, volume 20, number 16, p. 963.