Rules are pesky things when you’re trying to get things done. Especially when it comes to health care and you’re making such big changes that they can be “seen from space”. But for Jeremy Hunt et al, they’re more of a bore, not real obstacles. If the rule book tells them they can’t do exactly what they like, it’s very simple: they just rewrite it. It’s a luxury of the rich and powerful when irritations like Lewisham happen. The public claimed a victory, Hunt feigned defeat. But it was only a simpering type of defeat; he knew he’d be back.
Hunt’s costly setback at Lewisham – costly for the taxpayer of course – said a lot about the government’s plans for the NHS in general. The way he has responded since, contriving to stack the law in his favour, says even more. It speaks volumes for the sheer determination he and the rest of the cabinet have in seeing their plans through, and the powerful means they have to back it up.