This essay will examine the following statement in relation to the reforms proposed in the Health and Social Care Bill 2011: “The funding and delivery of health and social care services high quality are problematic for all governments, regardless of their political beliefs” I will provide an overview of the Bill and investigate through the Bill's critical analysis recommendations for clinical commissioning. This will allow me to illustrate the issues surrounding the provision of a high quality care service that a changing society requires and the challenges this poses to policy makers who champion the ideology of the NHS. The bill states that "To safeguard its future, the NHS must change to meet the challenges it faces – only by modernizing can the NHS tackle today's problems and avoid a crisis tomorrow” (Health and Social Protection Bill 2011). Smith (2011) reinforces this view by highlighting the problems faced by the NHS and inferring that it was decisions taken early in its inception that caused the escalation of problems facing the NHS today and that it there is a “scramble” to correct it as soon as possible. mistakes, but without destroying the fundamental philosophy of the NHS. The current government identifies the following reasons for restructuring and modification: an increase in demand and cost of treatment, the need to improve services and the state of public finances. The increase in demand is partly due to the aging of the population and is reinforced by the prevalence of long-term health problems. The high cost of treatment is due to advancements in medical science, due to which sophisticated and expensive techniques are available and specialized drugs are used to control or cure diseases. Poor service provided by the NHS has caused a downfall...... middle of article...... association (2010) 'Shaping change: BMA position on the future development of proposed NHS reforms' . British Medical Association, London. Campbell (2012) “Doctors issue final warning over NHS shake-up: Bill poses 'significant risk to patients and public', study by public health specialists says” The Guardian News and Media, London. HM 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) “Fairness and Excellence: Unlocking the NHS” 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.