2 In 1997, a Labour government was elected. It set about changing the Conservative philosophy and dismantled and replaced a number of strategies.

What was the Labour approach? Did it change the culture in any way? Indeed, did the culture need changing? The new Coalition government

(elected in 2010) decided it did and introduced new legislation in 2012 where, in essence, GPs became more influential and competition from the private sector more evident. What impact did this have on the NHS culture and employees? ‘Today’, is the NHS culture still appropriate?