"Transforming" & "Vertical Integration".
As in "Transforming" Community Services.
Every PCT in the land has been ordered by the DoH to complete the purchaser-provider split within the next 8 months, by divesting itself of all its community services. These must either be set up as independently-contracting cooperatives ("Social enterprises"), or handed over in their entirety to an alternative contractor.
Such organisations will inevitably be too small to be financially viable, so the preferred solution, & inevitable doom, is for "Vertical Integration" - in plain English, a hostile takeover by the local Acute Trusts.
The Trusts, of course, have perverse incentives NOT to provide community service, but to get everyting transferred to in-patient care, especially as non-elective emergencies to get the massively increased PBR tariffs.
So, in translation, "Transforming" means utterly destroying.
As a means of providing care, or saving money, it is barking mad.
But as a means of fattening up the acute trusts for eventual privatising, it is a brilliant way to give them abusable & highly desirable monopolies.
And in the meantime, as a side-effect, the eligibility of the employees of the divested services for the NHS pension is already being questioned with a view to being cancelled - potentially setting a dangerous precedent for existing GPs & future employees of privatised trusts.
So be advised, this is not going to go away, with or without a change of geovernment. It is civil service policy & not open to democratic debate.