Any reforms of the NHS generate more heat than light in debate, and it's an area of service provision in which the usual rules sometimes don't apply; generally, Localists shy away from making simple pronouncements about health structures. Take the Localist tenet that services should be delivered at the lowest possible economic level - but would you rather have your triple bypass done by a surgeon in a regional centre who carries out the procedure twenty times a month, or one in a cottage hospital who does three bypasses a year? Reforming the NHS is a bit like making Gesso. One has to stir a bucket of Plaster of Paris and water constantly, not pausing for a moment, to achieve the thin cream required rather than the lumpy sediment that nature seeks.
So you'll forgive me if I abstain from pronouncing on NHS reform. I don't think it's the important Parliamentary story, anyway; that comes next week, when the Conservatives attempt to reform our rotten and corrupt constituency boundaries against the self-interest of the rotten and corrupt MPs of the Libdem and Labour parties. Watch this space.
Blogging may be difficult over the next couple of days as I'll be reliant on mobile phone alone.