Chris Ham is an outstanding reviewer of policy during one of the most intersting times in the history of the NHS. This book will be viewed in years to come as THE book to read when you wsih to understand where we came from and where we are going with the national health service. The style engenders a sense of narrative and even joined up thinking when really you become aware that the system is connected by an amorphous jelly and moves a bit like an amoeba. That the policymakers manage to drive this machine in a direction that has led (whether one agrees with the policy or not) to huge improvements in health over time is impressive. Anyone interested in effecting change in the NHS should read this - before they try to nudge it a little!!.