It’s already happened
James Meek: The NHS Goes Private, 22 September 2011
“... services, imposed from Whitehall.’ Two months later, the new health secretary, the Conservative Andrew Lansley, announced his plans for a top-down reconfiguration of England’s NHS services, imposed from Whitehall. The patient whom Porter was about to operate on was a 60-year-old woman from the Wirral with a complex prosthesis in one leg, running from her ... ”