Abstract
The legislation has two major aims.1 The first is to remove legal barriers to integrating healthcare in England by ending the internal market and reversing most of former health secretary Andrew Lansley’s controversial Health and Social Care Act 2012. The second is to shift substantial powers away from the NHS and back to the secretary of state for health and social care, giving Sajid Javid more power to intervene in the running of the NHS and in local decisions.