You may also find this of interest, carley. And it may help to define more precisely what you mean by the term "reform". In addition to the reforms designed to change the principles underpinning the delivery of the service to the patient, there have been many initiatives whose stated aim is to improve service and efficiency, notably centreing around things like NHS records, computerisation, etc. There have been many reforms of staffing and grades, particularly in the support and ancillary sectors.
http://www.guardian.c...reforms-health-policy