Recognising the risks ahead.

The author presents his views on the National Health Service (NHS) white paper for England, which recommends the replacement of primary care trusts (PCT) and strategic health authorities (SHA) with general practice (GP) consortia and a national commissioning board (NCB). He emphasizes the necessity of planning and synergy of new and old organizational structures in implementing these changes. The precise definition of a good healthcare provision is also reiterated by the author.