I can only really speak from my corner of the world. I imagine you're mainly interested in the Any Qualified Provider section. As a CEO of a not for profit that receives commissions from several Government bodies I was worried that we'd be forced out of the market by larger private sector entities offering loss leading contracts. A bit of this did happen, such as several sexual health contracts being won by Virgin (there's ya pun). This happened in the legal advice sector too when LASPO landed. But in terms of service delivery, I still don't see as many front line commissions being won by private sector entities as was expected at the time. Whether this is accident or design is harder to say and we may see it accelerating over time.
On health, there's a bucket load of stuff apart from AQP, which in truth is a minor part of the Act. Mostly its a mixed bag. Healthwatch, Health and Wellbeing Boards and Public Health England were all probably a success on balance. As for CCGs, its too early to tell. It may turn out to be another pointless reorganisation, but in some regions we're seeing combined social and health care commissioning bodies emerge, which could be really good for our clients. Monitor was a failure.
But there's more to it than just that. There stuff like fluoride in water, the licensing of providers, stuff about how Local Authorities connect to health services and a tonne of other stuff that I barely know a thing about. So even working under the Act I have only a small understanding of it.
And then of course there's the fact that you can't just roll back to the former legislation. Presumably you're happy to simply accept on faith that anything Labour does will be better than what goes before, but I want to see what they're suggesting myself. Labour has been very quiet on the role of the charity sector in delivering commissioned services, but since we're not publicly owned Im guessing he sees us as the lesser of two evils but not the preferred solution. Since there are numerous examples of the charity sector being better than statutory bodies, I'd be totally against that being rolled back.
And as for whatever restructure of the NHS Labour has in mind, well, there's a lot of ways to mess up a reorg on that scale. I'll judge it on its merits when I see the proposal.