NHS chief raises fears that health reforms will end in 'misery and failure'

David Nicholson speaks out about competition and putting commissioning decisions in the hands of GPs The head of the NHS has laid bare his fears that the government's controversial reforms of the health service could end in "misery and failure". Sir David Nicholson, chief executive of the NHS, said high-profile, politically driven changes almost always end in disaster. He warned against "carpet bombing" the NHS with competition but said that competition was best used like a "rifle shot" to fix p...