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Before the 2010 election, the Tories promised “no top-down reorganisation of the NHS”. They were lying. They were secretly planning the biggest ever.

The shake-up, signed off by the Lib Dems, has cost £3billion and rising.

To pay for it, the PM took cash off the NHS front line he promised not to cut. The result? Six-figure payoffs for hundreds of managers and P45s for thousands of nurses. It stinks.

Cameron’s reorganisation has left the NHS weakened, confused and short of staff.

And now the vultures are circling. Agencies are profiteering off the problems of the NHS by charging it exorbitant fees to fill a single shift.

And it only gets worse. Government cuts to NHS community services, mental health and social care are pushing more people to A&E, who in turn need more staff to cope. So our hospitals are trapped in a vicious circle as agencies keep raking in the cash.

Cameron’s reorganisation is giving private firms the green light to cherry-pick services.

This arrogant PM needs to be reminded he has never been given the public’s permission to put their NHS up for sale.

If he is not stopped, the NHS will be broken up.

That’s why the choice on the NHS at next year’s election is as stark as ever: a public service under Labour or a privatised utility under the Tories.