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  A few things sprang to mind when I read the article.
  
  'Allowing the elderly to choose how money is spent on their care'. As this will inevitably be done on a set budget it will mean the elderly needing care in their own homes having to chase around looking for the cheapest options then possibly/probably having to decide which they can 'do without'. The danger of meals and cleaning coming low on the list of those who think they are better able to care for themselves than they actually are is only one of the concerns. For those needing residential care the choice of care home would be limited by the same budget.
  
  The choice of therapies can too easily be coloured by social, religious or family considerations, not always in the patients best health interests.
  
  The 'taking over of parks etc' is something the District Councils would already like but will Town/Parish councils be given the budgets or means to raise funding to pay for them?
  
  Decisions about schooling would have to depend on the availability of school spaces and the accessability of the schools. Will we now get a long term and messy review of the education system?
  
  While I do agree that the health system does need a major reorganisation so far there has been little sign of a workable alternative.

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