The Health and Social Care Bill is the largest piece of legislation ever put before parliament and one that was hardly a glint in the Prime Minister's eye before the coalition eased itself into power.
So what does the bill promise and what is its significance for children's healthcare workers?
With local GP consortia taking over responsibility for spending around 80 per cent of the total budget for health, strategic health authorities and primary care trusts (PCTs) will wither and huge power and influence will rest with local clinicians overseeing new ways of providing care. Questions remain over both their ability, and willingness, to embrace the new challenge.
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