Health secretary Andrew Lansley explains the government's approach as ministers publish further amendments to the health and social care bill:
"The principles of our modernisation plans – 'no decision about me, without me' for patients, clinical leadership with doctors and nurses leading discussions on services, a focus on results for patients and reducing bureaucracy – have always been at the core of the bill.
"These principles are widely accepted as reported by the independent NHS Future Forum.
"But we have been carefully listening to the ideas raised as the bill has progressed through parliament.
"And as a result we have today tabled a series of amendments to address these remaining issues."