As the health service implements reforms, effective management and leadership is needed more than ever As this year's NHS Confederation annual conference and exhibition kicks off, the NHS is in the grip of two, often opposing, sets of reforms. There are the government's reforms: putting GPs at the heart of the healthcare system; giving local government control of public health; encouraging the use of market forces to drive innovation and weed out poor performers; and abolishing, while also creating, a blizzard of local, regional and national organisations in the process. Then there are...