▁re - est ab lish ▁" a ▁modern ▁health ▁and ▁social ▁care ▁service ▁that ▁is ▁fully ▁public ly ▁provided ▁and ▁fully ▁public ly ▁fund ed ". ▁ ▁Reform ▁The ▁re forms ▁introduced ▁by ▁Simon ▁Stevens ▁are ▁regarded ▁as ▁the ▁official ▁abandon ment ▁of ▁the ▁policy ▁of ▁competition ▁in ▁the ▁English ▁N HS , ▁the ▁establishment ▁of ▁integrated ▁care ▁systems ▁effectively ▁ending ▁the ▁purch aser - provider ▁split ▁although ▁there ▁has ▁not ▁yet ▁been ▁any ▁legisl ative ▁acknowled gment ▁of ▁the ▁change ▁in ▁policy . ▁▁ ▁In ▁February ▁ 2 0 1 9 ▁N HS ▁England ▁called ▁for ▁the ▁repe al ▁of ▁the ▁reg ulations ▁made ▁under ▁section ▁ 7 5 ▁of ▁the ▁Health ▁and ▁Social ▁Care ▁Act ▁ 2 0 1 2 ▁which ▁require ▁compet itive ▁tender ing . ▁▁ ▁From ▁March ▁ 2 0 1 9 ▁with ▁the ▁effective ▁mer ger ▁of ▁N HS ▁Im prov ement ▁and ▁N HS ▁England ▁there ▁was ▁no ▁longer ▁any ▁real ▁purch aser / provider ▁split ▁at ▁a ▁national ▁level . ▁▁ ▁The ▁move ▁away ▁from ▁Pay ment ▁by ▁Results , ▁which ▁started ▁in ▁ 2 0 1 9 , ▁further ▁und erm ines ▁the ▁principles ▁of ▁the ▁internal ▁market , ▁as ▁it ▁is ▁intended ▁to ▁reduce ▁in cent ives ▁for ▁increases ▁in ▁hospital ▁activity . ▁ ▁References ▁▁ ▁Category : National ▁Health ▁Service <0x0A> </s> ▁B enc ini ▁may ▁refer ▁to : ▁▁ ▁B enc ini ▁( company ), ▁a ▁former ▁Italian ▁manufact urer ▁of ▁cam eras ▁ ▁Francis ▁Domin ic ▁B enc ini ▁(