▁ 1 9 9 2 , ▁but ▁Full ▁Fact ▁concluded ▁that ▁" No - one ▁knows ▁the ▁exact ▁cost ▁or ▁benefit ▁of ▁the ▁N HS ▁internal ▁market ▁in ▁England ". ▁▁▁ ▁The ▁internal ▁market ▁was ▁never ▁introduced ▁in ▁Scotland , ▁and ▁was ▁quickly ▁abandoned ▁in ▁Wales , ▁but ▁there ▁doesn ' t ▁appear ▁to ▁be ▁any ▁evidence ▁to ▁suggest ▁that ▁the ▁N HS ▁is ▁more ▁efficient ▁than ▁in ▁England . ▁Such ▁evidence ▁is ▁there ▁is ▁shows ▁that ▁performance ▁across ▁the ▁UK ▁is ▁quite ▁similar . ▁ ▁Political ▁impact ▁The ▁internal ▁market ▁is ▁no ▁longer ▁seen ▁as ▁a ▁political ▁asset ▁by ▁either ▁of ▁the ▁main ▁political ▁parties . ▁The ▁Conserv ative ▁manif esto ▁in ▁ 2 0 1 7 ▁admitted ▁that ▁the ▁N HS ▁internal ▁market ▁could ▁fail ▁‘ to ▁act ▁in ▁the ▁interests ▁of ▁patients ▁and ▁creates ▁cost ly ▁b ureau c racy ’ . ▁ ▁Even ▁right ▁wing ▁comment ators ▁conced e ▁that ▁introdu cing ▁the ▁market ▁into ▁health care ▁resulted ▁in ▁higher ▁costs ▁and ▁clin icians ▁comp lain ▁that ▁they ▁have ▁to ▁collect ▁data ▁that ▁is ▁essential ▁to ▁services ▁compet ing ▁for ▁contract s . ▁▁ ▁Senior ▁Conserv ative ▁minister s ▁said ▁in ▁ 2 0 1 4 ▁that ▁the ▁Health ▁and ▁Social ▁Care ▁Act ▁ 2 0 1 2 ▁was ▁biggest ▁mistake ▁they ▁have ▁made ▁in ▁government ▁and ▁that ▁it ▁und erm ined ▁public ▁trust ▁of ▁their ▁ste ward ship ▁of ▁the ▁N HS . ▁ ▁Jer emy ▁Cor b yn ▁repeatedly ▁p led ges ▁that ▁the ▁Labour ▁Party ▁will