When Andrew Lansley announced his plans for the destruction of the NHS after the election the point was raised that they hadn't been included in the Tory manifesto. Cameron insisted that he'd never seen them before and that Lansley had only unveiled them to him after the election.
I can well believe that Cameron hadn't read the manifesto, he's not big on details, but the NHS plans were there in the Tory manifesto.
From the Tory Manifesto:
So we will give every patient the power to choose any healthcare provider that meets NHS standards, within NHS prices. This includes independent, voluntary and community sector providers.
We will strengthen the power of GPs as patients’ expert guides through the health system by: giving them the power to hold patients’ budgets and commission care on their behalf; linking their pay to the quality of their results; and putting them in charge of commissioning local health services.
Alright, there's a weasel words about "independent" providers where it would have been more truthful to put "private companies owned by Tory donors", and of course nobody seriously expected the voluntary providers bit to last into the implementation, but there it is in black and white.
Privatisation of the NHS. People voted for it, and people have got it. They really should have read the small print.
It's also there, more or less, in the coalition agreement as well. Pretty much cut and pasted from the Tory manifesto (I don't think the Lib Dems actually read the coalition agreement before they signed it)
From the Coalition Agreement:
We will strengthen the power of GPs as patients’ expert guides through the health system by enabling them to commission care on their behalf
We will give every patient the power to choose any healthcare provider that meets NHS standards, within NHS prices. This includes independent, voluntary and community sector providers