19. January 2012 stand 17: 01 GMT by Nick Triggle health correspondent of the BBC News 
great health trade unions have now said against the changes of health workers, it is fair to say, have the Government NHS reforms a pretty big thumbs down.
Both the British Medical Association in the transition from critical friend have the Royal College of nursing and Royal College of midwives joined outright opponents.
The other large health - unison, the admin and support staff such as institution represents - Union was against the plan from the outset.
But despite the chorus of disapproval, Minister for press you said to.
The Bill for the changes is still in the Lords, but are largely intact all the information that colleagues are passed back to the Commons.
Focus would then return to the Lib Dems, getting the Government to carry out his "listening exercise" last spring were involved in.
But it seems unlikely that rebel it this year, are, after all Nick Clegg changes last summer as a victory for the Coalition junior partner proclaimed.
Even though there are the political will, the Bill, scrap however regardless of doubts whether it would be possible even in a practical sense.
The truth is, there are two parts to the review: the political process and the structural changes on the ground.
While the former latter was largely unnoticed by the average patient happens a lot of attention, has attracted.
Stop the invoiceThe 151 primary health care were trusts who lose control of budget of NHS GPS under the plans, in about 50 cluster, to shed thousands of jobs in the process merged.
The 10 strategic health authorities, which effectively keep an eye on the system maintained also for four super hubs create together.
In the meantime, come forward despite the opposition of the large unions, enough GP to set up, covering new commissioning groups which will assume the NHS budget from April 2013, 97% of the country.
Many of these facilities was - already set up and some are even households manage ahead of time.
Meanwhile, the National Board, the new system is as well as taking into account their specialist services, such as heart surgery, will oversee well on the way to the formed.
It has a Chief Executive - Sir David Nicholson, who is the current NHS Chief Executive and medical director.
A provisional Finance Chief was made and the other seven members of the national team are in the process of the recruited with salaries of up to £ 170,000 available. You will be expected to March.
In short, this means in some respects it is too late.
As a senior official said union: "Yes, we could scrap of the Bill may curb the participation of the private sector, but what would we do with all the things that already exist?" "We have, have a long reflection."
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