Chris Lancelot - GPs must be scientific in their assessment of the Health Bill

So the Health Bill has been passed and gloom has descended on all those who opposed it. Yet at the same time, a huge opportunity has now appeared which everyone seems to have forgotten about - political motivation. Paradoxically, now is the best time to achieve change.

Whether you like the Bill or loathe it, one thing is certain: for the coalition government, these changes simply have to be successful. Nothing else will do: its re-election depends on the Bill's success.

So to all those who are working themselves up into a fury - relax. Be calm. Be thoughtful. Keep engaging with the government. Don't behave like a spoilt child having a tantrum.

Once the Bill is law, government ministers will have every possible incentive to monitor its performance and fine tune it. They will be listening intently. And that will be the time when we can show unequivocally where the changes don't work (or alternatively, be openly delighted when they do).

The trick here is to be mature, professional and above all, scientific. The nation has an experiment on its hands. We need a cool, calm, reasoned assessment of whether it works or not. If we have evidence to show that it does, great! Our fears are unfounded and the NHS will be the better for the changes.

And if it doesn't work, that's important to know, too. Ministers will want to take note of our findings and quickly address any problems because, come 2015, they'll want to keep their jobs.

Stay clam in objection
Other groups in the NHS will need to act calmly, too, without shouting, screaming, strikes or demonstrations, and without putting pet beliefs or political doctrine before evidence, because only through remaining courteous, logical and objective will anyone earn the right to be listened to.

Of one thing I am certain: political incentive. If we can demonstrate clearly and dispassionately that aspects of the Bill aren't working as ministers intended, the causes will quickly be addressed. If the regulations prove too cumbersome, they will be simplified. If monitoring arrangements don't work, they will be changed. All we need to do is observe, be objective and respond rationally. Relax.

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