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NHS Bill: A vote in the health knife Lords could go against the government

ministers admit that Andrew Lansley's controversial health reforms could be killed if ever what promises to be a knife in the Lords vote the government is against this week.

Cabinet and the Ministry of Health have put on alert to try to avoid a "companion" rebellion "on Wednesday leading to the key elements of the reform of social care and referred to a -. particular committee process that could take months

A senior government official said there was now a possibility that the bill could be glued to the board that he would not receive Royal Assent next spring -. This means that the fall

The loss of an important part of the legislation would be a blow to the government of David Cameron, and ministers are determined to do everything possible to influence their peers. But his colleagues said in private, that has not been forced to support a bill with which they disagreed.

Over 80 partners have refused to intervene in the second reading debate, forcing business leaders to extend the time for one day to two:. Tuesday and Wednesday

ministers are expected to offer more concessions to opponents of the bill - particularly to mitigate concerns that the responsibility of the Secretary of State to provide free medical care, diluted complete - to prevent a rebellion .

Labour to vote for the amendment calling for the redemption of the key sections of a committee by former foreign secretary David Owen and constitutionalist Peter Hennessy, says that about 80 pairs crossbench and the Liberal Democrats will also find the day.

"The scale of this challenge without precedent in the history of the NHS. Modernization offers many opportunities to support the NHS in delivering the quality and productivity challenge, "he said. "The increased participation of the patient, strong clinical leadership and reducing overheads can all make a significant contribution. However, the NHS needs clarity and consistency, especially on the timing of the upgrade. "
He added that "further delay risks creating a vacuum of leadership at the local level" that could affect patient care.