The following year, the Cameron-lead coalition government introduced the Health and Social Care Act 2012, which has been described as the most deep-rooted and extensive reworking of the structure of the National Health Service ever undertaken. The proposals are primarily the result of policies of the then Secretary of State for Health, Andrew Lansley. Writing in the "BMJ", Clive Peedell (co-chairman of the NHS Consultants Association and a consultant clinical oncologist) compared the policies with academic analyses of privatisation and found "evidence that privatisation is an inevitable consequence of many of the policies contained in the Health and Social Care Bill".