One might have thought that after the recent upheaval, the Commons would be a place for sober reflection, perhaps even a touch of humility. Instead, we were treated to a spectral reappearance of Andy Burnham. Yes, *that* Andy Burnham, the man who, back in 2010, accused the Coalition government of treating the NHS 'like a jigsaw they’ve grown bored of, deciding to throw the pieces into the air instead.' Now, with his own nominations secured and a clear path to Number 10, it seems the former Shadow Health Secretary has become the very architect of the grand reorganisation he once so vehemently opposed. The irony, of course, is thicker than a particularly bureaucratic consultation document. One wonders if, as he prepares to occupy the very seat he once swore to oppose, he’ll recall his own fiery rhetoric about ‘throwing pieces in the air.’ It’s quite the trick, turning a devastating critique into a blueprint for one’s own ascent. The NHS, it seems, is always up for reorganisation, especially when it’s your turn to hold the pieces.

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