There is a sense of the ‘unfinished revolution’ as Philip Gould might have put it. UK politics perhaps feels like ‘work in progress’, or ‘just in time’, to borrow management speak.

The pre-match build up has been quite exhilarating. The seleb nature of politics is exemplified that Alex Salmond is still box office despite Nicola Sturgeon being the head of the party. And that Ed Miliband wants a knock-out with David Cameron, even though David Cameron doesn’t wish to attend the weigh-in.

I have for ages railed against the consumerist nature of politics, thinking that you have to road test and focus group your offerings. It is often joked that John Major MP’s government was the first New Labour government, but here we see the seeds of a policy which has become quite controversial – the private finance initiative.

Whilst ‘PFI’ has undoubtedly helped to rebuild a physical infrastructure for the NHS which is to be welcomed, there’s no doubt that it is an accounting trick of sorts, and has a ‘buy now pay later’ feel for it.

Previous Labour and Tory governments have not been good at managing the negotiations for PFI, and it is the taxpayers who ultimately lose out.

Anyway, the lack of pay increases in the nursing profession nor the number of acute NHS Trusts in deficit did not warrant a mention in George ‘You’ve never had it so good’ budget speech.

Who really runs Britain? This is a question that Robert Peston, son of a Labour peer, asked not so long ago. The problem is that, as far as the NHS is concerned, we are not being given much of a choice.

We’re being given no choice about the implementation of personal budgets. We’re being given no choice about PFI loan repayments. We’re being given no choice about the £20 billion ‘efficiency savings’ aka cuts.

The ultimate in exercise of democracy is supposed to be your vote. The late Tony Benn made a great play of the fact all of us could exercise a democratic vote, even if we did not have sufficient money to buy influence as in corporate lobbying.

But this vote is only as good as the choice on offer. We are presently not being given a choice as to whether we would pay more taxes to see social services not cut to the bone.

Many of us feel that we were not given much choice about the eye watering contracts which were shunted across to the private sector in the lifetime of previous governments.

There remains a dearth of skilled opinions and ‘thinking’ about the NHS aside from some exceptional independent people. There remains no skilled socialist health association apart from a small body of middle-old age people who do not generate policy in a democratic manner and who have little influence on any of the political parties.

Only platforms, it seems such as ‘Our NHS’, are able to put their neck over the parapet, but I feel this is not enough. I feel some sympathy for the National Health Action Party, which is able to take the bull by the horns; but even they will be the first to admit they will have to fight hard to get elected representatives in parliament.

I would like to be able to support something such as the NHS Reinstatement Bill, for example I would love to see somebody responsible for the running of the NHS, but my humblest submission is that another top down reorganisation of the NHS would be traumatic.

But we would be deluded to expect that another reorganisation of some sort is unlikely. The change required in combining health and care, even if it is cost neutral somehow, cannot be labelled as anything other than ‘radical’.

Rather like being a consumer for music, however, I prefer making up my own soundtrack on Spotify, rather than buying whole albums. However, there aren’t any tracks from UKIP which I am interested in.

Party politics, I believe, are failing the majority of people in Britain. There seems to be little link between what people want and what people actually get, irrespective of ‘broken promises’, and this appears to be especially the case now for the NHS and care.

For example, the Liberal Democrats are now unashamedly campaigning on mental health when their cuts, albeit implemented locally, have seen social care truly on its knees.

The ultimate farce will be when a sizeable number of SNP MPs are weighed up against Labour losses, to see whether the Tories, UKIP, the Democratic Unionist Party, Greens and National Health Action Party can provide a ‘government of minorities’ to form a government.

It may not even be a coalition, nor ‘supply and confidence’ – it might simply be vote by vote.

And are we expected to run the NHS on the basis of this?