Why is this Video not issued by the NHS?

The different parts of the Affordable Care Act in the US are falling into place. This recent video issued by the Federal Government describes the changes that will take place in Electronic Medical records.
In the UK, where a National Service exists, one would have thought that this kind of thing already exists. IT in primary care is quite well developed but health IT in secondary care in the National Health Service in England. has always been so hit and miss. As a healthcare worker and as a consumer/patient, it is not clear to me whether progress in IT and the EHR (Electronic Health record) is part of the Health and Social Care Bill.
Although a video like this interests me and those who beleive in a National Healthcare service, I suspect it freaks out those (in the US) who already think that government does and knows too much.

Shared Care Decision Making in the NHS

Kevin Pho was kind enough to post a piece I wrote several months ago and which I originally posted here on my blog. It has provoked alot of interest and comment most of which has not quite been complimentary!
I was pleased that two experts on Shared Decision making were able to leave comments - one unflattering  from Angela Coulter and the other, considered from Glyn Elwyn.  Both  have written extensively on the subject and on the Salzburg statement.  I myself have written on SDM previously, specifically with respect to medical notes.

WHY SHARED DECISION MAKING IS IMPOSSIBLE IN THE NHS

The relationship between doctors and their patients has changed dramatically over the past few years. Medical Beneficence became paternalism and is now near obsolete. Shared decision making is the new lofty ideal we should all be striving for. It is guiding  new health policy both in the UK, with the new mantra 'nothing about me without me', and in the US. We are at the start of the Century of the Patient. New appropriate societies have been formed such as the Society of Paticipatory Medicine and the Foundation for Informed Medical Decision Making.

This is all excellent stuff. As a doctor, I'd like to think that I have practiced so called partcipatory medicine all my life.
There are caveats with all of this. In a universal health service such as the British NHS, funding is through general taxation and whose levels are determined by politicians, albeit elected. Because of this, the NHS will always, whatever the protestations of different health secretaries, be controlled from the top.  Shared decision making, which surely also means an input into how much I want spent on me as a patient,  is clearly not possible.
With shared decision making must come the counterbalance of responsibility and accountability on the part of the patient.  Without this,  patient involvement becomes a sham. This has been recognized in the Affordable Care Act, the Health Reform Act introduced by the current administration in the United States. This will allow 'rebates' for good behaviour - and good healthy behaviour can easily be measured e.g. weight, markers of smoking etc. In the UK, we have the Downing Street Nudgers who will nudge (nanny state lite) all of us into behaving in a way that will not break the NHS bank in a few years. It does not need a Committee in the House of Lords to tell us that Nudge alone will not work. Being nudged itself is anything but being involved in decision making.
All the good ideas in health care are now coming from across the pond.
You just cannot have your cake and eat it and you just cannot have meaningful true Shared Decision Making in the British NHS and the way it is currently funded  - the 2 are incompatible - PERIOD