So for current NPPL holders the new system is much worse than the old.
At 77 years of age it is certainly better for me as long as none of the exclusion items apply to me. In fact, I am delighted with the new system as I want to change my doctor and I didn't feel that it was sensible while I needed his signature every year.
However, I have just noticed that one of the items on the LAPL exclusion list seems to apply to me in that I suffer from a "chronic disease" which, except for the first 3 months, never prevented me from having a CAA Class 2 medical.
I only changed to a NPPL quite recently for convenience and cost.