Decentralisation has been described as an empty concept that lacks clarity. Yet there is an
enduring interest in the process of decentralisation within health systems and public …

The economic downturn is placing increasing pressure on the financing of health care. For
many health care providers, this means difficult decisions need to be made over what will …

This article considers the rise of decentralisation as an approach to public-sector reform
generally, and its approach to the British National Health Service (NHS) specifically. It …

Background A common challenge for health sector planning and budgeting has been the
misalignment between policies, technical planning and budgetary allocation; and …

Purpose Decentralisation of decision‐making from central to lower level organisation has
been proposed as a way to increase innovation and make services more responsive to local …

Background This is the final paper in a thematic series reporting a program of Sustainability
in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting …

Background This is the second in a series of papers reporting a program of Sustainability in
Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting …

English As the National Health Service (NHS) celebrates its 50th birthday, the new Labour
government has proposed a radical shake-up in the way it is organised. The most innovative …

This project will examine the inter-relationship between governance mechanisms, autonomy
and incentives in local health economies (LHEs). This interaction shapes decentralisation …

New Zealand is in the process of implementing major changes in the organisation and
funding of its health services. Central to these changes is a largely elected area health …