The most appropriate decentralization of policymaking powers is an important unresolved
policy question for most health systems. At one extreme lies the UK National Health Service …

This review examines the nature and application of decentralisation as an organisational
model for health care in England. The study reviews the relevant theoretical literature from a …

Whitehall doesn't provide care. That is what hospitals, health centres and surgeries do. And
that is where power needs to be located. On the frontline. The simple truth is that the NHS …

Across the world, the appropriate role of government in the planning and delivery of public
services has been the subject of intense debate: how should the state control the provision …

The creation of a large managerial stratum within the British National Health Service in
recent years has been one of the most striking characteristics of reforms intended to develop …

Decentralization has been an important international development in large organizations,
including those in the public sector, in recent years. The introduction of self-governing trusts …

Medical autonomy in the United Kingdom has declined over the last twenty-five years,
whether considered at the micro level (such as control over treatment and work patterns), the …

General Managers (GMs) represent a relatively new cadre in the British National Health
Service (NHS) who have become closely aligned with central government policy in recent …

This report reviews the role and responsibilities of local and regional authorities1 in health
system governance in six countries: Denmark, Finland, France, Italy, New Zealand and …