Room for manoeuvre? Explaining local autonomy in the English National Health Service.

@article{Exworthy2008RoomFM,
  title={Room for manoeuvre? Explaining local autonomy in the English National Health Service.},
  author={Mark Exworthy and Francesca Frosini},
  journal={Health policy},
  year={2008},
  volume={86 2-3},
  pages={
          204-12
        }
}
Decentralisation has returned as a key theme in English health policy in recent years in policies such as Patient Choice and Foundation Trusts, among many others. The goal of these policies appears to be to stimulate self-sustaining incentives to continuous organisational reform and performance improvement through creating a pluralist model of local provision. However, the ability of local organisations to exercise autonomy and to deliver such performance is highly contingent upon their local… CONTINUE READING
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