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The National Health Service 1980–2005

Decentralizing Health Services: More Local Accountability or Just More Central Control?

Pages 221-228 | Published online: 22 Jan 2013
 

Abstract

This article examines the continuing debate about, and inter-relationship between, the NHS, decentralization and local participation. The focus of the article is the experience of decentralization and participation over the past 25 years and, drawing on a new conceptualization of decentralization, it identifies the extent to which the NHS supports decentralized approaches to participation.

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