PECKHAM, Stephen; EXWORTHY, Mark; GREENER, Ian; POWELL, Martin

Decentralizing Health Services : more local accountability or just more central control? - Oxford : Blackwell Publishing, August 2005

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