Amid a welter of simultaneous policy initiatives in the UK, health
treatment centers were a top-down National Health Service (NHS)
innovation that became subverted into a multiplicity of solutions
to different local problems. This book is a highly readable account
of how and why these centers evolved with completely unforeseen
results, revealing clear practical lessons based on UK case-study
research involving over 200 interviews. By following the case
studies through each key stage of reform, the book tells the story
of NHS reform in action. Well-structured and clearly written, it
uncovers a range of difficulties and conflicts in pushing forward
wide-sweeping reforms at a local level, and it outlines the
practical lessons to be learned.
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