REORGANISATION

Centralisation and aggregation are concentrations of power

If the opportunity of reorganisation and devolution is about power- sharing, different models need to be designed to balance the competing forces of centralisation and decentralisation, says Catherine Howe.

(c) James Gifford Mead

There has always been a pendulum swing between centralisation and decentralisation for the capabilities every service needs: legal, finance, commissioning, project delivery and technology.

One end of the pendulum sees you wanting to centralise more, driven either by savings or to get greater consistency. That's a hard battle.

Dr Catherine Howe

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