Title

HEALTH

Local government is already delivering national systems and it's time we recognised it

National policy may set the framework, but it is local government that makes complex systems work in practice. Drawing on the experience of building the Port Health service at Sevington, Anthony Baldock reflects on what effective delivery really looks like on the ground.

(c) Ashford Port Health

When people talk about national systems and infrastructure, local government is often seen as the delivery arm rather than part of the solution. In our experience at Ashford, that distinction does not really hold.

Setting up the Port Health service at Sevington was about making a new border control model work in practice. There was no template to follow, and we were doing it in the middle of a shifting national policy landscape. At times, it felt like we were building the plane while flying it.

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