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Let's not shed any real tears for the passing of Strategic Health Authorities

In the last few weeks I have been fortunate enough to have been involved in a simulation about how the new NHS architecture will work rolling forward. I don’t know if you have ever been a part of a simulation but they gained traction in the early 1990s when the famous Rubber Windmill (pioneered by Alasdair Liddell) took place. This rolled forward the new architecture of the time and gave people playing the simulation the opportunity to see not only how the architecture would work but much more importantly what they would actually do in this new world.

Since then the method has been used many times to understand how a policy works its way through giving real clinicians and managers the opportunity to work and behave within the new architecture.

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