Innovative Change for the Better in Running Our Vital Health Services ; Plans to Cut the Number of Local Health Boards in Wales From 22 to Eight Are Not Simply About Reducing Management in the Nhs, Explains Dr Lyndon Miles, Chairman of Gwynedd Local Health Board and a Part- Time Gp

Summary

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ONCE again the NHS in Wales is facing reorganisation. These have occurred every four to five years, or so, since 1974, and are often seen by NHS staff as something between an unnecessary distraction and positively destructive.

They occur because all governments strive for improved NHS performance, and a government's main lever is that of organisational change.

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Extract

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Innovative Change for the Better in Running Our Vital Health Services ; Plans to Cut the Number of Local Health Boards in Wales From 22 to Eight Are Not Simply About Reducing Management in the Nhs, Explains Dr Lyndon Miles, Chairman of Gwynedd Local Health Board and a Part- Time Gp

When they occur, reorganisations usually exist along a spectrum between centralising - larger and fewer organisations - and decentralising - many more smaller organisations.

With big organisations, there are nagging concerns that they are too remote from users, and so the system moves to decentralise. In the small-organisation mode, there are...

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