By Stephen Peckham, Mark Exworthy, Ian Greener and Martin Powell.This article examines the continuing debate about, and inter-relationship between, the NHS, decentralization and local participation. The focus of the article is the experience of decentralization and participation over the past 25 years and, drawing on a new conceptualization of decentralization, it identifies the extent to which the NHS supports decentralized approaches to participation.

Public Money & Management Volume 25 Issue 4. Page 221. doi:10.1111/j.1467-9302.2005.00477.x