Posted on 30/03/2010
Decentralisation and performance: autonomy and incentives in local health economies
The study examined the impact of national policy (especially autonomy) and local organisational collaboration in terms of the room for manoeuvre in local health economies (LHEs). It also examined the ways in which performance was measured and managed across the local health economy, and effects of measurement on behaviour and outcomes. The study was commissioned by the NIHR Service Delivery and Organisation Programme (SDO).
The study concluded that decentralisation is not a 'magic bullet' to solve organisational and policy issues, as some would claim. Its success depends on a number of factors including the local context, clearly defined objectives and processes as well as regulation.
» Project details | Download the final report