Beware of Big – lesson of the North Wales Health Board

Paul Williams was the instigator of the Welsh Health Service reorganisation which led to the creation of the North Wales Health Board – the largest health service delivery organisation in the United Kingdom. Such has been the record of unmanageability in this health board that it is now about to be nationalised by the Welsh Government.

The Williams Report on Welsh Public Service Delivery recommends that we transfer the Welsh health service model to Welsh local government, creating the largest local authorities in Europe with average populations of 300,000. These local authorities will fail to deliver good services, fail to engage with local people and will lead to the further nationalisation of local services.

Is this what devolution now means in Wales?

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