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Complaints and compliments should be key drivers of reform in any NHS organisation.
There is no evidence to that, and we are afraid that these lessons are generalisable.Anne Skorkjær Binderkrantz Jørgen Grønnegaard Christensen Department of political science Aarhus University Aarhus, Denmark * SIR – Your celebration and commentary on efforts to modernise the civil service miss two key points: science and a discussion of internal drivers of reform.
In his book Education, Education, Education, Labour's academy architect Lord Adonis explains why he resisted calls to put a tougher legal framework around his favoured schools: "In my experience charisma, persuasion and money, not legislation and regulation, are the great drivers of reform", he said.
The previous analysis helps understanding the drivers of reform activism in labour policy domains but does not shed light on the determinants of the direction of reforms.
Two of the main drivers of reform were teacher and administrator evaluation and compensation on the basis of student test scores, and expanded parental choice, mainly through charter schools.
The analysis draws from political economy and policy analysis tools, focusing on the drivers of reform, the processes, the contextual features, and the actors and agendas.
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Our findings support the view that systemic banking crises are important drivers of reforms in supervisory structure.
But the decisive driver of reform has been cost.
In the quests to both enhance efficiency and reduce fragmentation within, and across, health and social care services, integration is seen as 'a principle driver of reform'. 2 In May 2013, localities were invited by NHS England along with national partners to express their interest in becoming integrated care 'pioneers'pioneers
The Enron scandal was the main driver of reforms that, we are told, have changed the way Wall Street does business.
That said, socio-political issues are generally more prevalent in the advent of new governments, and that technology companies have played a significant role both in supporting and constraining pro-democracy movements in recent times (Crane et al., 2013), thus leading to national drivers of political reform.
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