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The task facing Oldham was to come up with a recipe for change that did not involve yet more structural upheaval.
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But in doing so they were forced into a huge structural upheaval of the NHS and the Tories inadvertently went back on their pledge in opposition of "no more top-down reorganisations" of the health service.
"The concern is more structural.
As the NHS goes through major structural upheaval, we have a great opportunity to make changes for the better.
Megalomaniac politicians of all parties love mighty structural upheaval, but what works is detailed, expert and quite dull.
There are more structural barriers, too.
More structural changes are on the way.
Royal Bank of Scotland, currently making the job of spinning off 600 branches resemble the labours of Hercules, has destroyed appetite for structural upheaval.
According to the internal email, the Euston Project's key initiatives have not been hampered by the managerial and structural upheaval and will be delivered on time later this year.
He dismissed the notion that the structural upheaval to implement reforms had created massive cost and disruption, claiming it has saved billions of pounds.
BRC chief executive Helen Dickinson says the changes are the result of structural upheaval within the retail industry as shopping habits adapt in response to the internet.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com