For example, "end-of-life specialist inpatient care has now been devolved and distributed across wards rather than centralised, leading to a dilution of expertise and a reduction in access to dedicated care".
Jimmy Wales, one of the founders of Wikipedia, was inspired by Friedrich Hayek's argument that, since knowledge is dispersed, central planners can never take account of all relevant factors: for Wales this meant that rather than centralising the pursuit of knowledge in the hands of a small number of editors, he should open his encyclopedia to be edited by everyone.
If this policy is followed then the effluent treatment system becomes distributed rather than centralised.
We also explore an alternative approach for data collection that operates on longer time scales and relies only on localised decisions rather than centralised computations.
Other accelerators in Europe seem to want to start lots of local divisions based on cities, rather than centralising in one, as Seedcamp does.
It would mean that different parts of the corporation – such as Radio 4's Today programme and News at Ten - would operate independently, allowing them to pursue different news agendas, rather than following centralised guidelines.
Shutl does this by fulfilling web orders from local stores rather than a centralised warehouse.
It would depend upon the resources required for implementation (the main component of which is likely to be personnel and staff time), the degree to which these resources would be centralised rather than spread (and possibly duplicated) across individual States/Territories and/or hospital sites, the value of these resources and how often these costs would have to be incurred.
But quashing new ways of doing things may simply result in stymying innovation, rather than promoting greater variety in a heavily centralised heath system.
Erdoğan wants to centralise power around himself as president, rather than the parliament, continuing an autocratic trend that he has led in recent years.
