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In the larger schools, governors are responsible for budgets of up to £6.5 million.
That "now, now" admonition comes not from the government's chief doctor, but from the Finance Ministry, which is responsible for budgets and taxes.
The Clinical Directors were responsible for budgets regarding surgical procedures, staff recruitment, management and training and other peripheral aspects of service delivery.
In particular, the existence of local quasi-markets meant that middle managers responsible for budgets at local public service offices found little incentive for cooperation across organizational boundaries.
In the late 1990s, the National Health Services (NHS) in the UK refocused health care delivery through the development of Primary Care Trusts which became responsible for budgets of all hospital, community and general medical services [ 4].
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Residents are responsible for budgeting and paying their own utility bills.
"The last time we checked, the Abbott government has been responsible for budget and economic policy since September 2013," they said in a statement.
For example, she said that there would be "a better chance of avoiding" budget battles between Schools Chancellor Harold O. Levy and City Hall, like the recent one over school construction costs, if the mayor was solely responsible for budget decisions affecting schools.
"If this means that we're going to have Pemex management responsible for budgeting and capital expenditures, and cut the gray ribbons of control" from the Finance Ministry, it's "more important than the naming of this new board," said George Baker, director of Mexico Energy Intelligence in Houston.
Icenhour sought leadership positions when she was training to become a scientist, including a stint as chair of the National Postdoctoral Association, for which she was responsible for budgeting and supervising staff.
The City Manager is responsible for budgeting and implementing policies and initiatives.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com