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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.
The task facing Oldham was to come up with a recipe for change that did not involve yet more structural upheaval.
He dismissed the notion that the structural upheaval to implement reforms had created massive cost and disruption, claiming it has saved billions of pounds.
Royal Bank of Scotland, currently making the job of spinning off 600 branches resemble the labours of Hercules, has destroyed appetite for structural upheaval.
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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Lansley's aims of putting patients at the heart of care, involving clinicians in decisions about the provision of services and reducing managerial costs, could be achieved without the massive structural upheavals of abolishing PCTs and SHAs.
The present form of the sea probably emerged at the end of the Paleocene Epoch (about 55 million years ago), when structural upheavals in Anatolia split off the Caspian basin from the Mediterranean.
While these challenges are worth noting, and there will always be significant economic and social risks during periods of structural economic upheaval, Australia is certainly well positioned to reap the benefits that the age of digital disruption will bring.
In the last few decades, spanning the end of the 20th and the beginning of the 21st century, a number of rapid changes have been taking place, mainly stemming from mass immigration to Greece, the economic crisis and structural changes and upheavals in the neighboring Near and Middle East and also in Europe.
Meanwhile the Social Democrats, architects of the modern Swedish state and one of Europe's most successful political parties, recorded their worst performance since World War I. Behind the upheaval lie structural changes in Swedish politics and a battle over how to preserve the cradle-to-grave welfare system.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com