This article examines the continuing debate about, and inter-relationship between, the NHS, decentralization and local participation. The focus of the article is the experience of decentralization and participation over the past 25 years and, drawing on a new conceptualization of...

Decentralisation has been described as an empty concept that lacks clarity. Yet there is an enduring interest in the process of decentralisation within health systems and public services more generally. Many claims about the benefits of decentralisation are not supported by evidence. It may be...

Cover -- Guest editorial -- Engaging general practitioners in pay-for-performance scheme design -- Tools of power: pay-for-performance in French and German health reforms -- Adapting results-based financing to respond to endogenous and exogenous moderators in Zimbabwe -- Sustainability...