title: Trusts. Larger than strife.
abstract: Effective working in a large trust depends on devolving responsibility. The model adopted at United Leeds Teaching Hospitals trust has saved 650,000 pounds on management costs. Management innovation is far more critical in organisational effectiveness than the question of size.
authors.affiliation: United Leeds Teaching Hospitals Trust, UK.
authors.forename: S
authors.initials: S
authors.lastname: Andrew
mesh_terms: D017046:Cost Savings / Q000379:methods; D017598:Efficiency, Organizational; D006273:Health Facility Merger; D006754:Hospital Restructuring; D006779:Hospitals, Public / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D006784:Hospitals, Teaching / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D017146:Models, Organizational; D009936:Organizational Innovation; D013222:State Medicine; D017749:Total Quality Management; D006113:United Kingdom