title: Growing pains.
authors.forename: Paul
authors.initials: P
authors.lastname: Smith
mesh_terms: D003659:Decision Making, Organizational; D004739:England; D018166:Health Care Reform; D009936:Organizational Innovation; D011057:Politics; D011209:Power, Psychological; D012040:Regional Health Planning; D012922:Social Change; D013222:State Medicine / Q000458:organization & administration*