title: How Confed can make the next change.
authors.affiliation: Wrightington, Wigan and Leigh Trust.
authors.forename: Andrew
authors.initials: A
authors.lastname: Foster
mesh_terms: D049673:History, 20th Century; D049674:History, 21st Century; D006779:Hospitals, Public; D009936:Organizational Innovation; D013222:State Medicine / Q000266:history* / Q000458:organization & administration; D006113:United Kingdom