HIGHLIGHTS
SUMMARY
The authors are grateful to the editors of International Journal of Health Policy and Management for inviting the authors to comment on Perry and colleagues` stimulating and timely article1 that emphasises the importance of "attending to history" in Major System Change in healthcare in England. The authors find that the article has much to offer and builds on a valuable and impressive body of work on Major System Change in the National Health Service (NHS) produced by these authors and others over many years. Ongoing testing and questioning of such heuristics or frameworks will . . .
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