Police and Health Reorganisations
There are two centralisations going on at the moment. The most worrying is that relating to the police. Gradually it will become less possible to influence the priorities of the police force locally and it will be essentially up to the Home Secretary. Wonder why he likes it?
The Health one is just one of the normal chuck everything up in the air and see where it lands type of reorganisations. Not an efficient way to run anything, but it tends to happen every three years or so and gets back to where it was about 14 years ago.
In theory these things are driven by a need for efficiency. It may be that having a reorganisation makes redundancy easier, but there is no doubt that reorganisations cost money.
Still twas ever thus.