is broken.Some laboratories may have to be transferred to health authority control, but the PHLS cannot function iftoo many of its roots are pruned.The PHLS is a uniquely English institution, uniquely successful.It is admired and envied for its effective peripheral contacts by its counterpart in the United States, despite the vastly greater resources made available to the latter; and it is repeatedly consulted-and not in vain-by the World Health Organisation.Those who would break the essential PHLS links between centre and periphery-who are they?Do they really know what they are doing?The PHLS now has over 45 years ofexperience, accomplishment, and partnership with the DHSS and health authorities.Its essential structure must not be wrecked on the assumptioncertainly false-that real economies will result.
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Healy et al. (1985) studied this question.