Alec Fraser
1* 
, Lorelei Jones
2 , Colin Lorne
3 , Ellen Stewart
4 1 King’s Business School, King’s College London, London, UK.
2 School of Medical and Health Sciences, Bangor University, Bangor, UK.
3 School of Social Sciences and Global Studies, Faculty of Arts and Social Sciences, The Open University, Milton Keynes, UK.
4 Department of Social Work and Social Policy, University of Strathclyde, Glasgow, UK.
Abstract
In this short article we comment upon the recent article by Perry et al “Attending to History” in Major System Change in Healthcare in England: Specialist Cancer Surgery Service Reconfiguration. We welcome the engagement with power, history and heuristics in the Perry et al paper. Our article discusses the importance of researcher positionality in Major System Change research, alongside managerial power and the centrality of politics to remaking health and care services. Additionally, we highlight the work of Ansell and Gash focused on ‘collaborative governance’ and its potential to offer insight in relation to Major System Change.