In this video, Nuffield Trust Head of Policy Dr Judith Smith talks to Senior Fellow Ruth Thorlby about her observations from listening to Canada's policymakers, former politicians and researchers talking about managing a downturn and reforming health services in the 1990s, during the Nuffield Trust and Canadian Health Services Research Foundation partnership event: Managing a health system through an economic downturn: A masterclass, held in May 2011.

Dr Smith discusses the role of politicians, the importance of managing the process of change and the need for a clear vision for reform.

For further information visit the Nuffield Trust website: nuffieldtrust.org.uk, or the website of the Canadian Health Services Research Foundation: chsrf.ca/Home.aspx.

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