Ah, yes. The “Non-top down, top down approach”, also known as the “Free from political interference” initiative (Copyright – Andrew Lansley).
Andrew Lansley, 2 June 2010 (and many other places besides):
What we need to achieve [is] a change from a command-and-control, top-down system of running our schools, hospitals, health care and social care services.
Health news announcement, 27 July 2010:
Cancer patients denied new treatments because they are too expensive will now be able to appeal to a £50m government fund to pay for their drugs[.] Although the fund will pay for treatments that have been rejected as not cost-effective by Nice, ministers claimed they were not “undermining” the watchdog.