4.4.2 Area Commissioners complained that, although they had more knowledge of what was happening at centre-level, and dealt with operational challenges on a daily basis, they were not included in planning sessions where strategies to be implemented at centre-level were discussed and agreed on. When these sometimes far-fetched ideas fail during implementation, however, centre-level managers are held responsible. The DCS' top-down approach was problematic and seriously impeded service delivery. Some good ideas failed, not because they were impossible to implement, but because their implementation was so poorly planned.