Decentralisation has returned as a key theme in English health policy in recent years in
policies such as Patient Choice and Foundation Trusts, among many others. The goal of …

This paper discusses the decentralisation in the English National Health Service (and the
new organisational form of Foundation Trusts, in particular) in the context of the trend for …

This project will examine the inter-relationship between governance mechanisms, autonomy
and incentives in local health economies (LHEs). This interaction shapes decentralisation …

The optimal balance between central governmental authority and the degree of autonomy of
local public bodies is an enduring issue in public policy. The UK National Health Service is …

This article looks at the possible implications of English regional government for the
promotion and provision of healthcare. Elected assemblies may allow more locally tailored …

Health policy in the UK is experiencing a curious double movement. On the one hand, in
what was long considered a highly centralized unitary state, the central UK government is …

English As the National Health Service (NHS) celebrates its 50th birthday, the new Labour
government has proposed a radical shake-up in the way it is organised. The most innovative …

Introduction This article examines the incentive effects of delegating operational and
financial decision making from central government to local healthcare providers. It …

Decentralisation has been described as an empty concept that lacks clarity. Yet there is an
enduring interest in the process of decentralisation within health systems and public …

Abstract The United Kingdom is ostensibly one country and yet public policy often varies
between its constituent territories–England, Scotland, Wales and Northern Ireland. Health …