Letting go: how English devolution can help solve the NHS care and cash crisis

Document type
Warner, Norman; O'Sullivan, Jack
Date of publication
22 March 2015
Health Services
Social welfare
Material type

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England’s NHS is advancing towards major decentralisation, beginning in Greater Manchester. The process now seems inevitable given the impetus driving public sector devolution in England. This historic change will transform a centrally-controlled, command system that has underpinned the NHS since 1948. It can help cure the NHS’s twin care and cash crises, namely a failing service model and a lack of affordability. This valuable prize is attainable without losing NHS core values.

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