Published 14 July 2008, doi:10.1136/bmj.a832
Cite this as: BMJ 2008;337:a832

News

Report calls for better UK coordination to solve devolution problems

Adrian O’Dowd

1 Margate

The first 150 words of the full text of this article appear below.

The four national governments in the United Kingdom need to work far more closely and to coordinate formally over health issues or face growing conflict, a major report says.

Since 1999, devolution has meant ever widening differences in health policy between the four countries, and lack of coordination will damage all four healthcare systems, warns the report by the health policy think tank the Nuffield Trust.

Its report says that extensive overlaps and complexities have arisen since devolution was agreed, leading to "messy intergovernmental relations." Its findings are drawn from research and extensive interviews carried out over the past seven years.

A basic problem, says the report, is that the current systems for identifying and resolving conflicts are informal and rely on a level of political goodwill that cannot be guaranteed to last.

The Joint Ministerial Committee, which was set up specifically to manage relations between the four countries and . . . [Full text of this article]


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