Devolution in health policy is threatening unity of the NHS

BMJ 2008; 336 doi: (Published 31 January 2008) Cite this as: BMJ 2008;336:241
  1. Adrian O’Dowd
  1. 1London

    Conflict between the four devolved governments in the United Kingdom is increasingly likely and will affect the NHS, according to an influential report.

    The report about devolution by the health policy think tank The Nuffield Trust says that differences in health policy in the UK could become a growing tension that tears at medical training, puts pressure on representative organisations, and leads to educational divergence.

    The report is based on a series of high level seminars held with government officials, profession leaders, advisers, academics, and other health policy makers in the four countries.

    It says, “Having repeatedly reformed its …

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