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Dismantling the NHS?Evaluating the Impact of Health Reforms$
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Mark Exworthy, Russell Mannion, and Martin Powell

Print publication date: 2016

Print ISBN-13: 9781447330226

Published to University Press Scholarship Online: May 2017

DOI: 10.1332/policypress/9781447330226.001.0001

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date: 18 August 2017

UK-wide health policy under the Coalition

UK-wide health policy under the Coalition

Chapter:
(p.125) Seven UK-wide health policy under the Coalition
Source:
Dismantling the NHS?
Author(s):

David Hughes

Publisher:
Policy Press
DOI:10.1332/policypress/9781447330226.003.0007

A volume on health reforms under the Coalition must necessarily expand its focus beyond Westminster to consider the larger UK policy context. Legislation enacted in 1998 established devolved assemblies in Scotland, Wales and Northern Ireland with power to make law or issue executive orders in certain specified areas, including health services. This meant that an English NHS overseen by the Westminster Parliament now existed alongside separate NHS systems accountable to devolved governments in the other UK countries. Thus, the major Coalition health reforms heralded by the Health and Social Care Act 2012 applied in the main to England only. However, devolved administrations needed to formulate appropriate policy responses that either maintained differences or moved closer to the English policies. This chapter describes the divergent approaches between the four UK NHS systems, but also sheds light on the nature of coalition policy making.

Keywords:   NHS, health reforms, UK, policy, devolved assemblies, Coalition

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