4 The devolved nations
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John Stewart
Abstract
This chapter discusses the health policies of the United Kingdom’s devolved nations. These are placed in their historical and contemporary contexts, with due attention paid to the respective particularities of Wales, Scotland and Northern Ireland alongside an acknowledgement of commonalities within the UK as a whole. Even before the crucial decade of the 1990s, administrative devolution allowed for divergence in health policy, especially in Scotland. Political devolution, in principle at least, reinforced this trend, and a further component of the chapter is an attempt to explain why this should be so, and what this might mean for all the constituent parts of the UK.
Abstract
This chapter discusses the health policies of the United Kingdom’s devolved nations. These are placed in their historical and contemporary contexts, with due attention paid to the respective particularities of Wales, Scotland and Northern Ireland alongside an acknowledgement of commonalities within the UK as a whole. Even before the crucial decade of the 1990s, administrative devolution allowed for divergence in health policy, especially in Scotland. Political devolution, in principle at least, reinforced this trend, and a further component of the chapter is an attempt to explain why this should be so, and what this might mean for all the constituent parts of the UK.
Chapters in this book
- Front Matter i
- Contents v
- List of figures and tables vii
- Notes on contributors viii
- Foreword x
- The NHS at 75: an unfolding story 1
- NHS governance: the centre claims authority 21
- Health and care funding at 75 40
- The devolved nations 71
- NHS at 75: general practice through the lens of access 90
- NHS hospitals and the bedpan doctrine: the first 75 years 112
- Quality and the NHS: fair-weather friends or a longstanding relationship? 136
- Improving health and tackling health inequalities: what role for the NHS? 157
- NHS managers at a crossroads: part of the problem or the solution? 177
- Forgotten, neglected and a poor relation? Reflecting on the 75th anniversary of adult social care 197
- The NHS at 75 in comparative perspective 216
- Our NHS? The changing involvement of patients and the public in England’s health and care system 232
- After 75 years, whither the NHS? Some conclusions 253
- Index 270
Chapters in this book
- Front Matter i
- Contents v
- List of figures and tables vii
- Notes on contributors viii
- Foreword x
- The NHS at 75: an unfolding story 1
- NHS governance: the centre claims authority 21
- Health and care funding at 75 40
- The devolved nations 71
- NHS at 75: general practice through the lens of access 90
- NHS hospitals and the bedpan doctrine: the first 75 years 112
- Quality and the NHS: fair-weather friends or a longstanding relationship? 136
- Improving health and tackling health inequalities: what role for the NHS? 157
- NHS managers at a crossroads: part of the problem or the solution? 177
- Forgotten, neglected and a poor relation? Reflecting on the 75th anniversary of adult social care 197
- The NHS at 75 in comparative perspective 216
- Our NHS? The changing involvement of patients and the public in England’s health and care system 232
- After 75 years, whither the NHS? Some conclusions 253
- Index 270
