New localism in the English National Health Service: what is it for?

Health Policy. 2006 Dec;79(2-3):244-52. doi: 10.1016/j.healthpol.2006.01.006. Epub 2006 Feb 13.


This paper discusses the decentralisation in the English National Health Service (and the new organisational form of Foundation Trusts, in particular) in the context of the trend for decentralising public services generally since the New Labour government started its second term of office in 2001. It considers the likelihood of decentralisation achieving the aims policy makers have set: these are better services and an increase in local people's participation in the planning and running of services (active citizenship). Looking at the evidence to date, both about decentralisation of health services and about Foundation Trusts, the achievement of these goals seems uncertain.

MeSH terms

  • Policy Making
  • Politics*
  • State Medicine / organization & administration*
  • United Kingdom