Funding and performance of healthcare systems in the four countries of the UK before and after devolution Sheelah Connolly, Gwyn Bevan and Nicholas Mays The Nuffield Trust The Nuffield Trust is a charitable trust carrying out research and policy analysis on health services. Its focus is on the reform of health services to improve the efficiency, effectiveness, equity and responsiveness of care. Current work themes include new forms of care provision, commissioning, efficiency, competition and international comparisons. For more information on our work programme, and to subscribe to our free e-newsletter, visit www.nuffieldtrust.org.uk Published by The Nuffield Trust, 59 New Cavendish Street, London W1G 7LP Telephone: 020 7631 8450 Facsimile: 020 7631 8451 Email:
[email protected] Website: www.nuffieldtrust.org.uk Charity number 209201 © The Nuffield Trust 2010 ISBN-13 978-1-905030-40-8 Typeset by Page One Telephone 01543 264214 Cover design by Liquid Telephone 07947 484 195 Printed by Winstonmead Print Telephone 01509 213456 Contents The authors ........................................................................ viii Contents of boxes, tables and figures Acknowledgements .............................................................. ix Chapter 2: Devolution: background, arrangements and their implications ......................................................... 7 Foreword .............................................................................. x Box 2.1: Policy and organisational characteristics Summary ............................................................................