Regional Devolution and the National Health Service

  • Sir George Godber


The history of the regional component in health service organisation is important to any consideration of future developments. The Health Service is composed of elements as far apart as the link of the individual family with an individual general medical practice (and the nurses who work with that general practice) and, on the other hand, some services which are provided only at a national, or at least a supra-regional level. There is a continuum which runs through the district, the regional and the national levels into which an area administration has been inserted, more for its links with other services administered at area level, than because it is an essential component in health service organisation. Some of the relationships are necessary administrative elements and some represent only the kind of scientific or professional link that has to exist throughout a service in which the individual practitioners have to communicate with each other at all levels. The link between the periphery and the most highly developed scientific centres existed quite apart from any administrative organisation of the Health Service, and it will continue whatever the administrative background.


Local Authority Hospital Service Regional Component District General Hospital Area Authority 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Notes and References

  1. 1.
    Ministry of Health, Future Provision of Medical and Allied Services interim report of the Consultative Council on Medical and Allied Services, Cmnd. 693 (HMSO, 1920).Google Scholar
  2. 3.
    Ministry of Health,Hospital Plan for England and WalesCmnd.1604(HMSO,1962)Google Scholar
  3. 5.
    A. Engel, Perspectives in Health Planning (Athlone Press, 1968 ).Google Scholar
  4. 6.
    I. Douglas-Wilson and G. McLauchlan (eds), Health Service Prospects (Nuffield Provincial. Hospitals Trust and The Lancet, 1973 ).Google Scholar
  5. 7.
    J. Revans and G. McLauchlan, Postgraduate Medical Education (Nuffield Provincial Hospitals Trust, 1967 ).Google Scholar
  6. 8.
    Department of Health and Social Security, Report of the Committee of Inquiry into the Smallpox Outbreak in London in March and April 1973 Cmnd. 5626 (HMSO, 1973).Google Scholar
  7. 9.
    A. L. Cochrane, Effectiveness and Efficiency (Nuffield Provincial Hospitals Trust, 1972 ).Google Scholar
  8. 10.
    Royal College of Physicians of London, Report of Working Group on Strokes (July, 1974).Google Scholar
  9. 11.
    J. E. Powell, ‘Lumbering Leviathan’, British Medical Journal, II (5 Nov. 1960) 1369.Google Scholar
  10. 12.
    Ministry of Health, Health and Welfare: The Development of Community Care Cmnd. 1973 (HMSO, 1963).Google Scholar
  11. 13.
    J. Noyce, A. H. Snaith and A. J. Trickey, ‘Regional Variations in Financial Allocations’, The Lancet I (30 Mar 1974 ) 554.Google Scholar
  12. 14.
    R. Maxwell, Health Care: the Growing Dilemma (McKinsey and Co., 1974 ).Google Scholar
  13. 15.
    M. C. Hardie, ‘What Should we Spend on Health Care’, Long Range Planning, 7, 1 (Feb 1974) 2–9.CrossRefGoogle Scholar

Copyright information

© Centre for Studies in Social Policy 1975

Authors and Affiliations

  • Sir George Godber

There are no affiliations available

Personalised recommendations