NHS England, May 2016
- Devolution of powers and funds from central government to local government has emerged as one of the Government’s flagship policies. This page describes what devolution means from an NHS England perspective, and includes an assessment criteria framework and FAQs.
- Devolution: What does it mean from an NHS England perspective? provides information on how proposals for devolution of NHS England functions will be assessed and how the devolution agenda links with the STP process.
- The document provides a framework for local systems as they develop their devolution proposals in the context of the wider set of initiatives designed to support and improve integration of health and social care, and place-based commissioning.
- It outlines the implications of the The Cities and Local Government Devolution Act (Devolution Act) which received Royal Assent on 28 January 2016, the range of options to achieve place-based transformation, the four overarching models on devolution spectrum, and the formal NHS England assessment process.
- The four models described are
- 1. ‘Seat at the table’ for commissioning decisions
- 2. Cocommissioning or joint decision making
- 3. Delegated commissioning arrangements
- 4. Fully devolved commissioning (i.e. transfer of functions)
- See also the NHS England Board paper on devolution principles and decision criteria from 29 September 2015
