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Assessing Relative Spending Needs of Devolved Government: The Case of Healthcare Spending in the UK

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  • Rob Ball
  • David Eiser
  • David King

Abstract

Ball R., Eiser D. and King D. Assessing relative spending needs of devolved government: the case of healthcare spending in the UK, Regional Studies . The block grants allocated to the UK's devolved administrations are not determined by any estimate of their spending needs. There are increasing calls to replace the current grant allocation mechanism with one that explicitly considers the devolved administrations' spending needs. This paper compares two existing formulae for estimating healthcare spending needs - used by the National Health Service (NHS) to allocate resources within England and Scotland - by applying both formulae to the devolved administrations. It is found that these formulae provide very similar estimates of the devolved administrations' healthcare spending needs, and both formulae imply that the current distribution of resources across the devolved administrations may be inequitable.

Suggested Citation

  • Rob Ball & David Eiser & David King, 2015. "Assessing Relative Spending Needs of Devolved Government: The Case of Healthcare Spending in the UK," Regional Studies, Taylor & Francis Journals, vol. 49(2), pages 323-336, February.
    • Handle: RePEc:taf:regstd:v:49:y:2015:i:2:p:323-336
    DOI: 10.1080/00343404.2013.779660
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    References listed on IDEAS

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    4. Alex Christie & J. Kim Swales, 2010. "The Barnett Allocation Mechanism: Formula Plus Influence?," Regional Studies, Taylor & Francis Journals, vol. 44(6), pages 761-775.
    5. Roy A. Carr-Hill & Geoffrey Hardman & Stephen Martin & Stuart Peacock & Trevor A. Sheldon & Peter C. Smith, 1997. "A New Formula for Distributing Hospital Funds in England," Interfaces, INFORMS, vol. 27(1), pages 53-70, February.
    6. Hansjörg Blöchliger & David King, 2006. "Fiscal Autonomy of Sub-Central Governments," OECD Working Papers on Fiscal Federalism 2, OECD Publishing.
    7. Adrian Kay & Gillian Bristow & Mark McGovern & David Pickernell, 2005. "Fair Division or Fair Dinkum? Australian Lessons for Intergovernmental Fiscal Relations in the United Kingdom," Environment and Planning C, , vol. 23(2), pages 247-261, April.
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    1. Mark J. Garmaise & Gabriel Natividad, 2024. "Fiscal windfalls and entrepreneurship: fostering entry or promoting incumbents?," Small Business Economics, Springer, vol. 62(1), pages 133-158, January.

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