Decentralisation, Participation and Equity in the English NHS (Part of National Health Systems from a Comparative Perspective: Studies of Local, Regional and Participatory Management)

The study – one of a series of country studies –examined the National Health Service (NHS) in England, in order to develop proposals for reform towards an effective, universal, quality health system in Brazil.

Key policy areas were identified in order to analyse policy and political processes between countries: decentralisation and funding; participation; and equity.

This study was one of a series commissioned by Fundação Oswaldo Cruz (Fiocruz) under the research programme entitled “National Health Systems from a Comparative Perspective: studies of local, regional and participatory management”, managed by the National School of Public Health (ENSP) and funded by the Brazilian Ministry of Health under the Qualificação da Gestão Estratégica e Participativa do SUS programme.

Project details

start date
1 August 2017
end date
31 October 2018


In partnership with
Brighton and Hove City Council

About this project


Image of Alex Shankland

Alex Shankland

Research Fellow

Image of Gerald Bloom

Gerald Bloom

Research Fellow

Image of Laura Bolton

Laura Bolton

Research Officer

Image of Tom Barker

Tom Barker

Senior Health & Nutrition Convenor

Stephen Peckham, Director and Professor of Health Policy, University of Kent

Nicola Rosenberg, Public Health Consultant, Brighton and Hove City Council

Ellen Bloomer, Public Health Registrar, Brighton and Hove City Council

Mike Holdgate, Deputy Chair, NHS Brighton and Hove Clinical Commissioning Group