Impact of devolution of health care in the UK: provider challenge in England and provider capture in Wales, Scotland and Northern Ireland?

The author reflects on the impact of the devolution of health care in Great Britain. It discusses the outcome of two different policy paradigms, the traditional knightly policy paradigm and the policy paradigm of provider challenge, especially in Wales, Scotland and Northern Ireland. It notes the vulnerability of smaller countries in Great Britain to provider capture because of their reluctance to abandon the knightly policy paradigm.