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Thinktank: Give control of NHS and public services to 38 super councils

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Digest: Public services worth £108bn, including the NHS, should be controlled by 38 super councils across England, according to independent thinktank Reform.

In its report ‘Vive la devolution: devolved public-services commissioning’, published today, Reform argues devolving services, including £102bn of health spending, to areas based on local enterprise partnership and sustainability and transformation partnership footprints.

“A majority of the country would naturally fall within these boundaries, with a small number of overlapping areas, which would be subject to negotiation between local and central government,” the report said.

Doing this would result in all local councils either being replaced or overseen by unitary or combined authorities.

Reform’s report also argues that devolution deals should incorporate both economic policy areas and other public services such as health, adult skills, welfare-to-work programmes and probation.

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