Decentralisation is now taking place in the public administrations of most countries of the world. This book explores the variety of methods used to ensure that fiscal decentralisation takes place alongside administrative decentralisation.

`Its strength lies in combining theoretical insights with an impressive range of empirical material. The analysis is subtle and multi-layered.... This is a timely and important book′ - Political Studies `Local governance have gained massive attention among scholars and practitioners during the past several years. Peter John′s book fills a void in the literature by tracing the historical roots of local governance and by placing his findings in a comparative perspective′ - Professor Jon Pierre, University of Gothenburg, Sweden `Peter John has produced a fascinating and stimulating book in which he assesses current developments in urban politics and local government in Europe and suggests how these changes are leading to different patterns of sub-national territorial politics in the EU today. What he has to say is of important interest to all students of local government; comparative politics and of territorial politics more generally′ - Michael Goldsmith, University of Salford `this book offers a fascinating comparative analysis... themes such as New Public Management, globalisation, regionalism and privatisation will be relevant to numerous courses in government, politics, public administration and public policy′ - West European Politics This text provides a comprehensive introduction to local government and urban politics in contemporary Western Europe. It is the first book to map and explain the change in local political systems and to place these in comparative context. The book introduces students to the traditional structures and institutions of local government and shows how these have been transformed in response to increased economic and political competition, new ideas, institutional reform and the Europeanization of public policy. At the book′s core is the perceived transition from local government to local governance. The book traces this key development thematically across a wide range of West European states including: Belgium, France, Greece, Italy, Germany, the Netherlands, Norway, Portugal, Spain and the United Kingdom.

During its 13 years of office, Labour's modernization agenda transformed the world of UK local government. Amidst a starkly altered political and economic climate the coalition government formed in 2010 pledged to implement equally radical changes to the system. Taking account of the coalition's programme for government and its first round of spending cuts, the completely revised and updated fifth edition of this popular and established text is timed to take full advantage of this historic juncture. David Wilson and Chris Game provide readers with systematic coverage of the UK's local government. The book examines its defining features, its history, changing structure, operations, functions, financing, and its relations with central government. The fifth edition gives additional emphasis to local government in the devolved regions of the UK, and provides more extensive analysis of centre-local government relations. The authors deliver a thorough critique of Labour's third term in office. Looking ahead, the book anticipates the future of local government under the coalition government. Two themes look likely to dominate policy making: decentralization and cuts to public spending. With its clear, accessible, non-technical style and popular illustrations, Local Government in the United Kingdom will be essential reading for students, practitioners, and anyone with an interest in local politics.

What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).

Challenges to Local Government offers a timely discussion of how local governments have implemented public policies during the last decade. Concentrating on Britain and the United States (but with essays on Scandinavia, France and Canada) the authors document, explain and analyze the implications of these policies for local autonomy, focusing especially upon local economic initiatives.

Drawing on classical and emerging research perspectives, this comprehensive book provides an up-to-date review of local government in Europe. Featuring an impressive range of contributors from both eastern and western Europe, the book addresses three main topics: territorial reforms, democratic empowerment of citizens and the role of local leadership, as well as new trends in local finances. Acknowledging their inherent diversity, the book examines the ways that local governments have responded to shared challenges, such as climate change, increasing populism and democratic deficit in order to identify both the variety and communalities between the country-specific features. In doing so, it provides a rich picture of the latest trends in local government, as well as pointing the way for future developments.

The Government recognises that many lifestyle-driven health problems are at alarming levels: obesity; high rates of sexually transmitted infections; a relatively large population of drug users; rising levels of harm from alcohol; 80,000 deaths a year from smoking; poor mental health; health inequalities between rich and poor. This white paper outlines the Government's proposals to protect the population from serious health threats; help people live longer, healthier and more fulfilling lives; and improve the health of the poorest. It aims to empower individuals to make healthy choices and give communities and local government the freedom, responsibility and funding to innovate and develop ways of improving public health in their area. The paper responds to Sir Michael Marmot's strategic review of health inequalities in England post 2010 - "Fair society, healthy lives" (available at http://www.marmotreview.org/AssetLibrary/pdfs/Reports/FairSocietyHealthyLives.pdf) and adopts its life course framework for tackling the wider social determinants of health. A new dedicated public health service - Public Health England - will be created to ensure excellence, expertise and responsiveness, particularly on health protection where a national response is vital. The paper gives a timetable showing how the proposals will be implemented and an annex sets out a vision of the role of the Director of Public Health. The Department is also publishing a fuller story on the health of England in "Our health and wellbeing today" (http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/documents/digitalasset/dh_122238.pdf), detailing the challenges and opportunities, and in 2011 will issue documents on major public health issues.

This book takes a comparative approach to local government across 14 European countries, looking at processes of decentralisation, regionalisation and reforms of local government. Examining second levels of government, such as UK Counties, French Départements, Italian and Spanish Provinces, and German Landkreise, this book reveals both the specific characteristics of particular countries, and also similarities across Europe. As the first book focussing on the second level of local governments, this monograph combines comparative analysis of institutional trends and reforms of local government with examination of country-specific features to provide an original and insightful evaluation of European governance. Organised along common thematic lines, leading experts in their field outline the historical development of local government, and analyse recent or current reform debates. The book argues democratic quality and effectiveness of this territorial level of government is in the focus of on-going debates about the rescaling of statehood and a shift from ‘government to governance’. The Second Tier of Local Government in Europe will be of interest to students and scholars studying local government, public administration and multi-level governance.

The Routledge Handbook of International Local Government conducts a rigorous, innovative and distinctive analysis of local government within a comparative, international context. Examining the subject matter with unrivalled breadth and depth, this handbook shows how different cultures and countries develop different institutions, structures and processes over time, yet that all have some features in common – the most obvious of which is the recognition that some decisions are better made, some services better delivered, and some engagement with the state better organised if there is structured organisational expression of the importance of the local dimension of all these factors . Thematically organised, it includes contributions from international experts with reference to the wider context in terms of geographies, local government modes, recent developments and possible further lines of research. It has a wide academic appeal internationally and will steer a course between the two dimensions of mono-jurisdictional studies and ‘cataloguing’ forms of comparison. The Routledge Handbook of International Local Government will be essential reading and an authoritative reference for scholars, students, researchers and practitioners involved in, and actively concerned about, research on local government.