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Devolution in the UK enables its four countries to pursue locally relevant policies. Healthcare is a key devolved subject on which the competency of the devolved governments will be judged. Mechanisms that enable political aspirations to be understood in terms of inputs, processes and outputs/outcomes – and delivered – are now needed. A model demonstrating such a mechanism is described. The model enables different investment options to be contrasted using several dimensions, including time lags, qualitative and quantitative changes, changes in different care settings, and changes in different care stages.

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