Decentralisation and central-local relations: the case of policing and mental health in England

  • Carlos SolarEmail author
  • Martin Smith
Original Article


Over the last decade, British governments have advocated a combined policing and health policy based on the premise that everyday more people come to police attention due to mental illness issues. Central authorities emphasise co-produced local community initiatives including street triage and clinical liaison and diversion programmes as mechanisms for better managing mental health issues. The model of governance of policing and mental health developed by the Conservative governments emphasises a decentralisation of services as a means of better managing local demands. Consequently, much of the policy burden falls upon local police forces and the austerity-afflicted NHS overstressing the front lines of delivery. We argue that this rationale challenges the traditionally established model of central-local governance which saw local authorities implementing national policy. However, whilst central government has shifted responsibility for services to local deliverers, the structural and policy barriers to an integrated approach to mental health and policing have proven difficult to change when directed from the centre of government. The executive’s continuous direction of policy in a climate of austerity politics triggers not only a debate on the sustainability of local governance but also with regard to what power of delivery local institutions have. We conclude that the nature of governmental decentralisation on cross-sectorial policymaking can jeopardise the creation of sustainable local governance practices.


Austerity Decentralisation Central-local governance Police NHS 



  1. Adebowale V. 2013. Independent commission on mental health and policing report. Accessed 28 June 2016.
  2. Andrews, R., and T. Entwistle. 2015. Public–private partnerships, management capacity and public service efficiency. Policy & Politics 43 (2): 273–290.CrossRefGoogle Scholar
  3. Ansell, C., and J. Torfing. 2014. Public innovation through collaboration and design. Abingdon: Routledge.CrossRefGoogle Scholar
  4. Ansell, C., and J. Torfing. 2015. How does collaborative governance scale? Policy & Politics 43 (3): 315–329.CrossRefGoogle Scholar
  5. Bayley, D.H., and P.C. Stenning. 2016. Governing the police: Experience in six democracies. New Brunswick and London: Transaction Publishers.Google Scholar
  6. Bailey, D., and M. Wood. 2017. The metagovernance of English devolution. Local Government Studies 43 (6): 966–991.CrossRefGoogle Scholar
  7. BBC. 2015. Police federation crying wolf over cuts, says Theresa May. BBC News, May 20. Accessed 18 June 2016.
  8. Benyon, J. 2011. The con-lib agenda for home affairs. In The Cameron-Clegg Government: Coalition politics in an age of austerity, ed. S. Lee and M. Beech, 134–152. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
  9. Berry, C. 2016. Austerity, ageing and the financialisation of pensions policy in the UK. British Politics 11 (1): 2–25.CrossRefGoogle Scholar
  10. Bevir, M., and R.A.W. Rhodes. 2016. Rethinking governance: Ruling, rationalities and resistance. London: Routledge.CrossRefGoogle Scholar
  11. Blair, I. 2016. The police can’t continue to pick up the pieces of Britain’s mental health cuts. Accessed 01 Nov 2016.
  12. Bloch, S. 2016. NHS mental health funding falls in England. BBC News, Feb 14. Accessed 28 June 2016.
  13. Bradley, K. 2009. The Bradley report: Lord Bradley’s review of people with mental health problems or learning disabilities in the criminal justice system. Accessed 28 June 2016.
  14. Bulpitt, J. 1983. Territory and power in the United Kingdom: An interpretation. Manchester: Manchester University Press.Google Scholar
  15. Carter, N., and B. Clements. 2015. From ‘greenest government ever’ to ‘get rid of all the green crap’: David Cameron, the conservatives and the environment. British Politics 10 (2): 204–225.CrossRefGoogle Scholar
  16. Clarke, Harold D., Walter Borges, Marianne C. Stewart, D. Sanders, and Paul Whiteley. 2013. The politics of austerity: Modelling British attitudes towards public spending cuts. In Advances in political economy: Institutions, modelling and empirical analysis, ed. N. Schoefield, Norman, G. Caballero, and D. Kselman, 265–288. Berlin: Springer.CrossRefGoogle Scholar
  17. Davies, J.S., and E. Thompson. 2016. Austerity realism and the governance of Leicester. In Rethinking governance: Ruling, rationalities and resistance, ed. Bevir Mark and R.A.W. Rhodes, 144–161. Abingdon: Routledge.Google Scholar
  18. Department of Health. 2010. Healthy lives, healthy people: Our strategy for public health in England. Accessed 28 June 2016.
  19. Department of Health. 2016. Increased mental health services for those arrested. Accessed 18 July 2016.
  20. Department of Health and Home Office. 2016. Accessed 18 July 2016.
  21. Diamond, P. 2014. Governing Britain: Power, politics and the prime minister. London: I.B. Tauris.Google Scholar
  22. Diamond, P. 2015. New Labour, politicisation and depoliticisation: The delivery agenda in public services 1997–2007. British Politics 10 (4): 429–453.CrossRefGoogle Scholar
  23. Dommett, K. 2015. The Theory and practice of party modernisation: The conservative party under David Cameron, 2005–2015. British Politics 10 (2): 249–266.CrossRefGoogle Scholar
  24. Dommett, K., and M. Flinders. 2015. The centre strikes back: Meta-governance, delegation, and the core executive in the United Kingdom, 2010–14. Public Administration 93 (1): 1–16.CrossRefGoogle Scholar
  25. Evans, M. 2010. Cameron’s competition state. Policy Studies 31 (1): 95–115.CrossRefGoogle Scholar
  26. Gardner, A. 2017. Big change, little change? Punctuation, increments and multi-layer institutional change for English local authorities under austerity. Local Government Studies 43 (2): 150–169.CrossRefGoogle Scholar
  27. Griffiths, S. 2009. Cameron’s conservatives and the public services. In The conservatives under Cameron: Built to last?, ed. S. Lee and M. Beech, 97–108. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
  28. Griffiths, S., and H. Kippin. 2013. Introduction. In Public services: A new reform agenda, ed. S. Griffiths, H. Kippin, and G. Stoker, 1–15. Bloomsbury: London.Google Scholar
  29. HM Government. 2010. The coalition: Our programme for government. Accessed 28 June 2016.
  30. HM Government. 2011. No health without mental health: A cross-government mental health outcomes strategy for people of all ages. Accessed 28 June 2016.
  31. HM Government. 2013. Extending the street triage scheme: New patrols with nurses and the police. Accessed 27 June 2016.
  32. HM Government. 2014a. Mental health crisis care concordat improving outcomes for people experiencing mental health crisis. Accessed 27 June 2016.
  33. HM Government. 2014b Review of the operation of sections 135 and 136 of the mental health act 1983: Review report and recommendations. Accessed 01 Nov 2016.
  34. HM Government. 2014c. Home secretary at the policing and mental health summit. Accessed 28 June 2016.
  35. Home Office. 2015. Home Secretary to Keith Vaz: Policing and mental health goverment response. Accessed 20 August 2018.
  36. Home Office. 2019. Police workforce, England and Wales: 31 March 2019.
  37. Hood, C., and R. Dixon. 2015. A government that worked better and cost less? Evaluating three decades of reform and change in UK Central Government. Oxford: Oxford University Press.CrossRefGoogle Scholar
  38. Hopkins, N. 2015. Police cuts: David Cameron tried to save constituency stations. BBC News, 13 Nov. Accessed 28 June 2016.
  39. House of Commons. 2015. Policing and mental health. Eleventh report of session 2014-15. Accessed 28 June 2016.
  40. Kerr, P., and R. Hayton. 2015. Whatever happened to conservative party modernisation? British Politics 10 (2): 114–130.CrossRefGoogle Scholar
  41. Klijn, E.H., and J. Koppenjan. 2016. Governance networks in the public sector. London and New York: Routledge.Google Scholar
  42. Lane, J. 2006. Public administration and public management: The principal-agent perspective. London: Routledge.CrossRefGoogle Scholar
  43. Lansley, A. 2006. The conservative vision for the NHS. In The future of the NHS, ed. M. Tempest, 19–26. UK: XPL Publishing.Google Scholar
  44. Lister, S., and M. Rowe. 2014. Electing police and crime commissioners in England and Wales: Prospecting for the democratisation of policing. Policing and Society 25 (4): 358–377.CrossRefGoogle Scholar
  45. Loughran, M. 2018. Detention under section 136: Why is it increasing? Medicine, Science and the Law 58 (4): 268–274.CrossRefGoogle Scholar
  46. Lowndes, V., and A. Gardner. 2016. Local governance under the conservatives: Super-austerity, devolution and the ‘smarter state’. Local Government Studies 42 (3): 357–375.CrossRefGoogle Scholar
  47. Lowndes, V., and K. McCaughie. 2013. Weathering the perfect storm? Austerity and institutional resilience in local government. Policy & Politics 41 (4): 533–549.CrossRefGoogle Scholar
  48. Lowndes, V., and M. Lemprière. 2018. Understanding variation in processes of institutional formation. Political Studies 66 (1): 226–244.CrossRefGoogle Scholar
  49. Heslin, M., Lynne Callaghan, Barbara Barrett, Susan Lea, Susan Eick, John Morgan, Mark Bolt, Graham Thornicroft, Diana Rose, Andrew Healey, and Anita Pate. 2016. Costs of the police service and mental healthcare pathways experienced by individuals with enduring mental health needs. British Journal of Psychiatry. Scholar
  50. Marsh, D., D. Richards, and M. Smith. 2003. Unequal plurality: Towards an asymmetric power model of British politics. Government and Opposition 38 (3): 306–332.CrossRefGoogle Scholar
  51. Mattheys, K. 2015. The coalition, austerity and mental health. Disability & Society 30 (3): 475–478.CrossRefGoogle Scholar
  52. Morris, N. 2015. General election 2015: Further planned cuts to police budgets under Tories, says Theresa May. The Independent, April 27. Accessed 18 June 2016.
  53. Moth, R., J. Greener, and T. Stoll. 2015. Crisis and resistance in mental health services in England. Critical and Radical Social Work 3 (1): 89–101.CrossRefGoogle Scholar
  54. Newburn, T. 2015. What’s happening to police numbers? BBC News, Nov 24. Accessed 28 June 2016.
  55. NHS Confederation. 2015. Mental health and policing: Improving crisis care. Accessed 28 June 2016.
  56. O’Driscoll, M.-L. 2007. Taking the wait off: An examination of the influence of policy networks in a case where local policy was formulated and implemented to reduce protracted waiting for orthopaedic services. In Health policy and politics, ed. A. Hann, 123–138. Aldershot: Ashgate.Google Scholar
  57. Office of the Deputy Prime Minister. 2014. Nick Clegg holds first mental health taskforce meeting. Accessed 18 July 2016.
  58. Office of the Deputy Prime Minister. 2015. Deputy prime minister launches search for mental health heroes. Accessed 18 July 2016.
  59. Ovretveit, J., P. Mathias, and T. Thompson. 1997. Interprofessional working for health and social care. Basingstoke: Palgrave.CrossRefGoogle Scholar
  60. Page, R.M. 2011. The emerging blue (and orange) health strategy: Continuity or change? In The Cameron-Clegg government: Coalition politics in an age of austerity, ed. S. Lee and M. Beech, 89–104. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
  61. Parliament. 2015. Police reform: Key issues for the 2015 Parliament. Accessed 18 June 2016.
  62. Paton, F., K. Wright, N. Ayre, C. Dare, S. Johnson, B. Lloyd-Evans, et al. 2016. Improving outcomes for people in mental health crisis: A rapid synthesis of the evidence for available models of care. Health Technology Assessment. Scholar
  63. Pilgrim, D., and S. Ramon. 2009. English mental health policy under new labour. Policy & Politics 37 (2): 273–288.CrossRefGoogle Scholar
  64. Prime Minister’s Office. 2015. PM on plans for a seven-day NHS. Accessed 18 July 2016.
  65. Quinn, B., Laville, S., and Duncan, P. 2016. Mental health crises take huge and increasing share of police time. The Guardian, January 27. Accessed 28 June 2016.
  66. Reiner, R. 2016. Power to the people? A social democratic critique of the coalition government’s police reforms. In Accountability of Policing, ed. S. Lister and M. Rowe, 132–149. Abingdon: Routledge.Google Scholar
  67. Reveruzzi, B., and S. Pilling. 2016. Street triage: Report on the evaluation of nine pilot schemes in England. London: University College London.Google Scholar
  68. Rex, B. 2019. Which museums to fund? Examining local government decision-making in austerity. Local Government Studies. Scholar
  69. Rhodes, R.A.W. 1988. Beyond Westminster and Whitehall: The sub-central governments of Britain. London: Allen and Unwin.Google Scholar
  70. Richards, D., M. Smith, and C. Hay. 2014. Institutional crisis in 21st century Britain. Basingstoke: Palgrave Macmillan.CrossRefGoogle Scholar
  71. Richardson, L., C. Durose, and R.J. Dean. 2018. Why decentralize decision making? English local actors’ viewpoints. Governance 32 (1): 159–176.CrossRefGoogle Scholar
  72. Richmond Fellowship. 2015. Annual review 2015: Inspiring individuals to recovery nationwide. Accessed 19 July 2016.
  73. Royal College of Psychiatrists. 2010. No health without mental health. Accessed 28 June 2016.
  74. Shaw, D. 2015. Police forces must reform to survive cuts, says new chief. BBC News, July 20. Accessed 28 June 2016.
  75. Smith, M. 2010. From big government to big society: Changing the state–society balance. Parliamentary Affairs 63 (4): 818–833.CrossRefGoogle Scholar
  76. Smith, M., D. Richards, A. Geddes, and H. Mathers. 2011. Analysing policy delivery in the United Kingdom: The case of street crime and anti-social behaviour. Public Administration 89 (3): 975–1000.CrossRefGoogle Scholar
  77. Smith, M., and R. Jones. 2015. From big society to small state: Conservatism and the privatisation of government. British Politics 10 (2): 226–248.CrossRefGoogle Scholar
  78. Squires, P. 2008. The politics of anti-social behaviour. British Politics 3 (3): 300–323.CrossRefGoogle Scholar
  79. Stoker, G. 2011. Was local governance such a good idea? A global comparative perspective. Public Administration 89 (1): 15–31.CrossRefGoogle Scholar
  80. Stoker, G., and T. Travers. 2001. A new account? Choices in local government finance. York: Joseph Rowntree Foundation.Google Scholar
  81. Tempest, M. 2006. The future of the NHS. UK: XPL Publishing.Google Scholar
  82. Thomas, A., and R. Forrester-Jones. 2019. Understanding the changing patterns of behaviour leading to increased detentions by the police under Section 136 of the Mental Health Act 1983. Policing: A Journal of Policy and Practice 13 (2): 134–146.CrossRefGoogle Scholar
  83. Thelen, K. 2009. Institutional change in advanced political economies. British Journal of Industrial Relations 47 (3): 471–498.CrossRefGoogle Scholar
  84. Travers, T. 2015. The Coalition and society: Home affairs and local government. In The coalition effect 2010-2015, ed. A. Seldon and M. Finn, 228–256. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  85. Wilson, D., and C. Game. 2011. Local government in the United Kingdom. Basingstoke and New York: Palgrave Macmillan.CrossRefGoogle Scholar
  86. YouGov. 2013. Mentally ill ‘most discriminated against group in Britain’. Accessed 01 Nov 2016.

Copyright information

© Springer Nature Limited 2020

Authors and Affiliations

  1. 1.Latin American Centre, University of OxfordOxfordUK
  2. 2.Department of PoliticsUniversity of YorkYorkUK

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