In November 2017, a devolution agreement for health and social affairs was announced for London. The agreement includes commitments regarding NHS placements and remittances, the appointment of budgets and payment mechanisms, as well as health and care staff in London. The Government of Nunavut is currently negotiating a decentralization agreement with the Government of Canada. Nunavut Tunngavik, the Nunavut Inuit organization, is also involved in the negotiation to ensure that Inuit interests are represented. The agreement provides for a collective agreement between London and National Partners to change the outcomes of health and well-being, inequalities and services in London through new channels of cooperation and with the public. It includes decentralisation of funding and delegation powers, additional fiscal and regulatory powers, licensing and employment support, governance and regulatory changes, joint strategic capital planning, joint strategic human resources planning, involvement of London partners in the development of new payment mechanisms and the full involvement of Lond partners Decisions on supplier performance. I am not here to make partisan points, but the difference was the strongest within the Scottish Government. This partly reflects a political difference between a Unionist government in London and a nationalist government in Holyrood, with different strategic and constitutional objectives. 148,144 Constitutional Commission, Intergovernmental Relations in the United Kingdom (11. Report, 2014-15, document HL 146; Constitutional Commission, Union and Decentralisation (10th report, meeting 2015-16, HL Paper 149) A new decentralisation to GMCA has been announced as part of the expenditure review. Details include the government`s commitment to examine how regulatory reforms can support local research into housing and utility reforms, the power to introduce a municipal infrastructure tax, and the development of a business case for a land program. It also provides that the Infrastructure Commission will provide advice on investment priorities for the North, transparency obligations related to the financing of franchised bus services, and agreements to review proposals for a joint investment platform to improve the region`s motorway network. . .

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