I used to work in the NHS. Over a number of different reorganisations, the number of regions the NHS was split into varied from 14, 13, 8, 7; in fact any succeeding reorganisation was almost 'any number but the last one'! It just goes to show that there are not any natural regions in England.
To take an example, one of the earlier options had a south-east region excluding London. Given the large movement of people between London and its commuter belt, would the population more readily relate to London or the south-east? Where would they pay their taxes? If income tax is based on where they work, rather than where they live, it would mean that a south-east resident they would have no representation in London, even though they pay taxes there. Anyone remember 'No taxation without Representation'?
No, I don't think regionalisation (even devolution) works. It will end up as a postcode lottery, and there are enough complaints about NHS postcode lottery - regionalisation would simplify multiply them.
To take an example, one of the earlier options had a south-east region excluding London. Given the large movement of people between London and its commuter belt, would the population more readily relate to London or the south-east? Where would they pay their taxes? If income tax is based on where they work, rather than where they live, it would mean that a south-east resident they would have no representation in London, even though they pay taxes there. Anyone remember 'No taxation without Representation'?
No, I don't think regionalisation (even devolution) works. It will end up as a postcode lottery, and there are enough complaints about NHS postcode lottery - regionalisation would simplify multiply them.