In the late 1990s several policy issues concerning the Canadian public health care system became the subject of public debate in Canada. These included the rising costs of the system, including cost per capita; which level of government should bear rising costs; whether and what forms of privatization should be introduced; delays in receiving treatment; the quality of treatment; differences in access to treatments in different provinces (so-called "uneven coverage"); and the extent to which health care service delivery was disaggregated.
The Community Planning Toolkit www.communityplanningtoolkit.org was developed by Community Places through the support of the BIG Lottery Fund to help the Community and Voluntray Sector in Northern Ireland to prepare for the planned introduction of Council led Community Planning in 2015.
In February 2010 the Big Lottery Fund issued an invitation to tender for three Community Planning Pilot Projects and a Learning, Support and Toolkit contract. Its decision to do so was:
Participatory decentralization is the process of handing out legitimate political authority to the citizens. It contributes to democratization by bringing the government ‘closer to the people’, imparting the citizens with political knowledge through their participation in local management, and making the government more accountable.