Health powers should be handed to elected mayors as part of a ‘rejuvenated and fortified wave of devolution,’ a think-tank report has suggested.

The report by Respublica said the move would provide ‘regional democratic legitimacy’ to devolved health and care systems.

Respublica previously proposed a 'path to reform' involving 'transformative devolution to the counties' and 'complete reorganisation in the form of single-tier unitary councils'.

It also suggested that adult and children’s social care departments of local authorities should be merged as part of a plan to integrate health and social care into one unitary system as a ‘first step towards full devolution’.