This article discusses the social construction and developmental difficulties of local governance in Great Britain from a macro point of view. The article starts with a reflection on local governance and takes health policy as the typical case; furthermore, it generalizes the problems of promoting local governance in Britain. The challenges of local governance in Britain are complicated. The New Labour government devotes much effort to local governance, but unfortunately fails to grasp the complexity of the issue. Local British governments have recently dealt with several important revolutions. For example, district governments have been established and empowered adequately. From a severe lack of thought on multi-level governance, it is gradually replaced by collaborative governance under central authority; moreover, local governments and the local QUANGOs have been adjusted properly, and a great number of cooperative organizations have been set up, one after another. However, many resources have been invested in rebuilding partnership relations but failing to focus on the purpose of integral partnership relations.
