While federated learning enables collaborative modelling on decentralised data, standard methods merely fit historical observations. This purely observational approach is fundamentally insufficient for interventional inference and policy evaluation, as sequential actions dynamically alter future states. We propose \textbf{Fed-CausalDiff}, a federated causal diffusion framework for do-simulation. The architecture decomposes the evolution of the latent state into a global causal score function and a local confounding score function. This design enables \emph{decoupled synchronisation} (DSS), where clients aggregate only the shared causal mechanism while retaining site-specific confounders locally to handle heterogeneity. Experiments on four datasets demonstrate that Fed-CausalDiff achieves better ATE and policy-value estimation accuracy, offering a favorable trade-off between communication cost and inference fidelity.

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