My USA iPad and how to get a specific app? (I'm British)

I bought an iPad in the USA because it was cheaper and I got tax back. I think the iPad is identical to a British model, except for things like the dollar sign etc!
I want an app called OnLive Desktop - but apparently it is not available to me in my country/area. I am British.
I was wondering if I went to the USA, would this app be available to me?
Is there a difference in the USA and the UK App Store?
And if this is true, do regions or countries prevent certain apps?
This app is not in the App Store in my iPad, however I know it exists and I know others have it.
Any help would be much appreciated!
Thank you in advance!

You can change the region format in Settings>General>Region Format to the UK and you can change the keyboard in there as well.
Certain content is only available in certain countries due to licensing, copyright and government restrictions issues so not all content is available everywhere.
You can only buy from a country's store if you have a credit card in that country that is registered to a physical address in that country. So if you do not have a U.S. credit card registered to an address in the U.S., you can't buy from the store.
This explains what content is available in each country, but it does not specific down to particular apps and things like that,
http://support.apple.com/kb/ts3599

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