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How effective have user involvement policies been in including public and patient participation in decision making within the NHS?

Haworth-Lomax, R 2016, How effective have user involvement policies been in including public and patient participation in decision making within the NHS? , in: Dilemmas in Managing Change. 19th Annual Dilemmas for Human Services International Research Conference, 14th September 2016, The University of Northampton. (Unpublished)

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Abstract

Since the 1990’s successive government policies have fostered the way for collaborative working in health and social care. Within this framework public, patient and service user involvement in how local services should best be delivered has become a central wheel in the cog of collaboration. The White Paper The New NHS Modern and Dependable (1997) The Local Government and Public Involvement in Health Act (2007) and more recent legislation in the form of the NHS and Social Care Act 2012 have all set the agenda for greater public participation in how local health services should best be delivered. However, the implementation of such policy is fraught with difficulties and highly problematic. Medical and managerialist dominance of health care, lack of public knowledge and agreed definitions of what constitutes an appropriate level of participation for all service users are just some of the issues which need to be addressed if democratic public participation in the decision making process is to truly become a reality within the NHS. This paper will highlight such issues by citing relevant research and offering a number of suggestions, which will foster greater equitable public participation in health care planning and delivery of service. Reading References Cowder, S. Gurnam, S. (Feb 2007) The ‘User’: Friends, Foe or Fetish? A critical exploration of user involvement in Health and Social care. Critical Social Policy Vol 27, no1 pp5 - 23 Dept of Health (2012) Health and Social Care Act.. London HMSO Dept. of Health (2007) The Local Government and Public Involvement in Health Act. London HMSO Department of Health (2000) The NHS Plan: A Plan for investment a plan for reform. London HMSO 'Haworth, R (2011) 'Patient choice and participation in decision making is not always that straightforward.' British Medical Journal (BMJ) Official URL: http://www.bmj.com/content/343/bmj.d7570?tab=respo... Haworth, R & Melling, B 2010, Braking down the barriers. To what extent are service users collaborating in decision making processes within the NHS. A review of policy implementation and outcomes, in: 'Dilemmas in Human Services.', the University of Staffordshire, Staffordshire, England. Conference details: Confronting Barriers to Human Services: International Research Conference on Dilemmas in Human Services. The University of Staffordshire. ISBN 978-1-904133-43-8.

Item Type: Conference or Workshop Item (Paper)
Schools: Schools > School of Nursing, Midwifery, Social Work & Social Sciences
Funders: University of Salford
Depositing User: R Haworth-Lomax
Date Deposited: 12 Oct 2016 07:58
Last Modified: 12 Oct 2016 07:58
URI: http://usir.salford.ac.uk/id/eprint/40324

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