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Between a rock and a hard place: comparing arms' length bodies for public involvement in healthcare across the UK

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Between a rock and a hard place : comparing arms' length bodies for public involvement in healthcare across the UK. / Stewart, Ellen; Ercia, Angelo; Greer, Scott L; Donnelly, Peter D.

In: Health Policy, Vol. 124, No. 4, 04.2020, p. 454-461.

Research output: Contribution to journalArticlepeer-review

Harvard

Stewart, E, Ercia, A, Greer, SL & Donnelly, PD 2020, 'Between a rock and a hard place: comparing arms' length bodies for public involvement in healthcare across the UK', Health Policy, vol. 124, no. 4, pp. 454-461. https://doi.org/10.1016/j.healthpol.2020.02.004

APA

Stewart, E., Ercia, A., Greer, S. L., & Donnelly, P. D. (2020). Between a rock and a hard place: comparing arms' length bodies for public involvement in healthcare across the UK. Health Policy, 124(4), 454-461. https://doi.org/10.1016/j.healthpol.2020.02.004

Vancouver

Stewart E, Ercia A, Greer SL, Donnelly PD. Between a rock and a hard place: comparing arms' length bodies for public involvement in healthcare across the UK. Health Policy. 2020 Apr;124(4):454-461. https://doi.org/10.1016/j.healthpol.2020.02.004

Author

Stewart, Ellen ; Ercia, Angelo ; Greer, Scott L ; Donnelly, Peter D. / Between a rock and a hard place : comparing arms' length bodies for public involvement in healthcare across the UK. In: Health Policy. 2020 ; Vol. 124, No. 4. pp. 454-461.

Bibtex - Download

@article{de125e0e3cc24d94bf847085ad4fe52f,
title = "Between a rock and a hard place: comparing arms' length bodies for public involvement in healthcare across the UK",
abstract = "Arms' length bodies are often seen as a tool of technocratic governance, designed to insulate decision-making from the politicizing pressures of populist influence. This article examines a subset of arms' length bodies in the UK which challenge this convention: agencies which exist to 'champion' the voice of patients and the public in the four NHS systems (England, Northern Ireland, Scotland and Wales). We compare the functions of these agencies on paper and through qualitative interviews in each system which focused on public involvement in major service change (such as closing hospitals). We found that agencies in all four systems had struggled to demonstrate their legitimacy, squeezed between the demands of the elected Governments they answer to, the NHS organisations they are meant to support and challenge, and the publics whose voices they are meant to amplify. We argue that the evolving solutions found in each system demonstrate a foundational tension between locally-legitimate actors and nationally-capable political savvy.",
keywords = "Public and patient involvement, Health system reform, Public administration",
author = "Ellen Stewart and Angelo Ercia and Greer, {Scott L} and Donnelly, {Peter D}",
note = "This study was funded by the Health Foundation under the Policy Challenge Fund. Thanks to all our research participants for sharing their time and views.",
year = "2020",
month = apr,
doi = "10.1016/j.healthpol.2020.02.004",
language = "English",
volume = "124",
pages = "454--461",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier Ireland Ltd",
number = "4",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Between a rock and a hard place

T2 - comparing arms' length bodies for public involvement in healthcare across the UK

AU - Stewart, Ellen

AU - Ercia, Angelo

AU - Greer, Scott L

AU - Donnelly, Peter D

N1 - This study was funded by the Health Foundation under the Policy Challenge Fund. Thanks to all our research participants for sharing their time and views.

PY - 2020/4

Y1 - 2020/4

N2 - Arms' length bodies are often seen as a tool of technocratic governance, designed to insulate decision-making from the politicizing pressures of populist influence. This article examines a subset of arms' length bodies in the UK which challenge this convention: agencies which exist to 'champion' the voice of patients and the public in the four NHS systems (England, Northern Ireland, Scotland and Wales). We compare the functions of these agencies on paper and through qualitative interviews in each system which focused on public involvement in major service change (such as closing hospitals). We found that agencies in all four systems had struggled to demonstrate their legitimacy, squeezed between the demands of the elected Governments they answer to, the NHS organisations they are meant to support and challenge, and the publics whose voices they are meant to amplify. We argue that the evolving solutions found in each system demonstrate a foundational tension between locally-legitimate actors and nationally-capable political savvy.

AB - Arms' length bodies are often seen as a tool of technocratic governance, designed to insulate decision-making from the politicizing pressures of populist influence. This article examines a subset of arms' length bodies in the UK which challenge this convention: agencies which exist to 'champion' the voice of patients and the public in the four NHS systems (England, Northern Ireland, Scotland and Wales). We compare the functions of these agencies on paper and through qualitative interviews in each system which focused on public involvement in major service change (such as closing hospitals). We found that agencies in all four systems had struggled to demonstrate their legitimacy, squeezed between the demands of the elected Governments they answer to, the NHS organisations they are meant to support and challenge, and the publics whose voices they are meant to amplify. We argue that the evolving solutions found in each system demonstrate a foundational tension between locally-legitimate actors and nationally-capable political savvy.

KW - Public and patient involvement

KW - Health system reform

KW - Public administration

U2 - 10.1016/j.healthpol.2020.02.004

DO - 10.1016/j.healthpol.2020.02.004

M3 - Article

C2 - 32139172

VL - 124

SP - 454

EP - 461

JO - Health Policy

JF - Health Policy

SN - 0168-8510

IS - 4

ER -

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