Citizens at the Centre: Deliberative Participation in Healthcare Decisions

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Policy Press, 2006 - Medical - 292 pages
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Involving citizens in policy decision-making processes - deliberative democracy - has been a central goal of the Labour government since it came to power in 1997. But what happens when members of the public are drawn into unfamiliar debate, with unfamiliar others, in the unfamiliar world of policy making at national level?This book sets out to understand the contribution that citizens can realistically be expected to make. Drawing on the lessons from an ethnographic study of a public involvement initiative in the health service - the Citizens Council of NICE (National Institute for Clinical Excellence) - the book explores the practical realities behind the much-quoted faith in 'deliberation' that underpins so many models of public involvement and presents the analysis of sixty four hours of video and audiotape capturing a warts-and-all picture of deliberation in action. It sets deliberative participatory initiatives within a broad inter-disciplinary context and challenges politicians, policy-makers and academics to develop more realistic approaches to democratic innovation."Citizens at the centre" will be of interest to academics and students in social policy, sociology, politics, health, social care, economics, and public administration and management. It will also be valuable to anyone involved in the policy making process, not only in the UK, but also in Europe, the USA and other countries where deliberative democracy is being implemented or discussed.
 

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Contents

One The rise and rise of participation
15
towards an understanding of practice
37
three Setting up a Citizens Council
65
the first Citizens Council meeting
85
five Better by design? Subsequent Citizens Councils
109
six Power discursive styles and identities
137
seven Reactions reflections and reworkings 69
169
eight Reframing citizen deliberation 93
193
nine New directions for policy and practice
215
References
233
Study design and methods 2 47
249
National Institute for Clinical Excellence
269
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About the author (2006)

Celia Davies, Professor of Health Care, Open University, Margaret Wetherell, Department of Social Sciences, Open University and Elizabeth Barnett, Former Research Associate in Health, Faculty of Health and Social Care, Open University

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